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NPTE Study: Cardiopulmonary > PT Tests And Measures 5 > Flashcards

PT Tests And Measures 5 Flashcards

1
Q

Absolute indications to stop a stress test:

Drop in SBP

A

Drop in SBP greater than 10 mm Hg from baseline despite increase in workload with other evidence of ischemia

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2
Q

Absolute indications to stop a stress test:

Angina

A

Moderately severe (3/4)

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3
Q

Absolute indications to stop a stress test:

ST segment

A

ST elevation 1.0 mm without diagnostic Q waves

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4
Q

Absolute indications to stop a stress test:

All

A
  • Drop in SBP greater than 10
  • Moderately severe angina
  • Increasing nervous system sx
  • Signs of poor perfusion
  • Sustained v-tach
  • 1.0 mm ST elevation without dx Q waves
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5
Q

Negative stress test is indicative of

A

Low probability of CAD

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6
Q

Positive stress test =

A

High probability of CAD

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7
Q

(+) Homan’s sign

A

Pain in calf or popliteal space

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8
Q

Percussion: sound elicited by percussion of the thigh muscles

In the upper lung, suggests neoplasm, atelectasis, or consolidation of the lung

A

Flat or dull

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9
Q

Percussion: percussion sound from the normal air-filled lung

A

Resonance

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10
Q

Percussion: hollow sound vaguely resembling a drumbeat

A

Tympany

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11
Q

Tympany occurs almost exclusively with a

A

Pneumothorax

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12
Q

Intermediate sound between resonance and tympany

Emitted by emphysematous lung

Suggests emphysema or pneumothorax

A

Hyperresonance

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13
Q

Normal infant HR

A

100-130 bpm

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14
Q

Normal child HR

A

80-100 bpm

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15
Q

Normal adult HR

A

60-100 bpm

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16
Q

Characterized by decreased expiratory flows

A

Obstructive ventilatory impairment

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17
Q

Primary indicator of an obstructive impairment

A

FEV/FVC less than 70%

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18
Q

Pulse amplitude: 3+

A

Large or bounding pulsation

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19
Q

Pulse amplitude: 2+

A

Normal or average pulsation

20
Q

Pulse amplitude: 1

A

Small or reduced pulsation

21
Q

Pulse amplitude: 0

A

Absence of pulsation

22
Q

Characterized by reduced lung volumes (total lung capacity, FVC, FEV) and relatively normal expiratory flow rates

A

Restrictive ventilatory impairment

23
Q

Restrictive ventilatory impairment is inferred from spirometers when ____ is reduced and FEV/FCV is

A

FVC reduced

FEV/FCV Normal or over 80%

24
Q

Restrictive ventilatory impairment arises from

A
  • interstitial lung disease
  • pleural diseases
  • chest wall deformities
  • obesity
  • pregnancy
  • neuromuscular disease
  • tumor
25
Q

SpO2

A

Partial pressure of oxygen in arterial blood

26
Q

SpO2: when should activity be stopped and a discussion be had with the physician regarding supplemental O2

A
  • SpO2 less than 90% in acutely ill patients

- SpO2 less than 85% in pts with chronic lung disease

27
Q

RPP =

A

RPP = HR x SBP

28
Q

BORG RPE scale: 0

A

Nothing at all

29
Q

BORG RPE scale: 0.5

A

Very, very weak

30
Q

BORG RPE scale: 1

31
Q

BORG RPE scale: 2

32
Q

BORG RPE scale: 3

33
Q

BORG RPE scale: 4

A

Somewhat strong

34
Q

BORG RPE scale: 5

35
Q

BORG RPE scale: 7

A

Very strong

36
Q

BORG RPE scale: 10

A

Very, very strong

37
Q

On the original RPE scale, 13-14 represents ____% of MHR during exercise

38
Q

On the original RPE scale, 11-13 corresponds to

A

Upper limit of prescribed training heart rates during cardiac rehab

39
Q

A complete assessment of respiration considers 4 parameters:

A
  1. Rate
  2. Rhythm
  3. Depth
  4. Character
40
Q

Normal respiratory rates: newborn

A

33-45 breaths/min

41
Q

Normal respiratory rates: 1 year

A

25-35 breaths/min

42
Q

Normal respiratory rates: 10 years

A

15-20 breaths/min

43
Q

Normal respiratory rates: adult

A

12-20 breaths/min

44
Q

Normal respiratory rhythm

A

Inspiration is half as long as expiration

I:E ratio is 1:2

45
Q

COPD respiratory rhythm

A

I:E ratio reflects LONGER EXPIRATION

1:3 or 1:4

46
Q

Unnecessary to measure waist circumference in individuals with this BMI as it add little to the predictive power of the disease risk classification of BMI

A

BMI ≥ 35

47
Q

Interpretation of waist circumference measure: increased risk for these with circumference greater than 40” for men and 35” for women

A
  • DM II
  • dyslipidemia
  • HTN
  • CVD

NPTE Study: Cardiopulmonary (23 decks)

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