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WorksheetsPulmonary, Cardiac, and Cancer Rehab 1
Total questions: 25
Worksheet time: 30mins
Your 56yo lymphoma patient in IPR is complaining of back pain. Her platelets are borderline low. Which NSAID has the lowest incidence of thrombocytopenia?
Naproxen
Ketorolac
Celecoxib
Meloxicam
Which primary malignant bone tumor is most common in children? (Younger than 20 years of age).
Ewing
Osteosarcoma
Chondrosarcoma
Fibrosarcoma
Which of the following regarding metastatic lesions to bone is false?
Lytic lesions are less prone to fracture than blastic lesions.
Majority of UE metastases involve the humerus.
Majority of LE metastases involve the hip and femur.
Bony metastatic pain is classically worse at night.
A 67yo M with prostate cancer, undergoes MRI T&L spine showing metastatic invasion of the pedicles of T8 and the laminae of T9. Angulation between these levels is 15 degrees. Is this unstable per Denis's 3 column model?
Yes, 2 columns are involved.
Yes, angulation is greater than 10 degrees.
No, the middle column is involved.
No, angulation is less than 20 degrees.
Following a mastectomy, therapy is setting up compression therapy with pumps for her lymphadema. Which of the following is not a contraindication to pumps?
Infection underlying the pump area.
Bilateral mastectomies.
Fluid above the level of the pump.
Hx of diastolic heart failure.
How long should a patient wait after a myocardial infarction before having sexual intercourse and what is the met level?
1 day, 1 met
1 week, 2-3 mets
2 weeks, 3-4 mets
6 weeks, 5-6 mets
Which of the following is an optimal target for exercise intensity?
Heart rate 70-85% of max
40-50% of VO2 max
Borg rating of perceived exertion 6
Borg rating of perceived exertion 18
Which of the following is true regarding a heterotopic heart transplant?
It is done in over 99% of all heart transplants
Donor left atrium is sutured to stump of four pulmonary veins of recipient
Superior and inferior venas cavae are sutured to recipient atrial cuff and great arteries anastomosed
The recipient heart is left in place to assist the donor heart
Which of the following physiologic responses after heart transplant is TRUE?
Higher peak exercise HR
Resting HTN is common
Resting HR is lower
Reaches peak HR faster
In a patient with previous cardiovascular event, what is the cutoff for starting high blood pressure medication?
120/70
130/80
140/90
150/80
What is the leading cause of death attributable to cardiovascular disease in the United States?
Coronary Heart Disease
Stroke
Heart Failure
High Blood Pressure
The immediate outpatient period of cardiac rehab that occurs following a hospital discharge is which phase of cardiac rehab?
Phase 1
Phase 2
Phase 3
Phase 4
The ability of the myocardium to increase its force of contraction in response to increased stretch (preload) is known as:
Frank-Starling relationship
VO2 Max
Fick equation
Metabolic equivalent
Which of the following is the correct way to perform cardiac stress test in patient with above knee amputation who is otherwise healthy?
Treadmill with prosthesis.
Arm ergometer
Pharmacologic stress test
Coronary angiography
Which of the following values represents the greatest chance for a diabetic foot wound to lead to amputation?
Ankle brachial index 1.2
Ankle brachial index 0.4
Transcutaneous pressure of O2 60mmHg
Transcutaneous pressure of O2 45mmHg
The 1996 Copenhagen Stroke Study compared strokes between people with Atrial Fibrillation and sinus rhythm. In regards to this study and patient’s with Atrial Fibrillation, which statement is true?
Worse neurological and functional outcomes
Improved neurological and functional outcomes
Similar length of hospital stays
Lower Mortality rates
A 56 y/o M suffers a STEMI. After revascularization and excellent cardiac rehabilitation, he is seeing you in the outpatient clinic. You determine that he is able to lift roughly 50lbs and tolerates carrying 25 lbs. What level of work should he be cleared to perform?
Light Work
Medium Work
Heavy Work
Very Heavy Work
What is the most common primary brain tumor in children less than 7 years old?
Glioma
Ependymoma
Cerebellar Astrocytoma
Medulloblastoma
A patient with a known thoracic spinal cord metastatic lesion presents with new lower extremity paresthesias. She underwent radiation therapy to the lesion 12 months ago and has not had any problems since radiation. 2 weeks ago she reports bilateral lower extremity numbness, and this weak she has noted some bowel incontinence as well as leg weakness. What is the most likely diagnosis?
Cauda Equina Syndrome
Induced Transient Myelopathy
New metastatic lesion
Delayed Radiation Myelopathy
A patient with history of cancer is presenting with lymphedema. She has swelling of bilateral feet and left arm. She notes it used to reverse with compression but it is no longer reversible. On exam, her skin is hardened and there are areas of skin breakdown. What grade of lymphedema is this?
Grade 4
Grade 2
Grade 3a
Grade 3b
Obstructive pulmonary disease results in increases to
vital capacity, FEV1, residual volume
residual volume, functional residual capacity, total lung capacity
inspiratory reserve volume, vital capacity, residual volume
residual volume, vital capacity, tidal volume
In restrictive lung disease, FEV1 is
Decreased
Unchanged
Increased
What intervention minimizes reduction of vital capacity in tetraplegic patients when they are sitting?
abdominal binder
supplemental oxygen
glossopharyngeal breathing
compression stockings
Which of the following is consistent with mild exercise limitation?
FEV1 < 1L
1L < FEV1 < 2L
2L < FEV1 < 3L
3L < FEV1 < 4L
Which of the following is NOT an accessory muscle of inspiration?
sternocleidomastoid
trapezius
pectoralis major
scalene
internal intercostals
