Deck 24: Exercise Testing and Training: Primary Cardiopulmonary Dysfunction

Question 1

Noninvasive cardiac and pulmonary rehabilitation is more cost effective than medical and surgical treatments.All of the following are considered noninvasive EXCEPT:

A) smoking cessation.
B) angioplasty.
C) nutrition and weight control.
D) self-management training.

Answer 1

B

Question 2

In individuals with severe disease,exercise intolerance may reflect limited _____________ and oxygen extraction caused by the disproportionate demand on the respiratory muscles.

A) peripheral circulation
B) central circulation
C) peripheral profusion
D) central profusion

Answer 2

C

Question 3

Chronic heart failure is usually hallmarked by:

A) right ventricular dysfunction.
B) left ventricular dysfunction.
C) upper ventricular dysfunction.
D) lower ventricular dysfunction.

Answer 3

B

Question 4

Although dyspnea is a common limiter to exercise and cardiac failure,the other factors that contribute to exercise limitation could include all but which of the following?

A) Hemodynamic impairments
B) Ventilator control impairments
C) Lung function impairments
D) Metabolic impairments

Question 5

Without training postoperatively,exercise tolerance remains severely limited over the first:

A) 10 months.
B) 12 months.
C) 16 months.
D) 18 months.

Question 6

Health education a major component of________________ and constitutes a skill in its own right.

A) exercise testing
B) cardiac rehabilitation
C) pulmonary fit testing
D) physical rehabilitation

Question 7

Of the multiple facets of a cardiac rehabilitation programs,different components may have different effects on:

A) diagnosis.
B) motivation.
C) physiology.
D) individual heart health.

Question 8

Peripheral myopathy in individuals with chronic heart failure may contribute to exercise intolerance and training capacity.The features of this include all but which of the following?

A) Muscle fatigability
B) Increase in type II fibers
C) Increase in type I fibers
D) Reduced capillary density

Question 9

Prediction of the prognosis of individuals with chronic heart failure can be improved with which of the following measures?

A) 6-minute walk test
B) Two-step exercise test protocol
C) Timed up and go
D) Treadmill testing

Question 10

Peak functional capacity depends on muscle strength and endurance in individuals with chronic heart failure depends on which of the following?

A) Breathing control
B) Weigh control
C) Muscle endurance
D) Muscle performance

Question 11

Patients with severe chronic heart failure often have high ventilatory demands during exercise,and they have:

A) metabolic acidosis.
B) respiratory acidosis.
C) metabolic alkalosis.
D) respiratory alkalosis.

Question 12

At rest,individuals with more severe heart failure have more restrictive lung pathology and impaired gas exchange.During exercise,all of the following occur EXCEPT:

A) greater submaximal ventilation.
B) increased dead space.
C) decreased thoracic expansion.
D) impaired gas exchange.

Question 13

Over the past 20 years,heart transplant had become an accepted therapy for:

A) end-stage heart failure.
B) multivalve failure.
C) conduction blocks.
D) increasing ejection fractions.

Question 14

Intermittent claudication is the symptom of exercise-induced muscle ischemia of:

A) peripheral venous disease.
B) peripheral arterial disease.
C) central venous disease.
D) central arterial disease.

Question 15

As patients participating in cardiac rehabilitation programs become more active,they experience changes.One change requiring medical intervention is related to:

A) physiology.
B) metabolism.
C) philosophy.
D) pharmacokinetics.

Question 16

There is an interaction between circadian rhythms and the pathogenesis of heart rate and blood pressure variability.The rhythms are under the influence of all except the following:

A) renal influence.
B) adrenal influence.
C) autonomic influence.
D) pituitary influence.

Question 17

Type 2 diabetes mellitus is a strong risk factor for:

A) sudden cardiac death.
B) coronary artery disease.
C) neither a nor b.
D) both a and b.

Question 18

Of individuals who participate in pulmonary rehabilitation programs,the largest portion is made up of those with:

A) lung transplants.
B) lobectomies.
C) segmentectomies.
D) emphysema.

Question 19

Heart failure can be characterized as:

A) diastolic.
B) systolic.
C) neither a nor b.
D) both a and b.

Question 20

Prevention and rehabilitation programs are aimed at reducing an individual's cardiac risk factors.All of the following are factors that can change from participation EXCEPT:

A) age.
B) smoking.
C) blood pressure.
D) cholesterol level.