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 |