PAM PAM Contraindications & Precautions 2

Question 1

Why is electrical stimulation contraindicated directly over malignant tissue?

Accepted Answer

It may increase cellular metabolism and potentially accelerate tumor growth or spread

Answer

It causes excessive localized pain

Answer

It causes immediate skin burns

Answer

It leads to muscle atrophy

Question 2

Hot pack application is contraindicated when a patient has which of the following?

Accepted Answer

Impaired sensation in the treatment area

Answer

Chronic low back pain

Answer

Intact skin over the treatment area

Answer

Mild post-exercise muscle soreness

Question 3

Ultrasound is contraindicated when applied over which of the following surgical sites?

Accepted Answer

Spinal cord after laminectomy

Answer

Healed soft tissue repair

Answer

Post-ACL reconstruction at 6 months

Answer

Repaired Achilles tendon at 12 weeks

Question 4

Which patient condition warrants special precaution when applying any heat modality?

Accepted Answer

Peripheral arterial disease

Answer

Controlled hypertension without complications

Answer

History of mild asthma

Answer

Type I diabetes without neuropathy

Question 5

Cryotherapy is contraindicated in patients with cryoglobulinemia because:

Accepted Answer

Cold-sensitive proteins in their blood can precipitate upon cooling, causing vascular occlusion

Answer

Cold decreases their blood pressure too rapidly

Answer

Cold causes excessive pain in their joints

Answer

Cold reduces their immune response

Question 6

Why are metal implants in the treatment area an absolute contraindication for shortwave diathermy?

Accepted Answer

Metal concentrates diathermy energy and can cause severe internal burns

Answer

Metal blocks the electromagnetic waves entirely

Answer

Metal disrupts the therapeutic frequency

Answer

Metal causes skin irritation from the field