PAM Documentation & Record Keeping 2

Question 1

When documenting ultrasound treatment, which parameter is MOST critical to record for ensuring reproducibility of the session?

Accepted Answer

Duty cycle, frequency, and intensity settings

Answer

Duty cycle, frequency, and intensity are the core machine parameters that must be recorded to reproduce the exact ultrasound dose in subsequent sessions.

Question 2

A physical therapist documents 'patient tolerated treatment well' without specific objective data. This type of documentation is considered:

Accepted Answer

Subjective and lacks measurable outcomes

Answer

Vague statements like 'tolerated well' are subjective and do not provide measurable outcome data needed for defensible clinical records.

Question 3

Under HIPAA, when a patient requests a copy of their physical therapy modality records, the covered entity must respond within:

Accepted Answer

30 days

Answer

HIPAA's Privacy Rule requires covered entities to provide access to requested health records within 30 days of the request.

Question 4

Which of the following BEST describes a 'flow sheet' in the context of physical agent modality documentation?

Accepted Answer

A structured grid recording repeated treatment parameters across visits

Answer

A flow sheet is a structured grid or table used to consistently record modality parameters and patient responses across multiple treatment sessions.

Question 5

Documentation of a patient's informed consent for a new physical agent modality must include all of the following EXCEPT:

Accepted Answer

The therapist's professional license number

Answer

Informed consent documentation must capture the procedure, risks, benefits, and alternatives, but the therapist's license number is not a required element of the consent record itself.

(PAM) Physical Agent Modalities Certification Practice Test

(PAM) Physical Agent Modalities Certification Practice Test

PAM Documentation & Record Keeping 2