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PT NBCE Passive care Test 3
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Health Care
Professional
02/26/2013

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Term
2.       Ultraviolet is a type of radiation possessing both _____ and _____ effects.
Definition
PHOTOCHEMICAL AND PHOTOBIOLOGICAL
Term
3.       The _____ effect of ultraviolet is the treatment aspect that chiropractic is interested in.
Definition
PHOTOBIOLOGICAL
Term
4.       This type of UV radiation is melanogenic effects, and augments pigmentation.
Definition
UVA
Term
5.       This type of UV radiation is erythmogenic, less melanogenic, and has more metabolic effects.
Definition
UVB
Term
6.       What penetrates deeper UVA or UVB?
Definition
UVB
Term
7.       This type of UV radiation has bacteriocidal effects.
Definition
UVC
Term
8.       What type of UV radiation is responsible for burning patients?
Definition
UVB
Term
9.       This wave type of UV is made up of black light (wood’s lamp).
Definition
LONG RAY
Term
10.   This wave type of UV is composed of natural sunlight, as well as hot and cold quartz lights.
Definition
SHORT RAY
Term
11.   3 different types of short ray UV.
Definition
1) HOT QUARTS, 2) COLD QUARTZ, 3) BLACK LIGHT
Term
12.   This form of short ray UV is used for dermatological conditions such as acne and psoriasis.
Definition
HOT QUARTZ
Term
13.   This form of short ray UV is used for bacteriocidal effects.
Definition
COLD QUARTZ
Term
14.   This form of short ray UV is used to diagnose fungal infections.
Definition
BLACK LIGHT
Term
15.   This classification dose of UV consists of SED (suberythemal dose). There is no redness after 24 hours.
Definition
E0
Term
16.   This classification dose of UV consists of MED (minimal erythemal dose). There is faint reddening of skin after 24 hours.
Definition
E1
Term
17.   This classification dose of UV consists of 2nd degree erythema. There is definite reddening 4-6 hours post exposure.
Definition
E2
Term
18.   This classification dose of UV consist of 3rd degree erythema. There is marked reddening, edema, peeling, and mild blistering 2 hours post exposure.
Definition
E3
Term
19.   10min of E2 exposure causes _____ which is a 3rd degree burn.
Definition
E3
Term
20.   7 indications for UV light treatment.
Definition
1) DERMATOLOGICAL DISORDERS, 2) ANTIBACTERIAL EFFECTS, 3) HERPES ZOSTER, 4) SINUSITIS, 5) EAR INFECTIONS, 6) SKIN ULCERS, 7) FUNGAL INFECTIONS
Term
21.   11 contraindications of UV light therapy.
Definition
1) SLE, 2) DIABETES, 3) ACTIVE TB, 4) PHOTOSENSITIVE DRUGS, 5) MEASLES, 6) HYPERTHYROID, 7) MALIGNANCY, 8) POISON IVY, 9) INFANTS, 10) ELDERLY, 11) SEVERELY DEBILITATED PATIENTS
Term
22.   2 different types of photosensitive drugs.
Definition
1) SULFUR BASED ANTIBIOTICS, 2) RETIN A
Term
24.   7 uses of traction.
Definition
1) TO PROMOTE DISTRACTION AND GLIDING OF FACET JOINTS, 2) TO RELIEVE MUSCLE SPASM, 3) TO DISSIPATE EDEMA OR CONGESTION, 4) TO STRETCH FIBROTIC TISSUE AND BREAK UP ADHESIONS, 5) TO TRIGGER PROPRIOCEPTIVE REFLEXES, 6) TO RELIEVE IVF NARROWING, 7) TO TEMPORARILY IMMOBILIZE OR SPLINT PARTS
Term
25.   This type of traction uses low weight, and constantly tractions for hours or days.
Definition
CONTINUOUS TRACTION
Term
26.   Continuous traction should be used for these 2 injuries.
Definition
FRACTURES AND DISLOCATIONS
Term
27.   This type of traction uses low weight for a few minutes to 30min.
Definition
SUSTAINED/STATIC TRACTION
Term
28.   Sustained/static traction should be used for this injury.
Definition
ACUTE DISC HERNIATIONS
Term
29.   This type of traction uses a 3:1 ratio of hold time then rest time.
Definition
INTERMITTENT TRACTION
Term
30.   Intermittent traction should be used for these 3 injuries.
Definition
1) JOINT DYSFUNCTION, 2) DDD, 3) DISC PROTRUSION
Term
31.   This type of traction involves the use of the doctor’s hands to physically traction the patient.
Definition
MANUAL TRACTION
Term
32.   4 indications for the use of manual traction.
Definition
1) STIFFNESS, 2) HEADACHES, 3) DISC PROBLEMS, 4) AS A TEST TO SEE IF MORE AGGRESSIVE TRACTION METHODS WOULD BE INDICATED
Term
33.   This type of tractions involves placing the patient in a certain position using cervical pillows, cervical rolls, and SOT blocks.
Definition
POSITIONAL TRACTION
Term
34.   This type of traction uses a traction bench, and the patient has full control over the amount of traction.
Definition
AUTOTRACTION
Term
35.   This type of traction involves using tilting chairs and tables.
Definition
GRAVITY LUMBAR TRACTION
Term
36.   This type of traction uses the Cox and Leander type of techniques.
Definition
FLEXION-DISTRACTION
Term
37.   This type of traction involves the use of passive mobility.
Definition
INTERSEGMENTAL TRACTION
Term
38.   This type of traction uses a computerized step traction method, and it is used for disc problems.
Definition
DECOMPRESSION
Term
39.   8 indications for traction.
Definition
1) DISC PROTRUSION, 2) DISC HERNIATION, 3) NERVE ROOT IMPINGEMENT, 4) SPONDYLOLISTHESIS, 5) JOINT HYPOMOBILITY, 6) ARTHRITIC FACET JOINTS, 7) JOINT PAIN, 8) IMMOBILIZATION
Term
40.   Spondylolisthesis causes pain because the anterior slippage causes a disc lesion _____ the spondylo.
Definition
BELOW
Term
41.   12 contraindications for the use of traction.
Definition
1) ACUTE SPRAIN OR STAIN, 2) HYPERMOBILITY, 3) JOINT INSTABILITY, 4) TUMORS AND CANCERS, 5) BONE DISEASES, 6) OSTEOPOROSIS, 7) BONE/JOINT INFECTIONS, 8) PREGNANCY, 9) HIATAL HERNIA, 10) AORTIC ANEURYSM, 11) INGUINAL HERNIA, 12) RA
Term
42.   The estimated angle of traction between C0-C2 is _____.
Definition
0-5DEG
Term
43.   The estimated angle of traction between C3-C5 is _____.
Definition
10-20DEG
Term
44.   The estimated angle of traction between C6-C7 is _____.
Definition
25-30DEG
Term
45.   The estimated angle of traction between L1-L3 is _____.
Definition
15-30DEG
Term
46.   The estimated angle of traction between L3-L5 is _____.
Definition
30-50DEG
Term
47.   A 3:1 pull/rest ratio of intermittent traction (30sec on and 10sec off) is good for these 3 conditions.
Definition
1) JOINT HYPOMOBILITY, 2) DJD, 3) DISC DISEASES
Term
48.   A 60sec hold and 20sec rest ratio of intermittent traction is good for _____.
Definition
DISC PROTRUSIONS
Term
49.   A 1:1 pull/rest ratio of intermittent traction (10sec on and 10sec off) is good for _____ problems.
Definition
FACET PROBLEMS
Term
50. The treatment time for traction should be between _____ depending on the type of traction.
Definition
5-30MIN
Term
1.       The poundage of tractive force for intermittent traction in the lumbar region should be between _____% of body weight.
Definition
25-50%
Term
2.       The poundage of tractive force for static traction in the lumbar region should be between _____ pounds.
Definition
40-60 POUNDS
Term
3.       The poundage of tractive force for intermittent traction in the cervical region should be between _____% of body weight.
Definition
10-15% (USUALLY 10-30LBS)
Term
4.       The poundage of tractive force for static traction in the cervical region should be between _____ pounds.
Definition
6-30LBS
Term
5.       6 precautions for the use of traction.
Definition
1) IF TREATMENT INCREASES PAIN, STOP AND RE-EVALUATE, 2) TRACTION SHOULD ALWAYS START GENTLY AND INCREASE AS PATIENT IMPROVES, 3) DECREASE MUSCLE SPASM WITH HEAT BEFORE STARTING TRACTION, 4) WITH C-SPINE TRACTION WATCH FOR TMJ, 5) ALL SLACK SHOULD BE REMOVED BEFORE TRACTION, 6) ALL MECHANICAL TRACTION UNITS SHOULD HAVE A KILL SWITCH FOR PATIENT USE
Term
8.       The effects of 2 or more therapies given in combination are _____.
Definition
CUMULATIVE
Term
10.   3 contraindications for combination therapies.
Definition
1) 2 HEAT THERAPIES, 2) 2 EMS THERAPIES, 3) ANY 2 THERAPIES WITH THE SAME PHYSIOLOGICAL RESPONSE
Term
11.   6 common combination therapies.
Definition
1) US AND LOW VOLT AC, 2) US AND HIGH VOLT AC, 3) US AND INTERFERENTIAL CURRENT, 4) EMS AND ICE, 5) EMS AND MOIST HEAT, 6) MOIST HEAT AND MYOFASCIAL RELEASE
Term
12.   During the acute stage following an injury, especially during the first 24-28 hours it may be necessary to treat the patient once or several times daily until the pain and swelling subsides, in some cases _____on each visit, or _____ is often the regimen of choice.
Definition
MULTIPLE THERAPIES; CONCENTRATED CARE
Term
13.   During the post-acute healing stage/remobilization stage of healing, the treatments can be _____. After daily treatment, then every other day, and eventually down to once a week.
Definition
SPREAD OUT
Term
14.   Post-acute healing stage/remobilization stage of treatment could last from _____ visits depending on the severity and how long the patient suffered with this problem. This stage should not last longer than _____ weeks.
Definition
6-15 VISITS; 6 WEEKS
Term
15.   As healing becomes more complete, the therapy should be directed to developing strength and endurance. During this stage therapy is scheduled _____ times a week combined with _____.
Definition
ONCE OR TWICE A WEEK; EXERCISE
Term
16.   The strengthening/rehab stage could last for _____.
Definition
3 WEEKS-1 YEAR
Term
17.   The recovery time for acute (passive) care should be between _____ hours.
Definition
48-72 HOURS
Term
18.   The recovery time for remobilization (active) care should be between _____.
Definition
48 HOURS- 6 WEEKS
Term
19.   The recovery time for rehabilitation (active) care should be between _____.
Definition
3 WEEKS-1 YEAR
Term
7.       _____ is an indication of spinal decompression therapy which may decrease intradiscal pressure, and reduce bulging of nuclear material. It may enhance osmosis from vertebral endplates, increasing fluid/blood to supply the disc.
Definition
VERTEBRAL SEPARATION
Term
8.       _____ is an indication of spinal decompression, it establishes potential for improved alignment, articulation, and joint mobility.
Definition
SEPARATION AND GLIDING OF THE FACET JOINTS
Term
9.       _____ is an indication of spinal decompression that causes stretching of the system of spinal ligaments.
Definition
TENSING
Term
10.   _____ is an indication of spinal decompression that allows for increased space for spinal nerve roots.
Definition
WIDENING OF VERTEBRAL FORAMINA
Term
11.   _____ is an indication of spinal decompression that causes a potential decrease to sensitivity to stretch, and thereby decreases muscle spasming/guarding. It is also possible that this may improve blood supply to posterior soft tissues.
Definition
STRETCHING OF SPINAL MUSCULATURE
Term
12.   13 contraindications for spinal decompression.
Definition
1) MENINGITIS, 2) SPINAL CANCER, 3) BILATERAL SYMPTOMS, 4) RA, 5) RECENT FRACTURE, 6) OSTEOPOROSIS, 7) INCREASED ABDOMINAL PRESSURE, 8) PREGNANCY, 9) DISC SEQUESTRATIONS, 10) CARDIAC/RESPIRATORY INSUFFICIENCY, 11) DECOMPRESSION ANXIETY, 12) JOINT HYPERMOBILITY, 13) ACUTE JOINT OR SOFT TISSUE INJURY
Term
13.   7 good candidates for spinal decompression.
Definition
1) PATIENTS WHO FAILED TO RESPOND TO A TRIAL BASIS OF TRADITIONAL CHIROPRACTIC CARE FOR 2-4 WEEKS, 2) DISC BULGES, 3) DISC HERNIATIONS, 4) NUCLEAR EXTRUSIONS, 5) DDD, 6) SPINAL STENOSIS, 7) FORAMINAL ENCROACHMENT
Term
14.   4 poor candidates for spinal decompression.
Definition
1) CAUDA EQUINA SYNDROME, 2) PROGRESSIVE NEUROLOGICAL LOSS, 3) SEVERE NERVE ROOT PAIN, 4) ADVANCED AGE
Term
15.   This is the 7 step protocol when applying spinal decompression.
Definition
1) PRE-WARM UP, 2) STATIC TRACTION, 3) INTERMITTENT TRACTION, 4) COOL DOWN PHASE, 5) REHABILITATION, 6) SPINAL ADJUSTMENT, 7) NUTRITIONAL SUPPORT
Term
16.   Every decompression technique involves some sort of _____.
Definition
REHABILITATION
Term
17.   This protocol strep of spinal decompression is used to decrease muscle spasm.
Definition
PRE WARM UP
Term
18.   The pre warm up stage of spinal decompression involves the use of these 2 modalities for acute injuries.
Definition
1) ICE, 2) INTERFERENTIAL CURRENT (80-150HZ)
Term
19.   The pre warm up stage of spinal decompression involves the use of these 3 modalities for chronic injuries.
Definition
1) LASER, 2) MOIST HEAT, 3) DIATHERMY
Term
20.   The static traction phase of spinal decompression should start off with _____% of body weight, and there should be a decrease of symptoms.
Definition
25.00000%
Term
21.   If the patient is suitable for static traction, the doctor should increase the traction up to _____% of the patients body weight.
Definition
50.00000%
Term
22.   The total treatment time for static traction should be between _____min.
Definition
2-15MIN
Term
23.   If the patient tolerated static traction protocol well with a decrease in symptoms and a positive test, the doctor should add _____.
Definition
INTERMITTENT TRACTION
Term
24.   The _____ is very important when applying intermittent traction.
Definition
ANGLE OF PULL
Term
25.   The treatment time for intermittent traction should last between _____min.
Definition
10-20MIN
Term
26.   During the cool down phase of traction, the doctor should apply a _____ for 10-15min. Also the doctor should encourage the patient to perform _____.
Definition
ICE PACK; ISOMETRIC EXERCISES
Term
During the rehabilitation phase of the traction protocol, the doctor must add _____ to the treatment protocol to achieve maximum results.
Definition
ACTIVE CARE
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