TEST BANK | COMPLETE PRACTICE QUESTIONS &
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NBCE Physiotherapy content:
Thermotherapy, cryotherapy, ultrasound
Electrotherapy (TENS, NMES, HVPC, IFC, microcurrent)
Mechanotherapy (traction, massage, taping, orthotics)
Phototherapy (laser, UV)
Functional assessment, exercise physiology, endurance & muscle rehab
Neuromuscular & disorder-specific rehabilitation (spine, UE, LE)
Safety, contraindications, parameters, and clinical decision-making
Format: single best answer, correct option in bold, with a brief rationale. Use this as a
study aid only, not as the real NBCE PT exam.
Thermotherapy, Cryotherapy, and Ultrasound (Q1–30)
1. The primary physiologic effect of superficial heat (e.g., hot packs) is:
A. Vasoconstriction
B. Vasodilation and increased blood flow
C. Decreased tissue extensibility
D. Increased muscle spindle activity
,Heat increases circulation and tissue elasticity.
2. A common indication for superficial heat is:
A. Acute inflammation (<24 hours)
B. Chronic muscle spasm and stiffness
C. Active bleeding
D. Acute trauma with swelling
Heat is used for chronic pain/spasm, not acute inflammation.
3. A contraindication for thermotherapy includes:
A. Chronic low back pain
B. Area of impaired sensation
C. Muscle tightness
D. Osteoarthritis
Patients who cannot feel heat are at burn risk.
4. Cryotherapy primarily produces:
A. Vasodilation
B. Vasoconstriction and decreased metabolic rate
C. Increased nerve conduction velocity
D. Increased inflammation
,Cold reduces blood flow and metabolism.
5. An appropriate use of cryotherapy is:
A. Chronic muscle spasm
B. Acute ankle sprain with swelling
C. Raynaud’s phenomenon
D. Cold urticaria
Cold is indicated for acute injuries to limit swelling.
6. A contraindication for cryotherapy is:
A. Acute inflammation
B. Cryoglobulinemia
C. Muscle strain
D. Post-exercise soreness
Certain blood disorders contraindicate cold.
7. Therapeutic ultrasound primarily uses:
A. Infrared radiation
B. High-frequency sound waves to produce thermal and nonthermal effects
C. Electrical current
D. UV light
, Ultrasound uses acoustic energy.
8. Thermal effects of ultrasound are most associated with:
A. 1 MHz, 20% duty cycle
B. 3 MHz, 100% duty cycle
C. 1 MHz, 50% duty cycle
D. 3 MHz, 20% duty cycle
Continuous (100%) ultrasound produces more heating; 3 MHz is more superficial.
9. Nonthermal (mechanical) effects of ultrasound are emphasized with:
A. Continuous mode
B. Pulsed mode (e.g., 20% duty cycle)
C. High intensity only
D. No gel
Pulsed ultrasound minimizes heating, emphasizes cavitation/microstreaming.
10. A common indication for therapeutic ultrasound is:
A. Over a malignant tumor
B. Chronic tendonitis with scar tissue
C. Over the eyes
D. Over an area of active bleeding