2.5 Post CARDIO CONDITION/AX/REHAB quiz

Question 1

Traditionally, this phase is well set up in the form
of an outpatient hospital-based programme. It
includes individualized progressive exercise
prescription and supervised exercise sessions.
a. Phase 1
b. Phase 2
c. Phase 3
d. Phase 4

Question 2

A thorough assessment is essential in order to
plan an individualized and safe exercise
prescription for cardiac patients and should
include the following, Except:
a. a brief history of the present condition
and clinical presentation
b. patient goals and expectations.
c. physical limitations and disabilities
d. NOTA

Question 3

All of the following are contraindicated to
exercise, EXCEPT
a. Recent embolism
b. Resting ST segment displacement >2 mm
on electrocardiograph (ECG).
c. Active pericarditis or myocarditis.
d. stable angina

Question 4

The peak of this enzyme is during 24-48hrs.
a. SGOT
b. CPK
c. CK MB
d. LDH

Question 5

The peak of LDH is during ___
a. 3-6 days
b. 1-2 days
c. 6-7 days
d. 3-4 days

Question 6

All of the following describes the PTCA except
a. The tip of the catheter inserted into the
femoral artery
b. Sternal precaution is commonly applied
to reduce dehiscence of the incision
c. The balloon is the inflated compressing
the plaque against the interior artery
walls thereby increasing the luminal area
d. NOTA

Question 7

Holds the lumen open
a. PTCA
b. IV stent
c. Central line
d. Cardiac catherization

Question 8

A 55 yo female suffers from a right sided failure,
all of the following describes this condition
EXCEPT:
a. The liver becomes congested with
venous blood it becomes enlarged and
abdominal pain occurs.
b. Edema is symmetric and occurs in the
dependent parts of the body
c. Paroxysmal nocturnal dyspnea (PND)
resembles the frightening sensation of
suffocation
d. Cyanosis of the nail beds appears as
venous congestion reduces peripheral
blood flow

Question 9

A 56yo female is complaining of substernal pain
that may radiate to the neck, upper back, upper
trapezius muscle, left supraclavicular area, down
the left arm to the costal margins, Pain aggravated
by trunk movements (sidebending or rotation) and
by lying down. This patient is suffering from what
condition?
a. TOF
b. ASD
c. Pericarditis
d. MI

Question 10

Which of the following best describes the
nitroglycerin?
a. This drug is given to people who have
heart failure
b. Causes dilation of all the veins and
arteries including coronary arteries
c. Prevent clot formation
d. AOTA

Question 11

Which of the following best describes the
nitroglycerin?
a. This drug is given to people who have
heart failure
b. Causes dilation of all the veins and
arteries including coronary arteries
c. Prevent clot formation
d. AOTA

Question 12

A target heart rate is determined for individuals
entering a training program in order
a. Regulate exercise intensity
b. Estimate energy expenditure
c. Control blood pressure at a specific heart rate
d. Ensure that participants exercise at maximal
capacity

Question 13

a. Regulate exercise intensity
b. Estimate energy expenditure
c. Control blood pressure at a specific heart rate
d. Ensure that participants exercise at maximal
capacity

Question 14

Patients with cardiac disease but without
resulting limitations of physical activity. Ordinary
physical activity does not cause fatigue,
palpitation, dyspnea or anginal pain. Identify what
level for the functional classification of heart
disease.
a. Class1
b. Class 2
c. Class 3
d. Class 4

Question 15

A 35 yo male hypertensive patient is scheduled
for lower level of exercise. Before the therapy
starts the PT took his BP 210/100. The patient also
states that he is feeling dizzy and he wasn’t able
to take his anti hypertensive drugs. What is the
best course of action?
a. Terminate the exercise
b. Continue the exercise
c. Call the nurse
d. Call the doctor

Question 16

A 55 yo male is complaining of shortness of
breath and easy fatigability. Patient went to his
cardiologist and diagnostic procedures were
done. The cardiac catherization shows that there
is an atherosclerotic plaque in the coronary artery
as a result there is reduced blood flow in the
myocardium. Which of the following best
describes the patient condition?
a. ischemic heart disease
b. cardiac decompensation
c. pericarditis
d. None of the choices

Question 17

Involves narrowing of a heart valve limiting the
flow of blood through the valve.
a. Prolapse
b. Stenosis
c. Regurgitation
d. AOTA

Question 18

Involves enlarged valve cusps that become floppy
and bulge backward
a. Prolapse
b. Stenosis
Involves enlarged valve cusps that become floppy
and bulge backward
a. Prolapse
b. Stenosis

Question 19

Refers to the backward and forward movement of blood resulting from incompetent valve closure
a. Prolapse
b. Stenosis
c. Regurgitation
d. AOTA

Question 20

Angina occurs during exercise or activity
a. Nocturnal Angina
b. Unstable angina
c. Stable Angina
d. Prinzmetal Angina

Question 21

vasospasm of coronary arteries in the absence of occlusive disease
a. Nocturnal Angina
b. Unstable angina
c. Stable Angina
d. Prinzmetal Angina

Question 22

vasospasm of coronary arteries in the absence of
occlusive disease
a. Nocturnal Angina
b. Unstable angina
c. Stable Angina
d. Prinzmetal Angina

Question 23

The increased fluid in the lungs produces the two
hallmark pulmonary signs of left sided heart
failure
a. SOB and wheezes
b. SOB and cough
c. Cough and pleuritis
d. Cough and bronchitis

Question 24

A 37 yo male patient has unstable angina. His
discomfort is unrelieved by rest or nitrates. What
should the therapist expect when it comes to the
duration of this angina?
a. May last for up to 20 to 30 mins
b. May last for 5 mins only
c. May last for 10 to 15 mins
d. May last for 1 to 5 mins

Question 25

A 40yo male patient status post MI with DM is about to enter the cardiac rehab program. What should be the best tool to use while observing this patient during exercise? a. Thallium Stress Test b. ECG c. Graded exercise test d. NONE OF THE CHOICES

Question 26

_______ cardiac rehab uses a team approach based on activity progression, patient education and ECG monitoring. a. Inpatient b. Outpatient c. Maintenance d. AOTA

Question 27

In this level the patient requires a slow progression to upright posture, the use of a reclining chair is a way to gradually assume the upright position. a. Phase 1 Level 1 b. Phase 1 Level 2 c. Phase 1 Level 3 d. Phase 1 Level 4

Question 28

Ductus arteriosus fails to close after birth, allowing blood to flow from the aorta to the pulmonary trunk under a higher pressure a. Septal Defect b. Pericarditis c. PDA d. Coarctation of aorta

Question 29

A patient is 4 weeks post MI . Resistive training using weights to improve muscular strength and endurance is appropriate a. if exercise intensities are kept below 85% maximal voluntary contraction b. if exercise capacity is greater than 5 mets with no angina symptoms/ST segment depression c. during all phases of rehabilitation if judicious monitoring of HR is used d. only during post acute phase 3 cardiac rehabilitation

Question 30

A patient is entering a cardiac rehabilitation program. The physical therapist should first ask the patient to: a. Describe the correct aspects of exercise demonstrated by the therapist b. List problems associated with poor nutritional habits c. Identify the harmful effects of smoking with regards to cardiac disease d. Describe the type of angina that the patient experiences

Question 31

an elderly patient has a history of two MI and one episode of recent CHF. The patient also has claudication in the right calf during an exercise tolerance test. An initial exercise prescription that best deals with these problems is walking a. 5x/week using continous training for 60 mins b. 3x/week using continuous training for 40 mins sessions c. daily, using interval training for 10-15min periods d. 3x/week using interval training for 30 mins

Question 32

when conducting a bicycle ergometer test on a patient with history of MI and diabetes, it is most important to monitor a. angina level via angina scale b. exertional level on the borg scale c. percent of age predictated HR d. rhythm on 12 lead ECG

Question 33

chest pain that increases in severity, frequency, and duration and is refractory to treatment a. Nocturnal Angina b. Unstable angina c. Stable Angina d. Prinzmetal Angina

Question 34

Increased pressure within the pulmonary artery subsequently increases the afterload. Thereby, placing greater demands on the RV and causing it to go into failure. a. First statement is true. Second statement is false b. First statement is false. Second statement is true c. Both statements are true d. Both statements are false

Question 35

a patient is recovering from open heart surgery CABG. The PT supervising the patient’s outpatient exercise program at 8 weeks postsurgery recognizes that resistance training with moderate to heavy weights a. is absolutely contraindicated b. should include upper body exercises only c. should be based on 60%-80% one repletion maximum initially d. should be avoided during the first 3 mos

Question 36

A patient with chest pain from myocardial ischemia will most likely exhibit: a. Increased pain upon chest wall palpation b. Increased pain with deep breathing c. Relief with nitroglycerin (Nitrostat) ingestion d. Relief with antacid ingestion

Question 37

Class 3 level for the functional classification of the heart disease, describe as: a. Patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical activity does not cause fatigue, palpitation, dyspnea or anginal pain. Identify what level for the functional classification of heart disease. b. Patients with cardiac disease resulting in slight limitation of physical activity. Ordinary physical activity results in fatigue, palpitation, dyspnea or anginal pain. c. Patient with cardiac disease resulting in marked limitation of physical activity. Less than ordinary physical activity causes fatigue,palpitation dyspnea or anginal pain. d. Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort and symptoms of cardiac insufficiency may be present even at rest.

Question 38

Class 2 level for the functional classification of the heart disease, describe as: a. Patients with cardiac disease but without resulting limitations of physical activity. Ordinary physical activity does not cause fatigue, palpitation, dyspnea or anginal pain. Identify what level for the functional classification of heart disease. b. Patients with cardiac disease resulting in slight limitation of physical activity. Ordinary physical activity results in fatigue, palpitation, dyspnea or anginal pain. c. Patient with cardiac disease resulting in marked limitation of physical activity. Less than ordinary physical activity causes fatigue,palpitation dyspnea or anginal pain. d. Patients with cardiac disease resulting in inability to carry on any physical activity without discomfort and symptoms of cardiac insufficiency may be present even at rest.

Question 39

Hole in the septum between the left and right sides of the heart, allowing blood to flow from one side of the heart to the other and greatly reducing the heart’s pumping effectiveness a. Septal Defect b. Pericarditis c. MVP d. NOTA

Question 40

A patient with RV failure shows that blood is not effectively ejected from the RV and backs up in to the RA and venous vasculature. What are the verifying symptoms for a right sided heart failure? a. Odynophagia, achalasia, bloody stool b. Numbness, paresthesia, tetany c. peripheral signs such as jugular venous distention and peripheral edema. d. High grade fever, nausea, jaundice

Question 41

A patient is diagnosed to have a CHF. Which of the following best describes this condition? a. the heart is able to pump enough blood to meet the metabolic needs of the body (determined as oxygen consumption) at rest or during exercise, even though filling pressures are adequate. b. the heart is unable to pump enough blood to meet the metabolic needs of the body (determined as oxygen consumption) at rest or during exercise, even though filling pressures are adequate. c. Inflammation of the pericardium that leads to a decrease in the pericardial fluid d. Inflammation of the pericardium that leads to an increase in the pericardial fluid

Question 42

Patient A ( low risk and uncomplicated) has a resting HR of 65 beats per min (bpm) and achieves a maximum HR of 160bpm during an ECG exercise test. The intensity of training following assessment has been set at 50-70% of HRR. a. 10-112 b. 12-131 c. 112-131 d. 90-112

Question 43

It results from a sudden decrease in coronary perfusion or an increase in myocardial oxygen demand without adequate blood supply. a. MI b. Pericarditis c. CHF d. ASD

Question 44

A physical therapist working in a skilled nursing facility is treating a 37y.o patient following a right total knee arthroplasty. The patient’s medical history includes left total knee arthroplasty and prior post operative deep vein thrombosis. The patient is currently taking a pain medicine and anticoagulant. What does the physical therapist expect this patient’s maximal heart rate to be? a. 220 beats per minute b. 175 beats per minute c. 200 beats per minute d. 183 beats per minute

Question 45

In this level the patient performs LE exercises such as ankle pumps, knee extensions or marching in place. a. Phase 1 Level 1 b. Phase 1 Level 2 c. Phase 1 Level 3 d. Phase 1 Level 4

Question 46

A patient was diagnosed to have a Mitral Valve Insufficiency. Which of the following best explains this valvular disease? a. Blood passes with difficulty from LA to LV b. Blood passes with difficulty from LV to LA c. Sudden backflow of blood from LA to LV d. Sudden backflow of blood from LV to LA

Question 47

Which of the following describes Ventricular Septal Defect? a. abnormal opening in the atrial septum allows shunting of oxygenated blood from left atrium to mix with unoxygenated blood in right atrium. b. abnormal opening in the ventricular septum allows shunting of oxygenated blood from right ventricle to mix with unoxygenated blood in left ventricle. c. abnormal opening in the atrial septum allows shunting of oxygenated blood from right atrium to mix with unoxygenated blood in left atrium. d. abnormal opening in the ventricular septum allows shunting of oxygenated blood from left ventricle to mix with unoxygenated blood in right ventricle.

Question 48

A 47yo male patient was rushed in the hospital due to increasing pain in the chest, shortness of breath, pallor, weakness, numbness and feeling of faintness. Blood works shows that there is an increase of CK-MB, Troponin I, CPK. ECG shows that there is an ST seg elevation. Based on the evaluation above, the patient is suffering from what condition? a. MI b. CHF c. Pericarditis d. Patent ductus arteriosus

Question 49

Which of the following activities best describes the Phase 1 of cardiac rehab? a. initial advice on lifestyle, e.g. smoking cessation, physical activity, diet, alcohol consumption b. risk stratification and identification of the high-, medium- and low-risk patient for exercise c. individualised progressive exercise prescription and supervised exercise sessions which vary from 4–12 weeks in different regions d. NONE OF THE CHOICES