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Table 2 Responses for items dealing with knowledge about WAD and PTSD

From: General practitioners knowledge and management of whiplash associated disorders and post-traumatic stress disorder: implications for patient care

Item

T/F

% correct

Whiplash

 1. People with a whiplash injury to the neck have a poorer prognosis when:

  a. Pain > 7/10 on a Visual Analogue Scale on day 1 vs follow up

T

38

  b. People have a psychological injury or psychological comorbidity

T

95

  c. People have a low expectation of recovery

T

90

  d. People do not have an expectation of return to work

T

87

 2. Components of a whiplash injury to the neck that indicate the need for cervical spine X-ray include:

  a. Inability to rotate the neck beyond 45° to the left or right

T

44

  b. Paraesthesia in the extremities

T

95

  c. Age ≥ to 65 years

T

65

 3. Effective evidence-based treatments for whiplash injury to the neck include:

  a. Range of movement exercises

T

95

  b. Manipulation

F

20

  c. Passive mobilisation

F

73

  d. Collars

F

76

  e. Rest in bed rather than graded return to usual activities

F

96

 Average

 

73

PTSD

 4. People who are likely to have a poorer prognosis from PTSD if untreated include:

  a. People who have PTSD symptoms persisting beyond 1 month after the injury

T

85

  b. People whose physical injuries are of greater severity

F

34

  c. People involved in litigation for criminal or civil purposes

T

84

 5. I would usually refer a patient with a post-traumatic stress presentation to mental health services if there was:

  a. Prominence of depression in the presentation

T

81

  b. Prominence of pain in the presentation

T

31

  c. Presence of PTSD symptoms subsequent to a mild traumatic brain injury

T

72

  d. Presence of PTSD symptoms persisting beyond 1 month post injury

T

82

  e. Presence of a mental health history

T

76

 6. First line evidence-based treatments for adults with PTSD include:

  a. Trauma focused cognitive behaviour therapy (CBT)

T

89

  b. Selective Serotonin Reuptake Inhibitors (SSRI)

F

22

  c. Benzodiazepines

F

85

 7. Aside from PTSD, psychiatric disorders that can commonly occur following a injury include:

  a. Major Depressive Disorder

T

83

  b. Generalized Anxiety Disorder

T

94

  c. Brief Psychotic Disorder

F

49

  d. Substance Use Disorder

T

59

 Average

 

68