APK DAY 1 Flashcards

(40 cards)

1
Q

A therapist designs a cardiovascular training program for a 29-year-old male rehabilitating from a lower extremity injury. The client has no known cardiovascular pathology and has been cleared for exercise by his physician. The client’s maximum heart rate during exercise should be calculated in beats per minute as:

a. 201
b. 170
c. 191
d. 181

A

c. 191

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2
Q

In coronary artery disease, the following conditions exist, EXCEPT:

a. It may produce ischemia and necrosis of the myocardium
b. Arteries are unable to meet metabolic demands
c. There is inability for vasodilation
d. There is transient reversible oxygen deficiency

A

d. There is transient reversible oxygen deficiency

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3
Q
  1. Orientation is ________.

a. A state of motor restlessness where patient seems unable to sit still and usually is very troubled by this symptom
b. Is an irreversible loss of cognitive functioning, or chronic organic brain syndrome, often manifesting as a memory impairment.
c. The understanding of one’s environment, in terms of time, place, and person.
d. The delusional feeling that people are out to get you.

A

c. The understanding of one’s environment, in terms of time, place, and person.

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4
Q
  1. In the glomerular capillary, glomerular filtration is highest in the

a. Beginning
b. Middle to the end
c. Middle
d. End
e. Beginning to middle

A

a. Beginning

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5
Q
  1. What valve prevents the left ventricular blood from returning to the left atrium?

a. Tricuspid
b. Mitral
c. Ventricular
d. Aortic

A

b. Mitral

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6
Q
  1. A therapist discusses the importance of proper nutrition with a client diagnosed with congestive heart failure. Which of the following substances would be most restricted in this client’s diet?

a. Cholesterol
b. Triglycerides
c. Potassium
d. Sodium

A

d. Sodium

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7
Q
  1. Syncope is also referred to as

a. cardinal signs.
b. a temporary suspension of consciousness.
c. a shrill, harsh sound, especially the respiratory sound heard during inspiration in laryngeal obstruction.
d. the period when the greatest amount of pressure is exerted on the walls of the arteries during heartbeat.

A

b. a temporary suspension of consciousness.

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8
Q
  1. ___________ starts near the end of the R wave and ends just after the T wave on the ECG.

a. Early diastole
b. Late diastole
c. Ventricular systole
d. Atrial systole

A

c. Ventricular systole

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9
Q
  1. In ECG, this wave pattern represents the delay before repolarization of the ventricles and may indicate acute myocardial infarction.

a. STP
b. P wave
c. QRS
d. ST segment
e. T wave

A

d. ST segment

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10
Q
  1. Id is

a. the perception of sensory stimulus in the absence of any sensory stimulus.
b. a part of the mind hypothesized by Freud to contain inherent aggressive and sexual drives.
c. a mental state of sadness, low self-esteem, and self-reproach.
d. a mood characterized by elation and increased activity.

A

b. a part of the mind hypothesized by Freud to contain inherent aggressive and sexual drives.

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11
Q
  1. Filling of ventricles occurs maximally during _________.
    a. First 1/3 of diastole
    b. Rapid ejection period
    c. Isovolumic contraction period
    d. Atrial systole
A

a. First 1/3 of diastole

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12
Q
  1. In the renal vascular system, the highest oncotic pressure is seen at the: _____________.
    a. Efferent arterioles
    b. Afferent arterioles
    c. Renal artery
    d. Segmental artery
A

a. Efferent arterioles (43%)

incorrect choices:
b. Afferent arterioles (26%)
c. Renal artery (0%)
d. Segmental artery (16%)

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13
Q
  1. In ECG, this wave pattern represents the delay before repolarization of the ventricles and may indicate acute myocardial infarction.

a. STP
b. P wave
c. QRS
d. ST segment
e. T wave

A

d. ST segment

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14
Q
  1. Entry of calcium into the cardiac muscle during the cardiac action potential is an example of

a. primary active transport mechanism.
b. opening of voltage-gated channels.
c. secondary active-transport mechanism.
d. opening of ligand-gated channels.

A

b. opening of voltage-gated channels.

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15
Q
  1. Which of the following is not used for pain medication?

a. Topical anesthetics such as lidocaine and tetracaine
b. Salicylates such as aspirin, choline magnesium trisalicylate, and salsalate
c. Acetaminophen
d. Allopurinol

A

d. Allopurinol - for gout- destroys uric acid

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16
Q
  1. Clients with abnormal conduction patterns often can be treated successfully using antiarrhythmic medication. Which of the following side effects of antiarrythmics does not require immediate medical attention?

a. Insomnia
b. Shortness of breath
c. Coughing up blood
d. Dizziness

A

a. Insomnia

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17
Q
  1. If the ventricular cell is stimulated during the spike of the action potential, it would fall during the

a. Relative refractory period
b. Atrioventricular mode
c. Absolute refractory period
d. Resting phase
e. Supernormal phase

A

c. Absolute refractory period - no another depolarization will occur even with strong stimulus

18
Q
  1. Venous return increases

a. Following generalized vasoconstriction
b. In heart failure
c. During inspiration
d. During a Valsalva maneuver

A

c. During inspiration

19
Q
  1. A therapist discusses risk factors associated with coronary disease to a patient in a cardiac rehabilitation program. Which risk factor would be the most relevant for the patient?

a. Weight
b. Elevated serum cholesterol
c. Age
d. Gender
e. Family history

A

b. Elevated serum cholesterol

20
Q
  1. A physician instructs a client to take nonprescription or over the counter medication as part of his treatment program. Which of the following statements about over the counter medication is not accurate?

a. Over the counter medications usually contain low doses of their active ingredient
b. Potentially harmful effects are not possible with over-the-counter medications
c. The Food and Drug Administration classifies drugs as prescription or nonprescription
d. Over the counter medications are available without a prescription and can be purchased directly by consumers.

A

b. Potentially harmful effects are not possible with over-the-counter medications

21
Q
  1. Which of the following include functions of veins?

I. Propels blood through the arterial pump by exerting pressure as blood flows
II. Deregulates cardiac input
III. Stores large quantities of blood and making it available when required
IV. Propels blood through venous pump
V. Regulate cardiac output

a. II, III, V
b. I, II and III
c. III, IV and V
d. II, III and IV

A

c. III, IV and V

22
Q
  1. The following describe clotting abnormalities, EXCEPT:

a. Arterial occlusion and thromboemboli can become lodged in arteries supplying vital organs.
b. Patients are prone to emboli and bleeding
c. Presence of clots usually rules out movement in the affected limbs
d. It can be caused by restricted mobility and an increase in red blood cells
e. It can originate in the deep arteries of the legs

A

e. It can originate in the deep arteries of the legs (incorrect)
e. It can originate in the deep VEINS of the legs (correct)

23
Q
  1. Oscillations of resting membrane potentials of the GI smooth muscle not associated with muscle contraction is known as ________.
    a. Slow waves
    b. Fast waves
    c. Spikes
    d. Action potentials
A

a. Slow waves

24
Q
  1. Renal blood flow decreases with age will lead to:

I. Loss of renal mass observed with aging
II. Decrease in cardiac output with age
III. Age-related sclerotic changes in the renal arteries
a. II and III
b. I and III
c. I and II
d. I only

25
25. Dyspnea, a symptom of cardiac dysfunction may be described as follows EXCEPT it ____________. a. Is often caused by hypertension or aortic valve disease resulting in impaired ventricular relaxation b. Can occur in patients with left ventricular hypertrophy c. Often occurs with myocardial ischemia and heart failure d. Is associated with heart failure or myocardial ischemia, and also with hypotension
a. Is often caused by hypertension or aortic valve disease resulting in impaired ventricular relaxation (correct: V. CONTRACTION)
26
26. Venous return increases a. Following generalized vasoconstriction b. In heart failure c. During inspiration d. During a Valsalva maneuver
c. During inspiration
27
27. A patient was rushed to the hospital and underwent emergency Coronary Artery Bypass Grafting after complaining of persistent severe uncomfortable chest pain. This can be classified as _______ according to the angina scale: a. 2+ b. 5+ c. 3+ d. 1+ e. 4+
c. 3+ ANGINA SCALE: 0 no angina 1 light barely noticable 2 moderate bothersome 3 severe very uncomfortable ; pre infarction 4 most pain experience; infarction
28
28. In the renal vascular system, the highest oncotic pressure is seen at the: _____________. a. Efferent arterioles b. Afferent arterioles c. Renal artery d. Segmental artery
a. Efferent arterioles
29
29. An 80-year-old female without medical illness undergoes annual check-up. Liver function tests such as AST and ALT is expected to be __________. a. Twice above the normal range b. Below the normal range c. Above the normal range d. Within normal limits
d. Within normal limits
30
30. Clients with abnormal conduction patterns often can be treated successfully using antiarrhythmic medication. Which of the following side effects of antiarrythmics does not require immediate medical attention? a. Insomnia b. Shortness of breath c. Coughing up blood d. Dizziness
a. Insomnia
31
31. Which of the following drug is classified as anti-coagulant? a. Propranolol b. Losartan c. Warfarin d. Digitalis
c. Warfarin
32
32. The pulmonary artery leaves the heart via the ________. a. Right auricle b. Left ventricle c. Right ventricle d. Left auricle
c. Right ventricle
33
33. Paranoia a. A state of motor restlessness where patient seems unable to sit still and usually is very troubled by this symptom. b. Is an irreversible loss of cognitive functioning or chronic organic brain syndrome, often manifesting as a memory impairment. c. The delusional feeling that people are out to get you d. The understanding of one’s environment, in terms of time, place, and person.
c. The delusional feeling that people are out to get you
34
34. The site of the highest vascular resistance in the renal circulation is seen in the ___________. a. Renal artery b. Afferent arterioles c. Efferent arterioles d. Glomerulus
c. Efferent arterioles
35
35. What promotes water reabsorption from the collecting ducts of the kidneys? a. Glucagon b. Follicle stimulating hormone c. Arginine vasopressin d. Prolactin
c. Arginine vasopressin
36
36. The “dub” in Korotkoff’s heart sound is a. The mitral and tricuspid valves closing at diastole b. Associated with atrial contraction c. The aortic and pulmonic valves closing d. Indicative of right ventricular heart failure e. Associated with ventricular filling
c. The aortic and pulmonic valves closing
37
37. Delirium is a. The misperception of a sensory stimulus b. The feeling that insects are crawling on one’s skin c. A false belief neither based on reality nor culturally derived and not altered by reasonable evidence to the contrary d. A reversible, acute organic brain syndrome
d. A reversible, acute organic brain syndrome
38
38. A fall in the glomerular filtration rate is seen situations, EXCEPT a. fall in blood pressure. b. efferent arteriolar contraction. c. increase in plasma protein concentration. d. obstruction of the tubules. e. tetanic venous contraction.
b. efferent arteriolar contraction - increase gfr due to increase in the glumerolus to be filtered
39
39. Fires when perfused with oxygen-poor blood. a. Carotid sinus b. Axon reflex c. Carotid body d. Dendrite reflex
c. Carotid body
40
40. A proposed mediator of metabolic theory, accumulation of which causes vasodilation. a. H+ b. Angiotensin II c. Atrial natriuretic protein d. H-
a. H+