What type of assessment is the mid-term?
A written test.
What is tuberculosis?
A bacterial infection that primarily affects the lungs.
1/359
p.5
Assessment Methods and Weighting

What type of assessment is the mid-term?

A written test.

p.29
Infection

What is tuberculosis?

A bacterial infection that primarily affects the lungs.

p.58
Physiological and Therapeutic Effects of Heat Agents

What happens to muscle strength and endurance during the first 30 minutes after applying heating agents?

They decrease.

p.44
Electrophysical Therapy Definition and Categories

What is a thermal agent?

A modality used in therapy that applies heat or cold to the body.

p.42
Tissue Repair Process and Factors Affecting Healing

What is the goal of remodeling in tissue healing?

To form the most structurally functional tissue possible at the injured area.

p.36
Tissue Repair Process and Factors Affecting Healing

What follows hemostasis in the tissue repair process?

Inflammation, where the body responds to injury and prevents infection.

p.32
Electrophysical Therapy Definition and Categories

What triggers eczema flare-ups?

Allergens, irritants, stress, and weather changes.

p.16
Evidence-Based Practice in Electrophysical Therapy

What is a well-designed, quasi-experimental study classified as in the hierarchy of evidence?

Level IIb.

p.36
Tissue Repair Process and Factors Affecting Healing

What is the role of the proliferation phase in tissue repair?

It involves the formation of new tissue and blood vessels.

p.42
Tissue Repair Process and Factors Affecting Healing

What does the Induction Theory suggest about tissue healing?

Internal and external stresses placed on the injured area during the maturation phase determine the final tissue structure.

p.10
Required Texts and References for the Course

What is one of the required databases for the course?

AccessPhysiotherapy.

p.47
Thermal Agent Methods of Heat Transfer

What is convention in the context of fluid or gas?

It occurs when a portion of the fluid or gas moves from one place to another.

p.64
Thermal Agent Methods of Heat Transfer

What factor affects heat penetration related to the hot pack?

Temperature of the hot pack.

p.40
Tissue Repair Process and Factors Affecting Healing

What causes an increase in vascularity during inflammation?

Physical pressure or chemical irritation.

p.15
Evidence-Based Practice in Electrophysical Therapy

What is a major issue with research-based evidence in evidence-based practice?

There is little to no research-based evidence.

p.23
Contraindications and Precautions in Therapy

Can you give an example of a contraindication?

Pregnancy may be a contraindication for certain therapies.

p.53
Physiological and Therapeutic Effects of Heat Agents

What is the primary role of cutaneous thermoreceptors?

To signal temperature sensation, allowing conscious perception of warming or cooling of the skin.

p.49
Thermal Agent Methods of Heat Transfer

What is an example of a process that utilizes evaporation?

The use of vapocoolant spray.

p.46
Thermal Agent Methods of Heat Transfer

What factors affect the rate of heat transfer in conduction?

The difference in temperature between regions or materials in contact.

p.26
Tissue Repair Process and Factors Affecting Healing

What should be done to prevent infection in an open wound?

Clean the wound and apply a sterile dressing.

p.8
Course Overview and Structure

What are the components of the timetable?

Lecture, Practical, Mandatory open lab.

p.51
Physiological and Therapeutic Effects of Heat Agents

What is thermoregulation?

A mechanism by which humans maintain body temperature with tightly controlled self-regulation independent of external temperature.

p.25
Contraindications and Precautions in Therapy

What are common symptoms of Active Deep Vein Thrombosis?

Swelling, pain, and redness in the affected leg.

p.26
Tissue Repair Process and Factors Affecting Healing

What is an open wound?

A break in the skin that exposes underlying tissue.

p.48
Thermal Agent Methods of Heat Transfer

Can you give an example of radiation?

The exchange of energy between skin and air.

p.48
Thermal Agent Methods of Heat Transfer

What causes radiation to occur?

A temperature difference between two surfaces.

p.9
Practical Session Guidelines and Requirements

When is it suggested to start practicing in the Open Lab?

After the practical session to avoid confusion.

p.35
Contraindications and Precautions in Therapy

What type of skin condition requires special attention in therapy?

Chronic wounds and fragile skin.

p.25
Contraindications and Precautions in Therapy

What is Active Deep Vein Thrombosis?

A condition where a blood clot forms in a deep vein, usually in the legs.

p.26
Tissue Repair Process and Factors Affecting Healing

What is the term for tissue that is actively bleeding?

Current bleeding tissue.

p.15
Evidence-Based Practice in Electrophysical Therapy

How is the quality of existing research-based evidence described?

The body of research-based evidence is of poor quality.

p.6
Assessment Methods and Weighting

What is the subject weighting for the practical test assessment?

30%.

p.6
Assessment Methods and Weighting

What are the key components of the practical test assessment?

Contraindication/precaution, skin sensation test, application of selected modality, and documentation.

p.13
Electrophysical Therapy Definition and Categories

What does EPA stand for?

Electrophysical Agents.

p.58
Physiological and Therapeutic Effects of Heat Agents

What is the effect of heating muscles to a temperature between 40 ºC and 45 ºC?

It results in a reduction of spasm.

p.31
Electrophysical Therapy Definition and Categories

What are common causes of impaired sensation?

Nerve damage, neurological disorders, or injuries.

p.36
Tissue Repair Process and Factors Affecting Healing

What is the first phase of the tissue repair process?

Hemostasis, which involves stopping the bleeding.

p.27
Course Overview and Structure

What is the typical duration of a human pregnancy?

Approximately 40 weeks.

p.41
Tissue Repair Process and Factors Affecting Healing

What does fibroplasia refer to?

The formation of fibrous tissue during the healing process.

p.11
Required Texts and References for the Course

Which edition of 'Therapeutic Electrophysical Agents: Evidence Behind Practice' was published in 2014?

3rd edition.

p.27
Course Overview and Structure

What are the three trimesters of pregnancy?

First trimester, second trimester, and third trimester.

p.13
Electrophysical Therapy Definition and Categories

What types of energies are used in EPA treatment procedures?

Electromagnetic, acoustic, and mechanical energies.

p.11
Required Texts and References for the Course

Which publisher released 'Electrotherapy Explained: Principles and Practice'?

Butterworth Heinemann, Elsevier.

p.52
Physiological and Therapeutic Effects of Heat Agents

What types of temperature changes do cutaneous thermoreceptors respond to?

Both hot and cold stimuli.

p.41
Tissue Repair Process and Factors Affecting Healing

What is angiogenesis?

The formation of new blood vessels during the healing process.

p.32
Electrophysical Therapy Definition and Categories

How does eczema differ from psoriasis?

Eczema is primarily itchy and inflamed, while psoriasis has thick, scaly patches.

p.5
Assessment Methods and Weighting

Which content will be assessed in the mid-term written test?

Content from Week 1 to Week 4.

p.43
Tissue Repair Process and Factors Affecting Healing

What are systemic factors that influence healing?

Age; infection or disease; metabolic status; nutrition; hormones; medication; oxygen.

p.51
Physiological and Therapeutic Effects of Heat Agents

How is thermoregulation integrated in the body?

By a controlling mechanism in the CNS that responds to the heat of the tissues.

p.49
Thermal Agent Methods of Heat Transfer

What is evaporation?

The transformation of liquid to gaseous state.

p.26
Tissue Repair Process and Factors Affecting Healing

What is a critical first step in managing an open wound?

Controlling the bleeding.

p.15
Evidence-Based Practice in Electrophysical Therapy

What concern is raised about the passive delivery nature of Electrophysical Therapy (EPT)?

It may be harmful to patients.

p.15
Evidence-Based Practice in Electrophysical Therapy

What ethical concern is associated with practitioners of EPT?

They may be committing fraud.

p.57
Electrophysical Therapy Definition and Categories

What is the function of cutaneous thermoreceptors?

They detect temperature changes in the skin.

p.31
Electrophysical Therapy Definition and Categories

What is impaired cognition?

A decline in mental functions such as memory, attention, and reasoning.

p.13
Electrophysical Therapy Definition and Categories

What is the primary purpose of EPA?

To evaluate, treat, and prevent impairments, activity limitations, and participation restrictions.

p.7
Assessment Methods and Weighting

What is the subject weighting for the practical examination?

40%.

p.30
Electrophysical Therapy Definition and Categories

What is a cardiac pacemaker?

An implanted device that helps regulate the heartbeat.

p.9
Practical Session Guidelines and Requirements

What must you do to confirm your presence in the Open Lab?

Sign attendance.

p.57
Electrophysical Therapy Definition and Categories

What is chronic pain?

A type of pain that persists for a long time, often lasting beyond the normal healing period.

p.45
Thermal Agent Methods of Heat Transfer

What are the three primary methods of heat transfer?

Conduction, convection, and radiation.

p.56
Tissue Repair Process and Factors Affecting Healing

What is metabolism in relation to cellular activity?

Metabolism refers to the biochemical processes that occur within cells.

p.50
Physiological and Therapeutic Effects of Heat Agents

What is homeothermy?

The ability of an organism to maintain a stable internal body temperature regardless of external environmental conditions.

p.66
Practical Session Guidelines and Requirements

Which chapter covers contraindications and precautions in the Lab Manual?

Chapter 1.10.

p.56
Physiological and Therapeutic Effects of Heat Agents

How much does the metabolic rate increase for each 1 ºC rise in tissue temperature?

By about 13%.

p.10
Required Texts and References for the Course

Who are the authors of the required textbook?

Watson, T. and Nussbaum, E.L.

p.33
Contraindications and Precautions in Therapy

Which area of the body is particularly sensitive and requires safety considerations?

The anterior neck.

p.39
Tissue Repair Process and Factors Affecting Healing

What follows vasoconstriction in the inflammatory process?

Clot formation.

p.30
Electrophysical Therapy Definition and Categories

What is the purpose of the leads in a cardiac pacemaker?

To deliver electrical impulses to the heart muscle.

p.32
Electrophysical Therapy Definition and Categories

Can eczema and psoriasis be treated with therapy?

Yes, various therapies can help manage symptoms.

p.56
Physiological and Therapeutic Effects of Heat Agents

How does heat affect the rate of destructive processes in tissues?

Heat increases the rate of destructive processes.

p.65
Thermal Agent Methods of Heat Transfer

How do hot packs affect the therapist's time?

They require brief use of the therapist’s time.

p.25
Contraindications and Precautions in Therapy

What are the risks associated with Active Deep Vein Thrombosis?

It can lead to serious complications like pulmonary embolism.

p.28
Contraindications and Precautions in Therapy

What is a contraindication related to malignancy?

Recent radiated tissue.

p.23
Contraindications and Precautions in Therapy

Why is it important to identify contraindications in therapy?

To prevent harm and ensure patient safety during treatment.

p.21
Evidence-Based Practice in Electrophysical Therapy

What model is emphasized in patient care?

The ICF model (International Classification of Functioning).

p.21
Evidence-Based Practice in Electrophysical Therapy

What is essential for effective patient management?

Clinical reasoning.

p.31
Electrophysical Therapy Definition and Categories

What does impaired sensation refer to?

A reduced ability to perceive stimuli through the senses.

p.35
Contraindications and Precautions in Therapy

What is a key consideration for teenagers in therapy?

Active epiphysis.

p.59
Tissue Repair Process and Factors Affecting Healing

How can heat be used in relation to stiff joints?

To more effectively mobilize a stiff joint.

p.32
Electrophysical Therapy Definition and Categories

What is eczema?

A skin condition characterized by inflamed, itchy, and red patches.

p.59
Tissue Repair Process and Factors Affecting Healing

What temperature is considered adequate for heating collagen to facilitate stretch?

Approximately 40 ºC.

p.5
Assessment Methods and Weighting

What types of questions will the mid-term written test include?

Multiple Choice Questions (MCQ) and short questions.

p.63
Thermal Agent Methods of Heat Transfer

How is heat transferred when using hot packs?

By means of conduction.

p.37
Tissue Repair Process and Factors Affecting Healing

What follows hemostasis in the tissue repair process?

Inflammation, where the body responds to injury and begins healing.

p.12
Electrophysical Therapy Definition and Categories

What types of modalities are commonly used in Electrophysical Therapy?

Ultrasound, electrical stimulation, and laser therapy.

p.30
Electrophysical Therapy Definition and Categories

What conditions might require the implantation of a cardiac pacemaker?

Bradycardia, heart block, or other arrhythmias.

p.65
Thermal Agent Methods of Heat Transfer

What is a disadvantage of hot packs regarding patient comfort?

The patient may not tolerate the weight of the hot pack.

p.12
Electrophysical Therapy Definition and Categories

Who can benefit from Electrophysical Therapy?

Patients with musculoskeletal injuries, chronic pain, and post-surgical recovery.

p.4
Assessment Methods and Weighting

When is the mid-term test scheduled?

9/10/2024.

p.65
Thermal Agent Methods of Heat Transfer

Why are hot packs considered cost-effective?

They use inexpensive materials.

p.11
Required Texts and References for the Course

What is the focus of the book 'Physical Agents in Rehabilitation'?

An evidence-based approach to practice.

p.16
Evidence-Based Practice in Electrophysical Therapy

What is the lowest level of evidence in the hierarchy?

Expert committee reports or opinions and/or clinical experience of respected authorities (Level IV).

p.37
Tissue Repair Process and Factors Affecting Healing

What factors can affect the healing process?

Age, nutrition, blood supply, and presence of infection.

p.62
Contraindications and Precautions in Therapy

Why is poor thermal regulation a precaution in therapy?

It can lead to adverse reactions to heat or cold treatments.

p.52
Physiological and Therapeutic Effects of Heat Agents

What is the role of cutaneous thermoreceptors in pain perception?

They can contribute to the sensation of pain when extreme temperatures are detected.

p.25
Contraindications and Precautions in Therapy

What treatments are commonly used for Active Deep Vein Thrombosis?

Anticoagulants and compression therapy.

p.48
Thermal Agent Methods of Heat Transfer

What is radiation in the context of thermal energy?

The exchange of electromagnetic energy due to temperature differences between two surfaces that are not in contact.

p.23
Contraindications and Precautions in Therapy

What role do contraindications play in patient assessment?

They help clinicians determine the appropriateness of a treatment for a specific patient.

p.9
Practical Session Guidelines and Requirements

Who should you email for questions to facilitate your practice?

Chun LEUNG.

p.59
Tissue Repair Process and Factors Affecting Healing

How can the properties of collagen change?

They can change with heat.

p.64
Thermal Agent Methods of Heat Transfer

What is a key factor regarding the duration of heat application?

The duration of heat application influences the depth of heat penetration.

p.11
Required Texts and References for the Course

Who are the authors of 'Electrotherapy Explained: Principles and Practice'?

Robertson, V., Ward, A., Low, J. & Reed, A.

p.12
Electrophysical Therapy Definition and Categories

What is Electrophysical Therapy?

A therapeutic approach that uses electrical energy to promote healing and alleviate pain.

p.37
Tissue Repair Process and Factors Affecting Healing

What is the first phase of the tissue repair process?

Hemostasis, which involves stopping the bleeding.

p.31
Electrophysical Therapy Definition and Categories

How can impaired cognition affect therapy?

It can hinder a patient's ability to follow instructions or engage in rehabilitation.

p.30
Electrophysical Therapy Definition and Categories

How does a cardiac pacemaker function?

It sends electrical impulses to the heart to maintain a normal rhythm.

p.5
Assessment Methods and Weighting

How long is the mid-term written test?

60 minutes.

p.52
Physiological and Therapeutic Effects of Heat Agents

Where are cutaneous thermoreceptors located?

In the skin.

p.37
Tissue Repair Process and Factors Affecting Healing

What is the role of fibroblasts in tissue repair?

Fibroblasts produce collagen and extracellular matrix to support tissue regeneration.

p.32
Electrophysical Therapy Definition and Categories

Is psoriasis a chronic condition?

Yes, it is a chronic autoimmune condition.

p.3
Practical Session Guidelines and Requirements

What is the attendance requirement for the course?

80%.

p.13
Electrophysical Therapy Definition and Categories

What levels do EPA treatment procedures target for biophysical effects?

Cellular, tissue, organic, and whole body levels.

p.42
Tissue Repair Process and Factors Affecting Healing

What are the components of the Tension Theory in tissue healing?

Muscle tension, joint movement, soft tissue loading, and fascial gliding.

p.52
Physiological and Therapeutic Effects of Heat Agents

How do cutaneous thermoreceptors contribute to thermoregulation?

They help the body maintain a stable internal temperature by signaling temperature changes.

p.38
Tissue Repair Process and Factors Affecting Healing

What does vasoconstriction do in the context of haemostasis?

It prevents excessive bleeding.

p.45
Thermal Agent Methods of Heat Transfer

What is radiation?

The transfer of heat through electromagnetic waves without the need for a medium.

p.30
Electrophysical Therapy Definition and Categories

What is the typical lifespan of a cardiac pacemaker battery?

5 to 15 years, depending on usage.

p.1
Course Overview and Structure

What is the course code for Electrophysical Therapy and Advanced Technology in Rehabilitation?

PHSI N205F.

p.53
Physiological and Therapeutic Effects of Heat Agents

How do cutaneous thermoreceptors contribute to body temperature regulation?

They contribute to the unconscious regulation of body temperature.

p.26
Tissue Repair Process and Factors Affecting Healing

What are the risks associated with current bleeding tissue?

Infection and further tissue damage.

p.21
Evidence-Based Practice in Electrophysical Therapy

What is the main goal in patient care?

To competently function within the Patient Centred Safety Practice.

p.9
Practical Session Guidelines and Requirements

How many people need to gather before scheduling the Open Lab?

At least a group of 4.

p.35
Contraindications and Precautions in Therapy

What safety considerations should be taken for elderly patients?

Considerations include sensation and cognition.

p.22
Evidence-Based Practice in Electrophysical Therapy

What happens if a drug is administered outside the therapeutic window?

It may lead to ineffective treatment or increased risk of toxicity.

p.22
Evidence-Based Practice in Electrophysical Therapy

How is the therapeutic window determined?

Through clinical trials and pharmacokinetic studies.

p.16
Evidence-Based Practice in Electrophysical Therapy

What is the highest level of evidence in the hierarchy of evidence?

Systematic review or meta-analysis of RCTs (Ia).

p.35
Contraindications and Precautions in Therapy

What condition should be considered when treating acute inflammation?

Acute inflammation itself requires careful management.

p.13
Electrophysical Therapy Definition and Categories

What evaluation procedures are involved in EPA?

Ultrasound imaging and electroneurophysiological testing.

p.7
Assessment Methods and Weighting

What are the key components assessed in the practical examination?

Contraindication/precaution, skin sensation test, selection of modality, application of selected modality, and documentation.

p.16
Evidence-Based Practice in Electrophysical Therapy

What characterizes a well-designed controlled study without randomization?

It is classified as level IIa in the hierarchy of evidence.

p.66
Practical Session Guidelines and Requirements

What type of therapy is included in Practical Session 1?

Hot pack.

p.7
Assessment Methods and Weighting

What should students perform during the practical examination?

Self-introduction, interview to obtain relevant information, and corresponding assessment and intervention on their peers.

p.10
Required Texts and References for the Course

What is the title of the required textbook for the course?

Electrotherapy: Evidence-based Practice.

p.45
Thermal Agent Methods of Heat Transfer

What is conduction?

The transfer of heat through direct contact between materials.

p.27
Course Overview and Structure

What major changes occur in a woman's body during pregnancy?

Hormonal changes, physical changes, and increased blood volume.

p.38
Tissue Repair Process and Factors Affecting Healing

What processes are auto-triggered during haemostasis?

Blood clotting and vasoconstriction.

p.62
Contraindications and Precautions in Therapy

What is a precaution related to impaired circulation?

Avoid using thermal agents.

p.44
Physiological and Therapeutic Effects of Heat Agents

How do thermal agents affect blood flow?

They can increase or decrease blood flow depending on whether heat or cold is applied.

p.50
Physiological and Therapeutic Effects of Heat Agents

What mechanisms do organisms use to maintain homeothermy?

Thermoregulation through processes like sweating, shivering, and altering blood flow.

p.17
Evidence-Based Practice in Electrophysical Therapy

What type of patients does the PICO question focus on?

Patients with symptoms due to soft tissue shortening.

p.66
Practical Session Guidelines and Requirements

Which chapter discusses hot packs in the Lab Manual?

Chapter 2.2.

p.4
Assessment Methods and Weighting

What percentage of the overall assessment is the practical examination worth?

40%.

p.20
Physiological and Therapeutic Effects of Heat Agents

What is a physiological effect of EPT?

Heating effect and vascular dilatation.

p.2
Course Overview and Structure

What is the email address of Mr. Lam Kwun Nam Victor?

knlam@hkmu.edu.hk.

p.17
Evidence-Based Practice in Electrophysical Therapy

What specific intervention is mentioned in the PICO table?

Ultrasound therapy.

p.1
Course Overview and Structure

Who is the senior lecturer for the course?

Leung Chun Wa.

p.46
Thermal Agent Methods of Heat Transfer

What is conduction?

The exchange of thermal energy when there is direct physical contact between two surfaces.

p.23
Contraindications and Precautions in Therapy

What is a contraindication?

A condition or factor that serves as a reason to withhold a certain medical treatment.

p.40
Tissue Repair Process and Factors Affecting Healing

What are the cardinal signs of inflammation?

Increase vascularity, blockage of lymphatic drainage, physical pressure or chemical irritation, pain, and swelling.

p.64
Thermal Agent Methods of Heat Transfer

What role does vascularity play in heat penetration?

Vascularity of tissues affects how heat is distributed and absorbed.

p.9
Practical Session Guidelines and Requirements

What should you do after leaving the lab?

Tidy up and clean the lab.

p.63
Thermal Agent Methods of Heat Transfer

What material is a typical hot pack made of?

Bentonite (a silicate gel) covered with canvas.

p.5
Assessment Methods and Weighting

What is the subject weighting for the mid-term written test?

30%.

p.57
Electrophysical Therapy Definition and Categories

What is acute pain?

A type of pain that is short-term and usually results from injury or illness.

p.66
Practical Session Guidelines and Requirements

What should be reviewed regarding safety in Practical Session 1?

General contraindications and precautions.

p.12
Electrophysical Therapy Definition and Categories

What are the main goals of Electrophysical Therapy?

To reduce pain, improve function, and facilitate tissue healing.

p.58
Physiological and Therapeutic Effects of Heat Agents

What types of heating agents can cause a decrease in muscle strength and endurance?

Both deep and superficial heating agents.

p.39
Tissue Repair Process and Factors Affecting Healing

What happens if the inflammatory phase is absent?

No tissue healing is possible.

p.4
Assessment Methods and Weighting

What percentage of the assessment is the mid-term test worth?

30%.

p.58
Electrophysical Therapy Definition and Categories

What is the relationship between motor neuron activity and muscle tone?

Motor neuron activity influences muscle tone.

p.39
Tissue Repair Process and Factors Affecting Healing

What is the first response in the inflammatory process?

Vasoconstriction.

p.63
Contraindications and Precautions in Therapy

What are some disadvantages of electric and microwavable heating pads?

They may have inconsistent heat distribution and can cause burns if not monitored.

p.55
Physiological and Therapeutic Effects of Heat Agents

What is vasodilatation?

The widening of blood vessels, which increases blood flow.

p.66
Practical Session Guidelines and Requirements

What chapter should be read about hot and cold tests?

Chapter 1.11.

p.27
Course Overview and Structure

What is the significance of prenatal care?

To monitor the health of both the mother and the developing fetus.

p.13
Electrophysical Therapy Definition and Categories

What are the intended physiological and clinical effects of EPA?

To maintain and optimize health.

p.44
Physiological and Therapeutic Effects of Heat Agents

What is a common application of heat agents?

To relax muscles and improve flexibility.

p.50
Physiological and Therapeutic Effects of Heat Agents

How does sweating help in maintaining homeothermy?

Sweating cools the body through evaporation, helping to lower body temperature.

p.29
Infection

What is the risk of not treating tuberculosis?

It can lead to severe health complications and spread to others.

p.4
Assessment Methods and Weighting

When is the practical examination scheduled?

12/12/2024 & 13/12/2024.

p.54
Physiological and Therapeutic Effects of Heat Agents

What is one physiological effect of heat agents?

Vasodilatation.

p.38
Tissue Repair Process and Factors Affecting Healing

What type of response is involved in haemostasis besides clot formation?

Cellular and immune responses.

p.43
Tissue Repair Process and Factors Affecting Healing

How does nutrition affect the healing process?

Proper nutrition provides the necessary building blocks for tissue repair.

p.54
Physiological and Therapeutic Effects of Heat Agents

What effect do heat agents have on cellular activity?

They increase cellular activity.

p.25
Contraindications and Precautions in Therapy

How is Active Deep Vein Thrombosis diagnosed?

Through ultrasound imaging and clinical evaluation.

p.28
Contraindications and Precautions in Therapy

Why is recent radiated tissue considered a contraindication?

It may be more susceptible to damage and complications.

p.9
Practical Session Guidelines and Requirements

Who should you contact for available times for the Open Lab?

Ming.

p.22
Evidence-Based Practice in Electrophysical Therapy

What is the therapeutic window?

The range of drug dosages which can treat disease effectively while staying within the safety range.

p.22
Evidence-Based Practice in Electrophysical Therapy

Why is the therapeutic window important?

It helps to maximize therapeutic effects while minimizing adverse effects.

p.6
Assessment Methods and Weighting

What should students perform during the practical test?

Self-introduction, interview to obtain relevant information, and corresponding assessment and intervention on their peers.

p.40
Tissue Repair Process and Factors Affecting Healing

What is a consequence of blockage of lymphatic drainage in inflammation?

Swelling.

p.40
Tissue Repair Process and Factors Affecting Healing

What are two main symptoms associated with inflammation?

Pain and swelling.

p.41
Tissue Repair Process and Factors Affecting Healing

What is epithelialization?

The process of new epithelial tissue forming over a wound.

p.32
Electrophysical Therapy Definition and Categories

What are common symptoms of psoriasis?

Red patches of skin covered with thick, silvery scales.

p.59
Tissue Repair Process and Factors Affecting Healing

What is the significance of heating collagen in therapy?

It facilitates stretch to a certain extent.

p.29
Infection

What are common symptoms of tuberculosis?

Cough, fever, night sweats, and weight loss.

p.44
Thermal Agent Methods of Heat Transfer

What are the two main types of thermal agents?

Heat agents and cold agents.

p.63
Thermal Agent Methods of Heat Transfer

At what temperature should hot packs be kept in a hydrocollator?

Approximately 70 to 80 ºC.

p.29
Infection

What type of bacteria causes tuberculosis?

Mycobacterium tuberculosis.

p.5
Assessment Methods and Weighting

Where will the mid-term written test take place?

In venue F0717.

p.50
Physiological and Therapeutic Effects of Heat Agents

Why is maintaining homeothermy important?

It is crucial for optimal physiological functioning and metabolic processes.

p.67
Required Texts and References for the Course

Who are the authors of the 2023 article on electrophysical agents?

Belanger, A. Y., Selkowitz, D. M., & Lawson, D.

p.56
Physiological and Therapeutic Effects of Heat Agents

What happens to cells and tissues at temperatures of 45 ºC or greater?

The magnitude of protein damage results in destruction of cells and tissues.

p.4
Assessment Methods and Weighting

What are the dates for the practical test?

14/10/2024 & 15/10/2024.

p.33
Contraindications and Precautions in Therapy

Why should the eyes be considered in local area safety?

Due to their sensitivity and vulnerability.

p.29
Infection

What is the standard treatment for tuberculosis?

A course of antibiotics over several months.

p.10
Required Texts and References for the Course

Which publisher released the required textbook?

Elsevier Health Sciences.

p.17
Evidence-Based Practice in Electrophysical Therapy

What does the 'I' in PICO represent?

Intervention.

p.44
Physiological and Therapeutic Effects of Heat Agents

What is a common application of cold agents?

To reduce inflammation and numb pain.

p.33
Contraindications and Precautions in Therapy

Which organ's safety is a concern during therapy?

The heart/chest area.

p.2
Course Overview and Structure

What is the telephone number for Mr. Leung Chun Wa?

3970 2965.

p.17
Evidence-Based Practice in Electrophysical Therapy

What does the 'C' in PICO refer to?

Comparison or Control.

p.64
Thermal Agent Methods of Heat Transfer

How does tissue composition affect heat penetration?

Different tissues (skin, subcutaneous fat, muscles) have varying thickness and volume.

p.21
Evidence-Based Practice in Electrophysical Therapy

What type of documentation is important in patient care?

Evidence-based documentation.

p.21
Evidence-Based Practice in Electrophysical Therapy

What is a key component of effective patient interaction?

Communication.

p.57
Electrophysical Therapy Definition and Categories

What is the gate control theory?

A theory that explains how non-painful stimuli can inhibit the perception of pain.

p.9
Practical Session Guidelines and Requirements

What should you report to Ming/Zang?

If equipment is broken or out of order.

p.16
Evidence-Based Practice in Electrophysical Therapy

What level of evidence is a Randomized Control Trial (RCT)?

Level Ib.

p.11
Required Texts and References for the Course

What is the title of the book by Cameron published in 2021?

Physical Agents in Rehabilitation: An Evidence-based Approach to Practice.

p.52
Physiological and Therapeutic Effects of Heat Agents

What are cutaneous thermoreceptors?

Sensory receptors in the skin that detect temperature changes.

p.65
Thermal Agent Methods of Heat Transfer

What is one advantage of using hot packs?

They are easy to use.

p.42
Tissue Repair Process and Factors Affecting Healing

What does the scar attempt to mimic during the healing process?

The characteristics of the tissue it is healing.

p.57
Electrophysical Therapy Definition and Categories

How does acute pain differ from chronic pain?

Acute pain is short-term and often linked to a specific injury, while chronic pain is long-lasting and may not have a clear cause.

p.33
Contraindications and Precautions in Therapy

What are important local area considerations for safety during therapy?

Anterior neck, eyes, reproductive organs, chest/heart, and implants.

p.44
Physiological and Therapeutic Effects of Heat Agents

What is the primary purpose of using thermal agents in therapy?

To promote healing and relieve pain.

p.43
Tissue Repair Process and Factors Affecting Healing

What are local factors affecting the healing process?

Type, size, and location of injury; infection; vascular supply; movement/excessive pressure; temperature deviation; topical medications; electromagnetic energy.

p.17
Evidence-Based Practice in Electrophysical Therapy

What does the 'P' in PICO stand for?

Patient or Population.

p.2
Course Overview and Structure

Who is the first member of the teaching team?

Mr. Leung Chun Wa.

p.10
Required Texts and References for the Course

What edition of the required textbook is specified?

13th edition.

p.65
Thermal Agent Methods of Heat Transfer

What is a limitation of hot packs in terms of application?

They may not maintain good contact with small and contoured areas.

p.3
Practical Session Guidelines and Requirements

Where will announcements be posted?

On OLE.

p.67
Required Texts and References for the Course

Which edition of 'Electrotherapy: Evidence-based Practice' was published in 2020?

The 13th edition.

p.27
Course Overview and Structure

What is the role of folic acid during pregnancy?

To help prevent neural tube defects in the developing fetus.

p.65
Thermal Agent Methods of Heat Transfer

What is a drawback of using hot packs during treatment?

Dynamic movements are not persisted during treatment.

p.56
Tissue Repair Process and Factors Affecting Healing

What is the difference between healing and destroying in the context of tissue response?

Healing involves repair and regeneration, while destroying refers to damage and cell death.

p.65
Thermal Agent Methods of Heat Transfer

What area coverage can hot packs provide?

They can be used to cover moderate to large areas.

p.17
Evidence-Based Practice in Electrophysical Therapy

What is the comparison made in the PICO question?

No ultrasound therapy.

p.54
Physiological and Therapeutic Effects of Heat Agents

How do heat agents influence metabolic rate?

They increase metabolic rate.

p.18
Evidence-Based Practice in Electrophysical Therapy

What role do past experiences play in evidence-based practice?

They inform clinical expertise and decision-making.

p.18
Evidence-Based Practice in Electrophysical Therapy

What is the importance of clinical expertise in evidence-based practice?

It combines skills and knowledge to make informed clinical decisions.

p.60
Contraindications and Precautions in Therapy

What adverse effect of thermotherapy can lead to loss of consciousness?

Fainting.

p.19
Practical Session Guidelines and Requirements

What are adjustable parameters in electrotherapy?

Settings such as intensity, frequency, and duration that can be modified during treatment.

p.6
Assessment Methods and Weighting

How will the practical test be rated?

According to the level of safety, accuracy, and effectiveness.

p.41
Tissue Repair Process and Factors Affecting Healing

What is proliferation in the context of tissue repair?

Formation and proliferation of new and immature repair tissues to replace damaged tissues.

p.66
Practical Session Guidelines and Requirements

What is the first activity in Practical Session 1?

Sensation test.

p.63
Thermal Agent Methods of Heat Transfer

What is the purpose of different sizes of hot packs?

To accommodate different treatment areas.

p.29
Infection

How is tuberculosis transmitted?

Through the air when an infected person coughs or sneezes.

p.39
Tissue Repair Process and Factors Affecting Healing

What is the role of inflammation in tissue healing?

Inflammation continues until infection is eradicated and prepares the tissue for new deposition.

p.13
Electrophysical Therapy Definition and Categories

How does EPA assist in physical therapy?

By guiding treatment procedures and evaluating treatment outcomes.

p.31
Electrophysical Therapy Definition and Categories

What types of therapies may be used for patients with impaired sensation or cognition?

Electrophysical therapies, occupational therapy, and cognitive rehabilitation.

p.38
Tissue Repair Process and Factors Affecting Healing

What is the primary function of haemostasis?

To stop bleeding at the injured site.

p.41
Tissue Repair Process and Factors Affecting Healing

What is wound contracture?

The process where the edges of a wound pull together to reduce its size.

p.7
Assessment Methods and Weighting

How are students rated in the practical examination?

According to the level of safety, accuracy, and effectiveness.

p.30
Electrophysical Therapy Definition and Categories

What are the components of a cardiac pacemaker?

A pulse generator and one or more leads.

p.37
Tissue Repair Process and Factors Affecting Healing

What is the final phase of tissue repair?

Remodeling, where the tissue matures and strengthens over time.

p.29
Infection

What is the primary method for diagnosing tuberculosis?

Tuberculin skin test or chest X-ray.

p.3
Practical Session Guidelines and Requirements

What should you do if you need to take sick leave?

Inform the coordinator via email and provide a sick leave letter from a doctor.

p.67
Required Texts and References for the Course

What is the title of the 2010 article in Physiotherapy Canada?

Electrophysical Agents - Contraindications And Precautions: An Evidence-Based Approach To Clinical Decision Making In Physical Therapy.

p.2
Course Overview and Structure

What is the office location of Mr. Lau Wing Keung Anthony?

F1224.

p.55
Tissue Repair Process and Factors Affecting Healing

What characterizes blood flow in the chronic stage of injury?

In the chronic stage, blood flow may be reduced or altered due to prolonged inflammation or tissue damage.

p.43
Tissue Repair Process and Factors Affecting Healing

What role does infection play in the healing process?

Infection can hinder the healing process and lead to complications.

p.62
Contraindications and Precautions in Therapy

How does cardiac insufficiency affect therapy precautions?

It may limit the use of certain thermal agents.

p.50
Physiological and Therapeutic Effects of Heat Agents

How does blood flow regulation contribute to homeothermy?

By adjusting blood flow to the skin, the body can either release or conserve heat.

p.10
Required Texts and References for the Course

What is the title of the F.A. Davis PT Collection?

F.A. Davis PT Collection.

p.17
Evidence-Based Practice in Electrophysical Therapy

What does the 'O' in PICO stand for?

Outcome.

p.62
Contraindications and Precautions in Therapy

What should be avoided over areas with topical counterirritants?

The application of additional thermal agents.

p.18
Evidence-Based Practice in Electrophysical Therapy

What is clinical reasoning?

The process of applying clinical expertise and knowledge to patient care.

p.60
Contraindications and Precautions in Therapy

Which adverse effect of thermotherapy involves excessive bleeding?

Bleeding.

p.54
Physiological and Therapeutic Effects of Heat Agents

What conditions can heat agents help alleviate?

Movement restriction and muscle spasm.

p.14
Electrophysical Therapy Definition and Categories

What are examples of electrical currents stimulation?

TENS, Electrical stimulation, IFT.

p.19
Electrophysical Therapy Definition and Categories

What are the methods of application in electrotherapy?

Techniques used to deliver electrical energy, such as electrodes placement and modality selection.

p.16
Evidence-Based Practice in Electrophysical Therapy

What level of evidence do well-designed, non-experimental descriptive studies fall under?

Level III.

p.36
Tissue Repair Process and Factors Affecting Healing

What is the final phase of the tissue repair process?

Remodeling, where the tissue matures and strengthens.

p.45
Thermal Agent Methods of Heat Transfer

What is convection?

The transfer of heat through the movement of fluids (liquids or gases).

p.55
Tissue Repair Process and Factors Affecting Healing

How does blood flow differ in the acute stage of injury?

In the acute stage, blood flow increases to the injured area to promote healing.

p.20
Electrophysical Therapy Definition and Categories

What are the underlying principles of Electrophysical Therapy (EPT)?

How energy and effects are created.

p.39
Tissue Repair Process and Factors Affecting Healing

What occurs after clot formation during inflammation?

Vasodilatation.

p.43
Tissue Repair Process and Factors Affecting Healing

How does age affect the healing process?

Age can influence the body's ability to heal effectively.

p.62
Contraindications and Precautions in Therapy

What should be considered when treating areas with oedema?

Thermal agents may exacerbate the condition.

p.3
Practical Session Guidelines and Requirements

When will lecture and practical materials be available?

Prior to the lesson on OLE.

p.67
Required Texts and References for the Course

What is the focus of the book 'Electrotherapy Explained: Principles and Practice'?

It covers the principles and practice of electrotherapy.

p.45
Thermal Agent Methods of Heat Transfer

In which method of heat transfer does heat travel through empty space?

Radiation.

p.62
Contraindications and Precautions in Therapy

What is a precaution for active epiphysis?

Avoid applying thermal agents to these areas.

p.62
Contraindications and Precautions in Therapy

Why is the presence of metal in the area a precaution?

It can conduct heat and cause burns.

p.17
Evidence-Based Practice in Electrophysical Therapy

What is the desired outcome stated in the PICO question?

Increased range of motion.

p.20
Assessment Methods and Weighting

What does progression of treatment in EPT involve?

Advancing the treatment based on patient response.

p.61
Contraindications and Precautions in Therapy

Which condition is a contraindication due to inflammation?

Acute Inflammation.

p.14
Electrophysical Therapy Definition and Categories

What is an example of therapeutic ultrasound?

Sound.

p.61
Contraindications and Precautions in Therapy

What is a contraindication for using wax or hot packs?

Open wound.

p.36
Tissue Repair Process and Factors Affecting Healing

What factors can affect the healing process?

Age, nutrition, blood supply, and presence of infection.

p.42
Tissue Repair Process and Factors Affecting Healing

What is the significance of collagen synthesis in tissue healing?

It is crucial for the formation and orientation of collagen fibers in the healing tissue.

p.27
Course Overview and Structure

What are common symptoms experienced during pregnancy?

Nausea, fatigue, and mood swings.

p.38
Tissue Repair Process and Factors Affecting Healing

What is formed to prevent the accumulation of blood at the injury site?

Clots.

p.56
Tissue Repair Process and Factors Affecting Healing

What are some conditions associated with destructive processes in tissues?

Carcinoma, infection, and acute inflammatory processes.

p.38
Tissue Repair Process and Factors Affecting Healing

What is the role of vasodilatation in the healing process?

It allows increased blood flow to the area.

p.10
Required Texts and References for the Course

Which publisher released the AccessPhysiotherapy database?

McGraw-Hill Medical.

p.67
Required Texts and References for the Course

Who authored 'Physical Agents in Rehabilitation: An Evidence-based Approach to Practice'?

Cameron, M.

p.67
Required Texts and References for the Course

What is the main subject of 'Therapeutic Electrophysical Agents: Evidence Behind Practice'?

The evidence supporting the use of therapeutic electrophysical agents.

p.62
Contraindications and Precautions in Therapy

What is the concern with demyelinated nerves in therapy?

They may be more susceptible to injury from thermal agents.

p.20
Assessment Methods and Weighting

How is outcome evaluation conducted in EPT?

By assessing the effectiveness of the treatment.

p.54
Physiological and Therapeutic Effects of Heat Agents

How do heat agents affect muscle tone?

They decrease muscle tone.

p.54
Physiological and Therapeutic Effects of Heat Agents

How do heat agents facilitate stretching and mobilization?

By increasing collagen extensibility.

p.19
Physiological and Therapeutic Effects of Heat Agents

What are the physiological effects of electrotherapy?

Changes in tissue function and cellular activity due to energy delivery.

p.61
Contraindications and Precautions in Therapy

What cognitive impairment is considered a contraindication?

Impaired mentation.

p.14
Electrophysical Therapy Definition and Categories

What is an example of a diagnostic electrical current?

Strength-duration curve.

p.61
Contraindications and Precautions in Therapy

What devices are contraindicated for shortwave therapy?

Pacemaker / electronic implant / metal implant.

p.33
Contraindications and Precautions in Therapy

What local area consideration is crucial for individuals with implants?

Safety precautions must be taken around the implant site.

p.45
Thermal Agent Methods of Heat Transfer

Which method of heat transfer involves the movement of particles?

Convection.

p.50
Physiological and Therapeutic Effects of Heat Agents

What role does shivering play in homeothermy?

Shivering generates heat through muscle activity, helping to raise body temperature in cold conditions.

p.43
Tissue Repair Process and Factors Affecting Healing

Why is vascular supply important for healing?

Adequate vascular supply is essential for delivering nutrients and oxygen to the injury site.

p.33
Contraindications and Precautions in Therapy

What local area consideration is important for reproductive health?

Safety precautions around reproductive organs.

p.4
Assessment Methods and Weighting

What must students pass to successfully complete the course?

Both the OCAS and OES.

p.3
Practical Session Guidelines and Requirements

What should you do after leaving the lab?

Tidy up and clean the lab.

p.54
Physiological and Therapeutic Effects of Heat Agents

What is the effect of heat agents on cutaneous thermoreceptor firing?

They increase cutaneous thermoreceptor firing.

p.18
Evidence-Based Practice in Electrophysical Therapy

Why is patient knowledge important in evidence-based practice?

It helps tailor care to individual patient needs and preferences.

p.19
Physiological and Therapeutic Effects of Heat Agents

What is meant by 'therapeutic effect' in electrotherapy?

The intended health benefits achieved through the application of electrical energy.

p.61
Contraindications and Precautions in Therapy

Which infectious condition is a contraindication?

Infection / Tuberculosis.

p.61
Contraindications and Precautions in Therapy

What is a contraindication for using infra-red therapy?

Application to the eyes region.

p.39
Tissue Repair Process and Factors Affecting Healing

What types of responses are involved in the inflammatory process?

Cellular response and immune response.

p.55
Physiological and Therapeutic Effects of Heat Agents

What is the primary purpose of vasodilatation during the acute stage?

To facilitate healing by increasing the delivery of nutrients and oxygen to the injured tissue.

p.55
Tissue Repair Process and Factors Affecting Healing

What role does vasodilatation play in the chronic stage of injury?

It may be less effective, as the body may not respond as strongly to inflammation.

p.3
Practical Session Guidelines and Requirements

What is expected regarding materials before the lesson?

Download and pre-read them.

p.2
Course Overview and Structure

Which office does Mr. Lam Kwun Nam Victor occupy?

F1143.

p.10
Required Texts and References for the Course

In what year was the F.A. Davis PT Collection published?

2017.

p.18
Evidence-Based Practice in Electrophysical Therapy

How do beliefs and values influence evidence-based practice?

They shape the clinician's approach and patient care decisions.

p.61
Contraindications and Precautions in Therapy

What is a contraindication for therapy related to tissue bleeding?

Recent or potential tissue bleeding.

p.54
Physiological and Therapeutic Effects of Heat Agents

What therapeutic benefits do heat agents provide?

Healing and pain relief.

p.18
Evidence-Based Practice in Electrophysical Therapy

How do patient preferences impact clinical decisions?

They guide the choice of interventions and treatment plans.

p.60
Contraindications and Precautions in Therapy

What type of damage can occur to skin and eyes from infrared radiation in thermotherapy?

Skin and eye damage.

p.19
Assessment Methods and Weighting

What is the importance of progression in electrotherapy?

To ensure the treatment adapts to the patient's response and recovery.

p.14
Electrophysical Therapy Definition and Categories

What are examples of water therapy?

Whirlpool, Contra bath, Hydrotherapy.

p.14
Electrophysical Therapy Definition and Categories

What is an example of extracorporeal shockwave therapy?

Shockwave therapy.

p.20
Physiological and Therapeutic Effects of Heat Agents

What are therapeutic effects of EPT?

Pain reduction and increased tissue extensibility.

p.4
Assessment Methods and Weighting

What is the passing grade for the assessments?

40%.

p.54
Physiological and Therapeutic Effects of Heat Agents

How do heat agents affect blood flow?

They increase blood flow.

p.43
Tissue Repair Process and Factors Affecting Healing

What impact do hormones have on healing?

Hormones can influence various physiological processes that affect healing.

p.3
Practical Session Guidelines and Requirements

What is the policy on punctuality?

Punctuality is required.

p.60
Contraindications and Precautions in Therapy

What is a potential adverse effect of thermotherapy related to skin?

Burns.

p.19
Electrophysical Therapy Definition and Categories

What is the primary focus of electrotherapy?

The delivery of energy to achieve physiological and therapeutic effects.

p.14
Electrophysical Therapy Definition and Categories

What are examples of superficial heating agents?

Hot pack, Infra-red, Wax.

p.14
Electrophysical Therapy Definition and Categories

What types of therapies fall under the electromagnetic category?

Light therapy, Laser, Magnetic therapy.

p.19
Assessment Methods and Weighting

How is dosage calculated in electrotherapy?

Based on the patient's condition, treatment goals, and the specific parameters of the therapy.

p.27
Course Overview and Structure

What are some lifestyle changes recommended during pregnancy?

Avoiding alcohol, quitting smoking, and maintaining a balanced diet.

p.20
Contraindications and Precautions in Therapy

What are some contraindications for EPT?

Sensation impairment.

p.20
Electrophysical Therapy Definition and Categories

What is an indication for the use of EPT?

Muscle treatment and control of swelling.

p.18
Evidence-Based Practice in Electrophysical Therapy

What is evidence-based practice?

A practice that integrates clinical expertise, patient values, and the best available research evidence.

p.54
Physiological and Therapeutic Effects of Heat Agents

How do heat agents contribute to pain control?

They utilize pain gate control mechanisms.

p.18
Evidence-Based Practice in Electrophysical Therapy

What is practice-generated knowledge?

Knowledge gained from clinical practice and patient interactions.

p.14
Electrophysical Therapy Definition and Categories

What cooling agents are used in thermal therapy?

Ice pack, Cold compression device.

p.61
Contraindications and Precautions in Therapy

What skin condition is a contraindication for therapy?

Skin disease.

p.14
Electrophysical Therapy Definition and Categories

What is an example of endermotherapy?

M6, Cupping.

p.3
Practical Session Guidelines and Requirements

What is the dress code for practical sessions?

Appropriate dressing is required.

p.20
Practical Session Guidelines and Requirements

What should be considered in methods of application for EPT?

Set up procedures for the patient.

p.18
Evidence-Based Practice in Electrophysical Therapy

What types of research contribute to evidence?

Both published and unpublished research.

p.14
Electrophysical Therapy Definition and Categories

What are the categories of Electrophysical Agents (EPA)?

Thermal, Electromagnetic, Mechanical, Water, Compression, Endermotherapy, Extracorporeal shockwave.

p.61
Contraindications and Precautions in Therapy

What condition related to blood clots is a contraindication?

Deep Vein Thrombosis.

p.61
Contraindications and Precautions in Therapy

What sensory impairment is a contraindication for therapy?

Impaired sensation.

p.19
Evidence-Based Practice in Electrophysical Therapy

What factors determine patient indication for electrotherapy?

Patient's condition, treatment goals, and individual response to therapy.

p.19
Assessment Methods and Weighting

How is evaluation conducted in electrotherapy?

By assessing the patient's response to treatment and adjusting as necessary.

p.14
Electrophysical Therapy Definition and Categories

What are examples of compression therapy?

Stocking, Pneumatic compression.

p.20
Assessment Methods and Weighting

What are adjustable parameters in EPT?

Settings that can be modified during treatment.

p.54
Physiological and Therapeutic Effects of Heat Agents

What effect do heat agents have on motor neuron activity?

They decrease motor neuron activity.

p.54
Physiological and Therapeutic Effects of Heat Agents

What is the effect of heat agents on collagen extensibility?

They increase collagen extensibility.

p.14
Electrophysical Therapy Definition and Categories

What are examples of deep-heating agents in the thermal category?

Short-wave diathermy, TECAR.

p.60
Contraindications and Precautions in Therapy

What serious condition can result from excessive heat exposure during thermotherapy?

Heat stroke.

p.18
Evidence-Based Practice in Electrophysical Therapy

What is the significance of interaction in evidence-based practice?

It fosters collaboration between clinician and patient for better outcomes.

p.61
Contraindications and Precautions in Therapy

What type of tumor is a contraindication for therapy?

Malignant tumour / Recent radiated tissue.

p.61
Contraindications and Precautions in Therapy

Is pregnancy a contraindication for therapy?

Yes, pregnancy is a contraindication.

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