Cardiovascular Part Eight

Question 1

for vasospastic disease, what drugs are indicated

Answer 1

calcium channel blockers

Question 2

secondary lymphedema is common after

Answer 2

after surgery for breast or cervical cancer

Question 3

for pacemakers, is HR set at a lower or upper limit

Answer 3

lower

Question 4

following cardiac surgery, when can UE and LE exercise resume

Answer 4

LE: immediately

UE: until soft tissue and bony healing has occurred after 6-8 weeks

Question 5

what stage of lymphedema has a positive stemmers sign

Answer 5

stage 2

Question 6

what is lymphangitis

Answer 6

an acute bacterial or viral infection that spreads throughout the lymphatic system

Question 7

frequency and duration of exercise for Phase II cardiac rehab program

Answer 7

freq: 2-3 sessions/week
duration: 30-60 minutes (5-10 minutes of warmup/cool down)

Question 8

what should RPE be for perceived exertion with resistive training

Answer 8

11-13

Question 9

how many METs are for ADLs

Answer 9

5 METs

Question 10

travel of lymph

Answer 10

lymphatic capillaries

lymphatic vessels

large lymphatic ducts (right lymphatic duct, thoracic duct)

Question 11

all stages of Lymphedema

Answer 11

Stage 0: at risk, swelling is not yet evident despite reduced transport capacity of the system

Stage 1: reversible, early accumulation of fluid with visible swelling (pitting edema resolves with elevation)

Stage 2: spontaneously irreversible, increase in swelling.. elevation doesn’t reduce swelling

Stage 3: elephantitis; fibrotic deep skinfolds, skin may change color, skin changes limit mobility

Question 12

lymphadenopathy is caused by

Answer 12

infection

Question 13

ambulation time for HEP post-MI (Phase I)

Answer 13

20-30 min

1-2 times per day

4-6 weeks

Question 14

what are Modified Buerger-Allen exercises

Answer 14

postural exercises plus active plantar and dorsiflexion of the ankle

Question 15

compression pump therapy for CVI parameters

Answer 15

1-2 hour sessions

twice daily

Question 16

for chronic venous insufficiency, how should LEs be positioned at rest

Answer 16

18 cm above heart

Question 17

for chronic venous insufficiency, what should the pressure of graduated compression stockings be

Answer 17

30-40mmHg

Question 18

Unna boot is good for…

Answer 18

chronic venous insufficiency

Question 19

appropriate type of bandages for lymphedema

Answer 19

low resting

high working pressure

Question 20

following cardiac transplant, where is decreased strength where

Answer 20

LEs

Question 21

how to interpret Stemmer’s sign

Answer 21

positive: if the skin can’t be lifted but only grasped as a lump of tissue

Question 22

entry level criteria for Phase 3 cardiac training program

Answer 22

functional cpacity of 5 METs

clinically stable angina

medically controlled arrhythmias during exercise

Question 23

what type of lymphedema is common after surgery for breast/cervical cancer

Answer 23

secondary lympedema

Question 24

what should intensity be for PAD walking program

Answer 24

patient reports 1 on claudication scale within 3-5 minutes

Question 25

what temperatures should be avoided for lymphedema

Answer 25

no temperatures above 102 degrees (hot tubs/saunas) extreme cold

Question 26

what stage of lymphedema is stemmer's sign negative

Answer 26

stage 1

Question 27

most effective method of increasing LE blood flow

Answer 27

resistive calf exercises

Question 28

what is lymphedema

Answer 28

chronic disorder characterized by excessive accumulation of lymph fluid due to mechanical insufficiency (obstruction of lymph flow or removal of lymph nodes)

Question 29

ABI below ___ is a red flag for CVI exercise

Answer 29

less than 0.8

Question 30

for right sided lymphedema, where should complete decongestive therapy begin

Answer 30

proximal segments at the right lymphatic duct

Question 31

what is lymphadenopathy

Answer 31

enlargement of lymph nodes, with or without tenderness

Question 32

what type of massage is used for complete decongestive therapy for lymphedema

Answer 32

effleurage

Question 33

what are paste bandages/Unna boot

Answer 33

gauze impregnated with zinc oxide, gelatin, glycerin applied for 4-7 days

Question 34

when should PAD walking program resolve

Answer 34

if they reach a 2

Question 35

following cardiac transplant, what are side effects from immunosuppresive drug therapy

Answer 35

hyperlipidemia HTN obesity diabetes leg cramps

Question 36

red streaks on the skin (proximal to the infection site) are commonly seen with what disease

Answer 36

lymphangitis

Question 37

4 lymph organs

Answer 37

spleen tonsils thymus bone marrow

Question 38

for left sided lymphedema/torso, where should complete decongestive therapy begin

Answer 38

thoracic duct

Question 39

when will AICDs deliver an electric shock

Answer 39

if HR exceeds set limit or ventricular arrhythmia is detected

Question 40

what should pressure be at the ankle for graded compression stockings

Answer 40

30 mmHg pressure at ankle

Question 41

difference between primary and secondary lymphedema

Answer 41

primary: congenital or hereditary disorder with abnormal lymph node or lymph vessel formation secondary: acquired insult to the lymphatic system

Question 42

for postsurgical patients (cardiovascular), how long are lifting activities restricted for

Answer 42

6 weeks

Question 43

for resistance training, how should it be initiated

Answer 43

low resistance (one set of 10-15 repetitions)

Question 44

what stage of lymphedema does elevation not reduce swelling

Answer 44

stage 2

Question 45

procedure of Stemmer's sign

Answer 45

thickened fold of skin at the base of the 2nd toe or 2nd finger

Question 46

fixed rate pacers; what happens to heart rate

Answer 46

it doesn't change

Question 47

suggested exit point for Phase II cardiac rehab

Answer 47

9 METs

Question 48

what is filariasis

Answer 48

mosquito-borne illness

Question 49

for lymphedema, high-stretch or low-stretch bandages?

Answer 49

short-stretch

Question 50

filariasis can cause...

Answer 50

secondary lymphedema