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Hands (OT 841) Midterm (Modalities and Outcomes) Flashcards | StudBud
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Hands (OT 841) Midterm (Modalities and Outcomes)
Hands (OT 841) Midterm (Modalities and Outcomes)
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1
Iontophoresis transfers ions (ex. meds) into the skin using which type of electrical heat transfer?
Convection
Conduction
Conversion
2
TENS (transcutaneous electrical nerve stimulation) prevents the pain signal from reaching the brain. This is called...
Central nervous system blockage theory
Nociception reduction theory
Gate control theory
Pain neuroscience education
3
Ultrasound converts electrical energy to __ energy through vibration of quartz crystals
Kinetic
Mechanical
Acoustic
Thermal
4
Dexamethasone is a medication with a __ polarity used commonly to reduce tissue inflammation
Negative
Positive
5
PAMs would be used to do all of the following EXCEPT:
Reduce inflammation and promote healing
Maintain collagen extensibility
Decrease pt's pain
Modify tone and enhance muscle function
6
NMES and FES are used to...
Promote normal movement patterns
All of the above
Re-educate muscles, promote tendon excursion
Decrease spasticity, increase ROM/strength
7
Which of the following is NOT true about moist hot packs?
They required at least 2-4 layers between the pack and skin
They can be applied directly to the skin
They reduce pain
They improve motion
8
Physical agent modalities (PAMs) produce a biophysiological response using...
Electricity or a mechanical device
Water or temperature
All of the above
Light or sound
9
ERA refers to...
Effective Radiating Area
One of Taylor Swift's song writing periods :)
Expanded Radial Area
Effective Radiculopathy Area
10
Which of the following is NOT an absolute contraindication for e-stim/ultrasound?
Pacemakers/electronic implants
Stable fx
Cancer in area of interest
Pregnancy (if targeting low back, abdomen, pelvis)
11
Open wounds, impaired sensation, cancer, drug sensitivity, and scarred skin are all contraindications for iontophoresis
False
True
12
Outcome measures should be chosen based on...
Employer or insurance requirements
All of the above
A specific body part, condition, or psychosocial factor of interest
Whether you're measuring function or dysfunction
13
If measuring function, the goal should be a _ score. If measuring dysfunction, the goal should be a _ score.
High, low
Low, high
14
Which of the following is NOT true of the Patient Specific Functional Scale (PSFS)?
It measures function on a Likert scale
It is a therapist observation based assessment
Three items are specifically chosen to analyze (MDC = 3 levels per item)
It is a self-report measure
15
The Orebro Musculoskeletal Screening Questionnaire (OMSQ-12) measures risk of MSK problems in which population of pts?
Those s/p TBI
Work injured
Those s/p CVA
Pediatrics
16
Outcome measures are useful in assessing pt perception of ability, which can be more valuable than therapeutic eval
False
True
17
Vasopneumatic compression combines...
Cooling agent + compression
Cooling agent + decompression
Heating agent + decompression
Heating agent + compression
18
All of the following are benefits of iontophoresis EXCEPT:
Decreased pain
Decreased palm sweating
Decreased muscle spasm
Hyperhydrosis
19
You cannot use iontophoresis over electronic implants
True
False
20
What are outcome measures?
A way to measure objective pt reports in a subjective way
A way to measure subjective pt reports in an objective way
21
Paraffin baths use wax, mineral oil, and lanolin
False
True
22
On the OMSQ-12, 57-72 points is considered...
Low risk
Medium risk
High risk
23
Functional electric stimulation (FES) is a subcategory of neuromuscular electrical stimulation (NMES)
True
False
24
In e-stim, electrodes placed close together recruit _ fibers while electrodes placed far apart recruit _ fibers
Deep, superficial
Distal, proximal
Superficial, deep
Proximal, distal
25
Using an ultrasound is an example of which type of heat transfer?
Convection
Conduction
Conversion
26
When should you not use heat with pt?
You can use immediately after injury
12-24 hours s/p injury
36-72 hours s/p injury
24-48 hours s/p injury
27
Which of the following is NOT true about fluidotherapy?
It cannot be used with open wounds
It used granulated cellulose particles in warm air to convect heat
It is also called dry whirlpool
You can use it with pts who have swelling
28
E-stim can be used to...
Decrease problematic circulation
Facilitate muscle function
Assist in wound healing
Decrease edema
29
In iontophoresis, the red clip is __ while the black clip is __
Negative, positive
Positive, neutral
Positive, negative
Negative, neutral
30
The tx area should not be more than __ times the size of the ERA
2-3
1-2
4-5
3-4
31
Which thermal modality reduces pain and edema?
Thermotherapy
Cryotherapy
32
In determining the minimal detectable change (MDC) for an outcome tool, the OT should...
Trust your own clinical reasoning
Refer to the literature
Refer to the tool itself as a guide
Ask a more experienced therapist
33
Fluidotherapy is an example of which type of heat transfer?
Conduction
Conversion
Convection
34
Which of the following is NOT important to know before using a modality?
Protocol
State regulations
PMHx, including physical/mental contraindications
None of the above; all of the above are key things to know
35
Callie has a pacemaker. E-stim or ultrasound CANNOT be used with her
True
False
36
Polarity of medication is irrelevant when using iontophoresis to deliver medication
True
False
37
Which of the following is NOT true about the DASH?
There is a shorter version called the QuickDASH with 11 questions
It measures function
Examines how the arm functions as a unit
It measures dysfunction
38
Paraffin baths are an example of which type of heat transfer?
Conduction
Convection
Conversion