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

Barrel chest in COPD results from chronic air trapping that causes persistent lung hyperinflation, gradually reshaping the thorax.

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

Phase II cardiac rehab typically limits heart rate to 20-30 bpm above resting to ensure safe exercise progression.

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

The triad of sudden dyspnea, pleuritic chest pain, and hemoptysis following surgery is the classic presentation of pulmonary embolism.

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

Cheyne-Stokes respiration features a crescendo-decrescendo pattern of breathing depth with intermittent apneic periods.

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

Beck's triad of hypotension, JVD, and muffled heart sounds is the classic presentation of cardiac tamponade.

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