Font size
WorksheetsCardiac Rehab (week 10)
Total questions: 81
Worksheet time: 20hrs 35mins
The heart has ventricles and the atrium. Blood comes from the lungs and into the left atrium where it then reaches the ____, the big powerhouse that pumps it out to the rest of the body.
Right atrium
Right ventricle
Left ventricle
Left sinus node
The heart has to have blood supply to keep going. This blood supply is provided by the ______
Left atrium
Coronary arteries
All of the major veins
Supracava vein
Coronary arteries are divided into the ____ and _____ arteries
Up coronary artery and down coronary artery
Inside coronary artery and outside coronary artery
Left coronary artery and right coronary artery
Front coronary artery and back coronary artery
If there is damage to the _____, an inferior MI will occur. This is because the back inferior wall of the left ventricle is affected.
Lower coronary artery
Right coronary artery
Left coronary artery
Upper coronary artery
The ______ branches into the anterior descending branch and the circumflex branch.
Lower coronary artery
Right coronary artery
Left coronary artery
Upper coronary artery
Damage to the ______ leads to damage in the descending ventricle of the heart
Lower coronary artery
Left coronary artery
Right coronary artery
Upper coronary artery
An inferior MI causes damage to:
Front of left ventricle
Back left ventricle
Bottom left ventricle
Lateral wall of the heart
A lateral MI causes damage to
The lateral wall of the heart
Back left ventricle
Bottom left ventricle
Front of left ventricle
An anterior MI causes damage to:
Bottom left ventricle
Front of left ventricle
Lateral wall of the heart
Back left ventricle
____ is used to measure the electrical activity of the heart
EEG
EFG
EKG
EEC
The P Wave is the first part of an EKG. The P wave looks at_____
How the atrium is contracting
How the ventricles are contracting
How the arteries are pumping blood
How the veins are functioning
After the P-wave, the next component of the EKG is the QRS complex. The QRS complex looks at
How the ventricles are contracting
How the atrium is contracting
How the veins are functioning
How the arteries are pumping blood
After the QRS complex, the next stage of an EKG is the T part. This T-part indicates
The reflection of the heart
The repolarization of the heart
The refraction of the heart
The depolarization of the heart
True or False: A heart attack will change how an EKG appears
True
False
There are ___ types of heart attacks
2
5
6
90
Which of the following indicates the different types of heart attacks?
QRS
P
STEMI
Non-STEMI
In this kind of heart attack, all three layers of the heart are damaged. As a result, there is a new "Q" added to the EKG
P
RS
STEMI
Non-STEMI
In this kind of heart attack, there is no cardiac damage. As a result, it is not considered significant and usually results in no changes to the EKG.
STEMI
P
Non-STEMI
QRS
Before taking blood pressure, it is ideal to rest for _____
2 days
30 minutes
15 minutes
95 minutes
Normal blood pressure should be at or less than
120/80
160/50
90/75
185/95
A very common condition, _____ means that the heart pump is not as effective as it should be.
QRS complex
Congestive heart failure
Coronary artery disease
STEMI
Congestive heart failure is caused by
Too much exercise
Coronary artery disease
Being underweight
Kidney stones
Signs and symptoms of congestive heart failure include
Excess fluid (edema)
Sudden weight gain
Fatigue and shortness of breath
Swelling in ankles and feet
Persistent dry hacking cough
Elevated _____ are a tell-tale sign that a patient has experienced a MI
Temperatures
Enzymes
Blood pressures
Heart rates
Patients will have blood drawn to measure their _____ levels and _____ levels. This is done to see whether a MI has occured, and how severe it was.
Liver
Troponin
Dopamine
CPK
After a heart attack, _____ proteins rise within 3-6 hours and stay elevated for up to 14 days.
Troponin
CPK
BNP
Pro-BNP
One of the enzymes used to measure the presence of a heart attack, _____ shows up within 6 hours, and peaks within 24 hours
Troponin
CPK
BNP
Pro-BNP
Which of the following neurohormones are used to diagnose congestive heart failure?
BNP and Pro-BNP
Troponin
CPK
Dopamine
Conducted before and after a treadmill test, a ______ is performed to see how hard the body is pumping blood.
Troponin-Activator Test
Stress Echocardiogram (ECHO)
BNP
Pro-BNP
A score of 60% of better on an ECHO indicates
Normal heart functioning
Mildly impaired heart functioning
Moderately impaired heart functioning
Significantly impaired heart functioning
A score of 50%-59% on the ECHO indicates
Normal heart
The heart is mildly impaired
The heart is moderately impaired
The heart is significantly impaired
A score of 40 % or less on the ECHO indicates
Normal heart
The heart is mildly impaired
The heart is moderately impaired
The heart is significantly impaired
This kind of test allows doctors to see how hard the heart is pumping during activities by pumping an injection (of a radioactive isotope) into the heart after use of a treadmill
BNP
Nuclear stress test
Stress Echocardiogram (ECHO)
Transesophageal Echo
A ____ is the most definitive test for coronary artery disease. It involves the use of a catheter and a dye.
Blood test
Coronary angiography
Stress Echocardiogram (ECHO)
Nuclear Stress Test
Performed by probing the esophagus, the ____ can evaluate cardiac structures, valves, tumors, atrial septal defects, congenital abnormalities
Blood test
Stress Echocardiograph (ECHO)
Nuclear stress test
Transesophageal Echo
The coronary angiography is inserted into the _____ and is pushed up to the coronaries of the heart. A stent or "roto rooter" can accompany it to cut plaque, and leave the stent in.
Middle cerebral artery
Tibial artery
Femoral artery
Brachial artery
_____ are diseases of the heart muscle. There are 3 known types.
Cardiobrachial
Cardiomyopathy
Cardiographs
Cardioencephalic
One form of cardiomyopathy, the _____ type is due to an enlarged left ventricle. It is the most common type of cardiomyopathy.
Plain
Dilated
Hypertrophic
Restrictive
One type of cardiomyopathy, the ____ type is due to abnormal thickening of heart muscle. It can develop at any age, but is more severe if it occurs during childhood.
Dilated
Restrictive
Mediated
Hypertrophic
Which of the following can cause dilated cardiomyopathy?
Bacteria
Viruses
Coronary artery disease
MI
One type of cardiomyopathy, the ____ type occurs when the heart muscle is rigid and less elastic. It can't expand very well to get good pump contraction, leading to lowered heart functioning.
Refund
Restrictive
Dilated
Hypertrophic
Causes of restrictive cardiomyopathy include
Diabetes
Idiopathic (random, unknown) causes
Excess iron built up in heart muscle
Dehydration
____ is the first choice is cardiac interventions. It helps open up ventricles to allow blood to get through.
Artherectomy
Nitroglycerin
Angioplasty
Open Heart Surgery
Also known as a percutaneous coronary intervention, the _____ is done by entering the femoral vein and unclogging whatever can be unclogged from there.
Nitroglycerin
Angioplasty
Artherectomy
Open Heart Surgery
Often performed with an angioplasty, an _____ involves the use of a rotated blade that cuts out plaque. It is usually followed immediately by a placement of a stent to keep the artery open.
Nitroglycerin
CABG
Arthrectomy
Open Heart Surgery
True or False: There are usually better outcomes when stents are placed than in cases when they are not.
True
False
Usually done as a last resort, _____ is done to replace heart vessels and valves. (It is appreviated as "CABG)
Open Heart Surgery
Arthrectomy
Angioplasty
Nitroglycerin
____ are objective measurements that are seen or read by another person.
Signs
Symptoms
Objects
Glances
____ can only be described by the person feeling them
Signs
Symptoms
Glances
Hints
Examples of vital signs include
Heart Rate
Blood pressure
Respiration rate
Feelings of pain, pressure, or dizziness
"Patient is itchy" is an example of
Sign
Symptom
"Patient scratches his/her arm" is an example of
Sign
Symptom
"Patient is nauseated" is a
Sign
Symptom
"Patient throws up on the floor" is
A sign
A symptom
OT's role in cardiac rehabilitation include
Modifying ADLs
Psychosocial adjustment
Improving functional activity tolerance
Education & energy conservation techniques
Gait training
As part of a patient's sternal precautions, it is not recommend that they bend, twist, or lift anything more than ____ to ____ pounds for 6 to 12 weeks.
50 to 55
8 to 10
1 to 2
15 to 20
As part of a patient's sternal precautions, they should not use their _____ when getting in and out of bed or up and down from a chair.
Legs
Fingers
Trunk
Arms
Which of the following is true about a patient's sternal precautions?
No one sided pulling
No bending, lifting, or twisting
No MMT, or overhead ROM. (Don't bring elbows above shoulders)
No sexual activity for at least 6 weeks to 8 weeks.
Hugging a pillow is recommended when coughing, for pain, and to re-learn how to hold onto to things
True or False: Everyday that a person is in bed, their muscles continue to atrophy.
True
False
Cardiac rehabilitation in in-patient begins within _______
7 to 14 days
72-120 hours
24-48 hours
5 to 10 days
Which of the following are specifically monitored during cardiac rehabilitation?
Symptoms
Exercise EKG
BP
Heart Rate
Color of patient's distal extremities
When a patient is discharged from cardiac rehabilitation, they are provided with a home program. Which of the following are elements of the home program?
Activity and exercise guidelines
Work simplification
Pacing
Signs/symptoms of exercise intolerance
Sexuality
Which of the following is our maximum heart rate?
350
220
180
200
Which of the following is the equation to find our maximum age adjusted heart rate (MAHR)
350 - age
100- age
220-age
280 - age
Which of the following is the formula for exercise heart range?
1% - 10 % of MAHR (maximum age adjusted heart rate)
90 - 95% of MAHR (maximum age adjusted heart rate)
50 - 85% of MAHR (maximum age adjusted heart rate)
40 - 49% of MAHR (maximum age adjusted heart rate)
A measure of blood pressure, the ______ is the measurement of our workload or oxygen demand.
MAHR (maximum age adjusted heart rate)
EHR (Exercise heart range)
CPB (cardio pressure balance)
RPP (rate pressure product)
Which of the following is the formula to determine rate pressure product (RPP)?
50 - 85 % of 220
220 - age
BP x 220
HR x SBP (systolic blood pressure)
A person's blood pressure should rise at peak exertion and return to baseline after ____ to ___ minutes of rest.
1 to 2
15 to 20
30 to 45
5 to 10
The Borg Rating of Perceived Exertion Scale (RPE) uses a 6 to 20 scale. 6 means no exertion, while 20 means _____
Maximal exertion
Cardiac arrest
Minimal exertion
Moderate exertion
True or False: The BORG (Borg Rating of Perceived Exertion Scale or RPE) allows patients to know their own exertion while monitoring exercise tolerance.
True
False
True or False: If a patient indicates a score of 19 or 20 on the BERG, it indicates that he or she feels that they are about to pass out and cannot continue with exercise.
True
False
A unit of measure of metabolic equivalents, the _____ focuses on the amount of oxygen that the body needs to perform an activity.
RPMs
BORGs
METs
RPEs
The more the body moves and has to work against resistance, the _____ the MET level will be.
Less
Higher
Lower
Softer
A score of 6 to 11 on the Perceived Rate of exertion indicates very light activities, including which of the following?
Sleeping
Riding in a car
Reading a book
Anything that makes them short of breath
Sitting at a computer
Which of the following are primary symptoms of COPD?
Dysphagia
Cough
Dyspnea
Fatigue
Which of the following are activities that can be challenging to patients with COPD?
Eating
Basic ADLs
Leisure Activities
Sleeping
When we ____, we have to hold our breath. As a result, eating is really challenging for people with COPD. They are gasping for breath all the time. As a result, they need to work on strategies to improve their _____.
Chew
Swallow
Taste
Breathe
Improving functional endurance by teaching breathing techniques during ADLs is part of ______
Pulmonary rehabilitation
Cardiac rehabilitation
Muscular rehabilitation
Skeletal rehabilitation
Which of the following are components of pulmonary OT rehabilitation?
Work simplification
Energy conservation
Providing adaptive equipment for leisure and daily tasks
Stress management and relaxation techniques
UE strengthening to treat UE weakness caused by age, hypoxia and steroids
Sometimes, some patients try to use their ______ muscles for breathing. This is problematic because breathing like this does not let their upper arms to be available for functional use
Scapula muscles
Clavicle muscles
Shoulder girdle muscles
Trapezius muscles
Which of the following are some breathing techniques for someone with COPD?
Postures to control dyspnea
Pursed lip breathing
Diaphragmatic breathing active expiration
Relaxation
Mental practice (progressive muscle relaxation)
