Chapter 10 -Exercise Testing

Question 1

What is the most common symptom of peripheral arterial disease ?

Answer 1

Pain during exercise

Question 2

Patients with mild to moderate disease may have normal blood flow at rest. T/F

Answer 2

True . This is why we do the exercise to see if there’s a change

Question 3

What is an example of pseudo-claudication?

Answer 3

Arthritic pain or neurospinal compression

Question 4

How do we differentiate vasculogenic claudication from pseudo claudication?

Answer 4

EXERCISE

Question 5

This is a “MEDICAL RULE”

Patients will sometimes have a pressure drop when a patient experiences pain of true vasculogenic claudication . T/F

Answer 5

False. There will ALWAYS be a pressure drop in case of vasculogenic claudication

Question 6

If a patient has an resting ABI of <0.5 , is it necessary to have them exercise?

Answer 6

No it’s clear they have evidence of peripheral artery disease.

Question 7

If a patient had resting ischemia or ulceration so, there is a benefit to still make them do the exercise testing. T/F

Answer 7

False. It’s clear they’ve got disease …no benefit

Question 8

With a normal post exercise ABI, what kind of change in the ankle pressures would you see

Answer 8

The same if not a little higher

Question 9

If there is a > ___ mmhg ankle pressure drop, claudication is evident.

Answer 9

> 20 Mmhg

Question 10

If it takes 6-12 minutes for the ankle brachial pressures to recover, how severe of disease could this indicate?

Single level disease or multi level disease

Answer 10

Multi-level disease

Question 11

If it takes 2-6 min for the ankle pressures to go back to normal, this indicated what level of disease?

Single level or multi leveled disease

Answer 11

Single level

Question 12

When is post occlusive reactive hyperemia used?

Answer 12

It’s used when patients can’t do the exercise part due to poor ambulatory status, poor pulmonary status, or disease in other limb