Physical Agent Quiz 1

Which of the following is not a cardinal sign of inflammation? Atrophy Heat Redness Swelling

Atrophy

Your patient reports lower back which started 6 months ago and has not resolved. The pain is described as a constant dull ache. The patient denies recent exacerbation and has tried both ice packs and heat to the area with minimal relief. Based on the time frame the injury started. The patient is most likely in this stage of healing.

Chronic

Why is cold therapy often used during the initial stages of injury?

Cold causes vasoconstriction, resulting in decreased blood flow to injured tissues.

Which of the following modalities is capable of delivering heat to tissues? Intermittent compression Continuous ultrasound Handheld ice cups TENS

Continuous US

Which of the following modalities will reduce blood flow to tissues? Traction Cryotherapy Ultrasound Thermotherapy

Cryotherapy

Your patient has impaired sensation on her feet and you notice that the PTA you are working with is preparing a hot pack for the patient's L ankle to improve tissue extensibility prior to stretching. What is the concern with this scenario? Lack of sensation may cause the patient to require a longer treatment time Lack of sensation may cause the patient to be unaware if the treatment is too hot and sustain a burn Lack of sensation is not a concern for this type of heat treatment Heat treatment to the patient's ankle may cause the tissue to tighten up and further restrict stretching

Lack of sensation may cause the patient to be unaware if the treatment is too hot and sustain a burn

If your treatment goal is to improve neuromuscular performance, which measurement tool might you chose to assess the effectiveness of your treatment?

MMT

Which of the following can be used to facilitate recruitment of the quadriceps femoris muscle following knee surgery? Diathermy Ultrasound Neuromuscular electrical stimulation Intermittent compression

Neuromuscular electrical stimulation

This stage of tissue healing modifies the scar into its mature form.

Remodeling

Why is pregnancy widely considered a contraindication to the use of modalities?

The effect of modalities on fetal development is unknown.

The three categories of physical agents are (1) Thermal, (2) Mechanical, and (3) Electromagnetic. Please match the clinical examples to the proper category of physical agents. ice pack traction estim (ie TENS or NMES)

Thermal Mechanical Electromagnetic

The type of modality that uses sound waves to deliver energy to the tissues.

US

One significant problem with using research to help determine when to implement a specific biophysical agent includes:

a lack of quality research

Coding used in documentation helps provide a standard system to communicate. One type of code used in physical therapy treatment documentation includes ICD-10 codes. Select the best description of these codes from the choices below: procedural codes payment codes diagnostic codes billing codes

diagnostic codes

What type of energy does diathermy use to heat biological tissues?

electromagnetic radiation

Your patient has end-stage bone cancer and is experiencing a lot of pain. The patient care team decides that palliative care needs to be a focal part of treatment. As such, you decide the following is appropriate in regards to the use of biophysical agents:

estim may be used for pain control at this stage

There are several conditions for which most physical agents are contraindicated. Caution should be used when applying a physical agent to a patient having any of these conditions. The conditions include (select all that apply) impaired mentation impaired sensation malignancy pacemaker or other implanted electronic device fracture pregnancy wounds

impaired mentation impaired sensation malignancy pacemaker or other implanted electronic device pregnancy

This stage of tissue healing involves rebuilding of damaged structures. It typically peaks at 2-3 weeks.

proliferation

In the following example, which important part of documenting a biophysical agent is missing? Cold to shoulder x 15 min with patient seated and arm supported. Following treatment, patient reports pain decreased from 6/10 to 3/10 on VAS. No significant redness or adverse reaction following treatment. Plan to continue with cold pack following exercise next session to decrease post activity soreness.

side of treatment application

All of the following are part of the Medicare definition for "reasonable and necessary" physical therapy treatment EXCEPT the following: treatment is appropriate in duration and frequency treatment is experimental or investigational treatment is safe and effective treatment is appropriate to meet but not exceed the needs of the patient

treatment is experimental and investgational