# Final - Cardiopulmonary Rehab

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• 1.

### You are working with a 54-year-old pt. who has just under gone a cardiac transplant. What should his target heart rate be (assuming you want it to be 70% of his max. heart rate)?

116.2
116
Explanation
220 - 54 = 166
70% of 166 = 116.2 or 116

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• 2.

### According to the Borg's Rate of Perceived Exertion Scale, what should be the goal in rehab?

• A.

8-10

• B.

11-13

• C.

14-16

• D.

17-19

B. 11-13
Explanation
According to the Borg's Rate of Perceived Exertion Scale, the goal in rehab should be to achieve a perceived exertion level of 11-13. This level indicates a moderate intensity of exercise, which is generally safe and effective for individuals in a rehabilitation program. It allows for a challenging workout without overexertion or excessive strain on the body, promoting gradual progress and improvement in physical fitness.

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• 3.

### The MET unit is dependent on body weight.

• A.

True

• B.

False

B. False
Explanation
The statement suggests that the MET unit is dependent on body weight. However, this is not true. The MET unit, which stands for Metabolic Equivalent of Task, is a measure of the energy expenditure during physical activity. It is not influenced by body weight but rather represents the ratio of the rate of energy expended during an activity to the rate of energy expended at rest. Therefore, the correct answer is False.

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• 4.

### The goal of treatment in a cardiopulmonary rehab program is: ____________ stroke volume and ___________  heart rate for same amount of work.

• A.

Increased, decreased

• B.

Increased, increased

• C.

Decreased, increased

• D.

Decreased, decreased

A. Increased, decreased
Explanation
The goal of treatment in a cardiopulmonary rehab program is to increase stroke volume and decrease heart rate for the same amount of work. This means that the heart should be able to pump more blood with each beat (increased stroke volume) and beat at a slower rate (decreased heart rate) while still maintaining the same level of exertion. This is beneficial for individuals with cardiopulmonary conditions as it improves the efficiency and effectiveness of the heart's pumping action, allowing for better oxygen delivery to the body's tissues.

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• 5.

### Maximal resistance is the highest resistance a person can tolerate for _______ reps.

10
ten
Explanation
The maximal resistance is the highest amount of resistance that a person can handle for a specific number of repetitions. In this case, the answer is 10 or ten, indicating that the person can tolerate the highest resistance for 10 reps.

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• 6.

### Bilateral abduction and external rotation of your UEs is the worst thing you can do while on sternal precautions.

• A.

True

• B.

False

A. True
Explanation
Bilateral abduction and external rotation of the upper extremities (UEs) refers to moving both arms away from the body and rotating them outward. This movement can put strain on the sternum, which is a part of the chest that is often surgically repaired and requires precautions during the healing process. Therefore, performing bilateral abduction and external rotation of the UEs while on sternal precautions can be harmful and is considered the worst thing to do. Hence, the statement "Bilateral abduction and external rotation of your UEs is the worst thing you can do while on sternal precautions" is true.

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• 7.

### In regards to sternal precations, there should be no lifting, pushing, or pulling great than 15 lbs.

• A.

True

• B.

False

B. False
Explanation
10 lbs.

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• 8.

### In regards to sternal precations, there should be no bilateral stretching of UEs.

• A.

True

• B.

False

A. True
Explanation
The statement is stating that there should be no bilateral stretching of the upper extremities (UEs) during sternal precautions. This means that both arms should not be stretched or moved simultaneously, as it may put strain on the sternum. This is important to prevent any potential damage or disruption to the healing process of the sternum after surgery or injury. Therefore, the correct answer is True.

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• 9.

### You notice a patient propelling his wheelchair with his arms. You know for a fact that he has recently undergone a CABG. Is he following the sternal precautions?

• A.

No, you should remind him of the precautions again

• B.

No, but... YOLO, am I right? ;D

• C.

Yes, as long as he does not go into hyperextension in his UEs.

• D.

Yes, as long as his heart rate does not increase more than 20 points.

A. No, you should remind him of the precautions again
Explanation
The correct answer is No, you should remind him of the precautions again. This is because after undergoing a CABG (coronary artery bypass graft), patients are advised to follow sternal precautions to protect their sternum and promote healing. One of the precautions is to avoid activities that involve excessive use of the arms, such as propelling a wheelchair with the arms. Therefore, the patient should be reminded of the precautions to ensure proper recovery.

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• 10.

### Are valsalva maneuvers recommended during isometric muscle contractions?

• A.

Yes

• B.

No

B. No
Explanation
They should be avoided.

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• 11.

### Your pt. is in phase 1 of cardiac rehab. The intensity of his activities should stay in the _______ METS range.

• A.

1-2

• B.

1-3

• C.

1-4

• D.

1-5

C. 1-4
Explanation
During phase 1 of cardiac rehab, the patient's activities should stay in the 1-4 METS range. METS stands for metabolic equivalents, which is a measure of the energy expenditure during physical activity. This range ensures that the intensity of the activities is appropriate for the patient's current cardiovascular condition and allows for gradual progression as their fitness improves. It is important to start with lower intensity activities and gradually increase as tolerated to promote a safe and effective recovery.

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• 12.

### In phase 1 cardiac rehab, therex should follow this philosophy: ____ weight and _____ repetitions

• A.

Low / high

• B.

High / low

• C.

Low / low

• D.

High / high

A. Low / high
Explanation
In phase 1 cardiac rehab, the philosophy of "low weight and high repetitions" is followed. This means that individuals should use lighter weights and perform a higher number of repetitions during their exercise routine. This approach helps to gradually build strength and endurance without putting excessive strain on the heart. It allows for a safe and controlled progression in the rehabilitation process, promoting cardiovascular health and overall fitness.

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• 13.

### Phase 2 of cardiac rehab is community based.

• A.

True

• B.

False

B. False
Explanation
Out-patient rehab. Phase 3 and 4 are community based.

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• 14.

### In Phase 3 and 4 of cardiac rehab, you want to deal with possible residual surgical complications.

• A.

True

• B.

False

A. True
Explanation
In Phase 3 and 4 of cardiac rehab, it is important to address any potential residual surgical complications. This is because these phases of rehab focus on gradually increasing physical activity and returning to normal daily routines after cardiac surgery. By addressing any complications that may arise from the surgery, such as infections or delayed wound healing, the patient can safely progress through the rehab program and optimize their recovery.

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• 15.

### The P wave in the PQRST complex indicates:

• A.

Depolarization of the atriums

• B.

Depolarization of the ventricles

• C.

Repolarization of ventricles

A. Depolarization of the atriums
Explanation
The P wave in the PQRST complex indicates the depolarization of the atriums. Depolarization refers to the electrical activation of the cells, causing them to contract. In the case of the heart, depolarization of the atriums initiates the contraction of the atrial muscles, which helps in pushing blood into the ventricles. This electrical activity is represented by the P wave on an electrocardiogram (ECG) and is an important marker for assessing the electrical conduction of the heart.

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• 16.

### The QRS wave in the PQRST complex indicates:

• A.

Depolarization of the atriums

• B.

Depolarization of the ventricles

• C.

Repolarization of ventricles

B. Depolarization of the ventricles
Explanation
The QRS wave in the PQRST complex indicates the depolarization of the ventricles. Depolarization refers to the electrical activation of the heart muscle, causing it to contract. The QRS wave represents the rapid depolarization of the ventricles, which leads to the contraction of these chambers and the pumping of blood out of the heart. This wave is typically larger and more pronounced than the other waves in the complex, reflecting the larger size and stronger contraction of the ventricles compared to the atria.

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• 17.

### The T wave in the PQRST complex indicates:

• A.

Depolarization of the atriums

• B.

Depolarization of the ventricles

• C.

Repolarization of ventricles

C. Repolarization of ventricles
Explanation
The T wave in the PQRST complex indicates the repolarization of the ventricles. During ventricular repolarization, the electrical activity in the heart returns to its resting state as the ventricles prepare for the next cardiac cycle. This is reflected as a small, rounded wave on an electrocardiogram (ECG) known as the T wave. It represents the recovery of the ventricles and is an important component in assessing the overall electrical activity of the heart.

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• 18.

### Which is more life threatening?: afib or vfib?

• A.

Afib

• B.

Vfib

• C.

Neither are dangerous. People can live with these conditions.

• D.

Both are extremely life threatening.

B. Vfib
Explanation
Both atrial fibrillation (afib) and ventricular fibrillation (vfib) are abnormal heart rhythms, but vfib is considered more life-threatening. In vfib, the ventricles of the heart quiver instead of pumping blood effectively, leading to a sudden loss of blood flow to vital organs. This can result in cardiac arrest and death if not treated immediately with CPR and defibrillation. On the other hand, while afib is a serious condition that increases the risk of stroke and heart failure, it is not typically immediately life-threatening like vfib.

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• Aug 19, 2023
Quiz Edited by
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• Dec 14, 2013
Quiz Created by
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