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Exercise and Disease > Exam 2: Graded Exercise Testing > Flashcards

Exam 2: Graded Exercise Testing Flashcards

1
Q

GXT

A

graded exercise testing

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2
Q

how do you perform GXT

A 
screening
mode/protocol
equipment
procedure
stopping points
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3
Q

why do a clinical exercise test

A

diagnostic
severity and prognosis
functional testing-return to work
exercise

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4
Q

age RF

A

men greater than or equal to 45, women 55

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5
Q

family history age of CVD

A

-men less than 55, women less than 65

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6
Q

hypertension RF

A

> /= 140/90 mmHg twice or on meds

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7
Q

Dislipidemia RF

A

> /= 200 total, <40 HDL, >/= 130 LDL

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8
Q

what is a positive RF for CVD

A

more than 40 HDL

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9
Q

Pre diabetes RF for impaired fasting glucose

A

> /= 100 mg/dL but = 125 mg/dL

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10
Q

Obesity RF for CVD

A

BMI: >/=30
Waist: >102 cm males and >80 cm female
W to H ratio: >.95 men and >.86 women

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11
Q

Sedentary RF for CVD

A

<30 min exercise 3x/wk < 3 months

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12
Q

Signs and Symptoms of CVD

A
  • Pain/Pressure in chest, jaw, neck and arms
  • SOB, orthopnea, Paroxysmal nocturnal dyspnea
  • Dizziness or syncope (loss of consciousness from decreased blood pressure
  • palpations or Tachycardia, Murmur
  • Ankle edema, claudication, fatigue
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13
Q

younger than 45 males, 55 females
asymptomatic
1 or less RF

A

Low risk

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14
Q

asymptomatic

older OR 2 or more RF

A

Moderate Risk

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15
Q

one or more signs/symptoms of RF chart

cardiac, pulmonary or metabolic disease

A

High Risk

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16
Q

Absolute Contraindications

A
  • recent EKG changes
  • Unstable angina
  • uncontrolled arrhythmias
  • Severe aortic stenosis
  • symptomatic Heart Failure
  • Pulmonary embolus/infarction
  • acute myocarditis or pericarditis
  • dissecting aneurysm
  • acute infections
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17
Q

Relative Contraindications

A
  • left main CAD
  • moderate stenotic valve disease
  • electrolyte abnormalities
  • severe HBP >200/110 mmHg
  • Tachy or Bradydysrhythmia
  • hypertrophic cardiomyopathy
  • Dx exacerbated by ex
  • AV block
  • ventricular aneurysm
  • uncontrolled metabolic dx
  • chronic infectious dx.
  • mental or physical impairment resulting in instability
18
Q

T or F: both acute infections and chronic infectious disease are absolute contraindications for GXT

A

F; acute is absolute

19
Q

What needs to be discussed in informed consent

A
  • purpose and explanation
  • risks and discomforts
  • responsibilities
  • beneftis expected
  • questions/inquiries
  • confidentiality/use of medical record
  • statement of consent
20
Q

What is important to make sure when getting informed consent

A

they are giving you accurate information

21
Q

What should be avoided before GXT and for how long

A

food, alcohol, caffeine or tobacco

3 hours

22
Q

How many stages are in GXT not including warm up and cool down

A

5

23
Q

what are the five stages of GXT

A 
Stage I: light
Stage II: moderate
Stage III: high
Stage IV: higher
Stage V: if needed
24
Q

how long is a general procedure

A

8-12 min

25
Q

End of stage exam

A 
BP
EKG
RR/SaO2
Rate of Perceived Exertion
Dyspnea Index
26
Q

On the 6-20 RPE scale, what is somewhat hard?

A

13

27
Q

on the revised RPE scare 0-10, what is moderate?

A

3

28
Q

Dyspnea Scale stages

A

+1: mild, difficulty, noticeable to patient but not observer
+2: Mild difficulty, noticeable to the observer
+3: Moderate difficulty, Patient can continue
+4: Sever difficulty, patient cannot continue (stop)

29
Q

+1 dyspnea

A

mild difficulty, noticeable to patient but not the observer

30
Q

+2 dyspnea

A

mild difficulty, noticeable to the observer

31
Q

+3 dyspnea

A

moderate difficulty, patient can continue

32
Q

+4 dyspnea

A

sever difficulty, patient cannot continue

33
Q

Angina Scale:

A

+1: light, nearly noticeable
+2: moderate bothersome
+3: moderately sever, very uncomfortable
+4: most sever or intense pain ever experienced

34
Q

+1 Angina

A

light, barely noticeable

35
Q

+2 Angina

A

moderate, bothersome

36
Q

+3 angina

A

moderately sever, very uncomfortable

37
Q

+4 angina

A

most sever or intense pain ever expereinced

38
Q

Absolute stopping points

A
  • decreased SBP > 10 mmHg + ischemia
  • mod to sever angina
  • increased nervous system sx
  • cyanosis or pallo
  • technical problems
  • subject wants to stop
  • sustained V-tach
  • ST elevation
39
Q

Relative stopping points

A
  • decreased SBP >10 mmHg - ischemia
  • ST or QRS changes
  • arrhythmias
  • fatigue, SOB, Claudication, wheezing
  • BBB or other delay
  • Increased Chest Pain
  • Hypertension ( 250/ 115 mmHg) (healthy person)
40
Q

If the ST segment depresses what happens

A

more ischemia

Exercise and Disease (12 decks)

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