Tests And Measures

Question 1

Angina Pain Scales

Answer 1

1 = mild, barely noticeable
2 = moderate, bothersome
3 = moderately severe, very uncomfortable
4 = most severe or intense pain ever experienced

Question 2

Ankle-Brachial Index (ABI)

Answer 2

> 1.40 = rigid arteries —> US to check for PAD
1.0-1.40 = normal, no blockage
0.8-0.99 = mild blockage; beginnings of peripheral artery disease
0.4-0.79 = moderate blockage; may be associated with intermittent claudication during exercise
<0.4 = severe blockage suggesting severe PAD; may have claudication pain at rest

Question 3

Capillary refill time

Answer 3

Normal = full color returns in <2 sec
Abnormal = refill time >2 sec —> capillary blood flow comprised

Question 4

Claudication time

Answer 4

Grade I = definite discomfort or pain, but only at initial or modest levels

Grade II = moderate discomfort or pain from which the patient’s attention can be diverted

Grade III = intense pain from which the patient’s attention cannot be diverted

Grade IV = excruciating and unbearable pain

Question 5

Absolute Contraindications for Exercise Stress Test

Answer 5

-drop in SBP >10
-moderately severe angina
-increasing nervous system symptoms (ataxia, dizziness)
-poor perfusion
-sustained vtach
-1.0 mm ST elevation