Deck 31: Individuals With Chronic Primary Cardiovascular and Pulmonary Dysfunction

Question 1

Valve dysfunction is:

A) congenital or acquired.
B) a consequence of rheumatic fever.
C) caused by calcification of the valves.
D) all of the above.

Answer 1

D
Valve dysfunction can be congenital or acquired,a consequence of rheumatic fever,and caused by calcification of the valve over time.

Question 2

Where are primary lung tumors typically found?

A) Near the carina
B) In the posterior lower lobes
C) In the upper lobes
D) In the trachea

Answer 2

A
Bronchogenic carcinomas are usually centrally located and involve bronchial obstruction.

Question 3

The hallmark sign of peripheral arterial disease is:

A) claudication.
B) angina.
C) confusion.
D) back pain.

Answer 3

A
A patient with peripheral arterial disease lacks oxygenated blood flow to the extremities.The hallmark sign for this is a cramping pain of the lower extremity,typically isolated to the calf muscle,called claudication.

Question 4

All of the following are typical symptoms of valve disease EXCEPT:

A) dyspnea.
B) fatigue.
C) fluid retention.
D) angina.

Question 5

The goal of physical therapy with a patient with valve dysfunction is to:

A) optimize oxygen transport.
B) decrease quality of life.
C) increase work of the heart.
D) provide long doses of exercise.

Question 6

All of the following are true regarding health-related quality of life in individuals with chronic heart failure EXCEPT:

A) it is associated with ejection fraction.
B) it is associated with function.
C) it is associated with exercise capacity.
D) it provides important nonphysiologic information.

Question 7

All of the following are common complications of diabetes mellitus type 2 EXCEPT:

A) accelerated atherosclerosis.
B) retinopathy.
C) decreased cough effectiveness.
D) neuropathy.

Question 8

Smoking contributes to:

A) decreased mucus production in the small airways.
B) increased elastic recoil of the lung.
C) decreased airway reactivity.
D) increased vascular changes in the lungs.

Question 9

The typical treatment for angina is:

A) heart transplant.
B) coronary artery bypass grafting.
C) valve reconstruction.
D) short-term antibiotics.

Question 10

Which of the diseases is MOST likely to directly contribute to the formation of peripheral arterial disease?

A) Diabetes mellitus
B) Coronary artery disease
C) Stroke
D) Myocardial infarction

Question 11

Which of the following is TRUE about antianginal medication?

A) It should be used before treatment sessions.
B) It should be used any time the patient becomes symptomatic during therapy.
C) It can cause a decrease in blood pressure.
D) All of the above

Question 12

Which of the following should be monitored when working with a patient with valve disease?

A) Rate pressure product
B) Rate of perceived exertion
C) Blood pressure
D) All of the above

Question 13

Which of the following is FALSE about coronary artery disease (CAD)?

A) CAD is associated with depression.
B) CAD is worsened by mental stress.
C) CAD is typically seen in people with type B personalities.
D) CAD is associated with increased morbidity.

Question 14

You are treating a patient 3 days after myocardial infarction.The patient suddenly complains of being dizzy,short of breath,and nauseous.Which of the following is the MOST likely cause of his symptoms?

A) Decreased blood pressure from pain medication
B) Increased anxiety from recent myocardial infarction
C) Tachycardia from recent myocardial infarction
D) Decreased cardiac output from changes in heart mechanics

Question 15

Bronchiectasis is:

A) characterized by dilation and anatomic distortion of the airways.
B) rarely a side effect of chronic lung infections.
C) associated with autoimmune diseases.
D) all of the above.

Question 16

Which of the following is NOT a principal external causative factor of chronic airflow limitation?

A) Inhaled irritants
B) Alcoholism
C) Allergens
D) Infections

Question 17

All of the following diagnoses typically fall under the umbrella of chronic airflow limitation EXCEPT:

A) asthma.
B) bronchiectasis.
C) chronic bronchitis.
D) emphysema.

Question 18

Angina is caused by:

A) valve dysfunction.
B) electrical dysfunction.
C) atherosclerosis.
D) bacterial infection.

Question 19

Severe cystic fibrosis is characterized by all of the above EXCEPT:

A) tenacious secretions.
B) right-sided heart failure.
C) pulmonary hypertension.
D) autoimmune destruction of cells.

Question 20

In which of the following lung diseases do increased pulmonary artery pressure and increased pulmonary vascular resistance lead to increased right ventricular work and hypertrophy?

A) Asthma
B) Upper respiratory infection
C) Interstitial lung disease
D) Bronchiectasis