Deck 28: Cardiovascular Conditions

Question 1

Inflammation of the membrane that covers the heart valves and chambers of the heart is associated with:

A) endocarditis
B) pericarditis
C) aneurysm
D) arteriosclerosis

Answer 1

A

Question 2

Mr. L works in a meat locker. He has recently been diagnosed as having Raynaud's phenomenon. His employer has requested a consultation from you to evaluate what work modifications may be needed as a result of Mr. L's condition. One modification which would most likely be needed is to:

A) avoid heavy lifting, which can exacerbate the chest pain he will experience with the condition
B) avoid cold environments and emotional stressors
C) have his work changed to a more sedentary role due to the aching, cramping, and fatigue he will experience in his leg muscles when walking
D) discontinue work totally since the condition is rapidly progressive, creating significant disability quickly

Answer 2

B

Question 3

Mrs. E, in addition to her primary disability, also has hypertension. Even though hypertension is not a primary disability, it is important for you to consider this condition when considering vocational issues with Mrs. E because:

A) hypertension, untreated or not properly controlled, can be the source of additional disability
B) she will have symptoms only when she is tense
C) this is a condition which cannot be treated
D) it will make her ineligible for most rehabilitation services

Answer 3

A

Question 4

Mr. O recently was diagnosed as having mitral stenosis. Because of Mr. O's diagnosis, he will probably require:

A) coronary bypass surgery
B) a pacemaker
C) a surgical procedure to widen the valve
D) no special treatment other than diet and exercise to prevent damage from occurring

Question 5

You have recently been working to develop vocational goals with Mr. G, who had a heart transplant. In reviewing factors specific to transplantation, you note that persons with cardiac transplants are placed on immunosuppressants:

A) for the first six weeks after surgery
B) until there is no danger of rejection of the transplanted heart as documented by three consecutive heart biopsies
C) only if there are signs of rejection of the new heart
D) for the rest of their lives

Question 6

Mrs. G has a cardiac condition and, according to the medical report, experiences significant arrhythmias. This means that she experiences

A) weakening of the blood vessels, which, if under pressure, could burst and lead to hemorrhage
B) a weakened heart muscle so that she will probably need a heart transplant
C) chest pain on exertion
D) irregularity of heart rate or rhythm

Question 7

Mr. D is a 40-year-old man who has extreme difficulty functioning in his job as a lineman with the telephone company because of his peripheral vascular disease. In helping him determine job modifications which may be necessary, or other jobs which are more appropriate, you would consider that with his current condition the specific limitation(s) he experiences is/are:

A) dizziness
B) difficulty breathing and chest pain on exertion
C) pain in his lower extremities when walking small distances
D) fainting when he moves rapidly

Question 8

Although you realize that it is important to always consider individual differences, in general, you recognize that individuals with cardiac conditions:

A) have an easier time with psychological adjustment than those with other disabilities since cardiac conditions are not visible
B) can be immobilized by fear, subsequently restricting their activities more than needed
C) never adjust to their disability
D) require significant psychiatric help to deal with hallucinations they usually experience with most heart conditions

Question 9

Your client's medical report states that she experiences periods of angina pectoris, which has begun to interfere with her work as a waitress. You suspect that the way this condition interferes with her work is due to:

A) difficulty being on her feet for long periods of time because of leg pain
B) unpredictable blackouts
C) numbness and tingling in her hands, which make it difficult to carry plates and trays
D) pain in her chest on exertion

Question 10

__________________________is the term describing an abnormality of the heart rate or rhythm.

A) Cardiac tamponade
B) Cardiac arrhythmia
C) Congestive heart failure
D) Myocardial infarction

Question 11

Mr. L is a diesel truck mechanic who recently received an internal pacemaker. You have been asked to determine the suitability of his current job given the fact that he now has a pacemaker. You review the job tasks required and find that in his current job he is responsible for repair and maintenance of diesel engines, using mainly hand tools, precision measuring instruments, and machine tools. Activity on the job is moderate. Describe any precautions specifically related to the pacemaker itself which Mr. L should keep in mind.

Question 12

Describe what is meant by cardiac arrhythmia.

Question 13

Describe vocational implications of heart transplant.

Question 14

Discuss psychological implications for cardiovascular conditions.

Question 15

Discuss general vocational issues for individuals with cardiovascular conditions.

Question 16

What are the four chambers of the heart and discuss the flow of blood through them.

Question 17

What is atherosclerosis and what are the manifestations of this condition?

Question 18

Explain how myocardial infarction is managed.

Question 19

What is the difference between left-sided and right-sided heart failure?