Exercise Testing

Question 1

exercise testing allows the differentiation of

Answer 1

vasculogenic claudication from “pseudoclaudication”

Question 2

there will always be a pressure drop when a patient experiences ___

Answer 2

the pain of true claudication

Question 3

6 limitations/contradictions of exercise testing

Answer 3

1. cardiac disease, severe HTN, SOB
2. resting ABI < 0.5
3. resting ischemia (ABI < 0.3)
4. ischemic ulceration
5. poor ambulators
6. symptoms occur only at rest and resting study is normal

Question 4

treadmill testing

1.5mph for a max of ___ minutes or until the patient complains of leg pain and is unable to continue

Answer 4

1.5mph for a max of 5 minutes

Question 5

treadmill testing

ankle pressure are obtained immediately and repeated every ___

Answer 5

2 minutes

Question 6

treadmill testing

normal ankle pressures should be

Answer 6

same or higher than resting pressures

Question 7

treadmill testing

abnormal ankle pressures

Answer 7

decrease compared to resting pressure

Question 8

drop in ankle pressure > 20mmHg confirms

Answer 8

etiology for claudication

Question 9

treadmill testing time recovery

2-6 minutes =
6-12 minutes =

Answer 9

2-6 minutes = single level disease
6-12 minutes =multi-level disease

Question 10

alternative method for stressing the peripheral arterial circulation

Answer 10

post occlusive reactive hyperemia (PORH)

Question 11

PORH

bilateral thigh cuff size

Answer 11

19 x 40 cm

Question 12

PORH

cuffs are inflated 20-30mmHg above brachial pressure for ___

Answer 12

3-5 minutes

Question 13

PORH

< 50% drop in pressure =
> 50% drop in pressure =

Answer 13

< 50% drop in pressure = single level disease
> 50% drop in pressure = multi-level disease