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Cooling & Pain Management Flashcards

7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Cooling & Pain Management flashcards as text
  1. Which cooling method uses a cryogen spray delivered in short bursts immediately before each laser pulse?

    Answer: Dynamic cooling device (DCD)

    A dynamic cooling device (DCD) delivers millisecond bursts of cryogen spray (typically tetrafluoroethane) just before each laser pulse to selectively cool the epidermis.

  2. What is the primary risk of applying ice directly to skin immediately before laser treatment?

    Answer: It can cause frostbite and vasoconstriction that alters treatment response

    Direct ice contact can cause frostbite and vasoconstriction, which alters blood vessel visibility and changes tissue optical properties, affecting treatment outcomes.

  3. A patient requests topical anesthetic for full-leg laser hair removal. Which application protocol is most appropriate?

    Answer: Apply 45–60 minutes before under occlusive wrap

    Topical anesthetics like EMLA or LMX4 require 45–60 minutes of contact time under an occlusive wrap to achieve adequate dermal anesthesia.

  4. During contact cooling, the sapphire or quartz tip must maintain firm contact with the skin to:

    Answer: Ensure consistent thermal conduction and epidermal protection

    Firm contact ensures consistent thermal conduction between the cooled tip and the epidermis, maintaining protective cooling throughout laser delivery.

  5. Forced cold air cooling (e.g., Zimmer Cryo) is advantageous over contact cooling in which scenario?

    Answer: Treating vascular lesions where vessel compression is undesirable

    Forced cold air cooling avoids compressing target vessels, making it ideal for vascular lesion treatments where blood must remain in the vessel for effective photothermolysis.

  6. Which topical anesthetic agent is a eutectic mixture of lidocaine and prilocaine?

    Answer: EMLA cream

    EMLA (Eutectic Mixture of Local Anesthetics) is a 1:1 mixture of lidocaine 2.5% and prilocaine 2.5% that forms a eutectic combination with a lower melting point.

  7. A technician notices the contact cooling tip feels warm after treating 10 consecutive patients. The best course of action is to:

    Answer: Pause and allow the cooling system to reach its set temperature before continuing

    A warmed cooling tip indicates the system has not recovered to its set temperature, which compromises epidermal protection and increases burn risk if treatment continues.