Deck 32: Individuals With Chronic Secondary Cardiovascular and Pulmonary Dysfunction

Question 1

Which of the following should be monitored when working with a patient with muscular dystrophy?

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

Answer 1

D
People with muscular dystrophy are at high risk for cardiovascular dysfunction.They should be closely hemodynamically monitored,including heart rate,rate pressure product,and rate of perceived exertion.

Question 2

Ankylosis spondylitis result in decreases in all of the following EXCEPT:

A) vital capacity.
B) total lung capacity.
C) inspiratory muscle function.
D) ventilatory capacity.

Answer 2

D
In patients with ankylosing spondylitis,ventilatory capacity is preserved given the respiratory muscles are not involved.

Question 3

All of the following are examples of musculoskeletal thoracic deformities that can affect breathing or coughing EXCEPT:

A) scoliosis.
B) rib fractures.
C) spondylolisthesis.
D) ankylosing spondylitis.

Answer 3

C
Spondylolisthesis typically affects the lumbar spine and has little secondary effect on the cardiovascular or pulmonary systems.

Question 4

Loss of calcium is associated with:

A) increased exercise.
B) alcohol consumption.
C) smoking.
D) pain.

Question 5

Stroke or hemiplegia has which of the following effects of the cardiovascular and pulmonary system?

A) Increases cardiac output
B) Decreases chest wall movement
C) Increases alveolar ventilation
D) Decreases residual volume

Question 6

The following aerobic exercise would be MOST appropriate for the patient with systemic lupus erythematous (SLE).

A) Running
B) Step aerobics
C) Biking
D) Plyometrics

Question 7

In the case of cerebral palsy (CP),which of the following would be the MOST appropriate education to provide parents?

A) The importance of assisting with changes in position
B) The necessity of ambulation at all cost
C) The possibly risks and signs of aspiration
D) a and c

Question 8

Cardiovascular and pulmonary manifestations of systemic lupus erythematous (SLE)are:

A) Atelectasis
B) Barrel chest and overcompliance
C) Pleuritis
D) Pulmonary hypertension

Question 9

Which of the following is TRUE regarding quadriplegia and cough?

A) Patients with quadriplegia do not need to cough.
B) Quadriplegia results in ineffective cough.
C) Postural drainage can improve cough.
D) The diaphragm will replace the intercostals in cough.

Question 10

You are treating a patient with multiple sclerosis (MS).Your patient presents with poor airway management and increased secretions.Which of the following would be the MOST appropriate treatment intervention to consider?

A) Body positioning and postural drainage
B) Maximal aerobic exercise in a warm environment
C) Regimented intensity and duration of strengthening exercises
D) Incentive spirometry

Question 11

Which of the following exercises at target heart rate would be MOST appropriate for aerobic conditioning with a patient with osteoporosis?

A) Weighted plyometrics
B) Biking
C) Swimming
D) Pilates

Question 12

All of the following would be considered diseases causing secondary cardiovascular and pulmonary dysfunction EXCEPT:

A) coronary artery disease.
B) chronic renal failure.
C) systemic lupus erythematous.
D) thoracic kyphosis.

Question 13

Which of the following is NOT typically seen in patients with cerebral palsy (CP)?

A) Hydrocephalus
B) Hyperreflexia
C) Spasticity
D) Musculoskeletal deformity

Question 14

All of the following are common clinical features of osteoporosis EXCEPT:

A) decreased height.
B) forward head posture.
C) increased tidal volumes.
D) vertebral pain.

Question 15

Which of the following is NOT a principle symptom of systemic lupus erythematous (SLE)?

A) Arthralgic stiffness
B) Myalgic stiffness
C) Fatigue
D) All of the above are symptoms

Question 16

All of the following are true about cardiovascular and pulmonary treatment of the patient with hemiplegia EXCEPT:

A) chest wall movements should be performed in all planes with rotation.
B) breathing control should be coupled with body movement.
C) significant periods of aerobic exercise should be performed.
D) exercise should be performed in the recumbent position to optimize cardiac output.

Question 17

Patients with scleroderma may present with esophageal involvement.All of the following would be precautions to take with these patients EXCEPT:

A) avoid recumbency.
B) do not have patients exercise immediately after a meal.
C) educate patient to have well-spaced larger meals.
D) all of the above are precautions.

Question 18

Patients with scleroderma are:

A) hypotonic.
B) hypermobile.
C) rigid.
D) fibrotic.

Question 19

Which of the following contributes to pulmonary compromise in a patient with Parkinson disease?

A) Spasticity
B) Chest wall rigidity
C) Hypotonicity
D) Hypervigilance

Question 20

The goal of physical therapy with the patient with muscular dystrophy is to:

A) provide ventilation for the patient.
B) strengthen the respiratory muscles.
C) provide therapy in the recumbent position.
D) provide long doses of exercise.