Understanding Fibromyalgia Study Module

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4. The following questions relate to the paperFibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment"Fibromyalgia is a syndrome characterised by chronic widespread pain at multiple tender points, joint stiffness, and systemic symptoms…….This paper is based on a systematic search of the PubMed database to identify articles related to fibromyalgia." What today is defined as Fibromyalgia (meaning Pain Syndrome in the absence of specific organic disease) was already known since 1904 by which name?Please use the correct spelling

Submit

6. One of the two criteria for the diagnosis of fibromyalgia is the presence of tender points. How many of the 18 tender points, as explained by the American College of Rheumatology (ACR) , should be tender, to consider a positive diagnosis of fibromyalgia? Select the correct answer from the choices below.

At least 11

At least 8

At least 14

At least 6

7. The authors of this paper, due to the evidence presented, believe that. Massage therapy should or should not be one of the viable complementary and alternative treatments for fibromyalgia.Please select the correct choice

Should

Should not

8. There seems to be a psychiatric aspect to the development of fibromyalgia. Is the prevalence of psychiatric conditions among patients affected by fibromyalgia Higher or Lower than among subjects complaining of other rheumatic diseases?

Higher

Lower

9. Because pain, depression, and other symptoms of fibromyalgia, are linked to inherited and environmental causes, a multifaceted treatment approach is often required, including both non-pharmacological pain management strategies, and medication.Is the above statement True or False

True

False

Submit

11. Is the following statement True or False? Serotonin (5-HT) has a signiﬁcant role in the modulation of pain, is involved also in the regulation, of mood and sleep, and this could explain the association between ﬁbromyalgia, sleep and mental disorders.

True

False

12. Select the correct answer from the choices below.What type of massage technique was applied to the experimental group in this trial?

Myofascial release

Trigger point therapy

Deep tissue

Remedial massage therapy

13. With all, you have covered with this workshop. Do you believe that soft tissue therapy (massage) is a beneficial therapy for people suffering from fibromyalgia to receive?

Yes

No

14. In this randomised clinical controlled trial. The control group received a sham protocol therapy. What was the sham therapy used?

Disconnected magnotherapy

Functional magnetic resonance

Tramadol

Balneotherapy

15. Choose whether the statement is true or false.Massage therapy with a duration greater than or equal to 5 weeks, had beneficial immediate effects on improving pain, anxiety, and depression in patients with fibromyalgia

True

False

16. Is the following statement True or False?Testing of the 18 painful sensitive points, as described by the American College of Rheumatology, were assessed by means of a pressure algometer (Wagner FPI 10-USA), exerting a pressure of 6 kg.

True

False

17. Please answer Yes or No When testing the 18 tender points, as explained by the American College of Rheumatology, is a response of "irritating" sufficient, to confirm a positive finding of fibromyalgia?

Yes

No

18. The most widely accepted hypothesis is that chronic pain in fibromyalgia, is of muscle origin, although, plasma muscle enzyme levels, electromyographic studies, and muscle biopsies have proven completely normal.Is this statement True or False?

True

False

19. A genetic predisposition is likely to play a part of a person developing fibromyalgia, as well as trigger factors, such as infections.Is fibromyalgia common in patients with autoimmune disease?

Yes

No

20. The aetiology and pathogenesis of ﬁbromyalgia are still not fully understood. Several factors such as dysfunction of the central and autonomic nervous systems, neurotransmitters, hormones, immune system, external stressors, psychiatric aspects, and others seem to be involved.Is the above statement True or False?

True

False

21. Sleep quality is one of the body processes affected by fibromyalgia. Testing has shown that G.H levels are normal during the day but altered at night. Is the statement below True or False. At one-month post intervention, the experimental group showed a significant improvement in Quality of Sleep._

True

False

22. Choose whether the statement is true or falseThe purpose of this systematic review was to evaluate the evidence of massage therapy in improving symptoms in patients with fibromyalgia. The meta-analyses suggested that massage therapy, with a duration greater than or equal to 5 weeks, significantly improved pain, anxiety, and depression in patients with fibromyalgia.

True

False

23. While an individual's symptoms can vary, there are three main symptoms of fibromyalgia referred to, by almost all patients.Please tick the three mentioned in the papers provided. You can choose more than one.

Pain

Fatigue

Sleep Disturbance

Headache

Submit

24. Select the correct answer from the choices belowIn Castro-Sa´nchez study, at the end of 24 follow-up weeks, the experimental group only showed a significant improvement on which symptom, versus baseline.

Anxiety

Depression

Pain

Sleep

25. Fibromyalgia affects many processes of the body, including sleeping patterns, resulting in sufferers waking up sore and tired.Please select the sleep stage shown to be affected by fibromyalgia

REM Rapid Eye Movement

Stage 1

Stage 2

Stage 3-4

26. Is the statement below also true or false?One month post intervention, the experimental group still showed a significant reduction in pain

True

False

27. Massage therapy is a very safe therapy for people with fibromyalgia to receive. Keeping that fact in mind, after reading the paper. Is the following statement True or False?No adverse events were reported in all eligible Random Control Trials of massage therapy for fibromyalgia.

True

False

28. Select the correct answer from the choices below How many of the 18 painful sensitive points, described by the American College of Rheumatology were evaluated with the pressure algometer?

18

16

14

20

29. As you have seen, people with fibromyalgia often benefit from, some form of complementary and alternative treatments.According to the paper, "The research reported that around, what % of individuals with fibromyalgia, have used at least one form of complementary and alternative treatments to manage their symptoms.Please tick the correct answer.

33%

55%

70%

90%

30. Please select the correct answer. Would you say that according to the meta-analysis, the 8 included studies into massage therapy effects on anxiety, showed better results, for less than or greater than, the 5 weeks duration?

Greater than 5 weeks

Less than 5 weeks

31. This study's purpose was to determine the benefits of massage-myofascial release therapy on patients with fibromyalgia. The authors were looking into the results of which specific symptoms.Please tick the symptoms mentioned in the paper. You can choose more than one.

Quality of sleep

Pain

Depression

Quality of life

Fibro-fog

Muscle energy

Submit

32. Please choose the correct answers, you can choose more than one.According to the authors of this paper, massage therapy may improve pain, anxiety, depression, and sleep disturbance by a complex interplay of which 2 modes of action?

Physical

Mental

Emotional

Neurological

Submit

33. The intervention group received treatment to assess if massage therapy can improve the symptoms of fibromyalgia. Which were the areas of the body massage?Please choose the correct answer

The 18 painful points as described by the American College of Rheumatology.

Cervical and Lumber regions with the patient laying prone

Myofascial trigger points found in the peripheral muscles.

The 3 areas of most concern to the subject at the time of starting the trial.

34. A nociceptor is a sensory neuron, that responds to potentially damaging stimuli, by sending signals to the spinal cord and brain. Various studies suggest that suffers of fibromyalgia have, What? amplification/depression of nociceptive impulses.Please tick the appropriate answer

Amplification

Depression

35. The experimental group underwent a protocol of massage therapy with a duration of....Please tick the appropriate boxes with the correct session duration and number of weeks that massage was used for.You can choose more than one

30-minute session

60-minute session

90-minute session

5 Weeks

10 Weeks

20 Weeks

Submit

36. The following questions are from the paper Massage Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsThis paper evaluated the evidence of massage therapy for patients with fibromyalgia. This was done by searching electronic databases, for relevant research that fitted within criteria.Choose whether the statement is true or falseWhile only research trials where massage therapy was not combined with other manual treatments were included in this meta-analysis. The authors did allow any type of control intervention

True

False

37. In Castro-Sa´nchez study, the experimental group showed significant improvements, on symptoms of fibromyalgia, versus baseline levels after the 4 follow-up weeks.Please select the improved symptoms, you can choose more than one.

Anxiety

Depression

Pain

Sleep

Submit

38. Choose whether the statement is True or False. While many people suffering from fibromyalgia also regularly have, elevated levels of anxiety and depression, fibromyalgia is not considered a stress-related disorder.

True

False

39. Immediately after the intervention, the experimental group showed a significant improvement in pain versus baseline, and in comparison to the control group. There were significant reductions in sensitive points as measured by the pressure algometer. Please tick the regions that showed improvement. You can choose more than one

Left lower cervical

Right lower cervical

Right gluteal muscle

Left gluteal muscle

Right greater trochanter

Left greater trochanter

Submit

40. There was no evidence that massage therapy showed superior effects on improving symptoms associated with sleep. Is the above comment an accurate reflection, on the finding of the paper presented?

True, this is an accurate reflection of the finding in the paper.

False, this is not an accurate reflection of the finding in the paper.

41. Fibromyalgia is not a well-defined organic disease, and can not be diagnosed with a simple blood test, or scan. It has however been associated with which diseases?Please only select the diseases mentioned in the papers. You can choose more than 1 if you need.

Diabetes

Rheumatic Pathologies

Psychiatric

Infections

Submit

42. People suffering from fibromyalgia have a high incident of depression.Is the statement below true or false?One month post intervention, the experimental group showed a significant improvement in their state of depression.

True

False

43. To take part in this trial, participants had to pass several inclusion criteria.Please tick the correct criteria.

Be younger than 65

Be older than 18

No regular physical activity

Be diagnosed with fibromyalgia

Be younger than 50

Regular physical activity

Not be diagnosed with fibromyalgia

Be older than 16

Submit

44. As described in one of the three papers.The goals of fibromyalgia treatment are to achieve, what outcome?Please select the correct answers, you can choose more than one

Alleviate pain

Increase restorative sleep

Improve physical function

Increase Range of Motion in all 4 quadrants of the body

Submit

45. Final Three Questions These questions relates to all papers People suffering from fibromyalgia have disturbed sleeping patterns. Across all papers, was there a consistency in the results of massage, on sleep disturbance experienced by, people with fibromyalgia?Please choose the correct answer from the list below.

Yes massage was shown to have benefit in helping with sleeping patterns in all papers

No while one paper showed no improvement the other showed improvement and more research needs to done.

Both papers showed massage had no effect on the sleeping patterns of clients with fibromyalgia.

46. The following questions relate to the paper "Benefits of Massage Myofascial release Therapy on Pain, Anxiety, Quality of Sleep, Depression and Life in Patients with Fibromyalgia" Choose whether the statement is True or False.Fibromyalgia is still not fully understood, but the decrease in serotonin levels, reported in some people with fibromyalgia, may suggest that there is some form, of Peripheral Nervous System involvement in Fibromyalgia

True

False

47. This paper was a randomised controlled clinical trial. The subjects were split into 2 groups. The experimental group who received treatment, & the control group who did not.Please match the group with its average age.

The experimental group was formed by

The control group

Submit

48. To be included in this meta-analysis Random Control Trials had to pass inclusion criteria. The following question relates to that criteria. Match the following

Excluded based on title & abstract

Excluded based on including other manual therapies

Excluded based on no diagnostic criteria of fibromyalgia

number of RCTs included in the meta-analysis

Submit

49. Accuracy when testing symptoms, is an important part of a successful trial. Some of the symptoms tested in this trial were Anxiety, Depression and Loss of Quality of Sleep. Please match the symptom of fibromyalgia on the left with the test initials on the right.

Depression

Quality of Sleep

Anxiety levels

Submit

50. Research has shown that the vast majority of people with Fibromyalgia have used at least 1 form of complementary therapy, to manage their symptoms. With the prevalence of fibromyalgia being estimated to be around 1-2% of the population (some papers quote as high as 5%)Please match the percentage of people with fibromyalgia to the correct group.

Women

Men

Submit

Understanding Fibromyalgia Study Module

2.

What first name or nickname would you like us to use?

2. As mentioned in this paper. Some studies have found that massage therapy, improved pain by modulating What? levels in patients with fibromyalgia.Please write your answer below.Hint your answer should be 1 word

3. One month post intervention, the experimental group showed a significant improvement in V.A.S. scores versus baseline and in comparison to the control group.What was V.A.S measuring?Hint Your answer should be 1 word

7. The authors of this paper, due to the evidence presented, believe that. Massage therapy should or should not be one of the viable complementary and alternative treatments for fibromyalgia.Please select the correct choice

8. There seems to be a psychiatric aspect to the development of fibromyalgia. Is the prevalence of psychiatric conditions among patients affected by fibromyalgia Higher or Lower than among subjects complaining of other rheumatic diseases?

9. Because pain, depression, and other symptoms of fibromyalgia, are linked to inherited and environmental causes, a multifaceted treatment approach is often required, including both non-pharmacological pain management strategies, and medication.Is the above statement True or False

10. Fill in the blank field below You must use the same wording and spelling as the textOut of the 231 accessible patients, how many were unable to participate, due to incompatibility with their work schedule?

11. Is the following statement True or False? Serotonin (5-HT) has a signiﬁcant role in the modulation of pain, is involved also in the regulation, of mood and sleep, and this could explain the association between ﬁbromyalgia, sleep and mental disorders.

12. Select the correct answer from the choices below.What type of massage technique was applied to the experimental group in this trial?

13. With all, you have covered with this workshop. Do you believe that soft tissue therapy (massage) is a beneficial therapy for people suffering from fibromyalgia to receive?

14. In this randomised clinical controlled trial. The control group received a sham protocol therapy. What was the sham therapy used?

15. Choose whether the statement is true or false.Massage therapy with a duration greater than or equal to 5 weeks, had beneficial immediate effects on improving pain, anxiety, and depression in patients with fibromyalgia

16. Is the following statement True or False?Testing of the 18 painful sensitive points, as described by the American College of Rheumatology, were assessed by means of a pressure algometer (Wagner FPI 10-USA), exerting a pressure of 6 kg.

17. Please answer Yes or No When testing the 18 tender points, as explained by the American College of Rheumatology, is a response of "irritating" sufficient, to confirm a positive finding of fibromyalgia?

18. The most widely accepted hypothesis is that chronic pain in fibromyalgia, is of muscle origin, although, plasma muscle enzyme levels, electromyographic studies, and muscle biopsies have proven completely normal.Is this statement True or False?

19. A genetic predisposition is likely to play a part of a person developing fibromyalgia, as well as trigger factors, such as infections.Is fibromyalgia common in patients with autoimmune disease?

23. While an individual's symptoms can vary, there are three main symptoms of fibromyalgia referred to, by almost all patients.Please tick the three mentioned in the papers provided. You can choose more than one.

24. Select the correct answer from the choices belowIn Castro-Sa´nchez study, at the end of 24 follow-up weeks, the experimental group only showed a significant improvement on which symptom, versus baseline.

25. Fibromyalgia affects many processes of the body, including sleeping patterns, resulting in sufferers waking up sore and tired.Please select the sleep stage shown to be affected by fibromyalgia

26. Is the statement below also true or false?One month post intervention, the experimental group still showed a significant reduction in pain

27. Massage therapy is a very safe therapy for people with fibromyalgia to receive. Keeping that fact in mind, after reading the paper. Is the following statement True or False?No adverse events were reported in all eligible Random Control Trials of massage therapy for fibromyalgia.

28. Select the correct answer from the choices below How many of the 18 painful sensitive points, described by the American College of Rheumatology were evaluated with the pressure algometer?

30. Please select the correct answer. Would you say that according to the meta-analysis, the 8 included studies into massage therapy effects on anxiety, showed better results, for less than or greater than, the 5 weeks duration?

31. This study's purpose was to determine the benefits of massage-myofascial release therapy on patients with fibromyalgia. The authors were looking into the results of which specific symptoms.Please tick the symptoms mentioned in the paper. You can choose more than one.

32. Please choose the correct answers, you can choose more than one.According to the authors of this paper, massage therapy may improve pain, anxiety, depression, and sleep disturbance by a complex interplay of which 2 modes of action?

33. The intervention group received treatment to assess if massage therapy can improve the symptoms of fibromyalgia. Which were the areas of the body massage?Please choose the correct answer

34. A nociceptor is a sensory neuron, that responds to potentially damaging stimuli, by sending signals to the spinal cord and brain. Various studies suggest that suffers of fibromyalgia have, What? amplification/depression of nociceptive impulses.Please tick the appropriate answer

35. The experimental group underwent a protocol of massage therapy with a duration of....Please tick the appropriate boxes with the correct session duration and number of weeks that massage was used for.You can choose more than one

37. In Castro-Sa´nchez study, the experimental group showed significant improvements, on symptoms of fibromyalgia, versus baseline levels after the 4 follow-up weeks.Please select the improved symptoms, you can choose more than one.

38. Choose whether the statement is True or False. While many people suffering from fibromyalgia also regularly have, elevated levels of anxiety and depression, fibromyalgia is not considered a stress-related disorder.

40. There was no evidence that massage therapy showed superior effects on improving symptoms associated with sleep. Is the above comment an accurate reflection, on the finding of the paper presented?

41. Fibromyalgia is not a well-defined organic disease, and can not be diagnosed with a simple blood test, or scan. It has however been associated with which diseases?Please only select the diseases mentioned in the papers. You can choose more than 1 if you need.

42. People suffering from fibromyalgia have a high incident of depression.Is the statement below true or false?One month post intervention, the experimental group showed a significant improvement in their state of depression.

43. To take part in this trial, participants had to pass several inclusion criteria.Please tick the correct criteria.

44. As described in one of the three papers.The goals of fibromyalgia treatment are to achieve, what outcome?Please select the correct answers, you can choose more than one

47. This paper was a randomised controlled clinical trial. The subjects were split into 2 groups. The experimental group who received treatment, & the control group who did not.Please match the group with its average age.

48. To be included in this meta-analysis Random Control Trials had to pass inclusion criteria. The following question relates to that criteria. Match the following

49. Accuracy when testing symptoms, is an important part of a successful trial. Some of the symptoms tested in this trial were Anxiety, Depression and Loss of Quality of Sleep. Please match the symptom of fibromyalgia on the left with the test initials on the right.

Understanding Fibromyalgia Study Module

2.

What first name or nickname would you like us to use?

2. As mentioned in this paper. Some studies have found that massage therapy, improved pain by modulating What? levels in patients with fibromyalgia.Please write your answer below.Hint your answer should be 1 word

3. One month post intervention, the experimental group showed a significant improvement in V.A.S. scores versus baseline and in comparison to the control group.What was V.A.S measuring?Hint Your answer should be 1 word

7. The authors of this paper, due to the evidence presented, believe that. Massage therapy should or should not be one of the viable complementary and alternative treatments for fibromyalgia.Please select the correct choice

8. There seems to be a psychiatric aspect to the development of fibromyalgia. Is the prevalence of psychiatric conditions among patients affected by fibromyalgia Higher or Lower than among subjects complaining of other rheumatic diseases?

9. Because pain, depression, and other symptoms of fibromyalgia, are linked to inherited and environmental causes, a multifaceted treatment approach is often required, including both non-pharmacological pain management strategies, and medication.Is the above statement True or False

10. Fill in the blank field below You must use the same wording and spelling as the textOut of the 231 accessible patients, how many were unable to participate, due to incompatibility with their work schedule?

11. Is the following statement True or False? Serotonin (5-HT) has a signiﬁcant role in the modulation of pain, is involved also in the regulation, of mood and sleep, and this could explain the association between ﬁbromyalgia, sleep and mental disorders.

12. Select the correct answer from the choices below.What type of massage technique was applied to the experimental group in this trial?

13. With all, you have covered with this workshop. Do you believe that soft tissue therapy (massage) is a beneficial therapy for people suffering from fibromyalgia to receive?

14. In this randomised clinical controlled trial. The control group received a sham protocol therapy. What was the sham therapy used?

15. Choose whether the statement is true or false.Massage therapy with a duration greater than or equal to 5 weeks, had beneficial immediate effects on improving pain, anxiety, and depression in patients with fibromyalgia

16. Is the following statement True or False?Testing of the 18 painful sensitive points, as described by the American College of Rheumatology, were assessed by means of a pressure algometer (Wagner FPI 10-USA), exerting a pressure of 6 kg. ​

17. Please answer Yes or No When testing the 18 tender points, as explained by the American College of Rheumatology, is a response of "irritating" sufficient, to confirm a positive finding of fibromyalgia?

18. The most widely accepted hypothesis is that chronic pain in fibromyalgia, is of muscle origin, although, plasma muscle enzyme levels, electromyographic studies, and muscle biopsies have proven completely normal.Is this statement True or False?

19. A genetic predisposition is likely to play a part of a person developing fibromyalgia, as well as trigger factors, such as infections.Is fibromyalgia common in patients with autoimmune disease?

23. While an individual's symptoms can vary, there are three main symptoms of fibromyalgia referred to, by almost all patients.Please tick the three mentioned in the papers provided. You can choose more than one.

24. Select the correct answer from the choices belowIn Castro-Sa´nchez study, at the end of 24 follow-up weeks, the experimental group only showed a significant improvement on which symptom, versus baseline.

25. Fibromyalgia affects many processes of the body, including sleeping patterns, resulting in sufferers waking up sore and tired.Please select the sleep stage shown to be affected by fibromyalgia

26. Is the statement below also true or false?One month post intervention, the experimental group still showed a significant reduction in pain

27. Massage therapy is a very safe therapy for people with fibromyalgia to receive. Keeping that fact in mind, after reading the paper. Is the following statement True or False?No adverse events were reported in all eligible Random Control Trials of massage therapy for fibromyalgia.

28. Select the correct answer from the choices below How many of the 18 painful sensitive points, described by the American College of Rheumatology were evaluated with the pressure algometer?

30. Please select the correct answer. Would you say that according to the meta-analysis, the 8 included studies into massage therapy effects on anxiety, showed better results, for less than or greater than, the 5 weeks duration?​​

31. This study's purpose was to determine the benefits of massage-myofascial release therapy on patients with fibromyalgia. The authors were looking into the results of which specific symptoms.Please tick the symptoms mentioned in the paper. You can choose more than one.

32. Please choose the correct answers, you can choose more than one.According to the authors of this paper, massage therapy may improve pain, anxiety, depression, and sleep disturbance by a complex interplay of which 2 modes of action? ​

33. The intervention group received treatment to assess if massage therapy can improve the symptoms of fibromyalgia. Which were the areas of the body massage?Please choose the correct answer

34. A nociceptor is a sensory neuron, that responds to potentially damaging stimuli, by sending signals to the spinal cord and brain. Various studies suggest that suffers of fibromyalgia have, What? amplification/depression of nociceptive impulses.Please tick the appropriate answer

35. The experimental group underwent a protocol of massage therapy with a duration of....Please tick the appropriate boxes with the correct session duration and number of weeks that massage was used for.You can choose more than one

37. In Castro-Sa´nchez study, the experimental group showed significant improvements, on symptoms of fibromyalgia, versus baseline levels after the 4 follow-up weeks.Please select the improved symptoms, you can choose more than one.

38. Choose whether the statement is True or False. While many people suffering from fibromyalgia also regularly have, elevated levels of anxiety and depression, fibromyalgia is not considered a stress-related disorder.

40. There was no evidence that massage therapy showed superior effects on improving symptoms associated with sleep. Is the above comment an accurate reflection, on the finding of the paper presented?

41. Fibromyalgia is not a well-defined organic disease, and can not be diagnosed with a simple blood test, or scan. It has however been associated with which diseases?Please only select the diseases mentioned in the papers. You can choose more than 1 if you need.

42. People suffering from fibromyalgia have a high incident of depression.Is the statement below true or false?One month post intervention, the experimental group showed a significant improvement in their state of depression.

43. To take part in this trial, participants had to pass several inclusion criteria.Please tick the correct criteria.

44. As described in one of the three papers.The goals of fibromyalgia treatment are to achieve, what outcome?Please select the correct answers, you can choose more than one

47. This paper was a randomised controlled clinical trial. The subjects were split into 2 groups. The experimental group who received treatment, & the control group who did not.Please match the group with its average age.

48. To be included in this meta-analysis Random Control Trials had to pass inclusion criteria. The following question relates to that criteria. ​Match the following

49. Accuracy when testing symptoms, is an important part of a successful trial. Some of the symptoms tested in this trial were Anxiety, Depression and Loss of Quality of Sleep. Please match the symptom of fibromyalgia on the left with the test initials on the right.

16. Is the following statement True or False?Testing of the 18 painful sensitive points, as described by the American College of Rheumatology, were assessed by means of a pressure algometer (Wagner FPI 10-USA), exerting a pressure of 6 kg.

30. Please select the correct answer. Would you say that according to the meta-analysis, the 8 included studies into massage therapy effects on anxiety, showed better results, for less than or greater than, the 5 weeks duration?

32. Please choose the correct answers, you can choose more than one.According to the authors of this paper, massage therapy may improve pain, anxiety, depression, and sleep disturbance by a complex interplay of which 2 modes of action?

48. To be included in this meta-analysis Random Control Trials had to pass inclusion criteria. The following question relates to that criteria. Match the following