These are all types of superical heat except:

a. moist heat

b. diathermy

c. paraffin

d. fluidotherapy

e. hydrotherapy

Examples of electomagnetic agents are:

a. e-stim, ultrasound, iontophorisis

b. iontophorisis, laser therapy, ultraviolet rays

c. laser therapy, e-stim, diathermy

d. phonophorisis, iontophorisis, e-stim

B.

ultrasound is thermal and mechanical

diathermy is thermal

phonophorisis is mechanical

1. pregnancy
2. malignancy
3. pacemaker or other implanted electrical device
4. impaired sensation
5. impaired mentation

All of the below are true about the use of physical agents during pregnancy except:

a. the energy does not reach the fetus

b. it is used on the distal extremities

c. it does not increase maternal core temp

d. it is used after the first trimester

 e. none of the above

acute

chronic

True or False

Physical agents can be used with precaution in patients with a history of cancer if there is no cancerous tissue remaining or if the agent does not directly affect the maligmant tissue or alter bloodflow to that tissue.

True or False

Physical agents are used to modify tissue inflammation and delay healing, control pain, alter collagen extensibility, modify muscle tone.

Physical agents can be benificial in the treatment of an initial injury to

a. prevent further injury and bleeding

b. increase circulation to the area

c. clean an open wound

d 2 of the above

e. none of the above

d. both a and c are true

 it is not benefical to increase blood flow during the inflammatory phase of healing.

Name the 3 catagories of physical agents, an example of each catagory, and a symptom that it would treat.

I will get you started.  A type of thermal physical agent is moist heat.  It can be used to increase blood flow to an area of chronic inflammation.

gives

takes away

Heat increases circulation by

a. increasing blood flow by vasoconstriction

b. decreases blood flow by vasodialation

c. increases systemic blood pressure

d. increasing edema with vasodilation

e. more then one of the above

Thermal physical agents are used  when you want a transfer of energy to the patient to produce

a. an increase in tissue temp

b. to decrease metabolic activity

c. to alter tissue tone

d. all of the above

Which is not true about the use of cold?

a. it controls the inflammatory process by increasing the metabolic activity

b. causes vasoconstriction that decreases edema formation

c. slows nerve conduction

d. can be used to modulate pain

Energy waves can be

a. reflected

b. absorbed

c.transmitted

d.refracted

e. all of the above

Match

1. Conduction       a. energy transfer requires temp gradiant

2. Convection        b. non-thermal form of energy

3. Conversion        c. example: whirlpool & fluido

4. Radiation           d. requires direct contact

1.d

2. c

3. b

d. a

Specific Heat

J/gm/°C

In convection there is an enhanced transfer of energy because of

a. the use of a medium that carries more energy

b. a fixed rate of flow

c. circulation of medium

d. none of the above

T or F

 Radiation does not require direct contact but a tempurature gradient from low to high.

False. The temp gradient has to be high to low.

On the electromagnetic spectrum

a. visable light is where?

b. waves with an increased wavelength and frequency are where?

c. waves that have low energy are where?

middle

right

left

This type of wave has the longest wavelength

a. violet visable light

b. orange visable light

c. radiowaves

d. microwaves

t or f

The higher the frequency of a wave the higher the energy of the wave.

The desired effects of hydrotherapy are achieved by

a. the physical properties of water

b. temp exchange

c. mechanical aggitation

d. a and c

e. all of the above

State if you would use warm or cold to achieve this effect.

a. vasodilation

b. edema control

c. hyperemia

d. muscle relaxation

e. pain control

f. control inflammatory process

g. increased metabolism

h. clean a dirty wound

i. slow metablic rate

j. improve mobility

warm - a,c,d,g,h,j

cold - b,e,f,i

Which of these is not an advantages of using water:

a.you can treat a large area at once.

b. water can form around irregular surfaces like a joint.

c. it is easy for the therapist to have the patient do exercises while the patient is recieving the modality and to check skin for tolerance.

d. the low specific heat of water means that a greater heat exchange can happen at lower tempuratures.

e. none of the above

d. the patient can

Match the water temp with the primary purpose

1. 32-79 (50 std)      a. cleaning an open wound

2. 79-92                    b. increase tissue extensibility

3. 92-96                    c. inflammation control & ↓ muscle soreness

4. 96-98 (fl bdy)      d.inflammation control intolerant to ↓ temp

    98-104 (extrem)  e. burns

5. 104-110                f. pain control and ROM activities

6. ≥ 110

1. C

2. D

3. A

4.

5.B

6.E

True or False

    In hydrotherapy a patient will spend 20 mins in cold and 15 mins in warm.

20

4

1) it is a one-on-one modality. the patient can never be left alone.

2) it takes time to clean the tank so there is alot of downtime when it can't be used.

3) you have to pay someone to clean the tank between patients which is time consuming

4) requires it's own area that is temp controlled

1) drowning

2) potential for cross contamination

3) requires a dependant position that could increase edema

4) fear of water

Which of the listed contraindications for hydrotherapy would not apply to wound care ?

a. masceration

b. granulation tissue is present

c. morbid obesity

d. none of the above

• urinary incontinence (increased risk of UTI)
• hx of epilepsy
• suicidal
• morbid obesity

Which is not an adverse effects of hydrotherapy?

a. drowning

b. burn

c. acquiring a noscomial infection

d. hypernatriemia from salt loss in large open wounds.

e. none of the above

1) fever

2) history of cardiac instability

3) hypertenion

1) active bleeding

2) bowel incontinence

3) PVD

4) fear of H2)

• dedicated area
• climate control
• safety valves to mix water
• ground fault circuits
• filtration
• privacy curtains to change
• space to maneuver gurney
• mats to decrease falls
• a thermometer for each tank