WorksheetsWeek 4 2.3
Total questions: 59
Worksheet time: 32mins
If someone has class IV heart failure, what is their mortality percentage in 12 months?
75%
20%
65%
85%
What MET capacity does class 2 heart failure have?
<6
4-6
3-4
<3
What are the symptoms of class III heart failure?
Any physical activity brings discomfort
Symptoms occur @ rest
No limitations experienced in activity
Slight mild limitation of activity
Comfortable @ rest
Marked limitation of any activity
Patient only comfortable @ rest
What does MET stand for ?
Metabolism Efficient Tasks
Metabolic Equivalent Tasks
More Exercise Tasks
Metabolic Efficient Tasks
What MET is gardening?
1
2
3
4
What is the purpose of losing weight for Cardiac patients?
Decrease joint load
Decrease cardiac load
Increase Musculoskeletal load
Increase cardiac load
What medication can decrease afterload?
Ace inhibitors
Diuretics
Digitalis
Heart transplant
What medication can decrease pre load?
Ace inhibitors
Diuretics
Digitalis
Heart Transplant
What is the recommendation for endurance training of cardiac patients?
80-90% V02 max
40-65% V02 max
25-45% V02 max
40-50% V02 max
How should a cardiac patient do interval training?
4x5 min 80-90% V02 max
3x3 min 80-90% VO2 max
4x4 min 80-90% V02 max
4x4 min 60-80% V02 max
What does TTE stand for?
Trans Thoracic Echocardiography
Total Thoracic Echocardiography
Trans Thoracic Efficiency
Total Thoracic Efficiency
What is the function of Calcium channel blockers?
Reduce blood clotting
Relax muscle and dilate blood vessels
Protect vessel walls
Reduce HR and BP
What is the function of nitro-glycerine?
Remove excess waters
Dilate blood vessels
Increase HR
Decrease HR
What is the role of the physio Pre Op?
ACBT
IMT
Mobilize
Inform
What are the physical goals of cardiac rehab?
Optimize exercise capacity
Deal with anxiety and depression
Develop and maintain active lifestyle
Provide support
What does PEP stand for ?
Physical Exercise Poll
Psycho Educational Prevention
Physical Exercise Prevention
Psycho Exercise Programme
When does an exercise programme start for a cardiac patient?
6 weeks after registration
2 weeks after registration
4 weeks after registration
8 weeks after registration
What is the Steep Ramp Test?
Maximal exercise test
Submaximal exercise test
A skateboard test
BMX training
The Steep Ramp Test is a symptom limited test
True
False
When doing HIIT training with a cardiac patient , where should they be on the BORG scale?
10-11
12-14
13-15
18-20
When starting strength training with a cardiac patient, where should you start?
20-30% 1RM
30-40% 1RM
40-50% 1RM
50-60% 1RM
According to NIVEL 2019, how many people suffer with COPD?
1 million
1.8 million
950 000
600 000
What happens during asthmatic bronchitis?
Swelling of airway and contraction of smooth muscle
Swelling of airway and relaxation of smooth muscle
Swelling of airway and contraction of diaphragm muscle
Swelling of stomach and contraction of smooth muscle
What happens during a collapse of airways?
Hypersecretion of mucus
Loss of parenchyma
Changes intrapleural pressure
Push one of epi
What is floppy lung?
Loss of alveolar attachments
Increase mucus production
Decrease of elastic recoil
Increase of elastic recoil
According to GOLD, what % of a patients predicted FEV1 is classes as moderate
<80%
<30%
30-50%
50-80%
What percentage of smokers develop COPD?
100%
80%
50-75%
40-50%
What is another word for hyperinflation?
Loss of air
Air trapping
Air flow
IBS
What is cor pulmonale?
Increase of resistance in pulmonary arteries
Loss of capillaries
Causes right side heart failure
Pulmonary veins
What is atelectasis?
Functional alveoli capacity
Hyperinflation
Collapse of alveoli behind obstruction
Atopic reactions
What causes hypercapnia?
High PCO2
Low PCO2
Flattened diaphragm
Collapse of alveoli
What is atopy?
Predisposition to develop specific antibodies (ADH)
Pregnancy
Predisposition to develop specific antibodies (lgE)
Non allergic reaction
What should we do when exams finish?
Drown our sorrows
Fly somewhere hot
Drop out of physio and start a goat farm
Smoke a chronic amount of weed
What does histamine do during an atopic reaction?
Constriction of bronchioles
Relaxation of bronchioles
Crying
Crying some more
When is the lowest peak flow for an asthma patient?
Afternoon
Morning
Night
During sleep
What is silent chest?
Absent wheezing
Bronchi very dilated
Respiratory distress
Chronic wheezing
Which of these is NOT a restrictive disease?
Lung fibrosis
Bronchitis
Lung disease
Kyphoscoliosis
Which of these are the sub domains of disease burden?
Complaints and limitation
Frequency of exacerbations
Nutritional status
Degree of airway obstruction
When is their increased disease burden?
<1 subdomain abnormal
<2 subdomain abnormal
<3 subdomain abnormal
no subdomain abnormal
What is vital capacity?
Max amount of air moved in and out of lungs
Volume of air remaining in lungs after max expiration
Areas where gas exchange cannot take place
TTL
What is residual volume?
Max amount of air moved in and out of lungs
Volume of air remaining in lungs after max expiration
Areas where gas exchange cannot take place
TTL
What percentile does abnormal lung function fall into?
10th
12th
5th
20th
What is the disadvantage of a fixed FEV1/FVC ratio?
Underdiagnosis of elderly
Overdiagnosis of eldery
Overdiagnosis of under 50
Underdiagnosis of under 50
What shows a marked decrease in arterial oxygen pressure?
Pa02 < 60 mmhg
Pa02 > 60 mmhg
Pa02 > 45 mmhg
Pa02 < 45 mmhg
What causes an increase in speed and depth of ventilation?
increase in pH
decrease in pH
increase in ADH
decrease in ADH
What does stiffness of the thorax affect?
Breathing techniques
Work of breathing
Quadriceps strength
IBS
What is the innervation of the diaphragm?
Brachial nerve
Bronchiole nerve
Phrenic nerve
Diaphragmatic nerve
What is the shape of the diaphragm when it is relaxed?
Straight line
Triangle
Square
Dome
Where is there no gas exchange?
Anatomical dead space
My dead space
Myspace
Toes
What is the pleurae ?
Periteal and visceral membrane surrounding lung and connecting to inner side of chest
Periteal and visceral membrane surrounding stomach and connecting to inner side of chest
Periteal and visceral membrane surrounding lung and connecting to inner side of stomach
Periteal and visceral membrane surrounding mouth and connecting to inner side of nose
During inspiration what happens?
Chest expands to increase volume
Thorax moves outwards and lungs inwards
Pressure increase
Diaphragm rises
Where does the visceral pleura innervate?
Intercostalis nerve
Nervus phrenicus
plexus pulmonalis
nervus brachialis
The visceral pleura is sensitive to pain
True
False
Where is the hilum of the lung located?
Posterior side of lung
Anterior side of lung
Medial side of lung
Lateral side of lung
What carries oxygenated blood to all lung tissue except alveoli?
Superior vena cava
pulmonary artery
bronchial artery
aorta
What happens during gas exchange?
Basal membrane of vein and alveoli fuse together
Basal membrane of capillary and alveoli fuse together
Basal membrane of artery and alveoli fuse together
Topal membrane of capillary and alveoli fuse together
What does a type 2 alveoli cell do ?
Secrete ADH
Secrete pulmonary surfactant
Secrete bile
Secrete saliva
What should the ration of ventilation (V) to perfusion (Q)
0.9
1
1.1
0.8
How much surface do alveoli cover?
50-100 mm2
50-100 cm2
50-100 m2
