Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Modalities > Midterm Review - In Class Activity > Flashcards

Midterm Review - In Class Activity Flashcards

1
Q

The first phase of the healing process is:

A

inflammatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

a patient comes to clinic with ankle swelling s/p injury, an appropriate assessment tool for the edema would be:

A

volumetrics or circumferential measurements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

conduction is

A

transfer of heat by direct interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

an example of indirect coupling for ultrasound is

A

water immersion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

factors influencing a patient’s response to cold therapy is

A

type and size of cooling agent, and pre-temperature of the area being cooled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ACE wraps should be applied in a figure 8 pattern because:

A

reduces risk for creating a tourniquet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

modalities are used to improve or relieve alterations in body function such as

A

loss of ROM, pain and tissue damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

PRICE stands for

A

protection, rest, ice, compression, elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the outermost layer of the skin is

A

epidermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when applying ice massage the patient should be education to expect the following sensations:

A

“cold beer always nice”
intense cold
burning sensation
aching
numbness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

one of the contraindications to cryotherapy is placing it

A

directly over a regenerating peripheral nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

does fluidotherapy provide superficial or deep thermotherapy

A

superficial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

in neonates or elderly, they are at increased risk of skin tears because

A

epidermal dermal junction is flatter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a disadvantage of using a moist heat pack over paraffin is

A

a moist heat pack does not retain heat for duration of treatment (20ish mins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

decision to use cryo or thermotherapy is based on

A

stage of injury/disease
medical status
patient preference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

main function of the dermis is

A

tensile strength
support
moisture retention
blood and oxygen to the skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

3MHz ultrasound is used to treat what level of tissue

A

superficial tissue (1-2cm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the strength or intensity of the ultrasound treatment is recorded as

A

W/cm^2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ERA stands for

A

effective radiating area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

cold whirlpools are not the best option in the acute phase of healing because

A

it puts the limb in a dependent position, encouraging edema in the distal extremity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

an apprpriate BNR is

A

less than 6:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

the cardinal signs of inflammation are

A

edema (swelling)
redness (erythema)
pain
warmth
loss of function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

physiological effects of pulsed ultrasound are proposed to be achieved through

A

stable cavitation and acoustic streaming

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

cold induces vasodilation can start to occur after how long of an application of cryotherapy

A

> 15 mins

25
Q

when treating a patient in the maturation /remodeling phase of healing, what mode of ultrasound is appropriate

A

continuous (100% duty cycle)

26
Q

the ratio of time for hot:cold in contrast bath is

A

4:1 (end in cold if goal is edema reduction)

27
Q

if tap water is used as ultrasound medium, the intensity of the ultrasound should be increased by

A

0.5W/cm^2

28
Q

pain that is activity related, and can last 4-6 weeks after injury is related to what type of inflammation

A

sub-acute

29
Q

electromagnetic waves differ from sound waves (u/s) in transmission in that

A

they do not require a medium

30
Q

scar tissue is made out of what substance

A

collagen

31
Q

the type of diathermy mostly utilized in the US is

A

short wave diathermy

32
Q

other than tissue injury, what are causes of edema

A

CHF, venous insufficiency, impaired nutrition, fluid overload

33
Q

a complication that can occur from application of intermittent pneumatic compression is

A

swelling in other areas

34
Q

superficial thermotherapy can be used as prep for

A

e-stim
massage
PROM or AROM
ultrasound

35
Q

the proposed mechanism of action for infrared therapy is

A

nitric oxide release

36
Q

what are the recommended locations for circumferential measurements to the LE

A

metatarsal heads
5cm prox to lateral malleolus
10cm distal to tibial plateau

37
Q

these 2 items should be used as guides for progression of controlled mobility after an injury

A

pain and increased swelling

38
Q

when applying a hot pack to a patient - this many layers of toweling should initially be applied between a hot pack and a patient

A

6-8

39
Q

how long after cryptherapy application should patients be instructed to avoid stressing the area to avoid potentially reinjuring or aggravating the injury

A

1-2 hours

40
Q

treatment area of ultrasound should be

A

2-3x that of the ultrasound head or ERA

41
Q

why do you want to elevate the extremity when using the dip and wrap method for paraffin

A

vasodilation d/t heat - may result in edema

42
Q

if you were performing continuous ultrasound with water as a medium, what temp of water would you want to use

A

warm water

43
Q

a patient comes to you with the c/o LE edema. would you place that patient in a compression garment the first day

A

no - edema should be reduced first

44
Q

these two heating modalities also allow active movement/exercise/ROM during treatment time

A

hydrotherapy and fluidotherapy

45
Q

an effect of cryotherapy of a peripheral nerve is

A

slowed NCV

46
Q

why is it important to determine if your patient has a disease such as PVD before applying a thermal modality (hot or cold)

A

to ensure that there is adequate perfusion to avoid thermal tissue injury (dissipation of heat and cold)

47
Q

does every patient who clinically presents with edema require cryotherapy

A

no - need to determine cause of edema. medically related edema will not be imrpved with cryotherapy

48
Q

what is the advantage of using warm/hot water whirlpool over paraffin for increasing the tissue temperature in the hand

A

AROM can be performed while heat is being applied with WP

49
Q

a patient is 1 month s/p TKA. patient has limited knee extension. palpation finds tightness in distal hamstring and post capsule of the knee. what is the most appropriate modality for addressing the impairment

A

hot pack

50
Q

patient with lateral ankle sprain that accurred 1 hour ago presents to clinic. what is the most appropriate treatment at this point

A

ice pack, secured with ACE wrap and elevation during application

51
Q

what is the advantage of ACE wraps as compared to imtermittent pneumatic compression for reducing edema

A

ACE wraps allow patient to be mobile and perform exercises

52
Q

T/F: when a commercial ice pack is applied to tissue, the area will achieve numbness

A

F: protective layers should be applied between the tissue and the ice pack and the ice pack heats up over the duration of the application period

53
Q

when applying a hot pack - which type of protective layer will allow the patient to feel the temp increase sooner? wet or dry towels?

A

wet towels - water transfers heat more efficiently than air. the same is true for cold

54
Q

what are the possible modalities used for an acute injury

A

cryotherapy
compression
LLLT
ultrasound (20%)
E-stim

55
Q

prior to application of any modality, but especially ones that are re-usable, it is important to assess what?

A

the skin - need to evaluation for any skin alterations, especially something that is easily transmissible

56
Q

the erythema to the skin when applying a cold modality is caused by what

A

histamine release

57
Q

high working load and low resting load defines what kind of compression wrap

A

short stretch bandages

58
Q

two opposing pressures that regulate capillary and interstitial fluids are

A

hydrostatic and osmotic pressure gradients

Modalities (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions