CES & MET Certification

Please fill out the form below for your certificate information, then complete the test by answering each question below.

Welcome to your CES and MET Certification.

Full Name (as you would like it to appear on your certificate)

Facility/Organization

Address

City

State

Country

Zip Code

Phone

In treating a patient with pain utilizing Microcurrent Electrical Therapy (MET), the first step in the standard 5-step protocol is:

Placing probes in a star pattern around the area

Crossing the spine with the probes

Placing the probes beyond the treatment area in at least 2 places, directing the current between the Probes through the treatment area (“big X”)

The 1-minute protocol

The standard recommended frequency for use in both Alpha-Stim® Cranial Electrotherapy Stimulation (CES) and Microcurrent Electrical Therapy (MET) is:

0.5 Hz

200 Hz

500 Hz

100 Hz

Which of the following are included in the safety warnings listed in the Alpha-Stim user manual:

While working on a computer, using a microwave, or going for a walk

Using Alpha-Stim in adjunct with other pharmacotherapy options

While operating a vehicle, stimulating over the eyes, or while pregnant

Using Alpha-Stim before undergoing surgery or other invasive medical procedures

In the United States, cranial electrotherapy stimulation (CES) is FDA cleared for:

Anxiety & Insomnia

ADHD

Schizophrenia

Substance Use Disorders

In the United States, microcurrent electrical therapy (MET) is FDA cleared to treat which of the following indications:

Infections

Pain

Dry skin

Hypertension

The individual experience of using Alpha-Stim can vary from patient to patient. What are some commonly reported feelings after a session of Alpha-Stim CES?

Relaxed

Alert

Calm

All of the above

What is the One Minute Protocol, when using the Smart Probes with Microcurrent Electrical Therapy?

Placing the probes ipsilateral on the body

Placing the probes on each of the digits of either the hands or the feet

Placing the probes contralateral on the body

Placing the probes in a star pattern

After speaking with Mrs. Jay, you prescribe Cranial Electrotherapy Stimulation (CES). During the last 5 minutes of a 20-minute treatment session, she reports feeling “heavy”, “groggy”, and “disoriented”. Based on these symptoms, what next steps should you take?

Discontinue treatment immediately

Advise the patient to go home and sleep

Continue CES until at least 2 minutes after the patient no longer reports these symptoms

Reduce the current for 2 minutes and discontinue treatment

Mr. Kay initially sought treatment for insomnia and you prescribed Cranial Electrotherapy Stimulation (CES) daily. During his two-week follow up appointment, Mr. Kay complains that his insomnia is not improving. How will you advise the patient?

The insomnia is treatment resistant and therefore will never go away

Refer to published clinical resources (Khyatee et al., 2019) and educate the patient that insomnia may take 3 weeks or more for CES to provide relief

Discontinue CES treatment immediately

Recommend doubling the current and time of treatments

Contraindications for use of Cranial Electrotherapy Stimulation (CES) and Microcurrent Electrical Therapy (MET) are:

Use of Alpha-Stim® is contraindicated with implanted pacemakers or implanted or wearable defibrillators

Headaches

Seizures

Cancer

During a follow up appointment with a patient for which you prescribed Cranial Electrotherapy Stimulation (CES), the patient complains of having uncomfortable side effect that persist even after a CES treatment has ended. Which department at EPI should you contact to report these to?

Customer Service (info@epii.com)

Medical Affairs (medicalaffairs@epii.com)

The local Alpha-Stim sales representative in your area

None of the above

Before treating a patient for pain with Microcurrent Electrical Therapy (MET), a best practice is to:

Have the patient estimate their pain on a scale of 0 to 10

Have the patient lay supine on a table

Wash the area with iodine solution

Have the patient lay prostrate on a table

During a CES treatment session, what describes the process for determining the optimal current level for an individual patient?

Patients increase the current level until a noticeable tingling sensation can be felt on the earlobe, signifying that the appropriate level has been achieved. The mild tingling sensation serves as a tool demonstrating that the appropriate amount of current is being applied

Patients start at the highest current level and decrease the current until they can no longer notice a tingling sensation on their earlobes

Patients begin at the lowest current setting (1) and slowly increase the current until a slight rocking or dizzy sensation occurs, signifying that vestibular activation has been achieved. At this point patients decrease the current just below vestibular threshold ensuring a comfortable and effective treatment session

Patients begin at the lowest current setting (1) and increase the current until a slight rocking or dizzy sensation occurs, signifying that vestibular activation has been achieved. At this point patients increase the current level several settings higher and wait several minutes for the rocking sensation to subside

Which of the following are possible side effects to Cranial Electrotherapy Stimulation (CES) treatment as listed in the owner’s manual?

Headaches

Transient vertigo

Skin irritation at site of electrodes

All of the above

Alpha-Stim is FDA cleared and CE certified.

True

False

Which of the following is true of Alpha-Stim treatments:

They are complicated and require a trained, licensed provider to conduct treatments in office.

They are ineffective and have no supporting research, the benefits can be attributed to placebo effect.

Treatments are easy to complete and can be done by the patient at home at their convenience.

Alpha-Stim treatments are stand-alone treatment only. No other treatment approaches, such as medications or therapy, should be attempted while a patient is undergoing a course of Alpha-Stim treatment.

Which of the following treatment options can Alpha-Stim safely be used in adjunct with:

Psychiatric drugs (SSRIs, Benzodiazapines, ASDs, etc.)

Psychotherapy

Neurofeedback therapy

All of the above

While many traditional TENS devices use stimulation in the milliamp range, Alpha-Stim uses electrical current in the ______ range, often leading to more subtle and comfortable treatment sessions:

Picoamp

Microamp

Milliamp

The outlined protocols using the Alpha-Stim smart probes are carefully designed to target which of the following:

The endocrine system

Multiple levels of the pain pathway

Blood vessels

Muscle tissue

While treating pain using Alpha-Stim M, what would be the goal of advising a patient to follow up with a CES treatment session?

CES can be used to target comorbid anxiety and insomnia that chronic pain patients may also report experiencing

CES delivered through the earclips can be used to treat pain in the ear and the back of the head

CES treatment is used to achieve acute pain relief that the smart probes or adhesive trodes alone cannot provide

None of the above