QUESTIONS
1. One of the following statements is not correct. Indicate the incorrect statement:
a. TPs are the same as zones of referred pain
b. TPs are different from local tender points in fibromyositis
c. Pressure on Trigger Points (TPs) is painful locally
d. Pressure on TPs triggers pain to the related body segment
e. Pressure thresholds at muscle TPs are 2-4 kg/cm sq lower than thresholds in healthy muscle
2. One of the following statements is not correct. Indicate the incorrect statement:
a. A low overall pressure tolerance is a bad prognostic sign
b. A low overall pressure tolerance may indicate generalised psychosomatic pain
c. Tissue compliance measures penetration depth in tissue at probe pressures of 1-5 kg/cm sq
d. Tissue compliance quantifies the degree of muscle tension or spasm
e. The AhShi point is always a TP
3. One of the following statements is not correct. Indicate the incorrect statement:
a. If an active TP is pinched, the patient may give positive "jump sign"
b. TP locations have predictive value as to where the areas of referred pain are likely to be
c. Tender Shu points are the same as TPs
d. TPs may arise at the Shu point locations
e. TPs feel like nodules surrounded by a taut band of normal muscle
4. One of the following statements is not correct. Indicate the incorrect statement:
a. Normal muscle is not painful on palpation and contains no TPs
b. Myofascial pain associated with TPs in muscles, especially around arthritic joints, is a most common form of chronic pain
c. TPs maintain myofascial pain for weeks to years
d. Methods of TP therapy include "Stretch and spray", needling, point injection but Laser therapy of TPs gives poor results
e. Long-term therapeutic success depends on detection and elimination of TPs
5. One of the following statements is not correct. Indicate the incorrect statement:
a. Janssens found that TPs were more than 10 times more common in the triceps than in the quadriceps muscles of dogs
b. Janssens found that TP therapy gave successful outcome in 60% of cases in a mean time of 19 days
c. Relapse occurred in 33%, usually with the original TPs recurring again
d. Repeat treatment gave similar results to the initial treatment
e. Results with Triceps TPs were worse than with most other TPs