Therapeutic Modalities 4th Edition Test Bank

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Chapter 1 The Injury Response ProcessMultiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.Which is an accurate statement regarding the effect of modalities and the healing process?A.Modalities attempt to provide the optimal environment for healing to occur.B.Most modalities can speed up the healing of an injury.C.Modality devices are primarily used to alter the body’s psychological status to provide agood healing environment.D.The stage of the healing process does not influence which modality is used.____2.According to the physical stress theory, what changes will result from a physical stress that is categorized asnone to low?A.Cell deathB.Decreased toleranceC.Increased toleranceD.Injury____3.What type of tissue is devoid of blood vessels and is able to secrete and absorb various substances?A.EpithelialB.MuscleC.AdiposeD.Connective____4.According to the general adaptation syndrome, what is the correct order of the three stages of stress response?A.Alarm, resistance, exhaustionB.Resistance, alarm, excitementC.Exhaustion, excitement, alarmD.Resistance, exhaustion, excitement____5.What segment of a neuron is responsible for transmitting impulses toward the nerve body?A.DendritesB.AxonsC.Electrical synapsesD.Chemical synapses____6.What is the longest stage of the general adaptation syndrome?A.AlarmB.ResistanceC.ExhaustionD.Excitement____7.In what tissue order must the different forms of therapeutic energy pass through to affect the target tissues?A.Epithelial, adipose, muscular, nervous, connectiveB.Epithelial, nervous, adipose, muscular, nervousC.Epithelial, connective, nervous, muscular, adiposeD.Epithelial, adipose, connective, muscular, nervous____8.What type of tissue is the most abundant in the body?A.EpithelialB.Muscle

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C.AdiposeD.Connective____9.During the healing process, when do you see the formation of granulation tissue and the migration ofphagocytes and fibroblasts to the injured area?A.Acute inflammatory responseB.Proliferation phaseC.Maturation phaseD.Chronic inflammatory response____10.In order to maximize the effect of gravity on the venous return system, a limb should be placed at a__________________ to the heart.A.0 degree or horizontal angleB.90 degree angle above horizontalC.30 degree angle above horizontalD.60 degree angle above horizontal____11.What type of afferent peripheral nerve is a muscle spindle?A.IaB.IbC.IID.III____12.What neurotransmitter is located in the brainstem and will increase blood pressure and cardiac output?A.DopamineB.EpinephrineC.NorepinephrineD.Serotonin____13.There are three potential outcomes of the injury process. What best describes the regeneration outcome?A.The original tissue is replaced with scar tissue.B.The structure’s original structure and function is lost.C.The structure retains some or all of its original structure and function.D.Dead cells and cellular debris are removed by phagocytosis.____14.What type of exudate is a plasma-rich fluid that is especially high in plasma protein?A.FibrinousB.SerousC.PurulentD.Ulcer____15.Application of which modality will result in the greatest rate of femoral vein flow?A.Passive straight-leg raisesB.Anatomic continuous passive motionC.Pneumatic sleeveD.Active ankle dorsiflexionMultiple ResponseIdentify one or more choices that best complete the statement or answer the question.____1.In what tissues are labile cells found?Select all that apply.A.Bone

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B.Peripheral nervous systemC.SkinD.Intestinal tractE.Central nervous system____2.According to the practical evidence, what are the primary uses for compression wraps?Select all that apply.A.Increase venous returnB.Reduce acute hemorrhageC.Prevent venous poolingD.Reduce secondary cell death____3.Which events occur during the proliferation phase?Select all that apply.A.Removal of debris and temporary repair tissueB.Formation of a temporary vascular frameworkC.Release of histamine to increase cell permeabilityD.Norepinephrine is released, causing vasoconstriction of arteriolesE.Collagen aligns and attempts to adapt to the preinjury orientation____4.Which of the following represents macrotrauma?Select all that apply.A.SprainB.Stress fractureC.Muscle sorenessD.FractureE.Strain____5.Which of the following characteristics describe type 1 muscle fibers?Select all that apply.A.Fast twitchB.Slow twitchC.Low intensityD.AerobicE.Anaerobic

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Chapter 1 The Injury Response ProcessAnswer SectionMULTIPLE CHOICE1.ANS:APTS:12.ANS:CPTS:13.ANS:APTS:14.ANS:APTS:15.ANS:APTS:16.ANS:BPTS:17.ANS:APTS:18.ANS:DPTS:19.ANS:APTS:110.ANS:BPTS:111.ANS:APTS:112.ANS:APTS:113.ANS:BPTS:114.ANS:APTS:115.ANS:APTS:1MULTIPLE RESPONSE1.ANS:C, DPTS:12.ANS:B, CPTS:13.ANS:A, BPTS:14.ANS:A, D, EPTS:15.ANS:B, C, DPTS:1

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Chapter 2 The Physiology and Psychology of PainMultiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.Which statement best describes nociception?A.Nociception must be interpreted as pain by higher brain centers.B.Nociception is a neuropsychological process that must be interpreted as pain.C.Nociception describes an unpleasant sensation.D.Nociception is the neural process of encoding and processing noxious stimuli.____2.Which of the following dimensions of pain perception localize the source and type of pain?A.Effective-terminalB.Sensory-discriminativeC.Cognitive-evaluativeD.Affective-motivational____3.Pain threshold is often based on the recruitment of _______________ fibers.A.A-deltaB.A-betaC.CD.COX-1____4.Memories of past experiences are a component that creates one’s “pain filter.” Where do these memoriescome from?A.Limbic systemB.Cerebral cortexC.Somatosensory systemD.Thalamus____5.What best defines pain that is produced from a normally nonpainful stimulus?A.HyperesthesiaB.HyperalgesiaC.Primary hyperalgesiaD.Primary hyperesthesia____6.In pain control theory, which is considered a secondary pain control approach?A.Target the perception of painB.Resolve physiological pain triggersC.Decrease mechanical irritationD.Decrease chemical irritation____7.Which scenario will result in a closing of the gate, thus inhibiting the pain signal from getting to thesecond-order neuron?A.Large-diameter afferent traffic is greater than small diameter.B.Small-diameter afferent traffic is greater than large diameter.C.Increase speed of small-diameter afferent transmission.D.Increase speed of large-diameter afferent transmission.____8.Damage to the diaphragm can result in referred pain to the skin and muscles of the ___________________.A.neck and shoulderB.lower back

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C.thigh and kneeD.anterior thorax____9.Which therapeutic modality has the ability to alter cell membrane permeability and thus alter the rate of nervedepolarization?A.Cold packsB.Therapeutic ultrasoundC.Electrical stimulationD.Intermittent compression____10.Which inflammatory pain mediator is released by mast cells to directly stimulate nociceptors?A.BradykininsB.ProstaglandinC.Substance PD.Histamine____11.What mechanoreceptor is located deeper in the skin and reacts to higher levels of mechanical pressure?A.Merkel’s disksB.Meissner’s corpusclesC.Pacinian corpusclesD.Ruffini corpuscles____12.What does the verbal rating scale use to represent the current pain intensity of a patient?A.10-cm lineB.Different facesC.Numbers 1 through 10D.Descriptive terms____13.Regarding pain control, the primary action of NSAIDS is to block the action of what inflammatory painmediator?A.BradykininsB.ProstaglandinC.Substance PD.Histamine____14.What substance is released by the body and reduces the perception of pain by bonding to pain receptor sites?A.SerotoninB.EnkephalinC.Mast cellsD.Tract cells____15.What pain-decreasing medication temporarily blocks nerve conduction, thus resulting in the loss of sensation?A.AspirinB.LidocaineC.EndorphinD.PropoxypheneMultiple ResponseIdentify one or more choices that best complete the statement or answer the question.____1.Which therapeutic modalities can provide mechanical pain reduction by removing swelling, restoring jointmotion, decreasing pressure on nerve endings, and restoring blood flow?Select all that apply.

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A.Intermittent compressionB.Continuous passive motionC.Shortwave diathermyD.Electrical stimulationE.Cervical/lumbar traction____2.Which statements are true regarding the afferents responsible for transmitting pain?Select all that apply.A.The fibers that transmit pain are A-beta and C fibers.B.The fibers are heavily myelinated.C.A-delta fibers give ability to localize pain to a specific spot.D.Both types of fibers respond to mechanical pressure and temperature extremes.E.Pain originating from C fibers is referred to as “fast” pain.____3.Which of the following are examples of mechanical stimuli that can trigger peripheral nociceptors?Select allthat apply.A.Thermal changes associated with the inflammatory responseB.Direct-force traumaC.Release of prostaglandins from traumaD.Pressure from swelling____4.Which of the following are associated with pain tolerance?Select all that apply.A.Limbic systemB.C fibersC.CortexD.A-delta fibersE.Thalamus____5.Which statements are true regarding the definition of pain?Select all that apply.A.Pain is an unpleasant sensory and emotional experience.B.Pain is associated only with actual tissue damage and not potential damage.C.Pain is always an emotional experience.D.Acute pain has an identifiable cause and extended duration.E.Pain is just a simple sensation and not a process.

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Chapter 2 The Physiology and Psychology of PainAnswer SectionMULTIPLE CHOICE1.ANS:DPTS:12.ANS:BPTS:13.ANS:APTS:14.ANS:APTS:15.ANS:APTS:16.ANS:APTS:17.ANS:APTS:18.ANS:APTS:19.ANS:BPTS:110.ANS:DPTS:111.ANS:CPTS:112.ANS:DPTS:113.ANS:APTS:114.ANS:BPTS:115.ANS:BPTS:1MULTIPLE RESPONSE1.ANS:A, B, EPTS:12.ANS:C, DPTS:13.ANS:B, DPTS:14.ANS:A, B, CPTS:15.ANS:A, CPTS:1

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Chapter 3 Development and Delivery of Intervention StrategiesMultiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.Which is most useful when determining the efficacy of an intervention?A.Minimum detectable changeB.Minimally clinically important changeC.Maximum detectable changeD.Maximally clinically important change____2.PICO is a mnemonic that provides structure for developing clinical questions. When developing a clinicalquestion, what part of the mnemonic represents the therapy being considered?A.PatientB.InterventionC.ComparisonD.Outcomes____3.Which component of evidence-based practice carries the least weight when making decisions?A.Personal experienceB.Best available evidenceC.Patient values and preferencesD.Personal experience, best available evidence, and patient values all carry the same weight.____4.What are the first three steps of the problem-solving approach?A.Obtain a medical history, identify patient limitations and restrictions, and prioritizeproblemsB.Obtain a medical history, review the evidence, and set treatment goalsC.Identify patient limitations and restrictions, prioritize problems, and set treatment goalsD.Identify patient limitations and restrictions, set treatment goals, and review the evidence____5.In which component of the problem-solving approach would you identify the stage of the healing process?A.Medical historyB.Recognition of the problemC.Goal settingD.Treatment planning____6.In order to develop a logical treatment sequence in the problem-solving approach, problems should beprioritized based on what?A.Cause-and-effect relationship to the patient’s functional limitationsB.Importance of the treatment to the patientC.Importance of the treatment to the clinicianD.Cost of the proposed intervention____7.When based on ______________, treatment goals can be used as the basis for research on treatment efficacy.A.outcome measuresB.patient preferenceC.cost effectivenessD.short-term goals____8.Which of the following goals is quantifiable and measures function?A.Increase passive dorsiflexion by 2 degrees

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B.Increase active dorsiflexionC.Increase active dorsiflexion to allow patient to climb stairs unassistedD.Increase active assistive dorsiflexion____9.Which statement accurately describes long-term goals?A.Long-term goals are revised more often than short-term goals.B.There are typically more long-term goals than short-term goals.C.Long-term goals focus on restoring participation.D.Long-term goals tend to address specific pathologies.____10.When treatment planning, what largely determines the types of modalities that will resolve a pathology?A.Stage of the healing processB.Length of applicationC.Amplitude at which the modality is appliedD.Type of insurance carried by the patient____11.When determining the best method for heat application, which surface would best be served with a whirlpoolover a moist heat pack?A.ThighB.Lower legC.AnkleD.Upper arm____12.Which common tool used in the examination of orthopedic injuries can be measured with a handhelddynamometer?A.Active range of motionB.Muscle function assessmentC.HypertrophyD.Sensation____13.Which common tool used in the examination of orthopedic injuries is contraindicated when the patient suffersfrom dementia or disorientation?A.Weight-bearing statusB.PainC.SensationD.Flexibility____14.According to the World Health Organization, which is an environmental contextual factor that can helpdetermine a patient’s level of function/disability?A.A person’s genderB.A person’s professionC.A person’s life experiencesD.Social attitudes where a person works____15.What is the purpose of “Condition” in the ABCD goal-writing structure?A.To identify the person performing the taskB.To describe the task using action termsC.To define the tools or techniques used in obtaining the goalD.To identify the quality with which the task will be performedMultiple ResponseIdentify one or more choices that best complete the statement or answer the question.

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____1.Which of the following are considered external factors that affect the development of a treatment plan?Selectall that apply.A.Expertise of the staffB.Financial constraintsC.Type of available equipmentD.Patient’s motivationE.Support the patient receives from friends and family____2.Which databases are designed to answer clinical questions through the incorporation of publications frommultiple databases?Select all that apply.A.PEDroB.CochraneC.PubMedD.SPORTDiscusE.Google____3.Which factors should be considered when determining if a therapeutic modality would be effective in treatinga specific condition?Select all that apply.A.What is the cost of the therapeutic modality?B.Does the modality produce the physiological response to promote healing?C.Can the modality affect the target tissue?D.Does the device improve patient outcomes?E.What is the ease of applying the modality?____4.Planning a treatment and rehabilitation program requires the integration of what complex skills?Select allthat apply.A.Clinical examination skillsB.Knowledge of pathologyC.Identification of the patient’s level of functionD.Identification of the patient’s participation restrictionsE.Knowledge of the current costs associated with common modalities____5.The problem-solving approach to developing an intervention strategy is a logic-based technique that useswhat components?Select all that apply.A.Clinical examination findingsB.Patient’s long-term goalsC.Best available evidenceD.Cost of the interventionsE.Supplies of the facility

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Chapter 3 Development and Delivery of Intervention StrategiesAnswer SectionMULTIPLE CHOICE1.ANS:APTS:12.ANS:BPTS:13.ANS:APTS:14.ANS:APTS:15.ANS:BPTS:16.ANS:APTS:17.ANS:APTS:18.ANS:CPTS:19.ANS:CPTS:110.ANS:APTS:111.ANS:CPTS:112.ANS:BPTS:113.ANS:CPTS:114.ANS:DPTS:115.ANS:CPTS:1MULTIPLE RESPONSE1.ANS:A, D, EPTS:12.ANS:A, BPTS:13.ANS:B, C, DPTS:14.ANS:A, B, C, DPTS:15.ANS:A, B, CPTS:1

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Chapter 4 Administrative ConsiderationsMultiple ChoiceIdentify the choice that best completes the statement or answers the question.____1.An institution’s or facility’s policies and procedures manual:A.should reflect the state practice acts.B.should reflect the professional standards of practice.C.should reflect the state practice acts and professional standards of practice.D.is independent of the state practice acts and professional standards of practice.____2.What term best identifies defamation of character through printed or electronic media?A.LibelB.LiabilityC.SlanderD.Negligence____3.Identify the most accurate statement regarding the Health Insurance Portability and Accountability Act(HIPAA).A.HIPAA regulations affect present and future medical records but not past records.B.State regulation can override HIPAA requirements.C.HIPAA ensures patient confidentiality but does not control the security of protected healthinformation (PHI).D.HIPAA was created by the Food and Drug Administration (FDA).____4.What best defines negligent behavior when a person acts on a situation but does so at a level different than areasonable and prudent person would?A.Act of omissionB.Act of commissionC.TortD.Fraud____5.All therapeutic equipment must be inspected and calibrated by a qualified technician at least _____________.A.yearlyB.weeklyC.monthlyD.twice a year____6.According to the Food and Drug Administration’s medical device classification system, what classificationwould a device get if it presented a great risk to the patient?A.Class IB.Class IIC.Class IIID.Class IV____7.Whichdevelops safety standards and regulations to prevent work-related injuries and illnesses?A.Food and Drug Administration (FDA)B.Health Insurance Portability and Accountability Act (HIPAA)C.American Hospital Association (AHA)D.Occupational Safety & Health Administration (OSHA)____8.A failure to maintain accurate, legible medical records may result in what charge?

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A.Ordinary negligenceB.Professional negligenceC.Ordinary and professional negligenceD.Neither ordinary nor professional negligence____9.Current Procedural Terminology (CPT) codes were established by what organization?A.Health Care Finance Administration (HCFA)B.National Center for Health StatisticsC.American Hospital Association (AHA)D.American Medical Association (AMA)____10.As a general rule, treatment tables should be _______ high and _______ apart.A.30 inches; 30 inchesB.30 inches; 4 feetC.2 feet; 4 feetD.2 feet; 30 inches____11.Where is the ideal location for the ON-OFF switch to a whirlpool motor?A.Within reach of the patient in the tubB.Out of reach of the patient in the tubC.Mounted on top of the tub’s motorD.It does not matter where the ON-OFF switch is located.____12.In order to decrease the potential growth of fungi, bacteria, and viruses, what should the humidity of thehydrotherapy area be?A.40 to 50 percentB.50 to 60 percentC.60 to 70 percentD.70 to 80 percent____13.What is the highest form of state regulation?A.LicensureB.CertificationC.RegistrationD.Exemption____14.What part of the FDA’s minimal requirements for device labeling describes conditions where the risk of useoutweighs the anticipated benefits?A.ContraindicationsB.WarningsC.Boxed warningD.Precautions____15.What medical record document provides an ongoing record of the patient’s intervention plan?A.Treatment recordB.Prescription recordC.Injury reportD.Medical history____16.What term best describes the tort when there is a duty to act but a failure to perform the act?A.MalfeasanceB.MisfeasanceC.Nonfeasance

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D.Malpractice____17.Which statement is accurate in its description of direct access?A.Third-party reimburses will always reimburse in a state that is granted direct access.B.Professions granted direct access typically do not require a physician’s referral.C.Cold packs, moist heat packs, and whirlpools typically require a prescription in stateswithout direct access.D.Phonophoresis and iontophoresis do not require a prescription if the profession is granteddirect access.Multiple ResponseIdentify one or more choices that best complete the statement or answer the question.____1.What can you be charged with if you provide care without consent in a nonemergent situation?Select all thatapply.A.TortB.Professional negligenceC.BatteryD.SlanderE.Mischief____2.When assessing for the possibility of professional negligence, what forms the benchmark for determining ifcare provided was standard or substandard?Select all that apply.A.Professional standards of practiceB.Facility policies and procedures manualC.State practice actsD.Best practice standardsE.Patient opinion____3.Which statements are true concerning third-party reimbursement?Select all that apply.A.Other insurance companies use Medicare but not Medicaid standards when establishingtheir own guidelines.B.Individuals rendering treatment must be state licensed to be eligible for reimbursement.C.As long as all standards are met, a reimbursement is guaranteed by insurance companies.D.Reimbursement requires documentation of the treatment services but not the conditionbeing treated.E.The rate of reimbursement is frequently based on the usual, customary, and reasonable(UCR) system.

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