NPTE-PT FREE NPTE-PT Test Cardiovascular and Pulmonary PT Questions and Answers 3

Question 1

A patient with peripheral arterial disease reports calf pain that occurs after walking two blocks and is relieved by rest. What is the appropriate ankle-brachial index (ABI) classification for moderate disease?

Accepted Answer

0.50-0.79

Answer

An ABI of 0.50-0.79 indicates moderate peripheral arterial disease consistent with intermittent claudication symptoms.

Question 2

Which auscultation finding at the lung bases is most commonly associated with congestive heart failure?

Accepted Answer

Bilateral inspiratory crackles

Answer

Bilateral basilar crackles heard on inspiration indicate fluid accumulation in the alveoli, which is characteristic of congestive heart failure.

Question 3

A physical therapist monitors a patient on telemetry who develops a heart rhythm with no discernible P waves and irregularly irregular R-R intervals. What is the most likely arrhythmia?

Accepted Answer

Atrial fibrillation

Answer

Atrial fibrillation is characterized by the absence of organized P waves and an irregularly irregular ventricular rhythm.

Question 4

During incentive spirometry, the patient is instructed to achieve a slow, sustained maximal inspiration. What is the primary therapeutic goal of this technique?

Accepted Answer

To prevent or reverse atelectasis by maximizing alveolar inflation

Answer

Incentive spirometry promotes sustained maximal inspiration to inflate collapsed alveoli and prevent or treat atelectasis.

Question 5

Which of the following medications used in cardiac patients requires the physical therapist to monitor for orthostatic hypotension most closely?

Accepted Answer

ACE inhibitors

Answer

ACE inhibitors cause vasodilation and can significantly lower blood pressure, making orthostatic hypotension a primary concern during physical therapy.

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NPTE-PT FREE NPTE-PT Test Cardiovascular and Pulmonary PT Questions and Answers 3