Exam 55: Cardiopulmonary Rehabilitation

Under which of the following conditions would you recommend ending a cardiopulmonary exercise evaluation? 1) Electrocardiogram indicating sinus tachycardia 2) 10% fall from baseline oxyhemoglobin (HbO₂) saturation 3) Fall in systolic blood pressure of more than 20 mm Hg 4) Request from the patient to terminate the test

Minimum equipment requirements for the physical reconditioning component of a pulmonary rehabilitation program include which of the following? 1) Inspiratory resistive breathing devices 2) Rowing machines or upper extremity ergometers 3) Pulse oximeters (for pulse rate/SaO₂) 4) Stationary bicycles

Which of the following occur when the ventilatory threshold is exceeded during exercise? 1) Metabolism becomes anaerobic. 2) Energy production increases. 3) Fatigue increases.

During inspiratory resistive exercises, the desired load should be about what percentage of the maximum inspiratory pressure?

While you are assisting in a treadmill cardiopulmonary stress test procedure, the patient complains to you of severe shortness of breath and some chest pain. Which of the following actions would you recommend at this time?

Which of the following measures during cardiopulmonary exercise evaluation are most useful in differentiating between exercise intolerance of cardiac versus ventilatory origin? 1) Maximum heart rate 2) O_2max 3) PaCO₂ 4) PaO₂

Where are most cardiac rehabilitation programs conducted?

What government programs can serve as a source for reimbursement for pulmonary rehabilitation? 1) Prospective payment system (PPS) 2) Comprehensive outpatient rehabilitative facility (CORF) 3) Veterans Administration benefits 4) Civilian Health and Medical Programs of the Uniformed Services (CHAMPUS)

In which of the following ways does the body respond to increased levels of physical activity? 1) Decreased cardiac output 2) Increased minute ventilation 3) Neuroendocrine stimulation

To increase the likelihood that positive patient results are lasting, what must pulmonary rehabilitation programs provide?

What is the first step in evaluating patients for participation in a pulmonary rehabilitation program?

Which of the following outcome measures is considered a major predictor for improvement in a COPD patient's health-related quality-of-life?

Common goals shared by most pulmonary rehabilitation programs include which of the following? 1) Improvement in physical activity levels 2) Control of respiratory infections 3) Reduction in medical costs and hospitalizations 4) Family education, counseling, and support

Which of the following patients with irreversible airway obstruction are the best candidates for pulmonary rehabilitation?

Attrition in pulmonary rehabilitation programs is most associated with which of the following?

The O_2max at termination of exercise (as a percentage of the predicted) for five patients appears below. Which of these patients is the best candidate for pulmonary rehabilitation?

To maximize patient safety during cardiopulmonary stress testing, which of the following precautions would you recommend? 1) Immediate availability of a crash cart 2) Staff training in emergency life support 3) Presence of a physician throughout testing 4) Patient physical exam or ECG before testing

What are the overall goals of rehabilitation? 1) To reverse the course or progression of the disease process 2) To minimize the disability's impact on the individual or family 3) To maximize the functional ability of the individual

Which of the following are reasonable expectations for a pulmonary rehabilitation program? 1) Reduction in hospitalizations 2) Improvement in ambulation 3) Reversal of the disease process 4) Control of respiratory infections

What is the ideal class size for pulmonary rehabilitation programs?