SO CLOSE!

Question 1

s/s of exercise intolerance among those undergoing cardiac rehab

Answer 1

Persistent dyspnea
Dizziness
Anginal pain
Sudden weight gain

Question 2

Systolic - reason to terminate exercise

Answer 2

drop of 20 mmHg or more

Question 3

Mode of action for beta blcokers

Answer 3

Dec HR
Dec contractility
Dec BP
Dec oxygen demand

Question 4

Mode of action for ACE inhibitors

Answer 4

Reduce peripheral vascular resistance

Increase venous capacitance

Question 5

Classic s/s of heart failure

Answer 5

peripheral pitting edema
weight gain
jugular vein distention
diminished appetite
RUQ discomfort 
Ventricular gallop (S3)
dyspnea
paroxysmal nocturnal dyspnea

Question 6

Clinical manifestations of arterial disease

Answer 6

Pain
Pallor
Paralysis
Hair loss
Thin, shiny skin

Question 7

Clinical manifestations of venous insufficiency

Answer 7

Edema
Hemosiderin staining
Normal arterial pulses

Question 8

Sounds between S1 and S2 are called

Answer 8

Systolic murmurs

Question 9

Sounds between S2 and S1 are called

Answer 9

Diastolic mumurs

Question 10

Secretions in the peripheral airways leads to what sound

Answer 10

Crackles

Question 11

Friction rub is associated with

Answer 11

Pleural effusion

Question 12

Low pitched wheezes are associated with

Answer 12

obstruction (like bronchospasm)

Question 13

Emphysema will present with what breath sounds

Answer 13

Diminished or absent

Question 14

Hyperinflated chest would give what sound with percussion

Answer 14

Tympanic

Question 15

Consolidation (increase in secretions) would lead to what sounds

Answer 15

Increased fremitus with consolidation

Crackles maybe

Question 16

Prone with bed flat is best used to drain what lobes

Answer 16

Superior segments of lower lobes

Question 17

Long sitting, leaning back 30 deg is best used for

Answer 17

apical segments of upper lobes

Question 18

Supine with head down and pt rotated one quarter backward is best for

Answer 18

Lingula

Question 19

Lower lobe atelectasis may be cleared with what pt position

Answer 19

Pt on uninvolved side, one quarter turn from prone with head down 30 deg

Question 20

Common position to relieve dyspnea

Answer 20

Forward supported sitting

It inc intraabdominal pressure and improves length tension of diaphragm and allows for accessory mm use

Question 21

CO = SV x HR

SV typically plateaus when

Answer 21

Around 35-40% of max exercise
So then CO is augmented by an inc in HR
Inc in HR = inc in CO
Inc in SV does not always equal an increase in CO

Question 22

Aging - and resting blood pressure

Answer 22

Resting blood pressure increases with advancing age

Question 23

ABI of 0.6 =

Answer 23

Mdoerate peripheral artery disease

Question 24

ABI of 0.9 =

Answer 24

normal

Question 25

ABI of 1.1 =

Answer 25

arterial calcification

Question 26

ABI of 1.0 =

Answer 26

normal

Question 27

Incentive spirometry is used to help a pt achieve

Answer 27

Sustained max inspiration

Question 28

Resistance training post CABG

Answer 28

not until at least 8 wks

Question 29

Low hematocrit indicates ___ and can lead to ___

Answer 29

Indicates anemia | Can lead to hypoxia

Question 30

Low platelets can lead to

Answer 30

Excessive bruising

Question 31

First degree heart block =

Answer 31

Long PR

Question 32

Second degree type 1

Answer 32

Progressively lengthening PR ; drops QRS every 4th

Question 33

Second degree type II

Answer 33

Progressively lengthening PR ; drops WRS every 2, 3, or 4th

Question 34

R BBB

Answer 34

Rs go below isoelelectric line

Question 35

L BBB

Answer 35

Rs don't go below isoelectric line | Mountain looking one

Question 36

Normal platelet

Answer 36

150,000 to 400,000

Question 37

Normal WBC

Answer 37

4,500 - 11,000

Question 38

Normal hemoglobin

Answer 38

12-18 g/dL

Question 39

Normal INR

Answer 39

0.9 - 1.1 | When on anticoagulants - will be 2 - 3.5

Question 40

Pleural effusion - what breath sounds

Answer 40

Decreased | Decreased fremitus?

Question 41

Sequence for cough

Answer 41

Inspiration greater than tidal volume Closure of glottis Abdominal mm cx Sudden opening of glottis

Question 42

Taking digitalis does what to EKG

Answer 42

Lengthens PR interval

Question 43

HR inc during phase 1 of cardiac rehab

Answer 43

no more than 130 bpm No more than 20 bpm over resting If surgical, no more than 30 bpm over resting

Question 44

Upper limit of DBP in phase 1

Answer 44

110

Question 45

Max aerobic capacity for M and W typically ranges from what to what (in METs)

Answer 45

8 to 12

Question 46

Exercise stress test - positive if

Answer 46

There is presence of ischemia

Question 47

To determine max oxygen uptake with a submax exercise test using cycle ergometer - what needs to be considered

Answer 47

HR | Workload

Question 48

Tidal volume is what percent of total lung capacity

Answer 48

10%

Question 49

Average tidal volume

Answer 49

500 mL

Question 50

Average total lung capacity

Answer 50

4,000 - 6,000 mL

Question 51

IRV what percent of total lung capacity

Answer 51

55-60%

Question 52

Residual volume - average and what percent of total

Answer 52

1,000 mL | 25%

Question 53

Functional residual capacity - what percent of total

Answer 53

40%

Question 54

Dependent edema - associated with

Answer 54

R sided heart failure!

Question 55

Pulmonary edema - associated with

Answer 55

L sided heart failure!

Question 56

Persistent cough - associated with R or L heart failure

Answer 56

L sided!

Question 57

Level walking at 1 mph - how many METs

Answer 57

1 - 2

Question 58

Jogging at 5 mph is how many METs

Answer 58

7-8

Question 59

Cycling at 10 mph is how many METs

Answer 59

5-6

Question 60

Walking on a treadmill at 3 mph is how many METs

Answer 60

3-4

Question 61

Chronic corticosteroid use effect on BP

Answer 61

Increased BP