Review Flashcards
What is the most common artery occluded in the heart?
Left anterior descending artery LAD
It is acceptable not to perform warm-up in patients with severe lung disease when they are prescribed short bouts of high intensity exercise. (True/False)
True
Ideally, the minimum MET requirement to consider an activity as being able to promote endurance is:
3-4 METS
Which part of an ECG tracing corresponds to ventricular depolarization?
QRS complex
(True/False) Pulmonary edema is characteristic of left sided heart failure.
True
(True/False) Pitting edema is more severe than non-pitting
False
Which of the following normally decreases as a response to exercise?
total peripheral resistance
minute ventilation
blood pressure
heart rate
VO2
Total peripheral resistance
Which of the following normally decreases as a response to exercise?
total peripheral resistance
minute ventilation
blood pressure
heart rate
VO2
Total peripheral resistance
Which of the following is an indicator that a patient with heart failure can begin exercise?
Resting heart rate <120 BPM
Development of an S3 heart sound
A respiratory rate > 40 cycles/min
A decrease in heart rate of 10 BPM during steady state activity
Resting heart rate <120 BPM
Which of the following is not true regarding endurance testing for cardiac rehabilitation patients?
For patients with particularly low exercise tolerance, the 10 meter walk test can be utilized
When performing endurance testing, you continue to time even if the patient is resting
Leg pain is a valid reason to terminate or modify an exercise tolerance test
A 6 minute walk test value of less then 400m at discharge is statistically likely to lead to readmission within 30 days
For patients with particularly low exercise tolerance, the 10 meter walk test can be utilized
What is the normal ejection fraction?
50-75%
Where is the blood coming from the left side of the heart?
From the lungs (Pulmonary)
A patient complains of LE pain while doing a cycling stress test, but notes that the pain goes away when he bends over a little bit on the cycling machine. Should you document this as intermittent claudication?
YES
NO
NO. (Neurogenic claudication; Intermittent pain is only relieved with rest)
The most common ulceration is:
Venous
The least appropriate wound dressing is:
hydrocolloids
foam
gauze
films
Gauze
Which of the following are recommended to assess strength in a patient with pulmonary dysfunction?
5 times sit to stand test
Manual muscle testing
6 minute pegboard and ring test
5 times sit to stand test
6 minute pegboard and ring test
The following are considered selective debridement: (choose all that apply)
whirlpool
maggot
wet to dry
sharp
maggot
sharp
Which of the following test/s can be useful to assess for the presence of venous insufficiency? (check all that apply)
percussion test stemmer sign ankle brachial index rubor of dependency homan sign
percussion test
stemmer sign
rubor of dependency
homan sign
Which of the following are true regarding grafting? (check all that apply)
grafts taken from a patient’s own unburned skin and transplanted onto the burned area are called homografts
split thickness grafts provide a better cosmetic appearance
common donor sites include the thigh, buttocks, and back
when instituting ROM following grafting, AROME is done before PROME
a skin graft is secure once host vessels penetrate the graft in 24 hours
common donor sites include the thigh, buttocks, and back
when instituting ROM following grafting, AROME is done before PROME
What is the histologic hallmark of Chronic Bronchitis?
Mucous gland enlargement
What condition is defined by the presence of a chronic productive cough for 3 months during each of 2 consecutive years (other causes of cough being excluded)?
Chronic Bronchitis
What condition is the abnormal, permanent enlargement of the air spaces distal to the terminal bronchioles?
Emphysema
What COPD condition may have signs of right heart failure (cor pulmonale) such as edema and cyanosis?
Chronic Bronchitis
Prominent productive cough is typically a characteristic of:
a. neither condition
b. both conditions
c. emphysema
d. chronic bronchitis
d. chronic bronchitis
The gold standard for the diagnosis of COPD is made through
spirometry
What breathing pattern is more likely to be a pulmonary rather than a neurological condition?
Orthopnea
Green or yellow tinged sputum is most likely to be associated with which of the following conditions:
a. chronic bronchitis
b. cystic fibrosis
c. smoking
d. pleural effusion
e. malignancy
a. chronic bronchitis
You notice your patient practicing pursed lip breathing, you infer that the patient is least likely to have:
a. chronic bronchitis
b. refractory asthma
c. panacinar emphysema
d. a pneumothorax
d. a pneumothorax
