PT Tests And Measures

Question 1

ABI indicating rigid arteries and the need for an ultrasound test to check for peripheral artery disease

Answer 1

Greater to or equal 1.30

Question 2

ABI 0.8-0.99

Answer 2

Mild blockage and beginnings of peripheral artery disease

Question 3

Normal ABI with no blockage

Answer 3

1- 1.3

Question 4

Moderate blockage may be associated with intermittent claudication during exercise

Answer 4

0.4 - 0.79

Question 5

During BP measurement, a cuff that is two small may result in?

Answer 5

A false high reading

Question 6

What valve 2nd intercostal space at the r sternal border

Answer 6

Aortic area

Question 7

What valve 2nd intercostal space at the l sternal border

Answer 7

Pulmonic area

Question 8

What valve at 4th intercostal space at the l sternal border

Answer 8

Tricuspid area

Question 9

What valve at 5th intercostal space medial to l midclavicular line

Answer 9

Mitral area

Question 10

Closure of the tricuspid and mitral valve sound

Answer 10

S1

Question 11

S2 ?

Answer 11

Closure of the aortic and pulmonic valves at the onset of ventricular diastole

Question 12

Vibrations of the distended ventricle walls due to passive flow of blood from the atria during the rapid filling phase of diastole. May be associated with heart failure.

Answer 12

S3

Question 13

Pathological sound of vibration of the ventricular wall with ventricular filling and atrial contraction. May be associated with hypertension, stenosis, hypertensive heart disease or myocardial infarction; often called and atrial gallop

Answer 13

S4

Question 14

What lung sound typically represents the movement of fluid or secretions during inspiration or occurs from the sudden opening of closed airways?

Answer 14

Crackles

Question 15

What lung sound is dry and crackling heard during both inspiration and expiration, occurs when inflamed visceral of parietal for Rob together?

Answer 15

Pleural friction rub

Question 16

What lung sound is described as having a snoring or gurgling quality and is caused by air passing through an airway which is obstructed by inflammatory secretions or liquids, bronchial spasm or neoplasms ?

Answer 16

Rhonchi

Question 17

What lung sound is continuous musical or whistling sound composed of a variety of pitches. It arises from turbulent air flow of the vibrations of the walls of small airways due to narrowing by bronchospasm, edema, collapse, secretions, neoplasm or foreign bodies.

Answer 17

Wheezing

Question 18

What sounds are typically heard over distal airways in healthy lung tissue?

Answer 18

Vesicular breath sounds

Question 19

What sounds are typically heard over the trachea and are loud and tubular?

Answer 19

Bronchial

Question 20

What lung sounds indicates severe congestion, emphysema or hypoventilation?

Answer 20

Deceased or diminished sounds

Question 21

What sounds may indicate pneumothorax or lung collapse?

Answer 21

Absent breath sounds

Question 22

Increased loudness and this thankfulness of breath sounds indicate?

Answer 22

Consolidation atelectasis or fibrosis Alderwood improve transmission of the vibrations through through the lung tissue

Question 23

A form of bronchophony in which the spoken long E sound changes to a long nasal sounding A

Answer 23

Egophony

Question 24

Recognition of whispered words 123

Answer 24

Whispered pectoriloquy

Question 25

What is an abnormal capillary refill time?

Answer 25

Greater than two seconds

Question 26

No breathlessness at all on the Borg

Answer 26

0

Question 27

Mod breathlessness on the Borg ds

Answer 27

3

Question 28

Severe breathlessness on the Borg ds

Answer 28

5

Question 29

Maximum breathlessness on the Borg dyspnea scale

Answer 29

10

Question 30

PR interval length

Answer 30

.12-.2 seconds of 3 -5 boxes

Question 31

Qrs

Answer 31

.04-.1 or 1-2.5 boxes

Question 32

Damage to what artery can damage the SA node?

Answer 32

RCA

Question 33

What is the time for atrial depolarization and conduction from the SA node to the AV node?

Answer 33

PR interval

Question 34

Time for both ventricular depo and repo?

Answer 34

QT interval

Question 35

Isoelectric period following QRS when the ventricles are depolarized?

Answer 35

ST segment

Question 36

____ are very common and usually benign may occur from caffeine, stress, smoking, and alcohol

Answer 36

PAC

Question 37

Sawtooth shaped p waves with symptoms of palpitations lightheadedness, and angina due to rapid pulse

Answer 37

Atrial flutter

Question 38

A common arrhythmia where the atria are depolarized between 350-600 times per min without a discrete pwave

Answer 38

Atrial fibrillation

Question 39

The p wave is premature with abnormal configuration

Answer 39

PAC

Question 40

Impulse delayed on the way to Av node or av conduction time is prolonged and pr interval is longer than .02

Answer 40

1st degree heart block

Question 41

Av conduction disturbance in which impulses between the atria and ventricles fail intermittently. Progressively there is a prolongation of PR interval until one impulse is not conducted causing missing qrs

Answer 41

Second degree heart block type one

Question 42

Pr intervals are the same and normal followed by non conduction of one or more impulses. If hr is slowed then CO will decrease

Answer 42

Second degree av block mobitz II

Question 43

All impulses are blocked at the av node and none are transmitted to the ventricles. P wave is normal but no relationship with qrs

Answer 43

3rd degree av block.. Complete heart block. Considered a medical emergency

Question 44

Wide qrs complex with no p wave

Answer 44

PVC

Question 45

Bigeminy

Answer 45

Every other beat is a PVC

Question 46

Every third beat is a PVC

Answer 46

Trigemony

Question 47

Couplet

Answer 47

Two PVC paired together

Question 48

3 or more PVC in a row and which greatly impairs CO

Answer 48

Ventricular tachycardia vtach | Medical emergency

Question 49

Quivering of ventricles, no CO

Answer 49

Ventricular fibrillation

Question 50

Vtach longer than 30 seconds is life threatening why

Answer 50

Because it causes inadequate blood flow and hypotension Common causes are mi, cardiomyopathy, and valvular disease

Question 51

Flat line ECG symbolic of ventricular standstill with no rhythm

Answer 51

Ventricular asystole

Question 52

Earliest sign of acute transmural infraction

Answer 52

ST segment elevation

Question 53

Significant marker of infraction; signifies the loss of positive electrical voltages due to necrosis (abnormal if longer than .04 mused or larger than 1/3 the amp of the r wave)

Answer 53

Q wave

Question 54

Occurs hours or days after an MI as the result of a delay in repolarization produced by the injury

Answer 54

T wave inversion

Question 55

A sign of subendocardial ischemia but can also be due to digitalis toxicity or hypokalemia

Answer 55

Sat depression

Question 56

Flat or dull percussion sound

Answer 56

Neoplasm or atelectasis or consolidation of the lung

Question 57

Percussion sound from the normal air filled lung

Answer 57

Resonance

Question 58

Percussion sound suggests pulmonary emphysema or pneumothorax

Answer 58

Hyperresonance

Question 59

Hollowed sound vaguely resembling a drumbeat and occurs almost exclusively with a large pneumothorax

Answer 59

Tympany

Question 60

Normal infant pulse

Answer 60

100-130 beats per minute

Question 61

Normal child hr

Answer 61

80-100 bpm

Question 62

What is the primary indicator of an obstructive impairment

Answer 62

FEV1/FVC

Question 63

What conditions cause the FVC to be reduced and the FVC1/fvc to be normal or > 80%

Answer 63

Restrictive ventilatory impairment

Question 64

Activity should be stopped if SpO2 is less than what in acutely ill pts?

Answer 64

90%

Question 65

Activity should be stopped and a discussion c dr should take place if SpO2 is less than 85% in pts c ?

Answer 65

chronic lung disease

Question 66

What is the best index of myocardial oxygen consumption and coronary blood flow, and is fairly accurate at predicting angina and can be used for exercise prescription?

Answer 66

Rate pressure product RPP = hr x sbp

Question 67

7 on the original RPE scale

Answer 67

Very very light

Question 68

13 on original RPE scale

Answer 68

Somewhat hard 13-14 reps about 70 percent of max hr

Question 69

19 on original RPE scale

Answer 69

Very very hard

Question 70

3 on the revised RPE scale?

Answer 70

Moderate

Question 71

What number range on original RPE scale represents the upper limit of prescribed training hr in early cardiac rehab

Answer 71

RPE 11-13

Question 72

Normal inspiration I to Expiration E ratio I:E

Answer 72

1:2

Question 73

COPD inspiration to expiration ratio

Answer 73

1:3 or 1:4

Question 74

Karvonen formula

Answer 74

[(hrmax - hrrest) x intensity ] + hrrest

Question 75

The patient is in a sitting position leaning back in 30 to 40° percussion and vibration or performed above the clavicles

Answer 75

Apical segments right and left upper lobe

Question 76

The patient is turned one quarter from prone on the left side with the bed horizontal and the head and shoulders raised on a pillow. Percussion and vibration are perform around the medial border of the right scapula

Answer 76

Posterior segment of the right upper lobe

Question 77

The patient is turned one quarter for prone on the right side with the head of bed elevated 45° in the head and shoulders raised on a pillow. Percussion and vibration are performed around the medial border of the left scapula.

Answer 77

Posterior segment left upper lobe

Question 78

The patient is turn one quarter from supine on the right side with the foot of the bed elevated 12 inches. Percussion and vibration are performed over the left chest between axilla and the left nipple.

Answer 78

Lingula left upper lobe

Question 79

The patient is in supine with the bad horizontal. Percussion a vibration or perform below the clavicles.

Answer 79

Anterior segment of the left and right upper lobe.

Question 80

The patient is turned one quarter from supine on the left side with the foot of the bed elevated 12 inches. Percussion and vibration or performed over right chest between the axilla and the right nipple.

Answer 80

Right middle lobe

Question 81

The patient is improving with the bed horizontal. Percussion and vibration or perform below the inferior border of the left and right scapula.

Answer 81

superior segments left right lower lobes

Question 82

The patient is in supine with the foot of the bed elevated 18 inches. Percussion and vibration are performed over the lower ribs on the left and right side.

Answer 82

Anterior basal segment left right lower lobe

Question 83

The patient is in prone with the foot of the bed elevated 18 inches. Percussion and vibration are performed over to lower ribs on the left and right side of the chest.

Answer 83

Posterior basal segment left right lower lobe

Question 84

Patient is inside line with the foot of the bed elevated 18 inches. Precaution and vibration performed over to lower ribs.

Answer 84

Lateral basal segments lower lobes

Question 85

What sound occurs when inflamed visceral and parietal pleurae rub together?

Answer 85

Pleural friction rub

Question 86

What sounds typical represent the movement of fluid or secretions during inspiration or occurs from the move from the sudden opening of clothes airways?

Answer 86

Wet and dry crackles - atelectasis, fibrosis, pulmonary edema or pleural effusion

Question 87

What are low pitch sounds that are caused by air passing through an airway which is obstructed by inflammatory secretions are liquid, bronchial spasm or neoplasms?

Answer 87

Rhonchi

Question 88

What are high pitched wheeze sounds which indicate upper airway obstruction

Answer 88

Stridor

Question 89

What are musical or whistling sound that arise from turbulent airflow and the vibrations of the walls of small airways due to narrowing by bronchospasm, Edema, collapse, secretions, neoplasm or foreign body

Answer 89

Wheezing

Question 90

What a breath sounds often produced by pneumonia and they are abnormal breath sounds when heard in locations where vesicular sounds are normally present.

Answer 90

Bronchial breath sounds

Question 91

What sounds may indicate severe congestion emphysema or hypo ventilation

Answer 91

Decreased for diminished sounds

Question 92

What sounds indicate pneumothorax or lung collapse

Answer 92

Absent breath sounds

Question 93

If the person is alkalotic, the respiratory system will try to increase the acidity by ?

Answer 93

increasing CO2 by decreasing RR

Question 94

If the person is acidic, the respiratory system will try to decreasing the acidity by ?

Answer 94

Increasing RR and thus decreasing PaCo2

Question 95

Pathological sound vibration of the Ventricle walls with ventricular filling and atrial contraction

Answer 95

S4

Question 96

Vibrations of the distended ventricle walls due to passive flow of blood from atria during diastole

Answer 96

S3

Question 97

Vibrations of longer duration than the heart sounds due to disrupted blood flow past a stenotic or regurgitant valve

Answer 97

Murmur

Question 98

How much of a drop in SBP during an exercise stress test would warrant terminating an exercise stress test?

Answer 98

10 mm Hg

Question 99

What rating on the RPE scale represents approximately 70% of the max HR during exercise on a treadmill?

Answer 99

14/20

Question 100

Tricuspid area

Answer 100

4th intercostal space at the left sternal border

Question 101

Pulmonic area

Answer 101

2nd intercostal space at the left sternal border

Question 102

Mitral area

Answer 102

5th intercostal space, medial to the left mid clavicular line

Question 103

Aortic area

Answer 103

2nd intercostal space at the left sternal border

Question 104

ABI of severe blockage suggesting claudication at rest