CP (tests and measures)

Question 1

mediate percussion: resonant

Answer 1

loud, low pitched, hear over lungs

Question 2

mediate percussion: dull

Answer 2

not as loud, high pitched. Heard over liver and diaphragm

Question 3

mediate percussion: flat

Answer 3

high pitched over mm mass

Question 4

mediate : tympanic

Answer 4

high pitched heard over hollow organs like stomach

Question 5

Dyspnea of phonation

Answer 5

count to 15, how many breaths it takes them to do so

Question 6

DOP: 0

Answer 6

no dyspnea

Question 7

DOP 1

Answer 7

1 breath needed

Question 8

DOP: 2

Answer 8

2 breaths needed

Question 9

DOP: 3

Answer 9

4+ breaths

Question 10

DOP: 4

Answer 10

cannot finish

Question 11

pink, frothy sputum think what?

Answer 11

pulmonary edema

Question 12

dark red sputum

Answer 12

pulmonary infarct

Question 13

What are the stages of a cough?

Answer 13

1. air in (60% TV)
2. epiglottis closes
3. diaphragm contracts
4. epiglottic opens

Question 14

Angina scale: 0

Answer 14

no angina

Question 15

angina scale: 1

Answer 15

light

Question 16

angina scale: 2

Answer 16

moderate

Question 17

angina scale: 3

Answer 17

severe

Question 18

angina scale: 4

Answer 18

worst pain ever!!

Question 19

pulmonary HTN

Answer 19

norms: 12-18 mmHg
HTN: >20+
no exercise if greater than 25mmHg

May be due to L heart failure

Question 20

DVT

Answer 20

swelling
warmth
redness
pain in calf

Question 21

Metabolic syndrome

Answer 21

central obesity 
HTN 
insulin resistant/ high blood glucose 
elevated tryglycerides 
low HDL (good cholesterol)

Question 22

Jugular vein distention

Answer 22

indicator of R heart failure, venous HTN due to backing up of blood due to L heart failure or pulmonary HTN

Question 23

cardiac rehab: phase 1

-GOAL

Answer 23

transition from PROM to AROM low intensity and short ambulation. Before discharge exercise test is completed
GOAL: achieve 3 MET level (3.0 MPH)

Question 24

cardiac rehab: phase 1

ACSM termination guidelines

Answer 24

increase in HR 20-30 bpm from resting HR 
SPB> 220 mmHg 
DBP> 110 mmHg 
SBP drop of 10 mmHg
RPE: 13+

Question 25

cardiac rehab: phase 1

precautions

Answer 25

no driving 3-4 weeks, max 5-10 # lifting, use door with 2 handles, no shoulder flexion or abduction above 90 degrees

Question 26

risk stratification

-low

Answer 26

normal EF (>50%), uncomplicated course, no evidence of ischemia, functional capacity is more than 6 METS

Question 27

risk stratification

-moderate

Answer 27

EF: 40-49%, angina at mod.

5-6.9 METs

Question 28

risk stratification

-high

Answer 28

MI involving >35% of L ventricle.
EF <40%
<5 METS

Question 29

phase 2

Answer 29

outpatient, 6-12 weeks after discharge, rotate between treadmill, stairs, arm/leg bike, and rowing machines

initially want 2:1 exercise to rest

Question 30

phase 2 goals

Answer 30

improve function, education, psychological well-being
60-70% of graded exercise test
-lasts 6-8 weeks beyond phase 2

Question 31

phase 3

Answer 31

outpatient maintenance program

70-85% of GXT

Question 32

3 METS

Answer 32

3 MPH walking

5 MPH biking

Question 33

6 METS

Answer 33

4.5-5 MPH ambulation

10 MPH biking

Question 34

8 METs

Answer 34

5.5 MPH ambulating

13 MPH biking

Question 35

postural drainage CONTRAINDICATIONS

Answer 35

head injury
post neuro sx
high ICP
cardiac problems

Question 36

percussion CONTRAINDICATIONS

Answer 36

hemorrhage prone patients 
rib fractures 
abdominal surgery 
osteoporotic 
nervous patients

Question 37

Active cycle of breathing

Answer 37

1. diaphragmatic breathing (5-10 seconds)
2. thoracic expansion
3. diapgragmatic breathing (5-10 seconds)
4. , thoracic expansion
5. breathing control
6. FEM (pt. performs 1-2 HUFFS to mid low lungs. Abs contract
7. diaphragmatic breathing