National Physical Therapy Examination NPTE Quiz
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FOUNDATIONS: EVALUATION, DIFFERENTIAL DIAGNOSIS, & PROGNOSIS
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A 45-year-old female presents with chronic low back pain for the past 2 years with no definitive structural diagnosis. Her physical examination reveals generalized lumbar muscle guarding and pain with prolonged sitting, but neurological screening is negative. She completes an intake questionnaire, scoring high on the Pain Catastrophizing Scale and the Beck Depression Inventory.
Based on this patient's presentation, which finding is MOST predictive of a poor long-term prognosis and a transition to a disabling chronic pain state?
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