PAM PAM Contraindications & Precautions 3

Question 1

A patient with confirmed deep vein thrombosis (DVT) should NOT receive which intervention?

Accepted Answer

Electrical stimulation over the affected extremity

Answer

Cold packs to the uninvolved contralateral extremity

Answer

Gentle ROM to the upper extremities

Answer

Diaphragmatic breathing exercises

Question 2

Laser therapy is absolutely contraindicated over which structure?

Accepted Answer

The eyes

Answer

Scar tissue

Answer

Intact skin over bony prominences

Answer

Tendons and ligaments

Question 3

Electrical stimulation near the head is used with extreme caution in patients with epilepsy because:

Accepted Answer

It may trigger seizure activity by altering cortical excitability

Answer

It can cause excessive muscle relaxation

Answer

It disrupts the inner ear causing vertigo

Answer

It interferes with visual processing

Question 4

Paraffin bath treatment is contraindicated when a patient presents with:

Accepted Answer

Open wounds or active skin infections on the hands

Answer

Chronic hand osteoarthritis

Answer

Decreased grip strength

Answer

Mild carpal tunnel syndrome

Question 5

In which situation is TENS during pregnancy considered a precaution rather than an absolute contraindication?

Accepted Answer

Over the abdominal and pelvic region during pregnancy

Answer

Over a pacemaker implant site

Answer

Over the carotid sinus

Answer

Directly over a malignant tumor

Question 6

Why do patients with cognitive impairment require heightened precaution during physical agent modality treatment?

Accepted Answer

They may be unable to communicate pain or discomfort, preventing timely detection of adverse effects

Answer

They metabolize heat more slowly than other patients

Answer

They require stronger modality intensities

Answer

They have increased skin sensitivity regardless of the modality used