OTD 433 PAMS Comprehensive UPDATED
ACTUAL Questions and CORRECT
Answers
What is evidence based practice? - CORRECT ANSWER - integration of clinical expertise,
patient values, and best research evidence into the decision making process for patient care
What is categorized under medical complexity in the new medicare payment system? -
CORRECT ANSWER - medical management
pulmonary
cardiovascular and coagulation
cancer
acute infection
What is categorized under orthopedic, neurological in the new medicare payment system? -
CORRECT ANSWER - major joint replacement or spinal surgery
non-orthopedice surgery
acute neurologic
non-surgical orthopedic/musculoskeletal
medical management
What is the top/down definition of function? - CORRECT ANSWER - client's performance of
life roles and meaningful activities that are part of those roles
assessment focused on client's participation restriction, occupational balance, and life role
configuration
uses occupation as means and an end
,What is the bottom/up definition of function? - CORRECT ANSWER - specific, discrete body
impairment that affects larger daily life activities
assessment focused on body impairment level pathology
What is systems theory? - CORRECT ANSWER - all body systems work together to achieve
occupational performance and function
What states require special PAMs licensing? - CORRECT ANSWER - Florida
New York
Illinois
Nebraska
South Dakota
California
Montana
New Hampshire
New Jersey
Georgia
Maryland
Kenntucky
Tennessee
What are client factors? - CORRECT ANSWER - components which reside within or are
unique biophysiological factors of the individual
affects ability to engage in occupation and activities
AOTA's definition: component that includes body function and body structures
,What is the significance of PAMs? - CORRECT ANSWER - used as a preparatory method to
treating a variety of neuro-musculoskeletal movement and sensory function
should be adjunctive to occupational performance
What are physical agents modalities? - CORRECT ANSWER - procedures and interventions
that are systematically applied to modify specific client factors when neurological,
musculoskeletal, or skin conditions are present that may be limiting occupational performance
use various forms of energy to modulate pain, modify tissue healing, increase tissue
extensibilitiy, and decrease edema/inflammation
What are superficial thermal agents? - CORRECT ANSWER - penetrat 1-2cm with heating or
cooling energy
ex: hydrotherapy, whirlpool, cryotherapy, fluidotherapy, hot pack, paraffin, water, infrared
How do superficial thermal agents work? - CORRECT ANSWER - conduction: direct contact
with tissue
convection: energy swirls around tissue
What are deep thermal agents? - CORRECT ANSWER - penetrate 0-5cm with heating or
cooling energy
ex. therapeutic ultrasound, phonophoresis, diathermy
What are electrotherapeutic agents? - CORRECT ANSWER - use electricity and
electromagnetic spectrum to facilitate tissue healing, improve muscle strength and enducarnce,
decrease edema, modulate pain, decrease inflammatory process, modify the healing process
, ex. neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES),
transcutaneous electrical nerve stimulation (TENS), high voltage galvanic stimulation (ESTR),
high voltage pietsid current (HVPC), iontophoresis
What is pain? - CORRECT ANSWER - unpleasant sensory and emotional experience
associated with actual or potential tissue damage or described in terms of such damage
What was specificity theory? - CORRECT ANSWER - idea that pain is a direct transmission
system of a pain impulse from nociceptor carried by A-delta and C-fibers from periphery to pain
center in the brain via the lateral spinothalamic tract
mental pain is different from physical pain
What is the role of A-delta fibers? - CORRECT ANSWER - small, fast, protective pain fibers
What is the role of C-fibers? - CORRECT ANSWER - slow, chronic pain fibers
What is the role of A-beta fibers? - CORRECT ANSWER - large pain inhibition fibers
What did Beecher discover about pain? - CORRECT ANSWER - discovered there is no
relationship between wound severity and intensity of reported pain but there is a relationship
between psychological status and objective drug response
pain is more complex than originally believed
What is gate control theory? (Melzack and Wall) - CORRECT ANSWER - pain results from a
series of exchanges among the peripheral nerves, spinal cord, and the brain
What are the three components of gate control theory? - CORRECT ANSWER - peripheral
nerves
spinal cord
ACTUAL Questions and CORRECT
Answers
What is evidence based practice? - CORRECT ANSWER - integration of clinical expertise,
patient values, and best research evidence into the decision making process for patient care
What is categorized under medical complexity in the new medicare payment system? -
CORRECT ANSWER - medical management
pulmonary
cardiovascular and coagulation
cancer
acute infection
What is categorized under orthopedic, neurological in the new medicare payment system? -
CORRECT ANSWER - major joint replacement or spinal surgery
non-orthopedice surgery
acute neurologic
non-surgical orthopedic/musculoskeletal
medical management
What is the top/down definition of function? - CORRECT ANSWER - client's performance of
life roles and meaningful activities that are part of those roles
assessment focused on client's participation restriction, occupational balance, and life role
configuration
uses occupation as means and an end
,What is the bottom/up definition of function? - CORRECT ANSWER - specific, discrete body
impairment that affects larger daily life activities
assessment focused on body impairment level pathology
What is systems theory? - CORRECT ANSWER - all body systems work together to achieve
occupational performance and function
What states require special PAMs licensing? - CORRECT ANSWER - Florida
New York
Illinois
Nebraska
South Dakota
California
Montana
New Hampshire
New Jersey
Georgia
Maryland
Kenntucky
Tennessee
What are client factors? - CORRECT ANSWER - components which reside within or are
unique biophysiological factors of the individual
affects ability to engage in occupation and activities
AOTA's definition: component that includes body function and body structures
,What is the significance of PAMs? - CORRECT ANSWER - used as a preparatory method to
treating a variety of neuro-musculoskeletal movement and sensory function
should be adjunctive to occupational performance
What are physical agents modalities? - CORRECT ANSWER - procedures and interventions
that are systematically applied to modify specific client factors when neurological,
musculoskeletal, or skin conditions are present that may be limiting occupational performance
use various forms of energy to modulate pain, modify tissue healing, increase tissue
extensibilitiy, and decrease edema/inflammation
What are superficial thermal agents? - CORRECT ANSWER - penetrat 1-2cm with heating or
cooling energy
ex: hydrotherapy, whirlpool, cryotherapy, fluidotherapy, hot pack, paraffin, water, infrared
How do superficial thermal agents work? - CORRECT ANSWER - conduction: direct contact
with tissue
convection: energy swirls around tissue
What are deep thermal agents? - CORRECT ANSWER - penetrate 0-5cm with heating or
cooling energy
ex. therapeutic ultrasound, phonophoresis, diathermy
What are electrotherapeutic agents? - CORRECT ANSWER - use electricity and
electromagnetic spectrum to facilitate tissue healing, improve muscle strength and enducarnce,
decrease edema, modulate pain, decrease inflammatory process, modify the healing process
, ex. neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES),
transcutaneous electrical nerve stimulation (TENS), high voltage galvanic stimulation (ESTR),
high voltage pietsid current (HVPC), iontophoresis
What is pain? - CORRECT ANSWER - unpleasant sensory and emotional experience
associated with actual or potential tissue damage or described in terms of such damage
What was specificity theory? - CORRECT ANSWER - idea that pain is a direct transmission
system of a pain impulse from nociceptor carried by A-delta and C-fibers from periphery to pain
center in the brain via the lateral spinothalamic tract
mental pain is different from physical pain
What is the role of A-delta fibers? - CORRECT ANSWER - small, fast, protective pain fibers
What is the role of C-fibers? - CORRECT ANSWER - slow, chronic pain fibers
What is the role of A-beta fibers? - CORRECT ANSWER - large pain inhibition fibers
What did Beecher discover about pain? - CORRECT ANSWER - discovered there is no
relationship between wound severity and intensity of reported pain but there is a relationship
between psychological status and objective drug response
pain is more complex than originally believed
What is gate control theory? (Melzack and Wall) - CORRECT ANSWER - pain results from a
series of exchanges among the peripheral nerves, spinal cord, and the brain
What are the three components of gate control theory? - CORRECT ANSWER - peripheral
nerves
spinal cord
