DPT Cardiovascular & Pulmonary PT 3

Question 1

During a 6-Minute Walk Test (6MWT), which finding would indicate the test should be stopped immediately?

Accepted Answer

Patient develops chest pain rated 3/10 with diaphoresis

Answer

Heart rate reaches 70% of age-predicted maximum

Answer

Patient reports dyspnea rated 4/10 on modified Borg scale

Answer

SBP rises from 120 to 160 mmHg during walking

Question 2

What does a positive hepatojugular reflux test indicate in a patient being evaluated for right heart failure?

Accepted Answer

Elevated right-sided filling pressures and volume overload

Answer

Adequate right ventricular preload reserve

Answer

Left ventricular diastolic dysfunction only

Answer

Hepatic artery stenosis causing portal hypertension

Question 3

A patient with asthma uses a metered-dose inhaler (MDI) with a spacer. When should the bronchodilator ideally be administered before exercise?

Accepted Answer

15-30 minutes before exercise

Answer

Immediately before starting exercise (0-1 minute)

Answer

60-90 minutes before exercise

Answer

2 hours before exercise for maximum effect

Question 4

Which pulmonary rehabilitation outcome measure best assesses functional exercise capacity in patients with chronic lung disease?

Accepted Answer

Six-Minute Walk Test (6MWT)

Answer

Forced Vital Capacity (FVC)

Answer

Maximal Inspiratory Pressure (MIP)

Answer

Peak Expiratory Flow Rate (PEFR)

Question 5

A patient with peripheral artery disease (PAD) reports calf pain at 200 meters during ambulation that resolves with 2 minutes of rest. This describes which Fontaine classification?

Accepted Answer

Stage IIa — intermittent claudication after >200m

Answer

Stage I — asymptomatic

Answer

Stage IIb — intermittent claudication at <200m

Answer

Stage III — rest pain

Question 6

Which chest percussion finding is most consistent with a large pleural effusion on the right side?

Accepted Answer

Dullness to percussion over the right lower lobe

Answer

Hyperresonance over the right lower lobe

Answer

Tympany throughout the right hemithorax

Answer

Normal resonance throughout with diminished fremitus

Question 7

In cardiac rehabilitation Phase II, what is the recommended minimum frequency of supervised exercise sessions per week per AACVPR guidelines?

Accepted Answer

3 sessions per week

Answer

1 session per week

Answer

2 sessions per week

Answer

5 sessions per week