Amedco - Quiz
January 2018 JPGN
1 - A 14 year old female with chronic FAPD presents to pediatric gastroenterology clinic with a flare up of pain symptoms since resuming the school year. Her caregiver reports she has significant school avoidance due to her pain symptoms. Cognitive behavioral therapy targeting anxiety and pain through a blend of in-person sessions and web-based components:
A - is insufficient to address the needs of this population
B - is the only treatment that is needed to treat youth with FAPD
C - may be a feasible approach to improve functional outcomes in youth with FAPD
D - is the current standard of care
2 - A 9 year old boy with FAPD has reported he is “not anxious” when asked by his medical care provider. His father reports he is not a worrier. Providing an anxiety screening to this patient:
A - is not needed given that there are no concerns that the patient is a worrier.
B - would be more useful for the parent to complete rather than the child, as parents tend to have better insight into their child’s worries than children themselves do.
C - would be more useful for the child to complete rather than the parent, as children tend to have better insight into their own worries than their parents do.
D - would be more useful for both parent and child to complete.
3 - A 17 year old female patient presents to GI clinic with IBS and screens positive for presence of clinically significant anxiety based the results of an anxiety screener. Clinical anxiety has been shown to relate to pediatric FAPD in which ways:
A - Higher levels of pain and pain-related disability, and a poorer response to CBT for pain
B - Higher levels of pain and pain-related disability, and an improved response to CBT for pain
C - Lower pain, increased pain-related disability, and an improved response to CBT for pain
D - Higher pain, lower pain-related disability, and a poorer response to CBT for pain
4 - To improve outcomes for most youth with FAPD using a cognitive behavioral approach:
A - CBT for pain will improve pain-related outcomes
B - CBT for anxiety will improve pain-related outcomes.
C - Use of web-based technologies to provide coping strategies should be avoided
D - A CBT intervention that targets both pain symptoms and anxiety symptoms (where appropriate) may be optimal
5 - At present, the results of this study suggest that CBT that targets pain and anxiety is feasible and potentially effective. Specifically:
A - The intervention was shown to be superior to CBT for pain.
B - A larger study is required to allow for adequate power and a comparison group
C - The results show the intervention is superior to a waitlist control.
D - The results show the intervention is superior to medical treatment as usual.
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