Exam 2

Question 1

newly oxygenated blood within the pulmonary veins enters the heart via which chamber?

Answer 1

left atrium

Question 2

what is the primary clinical sign of acute coronary syndrome

Answer 2

chest pain

Question 3

what is the term given to a heartbeat that originates in a location other than the sinus node?

Answer 3

ectopic beat

Question 4

what type of activity typifies one MET

Answer 4

sitting at rest

Question 5

in a patient with heart failure, which of the following would NOT be a reason to terminate the session

Answer 5

controlled atrial fibrillation

Question 6

what is the hallmark symptoms of all types of heart failure

Answer 6

decreased exercise tolerance

Question 7

fluid retention can be used objectively assess the severity of heart disease. which of the following should not be used to assess fluid levels in a patient?

Answer 7

subjective complaints by the pt

Question 8

which of the following activities would have the highest met

Answer 8

shoveling snow

Question 9

which of the following is the best definition for orthostatic hypertension

Answer 9

a sudden drop in BP as the pt moves from into an upright position

Question 10

when working with a patient who is on beta blockers and are participating in cardiac rehab program, the most reliable indicator of whether pts are working at optimal level is to monitor which of the following values?

Answer 10

borg scale rate of perceived exertion

Question 11

A PTA is instructing a pt who has recently had heart surgery in appropriate sternal precaution. Which of the following is the most important instruction for assistant to give the pt?

Answer 11

for the pt to splint with a pillow during laughing, coughing, or sneezing

Question 12

a PTA is prepared to treat a patient who has a new order after having been ill for several weeks. which of the following systems is most likely to demonstrate decline due to deconditioning?

Answer 12

cardiovascular

Question 13

during treatment a patient who is deconditioned, which of the following exercises would be most likely to encourage the patient to work at 3-4 MET level?

Answer 13

walking approx 3 mph

Question 14

what is the cause of atrial quivering during an episode or atrial fibrillation

Answer 14

inadequate electrical stimulation

Question 15

when a PTA is treating a patient who has been diagnosed with CHF, the patient is currently taking calcium channel blockers. this medication has most likely been prescribed in order to cause which physiological response?

Answer 15

reduction in BP and decrease in demand of heart

Question 16

which of the following BP responses would warrant termination of an exercise session in any phase of cardiac rehab

Answer 16

decrease in systolic BP of 20 mmHg

Question 17

A PTA assesses the vital signs of a patient. the respiratory rate is 22 breathes per minute, heart rate is 72 bpm. BP is 142/100 and oral temp is 98. Assistant should note that:

Answer 17

patient presents with hypertension

Question 18

During exercise with a PT who has had CHF, the patient begins to perspire and become cyanotic. Cyanosis is most indicative of

Answer 18

decrease in oxygen saturation

Question 19

during exercise a patient complains of new, sharp pain. a complaint of pain in which of the following referral is most likely to indicate myocardial ischemia?

Answer 19

within the epigastric area

Question 20

a PTA is providing bed mobility instructions for a pt who has recently undergone CABG. the PTA is aware that care must be taken when applying tactile pressure near the site of which of the following?

Answer 20

saphenous vein

Question 21

which of the following activity prescriptions would be least appropriate for a pt who has just completed phase 1 of cardiac rehab?

Answer 21

up and down a flight of stairs 2x a day

Question 22

a PTA is supervising the exercised cardiac rehab outpatient class on a very hot day, with a temp expected to be above 90*. The class is scheduled at 2pm and the facility is not air conditioned. what is the best strategy?

Answer 22

decrease the exercise intensity by slowing down the pace of exercise

Question 23

a patient with a diagnoses if left sided HF is referred to PT. identify signs and symptoms that are most likely to be demonstrated during exercise?

Answer 23

dyspnea with fatigue and muscular weakness

Question 24

a PT with coronary artery disease received inpatient cardiac rehab following a mild MI. the pt is now enrolled in an outpatient exercise class that utilizes intermittent training. the most appropriate initial spacing of exercise and rest intervals to safely stress the aerobic system is

Answer 24

2 exercises with 1 rest

Question 25

a patient has an episode of syncope in the PT clinic. the PT asks the PTA to check to see where the patient is experience OH. the pta will do this by

Answer 25

checking HR and BP in sitting, repeating vital signs after standing

Question 26

which layer of the heart is the thickest

Answer 26

myocardium

Question 27

when listening to heart sounds, where would you place the stethoscope to listen to the apex of the heart

Answer 27

5th intercostal space and midclavicular line

Question 28

there are ___ valves in the heart directing blood flow in one direction

Answer 28

4

Question 29

the following of blood ejected with each myocardial contraction is known as

Answer 29

stroke volume

Question 30

T/F: energy demands of the body are constantly changing therefore the hearts cardiac output must also be able to adapt to the changed system energy demands as well as to its own myocardial oxygen needs

Answer 30

true

Question 31

____ is diagnosed when there is no known cause for elevation in BP values

Answer 31

primary hypertension

Question 32

Stenosis

Answer 32

narrowing

Question 33

prolapse

Answer 33

enlarged valve

Question 34

regurgitation

Answer 34

forward and backward flow

Question 35

____ is characterized by quivering of ventricles resulting from inadequate electrical stimulation

Answer 35

vfib

Question 36

T/F: if a patient is 100% reliant on a pacemaker, therapist must ensure that pacemaker is adequately rate responsive during activity

Answer 36

true

Question 37

T/F weight loss, smoking cessation, and regular exercise are all important parts of maintaining cardiac health but have no effect after a person has been diagnosed with CAD

Answer 37

false

Question 38

you are working in an acute care, cardiac rehab setting. your patient presents with an ECG reading that has no recognizable pattern and is complaining of shortness of breath, chest pain, and confusion. this is most likely caused by

Answer 38

vfib

Question 39

T/F: HF is a clinical diagnosis caused by impaired left ventricular functioning and is referred to as CHF when its accompanied by signs and symptoms of edema

Answer 39

true