S2L1: Systemic Effects of Prolonged Bed Rest

Question 1

Heart rate at rest, and with submaximal exercise

A. Increase
B. Decrease
C. No change

Answer 1

A. Increase

Question 2

Stroke volume, VO2 Max, left ventricular volume, & cardiac output

A. Increase
B. Decrease
C. No change

Answer 2

B. Decreased

Question 3

True or False: Myocardial thickening happens due to prolonged bed rest

Answer 3

False

Myocardial thinning happens due to prolonged bed rest

Question 4

True or False: Orthostatic Hypertension happens due to prolonged bed rest

Answer 4

False

Orthostatic Hypotension happens due to prolonged bed rest

Question 5

Total blood volume, red blood cell mass, and plasma volume

A. Increase
B. Decrease
C. No change

Answer 5

B. Decrease

Question 6

Hematocrit

A. Increase
B. Decrease
C. No change

Answer 6

A. Increase

Question 7

Virchow’s Triad: _ _ _

Answer 7

Venous stasis, hypercoagulability, blood vessel damage

Question 8

Lung volumes and capacities (FRC, FVC, FEV1)

A. Increase
B. Decrease
C. No change

Answer 8

B. Decrease

Question 9

mucociliary clearance

A. Increase
B. Decrease
C. No change

Answer 9

B. Decrease

Question 10

Risk of pneumonia, atelectasis, and pulmonary embolism

A. Increase
B. Decrease
C. No change

Answer 10

A. Increase

Question 11

arterial oxygen saturation

A. Increase
B. Decrease
C. No change

Answer 11

B. Decrease

Question 12

True or False: GERD may be present in patients with prolonged bed rest

Answer 12

True

Question 12

appetite, fluid intake, bowel mobility, and gastric bicarbonate secretion

A. Increase
B. Decrease
C. No change

Answer 12

B. Decrease

Question 13

True or False: Swallowing is normal in patients with prolonged bed rest

Answer 13

False

There is difficulty in swallowing

Question 14

mineral excretion, kidney stones, difficulty voiding, and urinary retention

A. Increase
B. Decrease
C. No change

Answer 14

A. Increase

Question 15

risk of urinary tract infection

Answer 15

A. Increase

Question 16

True or False: There is altered temperature and sweating responses, circadian rhythm, regulation of hormones, increased cortisol and glucose intolerance

Answer 16

True

Question 17

cortisol

A. Increase
B. Decrease
C. No change

Answer 17

A. Increase

Question 18

overall metabolism

A. Increase
B. Decrease
C. No change

Answer 18

B. Decrease

Question 19

muscle weakness (especially antigravity muscles), atrophy

A. Increase
B. Decrease
C. No change

Answer 19

A. Increase

Question 20

muscle endurance

A. Increase
B. Decrease
C. No change

Answer 20

B. Decrease

Question 21

contracture

A. Increase
B. Decrease
C. No change

Answer 21

A. Increase

Question 22

True or False: The myotendinous junction is not affected in patients with prolonged bed rest

Answer 22

False

weakened myotendinous junction

Question 23

True or False: Secondary osteoporosis is not present in patients with prolonged bed rest

Answer 23

True

Disuse, not secondary, osteoporosis is present

Question 24

Give the 3 Musculoskeletal physiologic changes involving degeneration

Answer 24

Degeneration of cartilage, synovial atrophy, and ankylosis

Question 25

dopamine, noradrenaline, and serotonin levels A. Increase B. Decrease C. No change

Answer 25

B. Decrease

Question 26

True or False: There is Sensory and social deprevation in patients with prolonged bed rest

Answer 26

True

Question 27

True or False: There is Depression, restlessness, insomnia in patients with prolonged bed rest

Answer 27

True

Question 28

Give at least 3 Neurologic Physiologic changes due to prolonged bed rest

Answer 28

Sensory and social deprevation Decreased dopamine, noradrenaline, and serotonin levels Depression, restlessness, insomnia Decreased balance, coordination, and visual acuity Increased risk of compression neuropathy Reduced pain threshold

Question 29

balance, coordination, and visual acuity A. Increase B. Decrease C. No change

Answer 29

B. Decrease

Question 30

risk of compression neuropathy A. Increase B. Decrease C. No change

Answer 30

A. Increase

Question 31

pain threshold A. Increase B. Decrease C. No change

Answer 31

B. Decrease

Question 32

risk of pressure injury formation A. Increase B. Decrease C. No change

Answer 32

A. Increase

Question 33

Give an integumentary physiologic change

Answer 33

Increased risk of pressure injury formation

Question 34

risk of reactivation of latent viruses A. Increase B. Decrease C. No change

Answer 34

A. Increase

Question 35

immune response and immunity A. Increase B. Decrease C. No change

Answer 35

B. Decrease

Question 36

give 2 physiologic changes in the immune system

Answer 36

Increased risk of reactivation of latent viruses Reduced immune response and immunity

Question 37

True or False: self worth and self esteem is not affected in patients with prolonged bed rest

Answer 37

False

Question 38

risk of delirium, depression, and post-traumatic stress syndrome A. Increase B. Decrease C. No change

Answer 38

A. Increase

Question 39

Give at least 2 psychological changes:

Answer 39

impaired self worth and self esteem Increased risk of delirium, depression, and post-traumatic stress syndrome

Question 40

sodium, potassium, calcium, phosphorus, and nitrogen loss A. Increase B. Decrease C. No change

Answer 40

A. Increase

Question 41

body fat and decreased lean body mass

Answer 41

A. Increase

Question 42

Fluid shift from legs to _ _ _ , diuresis

Answer 42

abdomen/thorax/head