Assessment of Cardiovascular, Pulmonary and other special conditions Flashcards

1
Q
According to the ICF by the WHO, a patient’s inability to access medical insurance for therapy is a problem with: 
A. activity limitation.
B. environmental factor.
D. personal factor.
C. participation restriction.
A

B. environmental factor.

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2
Q
These problems are identified by the therapist and most typically are risk factors that the therapist believes may increase the patient’s risk for continuing disability. 
 A. Patient-identified problems
B. Non-patient-identified problem
C. Anticipated problems
D. None of the above
A

B. Non-patient-identified problem

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3
Q

Which of the following is the most appropriate predictive criterion to ensure prevention of decrease in cardiovascular endurance in a patient post-surgery? *
A. Patient education on lifestyle modification
B. Walking for at least 20 minutes per day
C. Consistent performance of patient’s daily household chores
D. Family education on monitoring patient’s adherence to treatment

A

B. Walking for at least 20 minutes per day

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4
Q

According to the HOAC-II, what is the therapist’s next best step if the testing criteria have been met for existing problems? *
A. Check if tactics were implemented correctly.
B. Revise testing criteria.
C. Plan next set of tactics.
D. Check if goals have been achieved.

A

D. Check if goals have been achieved.

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5
Q
An elderly female was about to climb up the stairs to her room but slipped on a rug. She fell forward on the fourth stair step. The therapist asked about the results of the patient’s ancillary procedures. Which of the respective components of the biopsychosocial and systems-based models is the therapist looking into? *
A. Psychological; Health care team
B. Biological; Health care team
C. Biological; Organization
D. Social; Organization
A

B. Biological; Health care team

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6
Q
In the model mentioned above, what step comes after the therapist perceives the information about the patient’s cardiorespiratory case? *
A. Acute desaturation event
B. Information processing
C. Information gathering
D. None of the above
A

C. Information gathering

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7
Q
In the model mentioned above, what cognitive process is emphasized as recurring throughout clinical decision-making of cardiorespiratory physical therapists? *
A. Reflection
B. Questioning
C. Resolution
D. Information processing
A

A. Reflection

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8
Q
A physical therapist discusses with a nurse about patient management for placement of towel over a patient’s chest incision to support wound when coughing. Which component of the decision-making model for cardiorespiratory PT is being described? *
A. Taking action
B. Hypothesis formation
C. Information perception
D. Evaluation and goal-setting
A

A. Taking action

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9
Q
In this stage of the physical therapy process, knowledge of the clinical manifestations of disorders of the arterial, venous, and lymphatic systems is most relevant. 
A. Prognostication
B. Intervention
C. Creation of PT diagnosis
D. Examination
A

D. Examination

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10
Q

According to the literature on physical therapy for women’s health, PTs generally disregard the importance of evidence such as clinical practice guidelines or systematic reviews. *
A. False
B. True

A

A. False

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11
Q
This patient attachment is used to re-insert IV lines in continuous hospitalization. *
A. Catheter
B. PICC Line
C. Syringe hub
D. Heplock
A

D. Heplock

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12
Q
According to Kelly in O’Sullivan (2014), what grade will you give for a pitting edema with rebound time of 1 minute? *
A. 3
B. 3+
C. 4
D. 4+
A

D. 4+

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13
Q

The most common cause of burn injury in infants is: *
A. house fires in which family members are injured.
B. accidental flame burn from a smoking adult.
C. scald injury, either intentional or accidental.
D. car accident with immolation.

A

C. scald injury, either intentional or accidental.

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14
Q
Using the Rule of Nines, what percentage of the body is burned if a 16-year-old male burned his back, the back of his left leg, and his entire right arm? *
A. 19%
B. 47.25%
C. 21%
D. 36%
A

D. 36%

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15
Q
A patient presents with large plantar ulcer that will be debrided in the whirlpool. The foot is cold, pale and painless. The condition that would most likely result in this clinical presentation is: *
A. Chronic venous insufficiency
B. Diabetes
C. Immobility
D. Chronic arterial insufficiency
A

D. Chronic arterial insufficiency

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16
Q
Associated great vessel of the heart that leaves right ventricle: *
A. Aorta
B. Pulmonary arteries
C. Vena Cava
D. Pulmonary veins
A

B. Pulmonary arteries

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17
Q

Which is the MOST important information that a therapist should derive from the patient’s medical history? *
A. Patient’s history of resolve pulmonary tuberculosis
B. Patient’s diagnosis of post-myocardial infarction
C. Patient’s angina pain level of 3+
D. Patient’s admission date of 1 month ago

A

C. Patient’s angina pain level of 3+

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18
Q

Which is a modifiable risk factor for cardiovascular disease?
A. Family medical history of cardiovascular disease
B. Hyperlipidemia
C. Past medical history of cardiovascular disease
D. Old age

A

B. Hyperlipidemia

19
Q
Which of the following is being tested for patency as the therapist places the stethoscope above the second right intercostal space? *
A. Tricuspid valve
B. Right atrium
C. Right ventricle
D. Aortic valve
A

D. Aortic valve

20
Q
S3 heart sound corresponds to: *
A. semilunar valve closure.
B. atrial gallop.
C. atrioventricular valve closure.
D. ventricular gallop.
A

D. ventricular gallop.

21
Q
Which of the following vascular tests involve compressing the nail bed and observing return of the blood within 3 seconds? *
A. Digital Blood Flow
B. Buerger Test
C. Allen Test
D. Venous Filling Time
A

A. Digital Blood Flow

22
Q
Which of the following vascular tests is preferred in ruling out the presence of deep venous thrombosis (DVT) in a patient? *
A. Homan’s test
B. Cuff test
C. Hoffman’s test
D. Percussion test
A

B. Cuff test

23
Q

Which vascular disease is associated with pregnancy, prolonged standing, or obesity? *
A. Arterial disease
B. Lymphatic disease
C. Venous disease

A

C. Venous disease

24
Q
This thoracic outlet syndrome test manifests with absent radial pulse after holding a breath upon rotating neck toward the affected side then extending it. *
A. Halstead test
B. Adson test
C. Wright test
D. Roos test
A

B. Adson test

25
Q

A 72-year-old woman who has poliomyelitis was referred to physical therapy for safe performance of basic self-care activities. This condition usually presents with pulmonary signs and symptoms in the latter stages primarily because of weakness of diaphragm. Which of the following is a correct set of observation findings that will most likely be present in the patient? *
A. Normal skin color, ectomorphic, hypertrophy of accessory muscles of breathing
B. Pallor, cachexic
C. Pallor, cachexic, hypertrophy of accessory muscles of breathing
D. Pallor, ectomorphic

A

C. Pallor, cachexic, hypertrophy of accessory muscles of breathing

26
Q
What is the normal value of blood pH that is seen through blood gas analysis? 
A. 7.40
B. 7.00
C. 7.10
D. 7.42
A

A. 7.40

27
Q
The therapist is reading a recent report of arterial blood gas analysis with the following values: HCO3 = 30 mEq/ LPaCO2= 63.4 mmHgpH = 7.29. This would indicate that the patient is in: 
A. metabolic acidosis.
B. metabolic alkalosis.
C. respiratory acidosis.
D. respiratory alkalosis.
A

C. respiratory acidosis.

28
Q
A therapist is auscultating on the left second intercostal space. Which part of the lung is being assessed? *
A. Anterior portion of the lower lobe
B. Medial portion of the middle lobe
C. Anterior portion of the upper lobe
D. Apical portion of the upper lobe
A

C. Anterior portion of the upper lobe

29
Q
If a patient can walk one (1) mile at his/her own pace, what is his/her Fletcher’s Dyspnea Scale rating? *
A. 2
B. 4
C. 5
D. 3
A

D. 3

30
Q
Which assessment procedure for pelvic floor strength is most recommended for PTs to perform? *
A. Ultrasound
B. Biofeedback
C. Palpation
D. Dynamometry
A

C. Palpation

31
Q

What is the proper sequencing in DONNING of Personal Protective Equipment?

A

Arrange protective equipment > remove jewelry/ Bind hair together/ prepare materials for patient contact > Hand disinfection > Put gown > put breathing mask > eye protection > gloves

32
Q

What is the proper sequencing in DOFFING

of Personal Protective Equipment?

A

remove gloves > remove protective gown > remove eye protection > leave patient room > Hand disinfection after leaving the room>Removing the breathing mask

33
Q

Pursed-lip breathing in the sitting position while leaning
forward on the arms relieves symptoms of dyspnea for the client
with:
A. Orthopnea
B. Emphysema
C. CHF
D. a and c

A

C. CHF

34
Q
Peripheral vascular diseases include:
A. Arterial and occlusive diseases
B. Arterial and venous disorders
C. Acute and chronic arterial diseases
D. All of the above
A

D. All of the above

35
Q

Which statement is the most accurate?
A. Arterial disease is characterized by intermittent claudication,
pain relieved by elevating the extremity, and history of
smoking.
B. Arterial disease is characterized by loss of hair on the lower extremities and throbbing pain in the calf muscles that goes away by using heat and elevation.
C. Arterial disease is characterized by painful throbbing of the
feet at night that goes away by dangling the feet over the bed.
D. Arterial disease is characterized by loss of hair on the toes,
intermittent claudication, and redness or warmth of the legs
that is accompanied by a burning sensation.

A

B. Arterial disease is characterized by loss of hair on the lower
extremities and throbbing pain in the calf muscles that goes away by using heat and elevation.

36
Q

What are the primary signs and symptoms of CHF?
A. Fatigue, dyspnea, edema, nocturia
B. Fatigue, dyspnea, varicose veins
C. Fatigue, dyspnea, tinnitus, nocturia
D. Fatigue, dyspnea, headache, night sweats

A

A. Fatigue, dyspnea, edema, nocturia

37
Q
When would you advise a client in physical therapy to take his/
her nitroglycerin?
A. 45 minutes before exercise
B. When symptoms of chest pain do not subside with 10 to
15 minutes of rest
C. As soon as chest pain begins
D. None of the above
E. All of the above
A

C. As soon as chest pain begins

38
Q
Neurologic symptoms such as muscle weakness or muscle
atrophy may be the first indication of:
A. Cystic fibrosis
B. Bronchiectasis
C. Neoplasm
D. Deep vein thrombosis
A

C. Neoplasm

39
Q

Back pain with radiating numbness and tingling down the leg
past the knee does not occur as a result of:
aAB. Bronchogenic carcinoma
C. Pott’s disease
D. Trigger points

A

C. Pott’s disease

40
Q
Pain associated with pleuropulmonary disorders can radiate to
the:
a. Anterior neck
b. Upper trapezius muscle
c. Ipsilateral shoulder
d. Thoracic spine
f. All of the above
A

f. All of the above

41
Q

Dyspnea associated with emphysema is the result of:
A. Destruction of the alveoli
B. Reduced elasticity of the lungs
C. Increased effort to exhale trapped air
D. All of the above

A

D. All of the above

42
Q

The presence of pain and anxiety in a client can often lead to
hyperventilation. When a client hyperventilates, the arterial
concentration of carbon dioxide will do which of the
following?
A. Increase
B. Decrease
C. Remain unchanged
D. Vary depending on potassium concentration

A

B. Decrease

43
Q

Common symptoms of respiratory acidosis would be most
closely represented by which of the following descriptions?
A. Presence of numbness and tingling in face, hands, and feet
B. Presence of dizziness and lightheadedness
C. Hyperventilation with changes in level of consciousness
D. Onset of sleepiness, confusion, and decreased ventilation

A

D. Onset of sleepiness, confusion, and decreased ventilation

44
Q

The presence of persistent dry cough (no sputum or phlegm produced) has no clinical significance to the Therapist
A TRUE
B. FALSE

A

B. FALSE