Dry Needling: A Tool for the Movement System, Course 2 (Home Study) Pre-Course Quiz

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Pre-Course Quiz

Email *

Name (First & Last) *

The following must be obtained before dry needling can be performed EXCEPT: *

1 point

Informed consent

Medical history

Physician referral

Clinical reason to perform DN

Signs and symptoms of a pneumothorax include all of the following EXCEPT: *

1 point

Productive cough

Chest pain

Difficulty taking a deep breath

Shortness of breath on exertion

What is/are the main indication/s to treat a patient with dry needling? (select all that apply) *

1 point

The patient’s pain complaint is reproduced by palpation of an active trigger point

The patient has heard about dry needling and asks for that treatment

The patient has active trigger points in a muscle that connects to a joint which is the main complaint

The patient has joint restriction affecting mobility

Required

Who first introduced the radiculopathic (neuropathic) model of dry needling to North America? *

1 point

Chan Gunn

Karel Lewit

Janet Travell

Ronald Melzack

The mechanism of dry needling that includes the restoration of ACH levels and sensitizing substances is: *

1 point

Electrophysiological

Chemical

Mechanical

Neurophysiological

The mechanism of dry needling that includes normalization of spontaneous electrical activity (SEA) after dry needling is: *

1 point

Electrophysiological

Chemical

Mechanical

Neurophysiological

All are true for the Motor End Plate/ Energy Crisis Hypothesis of dry needling EXCEPT: *

1 point

increased ACH release causes abnormality at end plate

sensitizing substances lead to the perception of pain

increased energy supply due to compression of capillaries

Ca release leads to a sustain contraction

Shah observed that trigger points contain the same noxious levels of biochemicals as compared to muscle without trigger points. *

1 point

True

False

This muscle may refer symptoms distally down the upper extremity overlapping some cervical radiculopathy patterns *

1 point

Infraspinatus

T7 Multifidus

Upper Trap

Posterior Deltoid

While dry needling a patient’s R sternocleidomastoid, the patient reports the onset of a right sided temporal headache. This response is: *

1 point

Abnormal and the dry needling should be stopped

Normal and dry needling can be continued

Indicative of kidney disease

Indicative of bladder disease

Which muscle(s) can mimic sciatic referral symptoms? (select all that apply) *

1 point

Glute Minimus

Soleus

Lumbar Multifidus

Latissimus Dorsi

Other:

Required

All of the following are true regarding pain EXCEPT: *

1 point

When you are injured, special receptors convey the danger message to your spinal cord

The brain decides when you have pain

Pain only occurs when you are injured or at risk of being injured

Special nerves in your spinal cord convey “danger” messages to your brain

If a patient’s main complaint is a myofascial trigger point, but they have a contraindication to dry needling, you should not treat the trigger point with any intervention. *

1 point

True

False

Mild adverse events include all the following EXCEPT: *

1 point

Bruising

Bleeding

Shortness of breath on exertion

Pain during treatment

Absolute contraindications to dry needling include the following EXCEPT: *

1 point

Needle phobia

Active radiation therapy

Inability to provide consent

Minor (age)

Clean needle technique does not require a sterile environment and can be done in a clinical setting by maintaining standard precautions *

1 point

True

False

You can dispose of needles in any plastic bottle as long as it is labeled “Hazardous”. *

1 point

True

False

A patient may be left alone in a room with a needle left inside a trigger point as long as they have a bell. *

1 point

True

False

If careful, a clinician performing dry needling can always avoid all nerves, arteries, and veins. *

1 point

True

False

Gloves should always be worn when performing dry needling. *

0 points

True

False

Dry needling can be billed independently under the manual therapy 97140 code. *

1 point

True

False

There is no need to combine dry needling with any other interventions in your management plan. *

1 point

True

False

A patient should be informed that soreness for at least one week after needling is normal. *

1 point

True

False

You should reinsert the needle into the tube needle point first to avoid contamination *

1 point

True

False

After preforming dry needling to a patient for found trigger point in the lumbar spine, they complains of a sympathetic response associated with a vasovagal reaction. These include the following EXCEPT: *

1 point

a) Felling faint

b) Lightheaded

c) Unbalanced

d) Dry Cough

A clinician should not perform dry needling if they don't feeling absolutely confident in the technique or anatomy *

1 point

True

False

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