Question 1

Your patient, who underwent a total knee replacement, has stable angina listed as a comorbidity.Because of this condition, the PTA should terminate exercise if the patient:&#10;A)Is breathing more deeply during exercise&#10;B)Complains of fatigue during exercise&#10;C)Complains of chest pain during exercise&#10;D)Complains of pain in the foot area below the knee replacement

Accepted Answer

Patients with stable angina should avoid activities that may trigger or exacerbate chest pain. If the patient complains of chest pain during exercise, the PTA should terminate the exercise and assess the patient's symptoms.

Question 2

You are about to enter a patient's room to provide exercises and bed mobility work after the person has had a transtibial amputation.This patient has a comorbidity of atrial fibrillation.You take the patient's resting pulse.At which of the following rates is it wise to avoid physical therapy activity until further medical consultation is received (the lowest rate at which you would defer physical therapy)?

A)80 beats per minute
B)95 beats per minute
C)115 beats per minute
D)124 beats per minute

C

Accepted Answer

A resting pulse rate of 115 beats per minute is considered tachycardic and may indicate that the patient's atrial fibrillation is not well-controlled. It is wise to defer physical therapy and consult with medical staff to ensure the patient's safety.

Question 3

You are to provide exercise intervention for a patient with known heart block.Which level of heart block needs physician clearance before proceeding with exercise?&#10;A)First degree&#10;B)Second degree&#10;C)Third degree&#10;D)Second and third degree

Accepted Answer

Second and third-degree heart blocks are more severe and can lead to more significant symptoms and complications, thus requiring physician clearance before proceeding with exercise interventions. First-degree heart block often does not cause symptoms and may not require such precautions.

Question 4

You are a PTA working in an outpatient cardiac rehabilitation program.Most of your patients are on beta blockers, so your most reliable indicator of whether your patients are working at an optimal level is to monitor which of the following?

A)Heart rate
B)Blood pressure
C)Respiratory rate
D)Diaphoresis

Accepted Answer

Beta blockers affect heart rate, making it an unreliable indicator of exercise intensity. Blood pressure is a more reliable measure to monitor in this context.

Question 5

A patient may be experiencing angina if he or she demonstrates or complains of any of the following EXCEPT:&#10;A)Levine sign&#10;B)Upper back pain between the scapulas with exercise&#10;C)Abdominal cramping&#10;D)Shortness of breath

Accepted Answer

Abdominal cramping is not a typical symptom of angina. The other options listed (Levine sign, upper back pain between the scapulas with exercise, and shortness of breath) are all associated with angina.

Question 6

Which of the following blood pressure responses would warrant termination of an exercise session in any phase of cardiac rehabilitation?&#10;A)Systolic blood pressure increase to 180 mm Hg&#10;B)No change in systolic blood pressure with exercise&#10;C)Diastolic blood pressure decrease of 10 or more mm Hg&#10;D)A decrease in systolic blood pressure of 20 mm Hg

Accepted Answer

A decrease in systolic blood pressure of 20 mm Hg during exercise indicates a potential inability of the heart to adequately pump blood under the stress of exercise, which can be a sign of ischemia or other cardiovascular issues. This warrants immediate cessation of the exercise session to prevent harm to the patient.

Deck 13: Pta: Heart Disease