Stress testing

Question 1

It is a tool used to evaluate and manage patient with known or suspected heart disease.

Answer 1

Stress testing

Question 2

[3] What are the Parameters used in Stress Testing?

Answer 2

1. Breathing
2. Blood Pressure
3. Heart Rate or flow of Blood in the Heart through ECG

Question 3

AMI means

Answer 3

Acute Myocardial Infarction

Question 4

A heart attack within 2-3 days.

Answer 4

Acute Myocardial Infarction (AMI)

Question 5

Chest pain *not previously stabilized by medical therapy.

Answer 5

Unstable angina

Question 6

Irregular heart beats.

Answer 6

Uncontrolled cardiac arrhythmias

Question 7

20mmHg

[systole, diastole]

Answer 7

Systole

Question 8

110 mmHg

[systole, diastole]

Answer 8

Diastole

Question 9

[3] Main types of Stress test

Answer 9

1. Exercise Stress Test
2. Pharmacologic Stress Test
3. Nuclear Stress Test

Question 10

Used primarily to assess the etiology of chest pain and for detection of coronary heart disease.

[stress test]

Answer 10

Exercise stress test

Question 11

AKA Treadmill Stress Test

Answer 11

Exercise stress test

Question 12

Commonly used.

Answer 12

Exercise stress test

Question 13

[2] types of Exercise Stress Test

Answer 13

1. Treadmill
2. Upright bicycle

Question 14

Most commonly used type of stress test.(Bruce and Modified Bruce)

[exercise stress test]

Answer 14

Treadmill

Question 15

– Stationary bike, saddle, pedals, handlebars
– Alternative method with an addition of connected electrodes

[exercise stress test]

Answer 15

Upright bicycle

Question 16

Basis of Stress Test

Answer 16

Target heart rate

Question 17

Refers to the desired heart rate that the patient should achieve during the test.

Answer 17

Target heart rate

Question 18

Supporting element for THR; the patient can’t achieve the THR (strengthens the heartbeat).

Answer 18

Digoxin

Question 19

Reserve for patients who are unable to exercise adequately.

[stress test]

Answer 19

Pharmacologic stress test

Question 20

Done after exercise stress test.

[stress test]

Answer 20

Pharmacologic stress test

Question 21

Demonstrated in patients with decreased functional capacity or in patients who cannot exercise.

[pharmacologic]

Answer 21

Induced by pharmacologic agent

Question 22

[3] Drug used

Answer 22

1. Adenosine
2. Dypyridamole
3. Dobutamine

Question 23

adenosine analog.

Answer 23

Regadenoson

Question 24

Increase the blood flow.

Answer 24

Vasodilating agent

Question 25

Strengthen the force of the heartbeat.

Answer 25

Dobutamine

Question 26

AKA Myocardial Perfusion Imaging (MPI). [stress test]

Answer 26

Nuclear stress test

Question 27

Specifically only used for cardiac test. [stress test]

Answer 27

Nuclear stress test

Question 28

A nuclear medicine technique that enhances the sensitivity, specificity, and diagnostic accuracy of exercise ECG stress testing in patients with suspected or known cardiac disease. [stress test]

Answer 28

Nuclear stress test

Question 29

Will expose Px to 11 millisieverts of radiation.

Answer 29

Tc - 99

Question 30

captures images.

Answer 30

Gamma camera

Question 31

[2] Two parts in Nuclear stress test.

Answer 31

1. Resting portion 2. Exercise portion

Question 32

Radioactive tracer delivered through IV. [portion]

Answer 32

Resting portion

Question 33

[4] Equipment for stress test

Answer 33

1. Treadmill 2. Bicycle ergometer 3. Blood pressure equipment 4. ECG/EKG

Question 34

Electrically driven and should accommodate a variety of body weights. [equipment for stress test]

Answer 34

Treadmill

Question 35

Alternative to treadmill testing (patient that has an orthopedic peripheral vascular or neurological limitation that restrict weight bearing). [equipment for stress test]

Answer 35

Bicycle ergometer

Question 36

Less expensive. [equipment for stress test]

Answer 36

Bicycle ergometer

Question 37

[2] Two types of Stationary Bikes.

Answer 37

1. Mechanically break 2. Electronically break

Question 38

Specific cycling rate to maintain. [stationary bikes]

Answer 38

Mechanically break

Question 39

More expensive and less portable, but automated. [stationary bikes]

Answer 39

Electronically break

Question 40

2 Types of Blood pressure equipment

Answer 40

1. Manual auscultation 2. Automated blood pressure

Question 41

The action of listening to sound from the heart, lungs or other organs, typically with a stethoscope, as a part of medical diagnosis. [bp equipment]

Answer 41

Manual auscultation

Question 42

Also known as the Riva Rocci Korotkoff or (manual method for blood pressure measurement) is the listing of Korotkoff sounds in brachial artery. [bp equipment]

Answer 42

Manual auscultation

Question 43

An expensive device that may perform erratically at high exercise intensities because of motion. [bp equipment]

Answer 43

Automated Blood Pressure

Question 44

Not advisable: result of Diastolic BP may not be accurate. [bp equipment]

Answer 44

Automated Blood Pressure

Question 45

Essential for continuous monitoring of heart rhythm an evaluation of ischemic ECG changes during exercise and recovery. [equipment for stress test]

Answer 45

ECG/EKG

Question 46

Has Silver-silver chloride electrodes.(recommended) [equipment for stress test]

Answer 46

ECG/EKG