CMT CMT Pain Science & Patient Education

Question 1

According to the gate control theory of pain, manual therapy techniques may reduce pain by:

Accepted Answer

Activating large-diameter Aβ afferents that inhibit nociceptive transmission at the spinal cord level

Answer

Completely blocking nociceptor activation in peripheral tissue

Answer

Permanently altering central sensitization pathways

Answer

Releasing endorphins from the pituitary gland only

Question 2

Central sensitization is best described as:

Accepted Answer

Amplification of neural signaling within the central nervous system, causing hypersensitivity beyond the original injury

Answer

Increased sensitivity of peripheral nociceptors at the injury site

Answer

A normal healing response that resolves within 6 weeks

Answer

Sensitivity to centrally acting analgesics only

Question 3

In pain neuroscience education (PNE), the primary goal of educating patients about pain is to:

Accepted Answer

Reduce pain catastrophizing by reconceptualizing pain as a protective brain output rather than a tissue damage signal

Answer

Convince patients that their pain is not real

Answer

Replace all manual therapy with education only

Answer

Increase patient awareness of structural damage causing their pain

Question 4

Allodynia is defined as:

Accepted Answer

Pain produced by a stimulus that would not normally be painful

Answer

Increased pain response to a normally painful stimulus

Answer

Complete absence of pain sensation in an injured area

Answer

Pain referred to a distant site from the injury

Question 5

The biopsychosocial model of pain recognizes that chronic pain is influenced by:

Accepted Answer

Biological factors, psychological factors (beliefs, mood), and social factors (work, relationships)

Answer

Biological tissue damage alone

Answer

Psychological factors exclusively

Answer

Radiographic findings and inflammatory biomarkers only

Question 6

The Fear-Avoidance Model of pain predicts that patients with high pain catastrophizing will:

Accepted Answer

Develop activity avoidance, leading to deconditioning and prolonged disability

Answer

Recover quickly through increased activity

Answer

Have less severe pain due to psychological distraction

Answer

Be more compliant with home exercise programs