Focused Testlet 26

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Scenario:

The forward on your women’s soccer team sustained a noncontact anterior cruciate ligament (ACL) injury during the last game of the regular season. The athlete underwent ACL reconstruction surgery 2 weeks ago. You have been directing her postoperative rehabilitation.

Question 1

BOOKMARK
You have decided to use electrical stimulation to assist in reeducation of the quadriceps muscle group. You must screen the athlete for contraindications to electrical stimulation. Which questions should you ask in order to screen for contraindications?

Select all that apply.

Prompt

Response

"Do you have any areas of decreased sensation?"

"No."

"Have you ever been diagnosed with Raynaud’s phenomenon?"

"Yes, earlier this year."

"Do you have any superficial metal implants?"

"Nope."

"Are you currently suffering from any active infections?"

"Not that I know of."

"Have you ever been diagnosed with osteogenesis imperfecta?"

"No. I don't even know what that is."

"Have you noticed an increase in swelling in your foot or ankle?"

"No."

"Have you ever been diagnosed with myasthenia gravis?"

"No."

"Have you ever had a joint replacement?"

"No. I don't think I'm old enough for a joint replacement."

"Do you have a history of wounds not healing in a timely fashion?"

"No. I seem to heal pretty quickly."

"Have you ever been diagnosed with fibromyalgia?"

"Yes. When I was in high school. My doctor initially thought it was lupus, but it wasn't."

Scenario:

The forward on your women’s soccer team sustained a noncontact anterior cruciate ligament (ACL) injury during the last game of the regular season. The athlete underwent ACL reconstruction surgery 2 weeks ago. You have been directing her postoperative rehabilitation.

Question 2

BOOKMARK
You have decided to use electrical stimulation to assist in reeducation of the quadriceps muscle group. Based on the athlete’s answers to the questions you asked her when screening for contraindications, is the use of electrical stimulation to reeducate the quadriceps muscle group contraindicated in this athlete?

Yes

No

Unable to determine from the questions asked

Scenario:

The forward on your women’s soccer team sustained a noncontact anterior cruciate ligament (ACL) injury during the last game of the regular season. The athlete underwent ACL reconstruction surgery 2 weeks ago. You have been directing her postoperative rehabilitation.

Question 3

BOOKMARK
You have decided to use electrical stimulation to assist in reeducation of the quadriceps muscle group. Which treatment parameters are necessary to achieve this treatment goal?

Select all that apply.

Russian current

Interferential current

Premodulated current

Microcurrent

Frequency: 35 to 55 pps

Frequency: 80 to 150 pps

Frequency: 1 to 5 pps

On/off cycle: 1:1

On/off cycle: 1:4

On/off cycle: 1:10

Treatment time: 15 minutes

Treatment time: 5 minutes

Treatment time: 30 minutes

Intensity: motor

Intensity: sensory

Intensity: subsensory

Intensity: noxious

Scenario:

The forward on your women’s soccer team sustained a noncontact anterior cruciate ligament (ACL) injury during the last game of the regular season. The athlete underwent ACL reconstruction surgery 2 weeks ago. You have been directing her postoperative rehabilitation.

Question 4

BOOKMARK
You have decided to use electrical stimulation to assist in reeducation of the quadriceps muscle group. Which of the photos shown illustrates the most appropriate electrode placement to achieve your treatment goal?

Scenario:

The forward on your women’s soccer team sustained a noncontact anterior cruciate ligament (ACL) injury during the last game of the regular season. The athlete underwent ACL reconstruction surgery 2 weeks ago. You have been directing her postoperative rehabilitation.

Question 5

BOOKMARK
You have decided to use electrical stimulation to assist in reeducation of the quadriceps muscle group. Before initiating treatment you must describe to the athlete the expected sensations she will experience during electrical stimulation. Which description is the most accurate?

Pulsing sensation that increases in intensity until a strong muscle contraction is achieved

Tingling sensation that feels like pins and needles until a strong muscle contraction is achieved

Tapping sensation that feels like a heartbeat until a strong muscle contraction is achieved

No sensation, but a strong muscle contraction is achieved

STUDENT NAME:

DATE COMPLETED:

TIME TRACKED:

Question Number

Your Score

Possible Score

Answer Key

1

0

6

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2

0

1

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3

0

5

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4

0

1

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5

0

1

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Total Points

0

14

Percentage

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