T2 Systems Test 3 Flashcards

1
Q

With a healthy aging cardiovascular system, you will expect a patient’s blood pressure to present how?
A) Stay the same as it was when they were in their twenties
B) None of the options - There is no natural trend in blood pressure as patients age and it is all dependent on an individual’s genetics
C) Progressively decrease with age (below 120/80)
D) Progressively increase with age (above 120/80)

A

D) Progressively increase with age (above 120/80)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
Which of the following factors affect blood pressure during a massage?
A) Environment of the clinic
B) Positioning
C) Hydrotherapy
D) B and C
E) All of the options
A

E) All of the options

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
What condition might your patient have if they're presenting with light headedness and dizziness after getting up from the massage table?
A) Secondary hypertension
B) Orthostatic hypotension
C) Borderline hypotension
D) Postprandial hypotension
A

B) Orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
A patient presents with chronic kidney disease and mentions a recent diagnosis of hypertension. Their doctor says it is caused by a kidney dysfunction. This best describes which type of hypertension?
A) Secondary hypertension
B) Masked hypertension
C) Malignant hypertension
D) Primary hypertension
E) White coat hypertension
A

A) Secondary hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
Lymphatic drainage will \_\_\_\_\_\_\_\_\_\_\_\_ blood volume in the blood vessels and thus \_\_\_\_\_\_\_\_\_\_\_\_ blood pressure.
A) Increase / increase
B) Decrease / decrease
C) Decrease / increase
D) Increase / decrease
E) Increase / stabilize
A

A) Increase / increase

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

Which of the following is FALSE about cardiac tamponade?
A) It is not life threatening
B) It is considered the most painful heart condition
C) Fibrosis of the pericardial sac can result in thickened non-elastic regions which can cause friction
D) Lying down may exacerbate symptoms, sitting up and forward may relieve symptoms

A

A) It is not life threatening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
Your patient with hypertension presents with a blood pressure reading of 145/80. Their pulse pressure is \_\_\_\_\_\_\_\_\_\_\_\_ and indicating \_\_\_\_\_\_\_\_\_\_\_\_.
A) 225 / the heart is beginning to fail
B) 225 / the heart is working very hard
C) 65 / the heart is beginning to fail
D) 65 / the heart is working very hard
A

D) 65 / the heart is working very hard

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

Match the hypertension medication to its primary action. Each answer is only used once.
A) Improve heart function
B) Reduce total blood volume
C) Improve blood vessel diameter
D) Decrease platelet activation/blood coagulation

  • ACE Inhibitors
  • Cardiac Glycosides
  • Blood Thinners (e.g. Warfarin)
  • Diuretics
A

A) Improve heart function - Cardiac Glycosides
B) Reduce total blood volume - Diuretics
C) Improve blood vessel diameter - ACE Inhibitors
D) Decrease platelet activation/blood coagulation - Blood Thinners (e.g. Warfarin)

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

Select the FALSE statement about Buerger’s Disease (TAO):
A) The person inherits a susceptibility to developing TAO and triggers it by cigarette smoking
B) Intermittent claudication is common in long-term TAO sufferers
C) During flare-ups there is acute inflammation in the affected blood vessels and rapid formation of friable thrombi, which contraindicates local massage
D) Once the person stops smoking, the condition becomes inactive and any damaged blood vessels heal back to normal within about six months
E) This condition manifests in a flare-up and remission pattern

A

D) Once the person stops smoking, the condition becomes inactive and any damaged blood vessels heal back to normal within about six months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
Which of the following would a massage therapist find LEAST worrisome with respect to embolism risk from dislodging a thrombus due to direct pressure?
A) Varicosity
B) Deep vein thrombosis
C) Temporal arteritis
D) Recently injured blood vessels
E) Raynaud's Phenomenon
A

A) Varicosity

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

Patients with diagnosed atherosclerosis and other blood vessel conditions are often taking an anticoagulant. This medication requires the massage therapist to modify ____________.
A) Elevation of the limbs relative to the level of the heart
B) All of the options
C) Hydrotherapy temperatures
D) Pressure/depth of manipulations
E) Treatment duration

A

D) Pressure/depth of manipulations

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

Select the FALSE statement about Raynaud’s Disease (RD).
A) RD attacks are usually triggered by cold, but stress is also a reasonably common trigger
B) The etiology is unknown, but its characteristic attacks involve sympathetic hypersensitivity reactions causing arteriole spasm
C) During an attack the body part becomes white/cyanotic and there is ischemic pain
D) The quickest, safest way to make an attack subside is to apply a hot hydrotherapy to the affected body part(s)
E) Thrombosis does not typically occur as part of RD attacks

A

D) The quickest, safest way to make an attack subside is to apply a hot hydrotherapy to the affected body part(s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
An intermittent ischemic attack of the myocardium is called:
A) CVA
B) Angina Pectoris
C) Fusiform Aneurysm
D) Intermittent Claudication
E) Transient Ischemic Attack
A

B) Angina Pectoris

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

Which of the following is TRUE about Endocarditis?
A) Endocarditis is inflammation and/or infection of the endocardium, the muscle layer of the heart
B) Smooth surfaces are most commonly affected
C) Lesions or clusters of the infecting organism or localizations of autoimmune activity are almost always stable
D) The ilium is the most commonly affected site for musculoskeletal symptoms, followed by other proximal joints
E) There is risk of valvular damage since the fine tissues of the valve cusps are extensions of the endocardium

A

E) There is risk of valvular damage since the fine tissues of the valve cusps are extensions of the endocardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
Which of the following is the most deadly arrhythmia?
A) Ventricular fibrillation
B) Atrial fibrillation
C) Sinus tachycardia
D) Sinus bradycardia
A

A) Ventricular fibrillation

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

Which of the following is a description of valvular stenosis of the heart?
A) The narrowing of a valve causing an increase in the amount of blood flowing out of the chamber
B) The narrowing of a valve causing a reduction in the amount of blood flowing out of the chamber
C) The stretching of a valve causing a reduction in the amount of blood flowing out of the chamber
D) The stretching of a valve causing an increase in the amount of blood flowing out of the chamber

A

B) The narrowing of a valve causing a reduction in the amount of blood flowing out of the chamber

17
Q
When a patient presents with Marfan syndrome, you know that their \_\_\_\_\_\_\_\_\_\_\_\_ will be weakened systemically and directly affect the current state of the heart's \_\_\_\_\_\_\_\_\_\_\_\_.
A) Cranial nerves | conduction system
B) Joints | contractility
C) Connective tissue | aorta
D) Peripheral nerves | conduction system
A

C) Connective tissue | aorta