Question 1

What tool is available to assist the therapist in examining and quantifying dyspena?

Accepted Answer

A) The SF36 
B) Chest expansion measurements 
C) Visual analog scale 
D) Functional capacity measures 
A) The SF36 
B) Chest expansion measurements 
C) Visual analog scale 
D) Functional capacity measures C

Question 2

What could the therapist expect to see in a patient with cystic fibrosis?

Accepted Answer

A) Thin yellow bronchial secretions 
B) Cyanosis and digital clubbing 
C) Decreased chest diameter 
D) Atrophy of accessory muscles 
A) Thin yellow bronchial secretions 
B) Cyanosis and digital clubbing 
C) Decreased chest diameter 
D) Atrophy of accessory muscles B

Question 3

The therapist performs a graded exercise tolerance test by having the patient walk on a treadmill with gradually increasing exercise intensity.This is used to

Accepted Answer

A) determine the appropriate exercise prescription. 
B) evaluate the functional lung capacity of the patient. 
C) determine potential for improvement with exercise. 
D) evaluate efficiency of respiratory patterns. 
A) determine the appropriate exercise prescription. 
B) evaluate the functional lung capacity of the patient. 
C) determine potential for improvement with exercise. 
D) evaluate efficiency of respiratory patterns. A

Question 4

What is a passive method of secretion removal techniques?

Accepted Answer

A) Percussion 
B) Huffing 
C) Active cycle of breathing technique 
D) Deep breathing and coughing 
A) Percussion 
B) Huffing 
C) Active cycle of breathing technique 
D) Deep breathing and coughing

Question 5

What signs and symptoms could the therapist expect to see in a patient with COPD?

Accepted Answer

A) Chronic cough and inspiratory wheezing 
B) Cyanosis and barrel chest appearance 
C) Expiratory wheezing and decreased residual volume 
D) Increased functional residual capacity 
A) Chronic cough and inspiratory wheezing 
B) Cyanosis and barrel chest appearance 
C) Expiratory wheezing and decreased residual volume 
D) Increased functional residual capacity

Question 6

What is cystic fibrosis?

Accepted Answer

A) Episodic periods of airway narrowing secondary to bronchospasm of the airways 
B) A condition characterized by thickened pulmonary secretions that obstruct the airway 
C) A condition characterized by limited airflow as a result of airway inflammation 
D) A condition in which lung volume is reduced with decreased lung expansion 
A) Episodic periods of airway narrowing secondary to bronchospasm of the airways 
B) A condition characterized by thickened pulmonary secretions that obstruct the airway 
C) A condition characterized by limited airflow as a result of airway inflammation 
D) A condition in which lung volume is reduced with decreased lung expansion

Question 7

The patient presents with an episode of expiratory wheezing,dyspnea,and use of accessory muscles of ventilation.What is the most likely cause?

Accepted Answer

A) COPD 
B) Restrictive disease 
C) Cystic fibrosis 
D) Asthma 
A) COPD 
B) Restrictive disease 
C) Cystic fibrosis 
D) Asthma

Question 8

What type of aerobic exercise has been shown to be the most effective for patients with lung disease?

Accepted Answer

A) Walking on a treadmill at speeds >3.5 miles per hour 
B) Stepping exercises using a 12-in.step 
C) Swimming laps at a moderate to high intensity 
D) Combination of upper and lower extremity exercise 
A) Walking on a treadmill at speeds >3.5 miles per hour 
B) Stepping exercises using a 12-in.step 
C) Swimming laps at a moderate to high intensity 
D) Combination of upper and lower extremity exercise

Question 9

The patient is asked to maximally inspire and then forcibly exhale into a measuring device until the expiratory residual volume has been expired.What does this assess?

Accepted Answer

A) Functional residual capacity 
B) Total lung capacity 
C) Residual volume 
D) Forced vital capacity 
A) Functional residual capacity 
B) Total lung capacity 
C) Residual volume 
D) Forced vital capacity

Question 10

How does the active cycle of breathing technique help the patient remove secretions?

Accepted Answer

A) The therapist performs a suctioning technique that loosens and removes secretions. 
B) With the help of a therapist the secretions are loosened via positions and shaking. 
C) Through active breathing techniques,the patient moves secretions into larger airways. 
D) During a normal breathing cycle the patient forces an expiration to remove secretions. 
A) The therapist performs a suctioning technique that loosens and removes secretions. 
B) With the help of a therapist the secretions are loosened via positions and shaking. 
C) Through active breathing techniques,the patient moves secretions into larger airways. 
D) During a normal breathing cycle the patient forces an expiration to remove secretions.

Question 11

The patient has used steroids for chronic pulmonary disease over a long period.What are the potential side-effects of systemic steroid use?

Accepted Answer

A) Osteoporosis and muscle wasting 
B) Hearing loss and muscle wasting 
C) Tremors and high anxiety levels 
D) Nausea and low blood pressure 
A) Osteoporosis and muscle wasting 
B) Hearing loss and muscle wasting 
C) Tremors and high anxiety levels 
D) Nausea and low blood pressure

Question 12

What is the term for the amount of air inspired and expired during normal resting ventilation?

Accepted Answer

A) Tidal volume 
B) Total lung capacity 
C) Residual volume 
D) Vital capacity 
A) Tidal volume 
B) Total lung capacity 
C) Residual volume 
D) Vital capacity

Question 13

What is the importance of the measure of forced expiratory volume in 1 second?

Accepted Answer

A) It is a measure of the speed of expiration of total lung capacity. 
B) It determines the amount of the functional residual capacity. 
C) It is an airflow measure that reflects the status of the airways. 
D) It is the volume of air that is under voluntary control. 
A) It is a measure of the speed of expiration of total lung capacity. 
B) It determines the amount of the functional residual capacity. 
C) It is an airflow measure that reflects the status of the airways. 
D) It is the volume of air that is under voluntary control.

Question 14

What are the signs and symptoms of restrictive lung disease?

Accepted Answer

A) Excessive chest expansion 
B) Productive cough 
C) Dyspnea with fatigue 
D) Increased functional residual capacity 
A) Excessive chest expansion 
B) Productive cough 
C) Dyspnea with fatigue 
D) Increased functional residual capacity

Question 15

What is functional residual capacity?

Accepted Answer

A) Tidal volume plus expiratory reserve volume 
B) Tidal volume plus inspiratory reserve volume 
C) Residual volume plus expiratory reserve volume 
D) Residual volume plus inspiratory reserve volume 
A) Tidal volume plus expiratory reserve volume 
B) Tidal volume plus inspiratory reserve volume 
C) Residual volume plus expiratory reserve volume 
D) Residual volume plus inspiratory reserve volume

Question 16

What is asthma?

Accepted Answer

A) Episodic periods of airway narrowing secondary to bronchospasm of the airways 
B) A condition characterized by thickened pulmonary secretions that obstruct the airway 
C) A condition characterized by limited airflow as a result of airway inflammation 
D) A condition in which lung volume is reduced with decreased lung expansion 
A) Episodic periods of airway narrowing secondary to bronchospasm of the airways 
B) A condition characterized by thickened pulmonary secretions that obstruct the airway 
C) A condition characterized by limited airflow as a result of airway inflammation 
D) A condition in which lung volume is reduced with decreased lung expansion

Question 17

What type of patient would benefit from the use of positive expiratory pressure?

Accepted Answer

A) A patient whose airways close down with forced expiration. 
B) A patient whose airways close down with forced inspiration. 
C) A patient who requires assistance for breathing at rest. 
D) A patient who has severe shortness of breath during exercise. 
A) A patient whose airways close down with forced expiration. 
B) A patient whose airways close down with forced inspiration. 
C) A patient who requires assistance for breathing at rest. 
D) A patient who has severe shortness of breath during exercise.

Question 18

The patient required a rescue dose of a short-acting beta-2 agonist to facilitate bronchodilation.What might the therapist expect to see after using this medication?

Accepted Answer

A) Increased heart rate 
B) Decreased blood pressure 
C) Sense of relaxation 
D) Throat and mouth pain 
A) Increased heart rate 
B) Decreased blood pressure 
C) Sense of relaxation 
D) Throat and mouth pain

Question 19

What is one of the most important interventions for the treatment of COPD?

Accepted Answer

A) Use of pharmacological agents 
B) Radiation therapy 
C) Surgical interventions 
D) Smoking cessation programs 
A) Use of pharmacological agents 
B) Radiation therapy 
C) Surgical interventions 
D) Smoking cessation programs

Question 20

What occurs in the advanced stages of COPD?

Accepted Answer

A) The pulmonary capillary beds are destroyed. 
B) There is excess expiratory volume. 
C) Decreased carbon dioxide levels are found in the blood. 
D) Dilatation of the airways occurs during expiration. 
A) The pulmonary capillary beds are destroyed. 
B) There is excess expiratory volume. 
C) Decreased carbon dioxide levels are found in the blood. 
D) Dilatation of the airways occurs during expiration.

Exam 15: Chronic Pulmonary Dysfunction

What tool is available to assist the therapist in examining and quantifying dyspena?

What could the therapist expect to see in a patient with cystic fibrosis?

The therapist performs a graded exercise tolerance test by having the patient walk on a treadmill with gradually increasing exercise intensity.This is used to

What is a passive method of secretion removal techniques?

What signs and symptoms could the therapist expect to see in a patient with COPD?

What is cystic fibrosis?

The patient presents with an episode of expiratory wheezing,dyspnea,and use of accessory muscles of ventilation.What is the most likely cause?

What type of aerobic exercise has been shown to be the most effective for patients with lung disease?

The patient is asked to maximally inspire and then forcibly exhale into a measuring device until the expiratory residual volume has been expired.What does this assess?

How does the active cycle of breathing technique help the patient remove secretions?

The patient has used steroids for chronic pulmonary disease over a long period.What are the potential side-effects of systemic steroid use?

What is the term for the amount of air inspired and expired during normal resting ventilation?

What is the importance of the measure of forced expiratory volume in 1 second?

What are the signs and symptoms of restrictive lung disease?

What is functional residual capacity?

What is asthma?

What type of patient would benefit from the use of positive expiratory pressure?

The patient required a rescue dose of a short-acting beta-2 agonist to facilitate bronchodilation.What might the therapist expect to see after using this medication?

What is one of the most important interventions for the treatment of COPD?

What occurs in the advanced stages of COPD?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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