Cardiopulmonary Part Seven

Question 1

what is rate pressure product

Answer 1

the product of systolic BP and HR

Question 2

average exercise frequency, intensities, and METs

Answer 2

3-5 sessions/week

moderate intensities/duration

> 5 METs

Question 3

what is rating of perceived exertion (RPE)

Answer 3

subjective rating of feelings during exercise and impending fatigue

Question 4

when should systolic BP rise

Answer 4

increasing workloads and VO2

Question 5

when are resistive exercises usually prescribed

Answer 5

later rehab after a period of aerobic conditioning

Question 6

for Phase I inpatient cardiac rehab, when is return to indepencence and ADLs initiated

Answer 6

24 hours (or until theyre stable for 24 hours)

Question 7

what is transtelephonic EKG monitoring

Answer 7

used to monitor patients as they exercise at home

Question 8

when does HR plateau in exercise

Answer 8

before maximal oxygen uptake

Question 9

for exercise, what are absolute indications

Answer 9

drop in systolic over 10 mmHG with increased workload

moderate/severe angina

increasing nervous system symptoms (ataxia, dizziness, near syncope)

signs of poor perfusion

technical difficulties in monitoring EKG

subject’s desire to stop

sustained VT

ST elevation over 1.0mm

Question 10

how many METs for daily/multiple daily sessions for low intensity

Answer 10

under 5 METs

Question 11

what is ambulatory monitoring (telemetry)

Answer 11

continuous 24-hour EKG monitoring

Question 12

the category-ratio scale interpretation

Answer 12

scored 1-10

0 = nothing at all

5 = strong

10 = extremely strong

Question 13

how is VO2 max with arm ergonometry compared to leg ergometry

Answer 13

lower VO2 max with arm ergometry

Question 14

at discharge of Phase I cardiac inpatient rehab, what METs should be used

Answer 14

over or equal to 5 METs

Question 15

early rehabilitation for exercise prescription: activity should be…

Answer 15

discontinous (interval training) with frequent rest periods

Question 16

how does HR increase linearly

Answer 16

a function of increasing workload and oxygen uptake

Question 17

____ % of HR max corresponds to __% of functional capacity or VO2 max

Answer 17

70-85% HR max

corresponds to

60-80% functional capacity or VO2 max

Question 18

intensity used for resistive exercise prescription

Answer 18

moderate: 60-80% of 1 rep

Question 19

exercise prescription for post-PTCA (percutaneous transluminal coronary angioplasty)

Answer 19

wait to exercise vigorously 2 weeks post-PTCA (to allow inflammatory process to subside)

walking program initiated immediately

Question 20

severely compromised individuals may benefit from… (regarding conditioning)

Answer 20

multiple, short exercise sessions spaced throughout the day

3-10 minute sessions

Question 21

who is RPE especially used for

Answer 21

people who don’t exhibit the typical rise in HR (patients on medications that depress HR (beta-blockers))

Question 22

what is a MET equal to

Answer 22

3.5 mL/kg per minute

Question 23

for moderate intensity exercise, what is average conditioning time

Answer 23

20-30 minutes

Question 24

increased myocardial oxygen consumption (MVO2) indicates

Answer 24

increased coronary blood flow

Question 25

what happens to EKG in exercise in healthy person

Answer 25

reduced R wave increased Q wave

Question 26

EKG changes with exercise for someone with CAD

Answer 26

significant tachycardia (occurs at lower level of exercise) exertional arrhythmias (increased frequencies) ST segment depression (horizontal or downsloping depression greater than 1 mm)

Question 27

RPE is measured between...

Answer 27

6-20

Question 28

max HR AND METs post-MI for Phase 1 Inpatient Cardiac Rehab for how long

Answer 28

70% max HR/5 METs 6 weeks post-MI

Question 29

with increasing workloads, what should happen to diastolic BP

Answer 29

should remain the same

Question 30

is abrupt beginning or cessation of exercise recommended

Answer 30

no

Question 31

maximal oxygen uptake AKA

Answer 31

VO2 max

Question 32

an ST segment depression more than 1 mm below baseline indicates

Answer 32

MI

Question 33

how long should warm up and cool downs be

Answer 33

5-10 minutes

Question 34

exercise prescription post CABG

Answer 34

limit UE exercise while sternal incision is healing avoid lifting, pushing, pulling for 4-6 weeks post surg

Question 35

purpose of the category-ratio scale

Answer 35

rates exercise intensity

Question 36

are exertional arrhythmias normal during exericse

Answer 36

yes

Question 37

what does Valsalva do to BP and work of heart

Answer 37

dramatic increase in BP increased work of heart

Question 38

what does gradually increasing/decreasing intensity of exercise do to the body

Answer 38

promote circulatory and muscular adjustment to exercise

Question 39

what does beta blocking affect

Answer 39

ability of HR to rise in response to exercise stress

Question 40

typical exercise intensity is __%-___% of functional capacity

Answer 40

60-80

Question 41

minimal METs to promote endurance

Answer 41

5-6 METs

Question 42

what is a MET

Answer 42

the amount of oxygen consumed at rest

Question 43

what do pacemakers affect

Answer 43

the ability of HR to rise in response to an exercise stress if it is fixed

Question 44

how many METs for Phase I Cardiac Inpatient Rehab TO START

Answer 44

2-3 METs

Question 45

heart rate range or reserve can more closely approximate the relationship between...

Answer 45

HR and VO2 max

Question 46

cardiovascular effects with arm egometry compared to low ergometry

Answer 46

higher HR lower SV higher sytolic and diastolic BP

Question 47

resistive exercises are contraindicated with

Answer 47

uncontrolled HTN arrhythmias

Question 48

for uncomplicated MI, how long is hospital stay

Answer 48

3-5 days

Question 49

oxygen uptake AKA

Answer 49

VO2