NPTE-PT FREE NPTE-PT Test Cardiovascular and Pulmonary PT Questions and Answers 2

Question 1

A patient with chronic obstructive pulmonary disease (COPD) demonstrates a barrel chest deformity. Which physiological change best explains this structural adaptation?

Accepted Answer

Chronic air trapping leading to hyperinflation of the lungs

Answer

Increased elastic recoil of the lung parenchyma

Answer

Hypertrophy of the diaphragm from increased workload

Answer

Calcification of the costal cartilages due to aging

Question 2

During phase II of cardiac rehabilitation, a patient's heart rate should generally not exceed what threshold above resting heart rate?

Accepted Answer

20-30 bpm above resting

Answer

40-50 bpm above resting

Answer

10-15 bpm above resting

Answer

60-70 bpm above resting

Question 3

A physical therapist is treating a patient who develops sudden onset dyspnea, pleuritic chest pain, and hemoptysis after a total knee arthroplasty. What condition should be most suspected?

Accepted Answer

Pulmonary embolism

Answer

Pneumothorax

Answer

Myocardial infarction

Answer

Acute bronchitis

Question 4

Which breathing pattern is characterized by progressively deeper breaths followed by progressively shallower breaths with periods of apnea?

Accepted Answer

Cheyne-Stokes respiration

Answer

Kussmaul breathing

Answer

Biot respiration

Answer

Apneustic breathing

Question 5

A patient presents with a blood pressure of 90/60 mmHg, jugular venous distension, and muffled heart sounds. Which condition does this triad indicate?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Aortic stenosis

Answer

Congestive heart failure

Question 6

What is the primary purpose of pursed-lip breathing in patients with emphysema?

Accepted Answer

To create back pressure that prevents premature airway collapse during exhalation

Answer

To increase the volume of air inhaled with each breath

Answer

To strengthen the accessory muscles of respiration

Answer

To reduce the respiratory rate by prolonging inhalation