Deck 32: Intervention for Cardiovascular and Pulmonary Impairments in Neurological Populations

Question 1

Mr.P has a history of Parkinson disease.Which of the following recommendations would be most appropriate for prescribing exercise for this patient?

A)Schedule all training sessions for first thing in the morning when circadian body temperature is lowest.All training sessions should be a minimum of 30 minutes.
B)Work with patient to time training sessions around medication schedule.Goal of training session should be 20 minutes in training target zone with 5 minute warm-up and 5 minute cooldown.
C)Schedule all training sessions in the afternoon when patients will be most awake.All sessions should be delivered in 2 minute bouts for a total of 12 minutes.
D)Schedule all training sessions for first thing in the morning when circadian body temperature is lowest.All training sessions should be 20 minutes with 5 minute warm-up and 5-minute cooldown.

Answer 1

B

Question 2

Mr.Y has demonstrated reduced exercise capacity when compared to his normative peers.You know that this means:

A)He is likely to function independently
B)He uses only a small fraction of the reserve capacity of the cardiovascular and respiratory systems during physical activity
C)He uses a large portion of the reserve capacity of the cardiovascular and respiratory systems during physical activity
D)He has a decreased risk of future vascular events

Answer 2

C

Question 3

Aerobic training can affect neural function in which of the following ways?

A)Increase levels of brain-derived neurotrophic factors (BDNF) and other growth factors to promote neuroplasticity
B)Decrease levels of BDNF and other growth factors to promote neuroplasticity
C)Modulate activity-dependent neurotrophic factors (ADNF) and other growth factors to promote neuroplasticity
D)Increase levels of ADNF and other growth factors to promote neuroplasticity

Answer 3

A

Question 4

Mr.F has a history of stroke.Which of the following would be least likely to contribute to poor cardiorespiratory performance?

A)Disruption of the cardiovascular center in the medulla oblongata
B)Sedentary lifestyle with lack of weight bearing activities
C)Reduced blood flow to working muscles
D)Shifts in muscle phenotype from type II to type I fibers

Question 5

Populations with neurological impairments frequently use submaximal tests of cardiopulmonary endurance.Which of the following reasons is NOT associated with the use of a submaximal test?

A)Tests are more readily available
B)Administration is less expensive
C)Patients are subjected to lower risk of adverse events
D)Considered the gold standard for fitness tests

Question 6

You are treating a patient with a diagnosis of multiple sclerosis.Which of the following values would be most indicative of deconditioning?

A)Very low VO₂ peak values with exercise
B)Marked increase in systolic blood pressure with exercise
C)Marked Increase in heart rate with exercise
D)Plateau in stroke volume early in exercise

Question 7

Mr.Y had an anoxic brain injury 5 years ago.He presents to an outpatient clinic with complaint of excessive fatigue during ambulation and during functional activities.You determine that he would benefit from improved cardiovascular fitness.Which of the following would be the most appropriate strategy to improve adherence to a cardiovascular fitness program?

A)Ask the patient to identify activities that are meaningful and involve the family in the treatment regimen
B)Ask the patient to identify activities that are meaningful and begin workouts at a high intensity five days a week
C)Involve the family in the treatment regimen and set up treatment times sporadically
D)Include an activity monitor for home use and begin workouts at a high intensity 5 days a week

Question 8

In a patient with a C7 spinal cord injury,which of the following would be the least appropriate test to use when determining exercise intensity?

A)Rating of Perceived Exertion
B)Talk Test
C)Count Talk Test
D)Maximum heart rate

Question 9

You are treating a patient who has a history of cerebrovascular accident and a diagnosis of metabolic syndrome.Which of the following is true regarding risk factors for this patient?

A)This patient has a decreased rate of atherosclerotic development.
B)The occurrence of metabolic syndrome in the setting of neurological populations is low
C)This patient is at an increased risk for a future vascular event.
D)This patient is likely to have a higher than normal VO₂ peak.

Question 10

Mrs.T has a diagnosis of traumatic brain injury.You would like to begin a cardiopulmonary fitness program and want to perform a fitness test.Which of the following is the most appropriate?

A)Perform a pre-training screen,include a 3-5 minute warm-up and cool down,monitor blood pressure before,during,and after testing.
B)Begin with a 3-5 minute warm-up,monitor blood pressure after testing,and include an active warm-up and a 3-5 minute cool down.
C)Perform a pre-training screen;include a 3-5 minute warm-up,monitor blood pressure before and after testing.
D)Begin with a 3-5 minute warm-up,monitor blood pressure before during,and after testing,include a 3-5 minute cool down.