Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Special Diagnostic Procedures > Stress Test > Flashcards

Stress Test Flashcards

(83 cards)

Start Studying
1
Q

This is defined as a tool used to evaluate and management patients with known or suspected heart disease

A

Stress test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

TRUE OR FALSE:

Stress test determine the range of ability of the heart

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What disease is checked using Stress Test?

A

Coronary artery disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the most important condition causing abnormality in ST segment?.

A

Myocardial infarction or ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the main aim of stress testing?

A

assess coronary flow system and measure ability of heart to response to stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

TRUE OR FALSE:

Stress testing can be induced through the use of drugs or exercise

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Stress test is monitored though the use of __________________

A

electrocardiogram or electrogardiography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who are the patients who are tested using stress test?

A

Patients who suffer from arrythmia, complains of chest pain, difficulty in breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

WHat is the test used to detect narrowed arteries?

A

Coronary angiogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TRUE OR FALSE:

Medications may be reuqired to stop for intake

A

TRUE - depends on physician

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Eating and smoking should be stopped ___________ hrs before the stress test

A

2-4hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Drinking caffeinated drinks may cause ___________

A

palpitations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What should not be applied when preparing for nuclear stress test?

A

Oil, lotion, cream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Stress test lasts for _________

A

1hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pharmaceutical stress test mimics ___________

A

exercise = increase blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

TRUE OR FALSE:

Stress testing can be stopped anytime if you’re too uncomfortable to continue exercising

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the signs and symptoms that are reasons to stop the test?

A
  • moderate to severe chest pain
  • Severe shortness of breath
  • Abnormally high/low blood pressure
  • Abnormal heart rhythm
  • Suffer fatigue/dizziness
  • Certain changes in ECG
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

TRUE OR FALSE:

Patients can do their normal activities after the stress testing

A

TRUE - depends on the result

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

TRUE OR FALSE:

Patients may be required to  Stand still for several seconds and then lie down for a period of time with the monitors in place

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Acute myocardial infarction is a contraindication if it occurred within ________________

A

2-3 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

TRUE OR FALSE:

Unstable angina (chest pain) not previously stabilized by medical therapy is NOT considered a contraindication

A

FALSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which type of angina occurs even if a person is not doing anything?

A

Variant or Prinzmetal angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If the blood pressure of ___________________ is indicative of severe hypertension

A

Diastolic >100mmHg, Systole: >200mmHg or both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

TRUE OR FALSE:

Inflammation of the heart is a contraindication for stress test

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Which are other contraindications of stress test?
- Acute aortic dissection - High grade AV (atrioventricular) blocks - Symptomatic severe aortic stenosis - Acute pulmonary embolism/Pulmonary infarction - Uncontrolled symptomatic heart failure
26
Which stress test has the possibility to induce allergic reaction but is rare?
Nuclear ST
27
TRUE OR FALSE Treadmill stress test is very risky
FALSE It has very little risk
28
A positive stress test indicates ______________
advanced coronary artery disease
29
TRUE OR FALSE: Heart attacks initially has SIGNIFICANT stress test result
FALSE It is NOT SIGNIFICANT
30
What are the main types of stress test?
Exercise/Treadmill, Nuclear, Pharmacologic Stress test
31
Which among the types of stress tests is the most common and widely used type?
Exercise/Treadmill
32
What is the alternative used for treadmill?
Upright bicycle
33
What are the common test protocol for treadmill?
Bruce and modified bruce
34
How long is the warm uo stages for the stress test protocol lasts?
3 mins
35
TRUE OR FALSE: Exercise stress test is cheaper than nuclear stress test
TRUE
36
TRUE OR FALSE: Stress test is used for patients who has normal finding in resting ECG
TRUE
37
TRUE OR FALSE: Nuclear stress test requires the wearing of a mouth piece after the test to measure the air you will breathe out
FALSE - it is needed for exercise/treadmill ST
38
Which equipment is used along while performing exercise stress test to record heart beat and waves?
ECG
39
What does the IV contains that is used for nuclear stress test?
Radioactive tracer
40
TRUE OR FALSE: NuclearST is dangerous and can cause complications
FALSE Life threatening complication from Nuclear ST occurs at 1/10,000
41
What are the two portions when performing nuclear stress test?
during exercise/pharmalogic and while at rest
42
What is the previous radioactive used?
Thallium-201
43
What is the new radioactive used currently?
Tecnicium-99
44
Why is Tc-99 more preferred to use?
It provides clearer images and less exposure to radiation
45
What is the half-life of Tc-99?
6hrs
46
Tc-99 will expose you to ___________________ of radiation
11 millisieverts
47
How is Tc-99 excreted from the body?
Feces
48
What is the imaging used to capture images?
Myocardial Perfusion imaging (gamma camera)
49
TRUE OR FALSE: BOTH nuclear ST and pharmacological ST is used for patients who are unable to exercise adequately
TRUE
50
What are the imaging modalities used in pharmacological ST?
Radionuclide imaging and echocardiography
51
What are the drugs used to induce physiological stress?
Vasodilators (adenosine, dipyridamole) Inotropic drugs (dobutamine)
52
In general, what drug is more preferred for pharmacological ST?
Vasodilators
53
What is the analogue of adenosine?
Regadenoson (has longer half-life)
54
What are the machine and equipment used for stress testing?
Treadmill, electrocardiogram, bicycle ergometer, and BP equipment
55
This equipment keeps track of heartbeat during test and tell the camera when to take a picture
Electrocardiogram (ECG)
56
How much weight should a treadmill can accomodate?
up to 350lbs or 157.5kgs
57
TRUE OR FALSE: Obese patients are advised not to use exercise/treadmill ST
TRUE
58
Emergency stop button must be __________________
easily accessible and visible by both Px and staff
59
What is the range of speed for treadmill must have?
1.6km (1mph) to 12.8km (8mph)
60
Up to what degrees should the elevation of the treadmill can do?
20%
61
What is the minimum treadmill platform length?
Length: 127cm or 50inches; Width: 40.64cm or 16inches
62
This equipment is used for continuous monitoring of heart rhythm and evaluation of ischemic ECG changes
Electrocardiogram (ECG)
63
How to know if the ECG used is acceptable for stress testing?
For as long as specification set by the American Heart Association is met
64
TRUE OR FALSE: Inaccurate frequency response may lead to false results
TRUE
65
How to check for validity of data?
Compare raw analogue data to computer generated data
66
What is used to produce interpretation clinically the ECG?
12-lead ECG
67
TRUE OR FALSE: ECG equipment is needed in every laboratory
FALSE: Not essential in every laboratory but practical in population with high risk for heart disease to have automatic arrythmia detectors
68
What is the electrodes used for ECG?
Silver-Silver Chloride
69
What is capable of minimizing motion artifact?
Silver-Silver Chloride, light weight shielded cables worn around the waist, flexible knit tube shirts
70
Which is more expensive, treadmill or bicycle ergometer?
treadmill
71
Bicycle ergometer is used for orthopedic patients who has _________________
peripheral vascular or neurological limitations
72
TRUE OR FALSE: Bicycle ergometer's work rate can be adjusted
TRUE
73
What is the unit used to calculate work rate?
watts or kilopond-meters per min-1
74
What are the two types of bicycle ergometer?
Mechanically and electronically brakes
75
Between the two types of bicycle ergometer, which needs to maintain specified cycling rate?
Mechanically braked
76
What are the required physical set up of bicycle ergometer?
Handlebars, adjustable seat, Adaptable pedal grips, meters, dials, digital display
77
WHat is the ideal seat height for bicycle ergometer?
knee should be slightly flexed at full extension
78
What compares treadmill and bicycle ergometer?
When using bicycle the maximum oxygen uptake of Px is lower than 5-20% compared to treadmill
79
Which BP equipment is most feasible and easy to use, and more reliable?
Manual auscultation
80
TRUE OR FALSE: Automated BP is the most reliable and recommended BP equip
FALSE - it can perform eratically during high exercise intensity where diastolic may not be accurate
81
TRUE OR FALSE: BP cuffs are disposable
FALSE It must be regularly cleaned and inspected
82
This BP equipment is recommended than aneroid manometer however not available anymore. It is more accurate and reliable, easy to calibrate
Mercury manometer
83
Manometer is placed __________________
at the level of Px's heart

Special Diagnostic Procedures (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions