Exam 55: Cardiopulmonary Rehabilitation

Which of the following is/are true about the flow-resistor breathing exerciser? 1) Exhaled gas flows unimpeded out a one-way valve. 2) Resistance is created by a variable-size orifice. 3) Imposed load varies with the rate of flow.

The physical reconditioning component of a pulmonary rehabilitation program usually includes which of the following? 1) Aerobic exercises for the extremities 2) Timed walking exercise 3) Ventilatory muscle training

Which of the following elements should be considered in most pulmonary rehabilitation programs? 1) Individual needs 2) Patient's education 3) Patient's personality 4) Patient's aptitudes

What is the term used to describe the restoration of individuals to the fullest possible medical, mental, emotional, social, and vocational potential?

Knowledge from the clinical sciences is used in pulmonary rehabilitation programming for mainly what purpose? 1) To quantify the extent of physiological impairment 2) To establish ways to improve the quality-of-life 3) To set expectations for reasonable outcomes

A small pulmonary rehabilitation program class size has which of the following beneficial effects? 1) It facilitates group interaction. 2) It allows for more individualized attention. 3) It helps to sustain participant motivation. 4) It reduces the likelihood of attrition.

Which of the following educational topics covered in a typical pulmonary rehabilitation program are most suitable for presentation by a respiratory care practitioner? 1) Methods of relaxation and stress management 2) Recreation and vocational counseling 3) Diaphragmatic and pursed-lip breathing techniques 4) Respiratory structure, function, and disease

Which of the following are legitimate ways to obtain reimbursement from third-party payers for pulmonary rehabilitation programs? 1) Charge sessions as physical therapy exercises for COPD patients 2) Charge sessions as office visits with therapeutic exercises 3) Charge sessions as physician office visits-intermediate

Which of the following exercises are useful for reconditioning the upper extremities of patients undergoing pulmonary rehabilitation? 1) Using a rowing machine 2) Using an arm ergometer 3) Pedaling a stationary bicycle 4) Using free hand weights

Which of the following would you not expect to observe after a chronic obstructive pulmonary disease (COPD) patient completes a sound pulmonary rehabilitation program?

What are some relative contraindications for cardiopulmonary exercise testing? 1) Severe pulmonary hypertension or cor pulmonale 2) Known electrolyte disturbances (e.g., hypokalemia) 3) SaO₂ or SpO₂ less than 85% breathing room air 4) Untreated or unstable asthma

Which of the following should be monitored during a cardiopulmonary exercise evaluation? 1) Respiratory rate 2) HbO₂ saturation 3) ECG and blood pressure 4) FEV₁ and FVC

The principal objectives of pulmonary rehabilitation include which of the following? 1) To control and alleviate the symptoms 2) To restore functional capabilities as much as possible 3) To improve quality-of-life

Which of the following health professionals would be best for conducting a pulmonary rehabilitation session on recreation and vocational counseling?

For which of the following patients would you recommend an open-ended format for a pulmonary rehabilitation program? 1) Those with scheduling difficulties 2) Those who require individual attention 3) Those who are self-directed

What is the level of involvement of the respiratory therapist in cardiac rehabilitation?

To deal with incidents of hypoxemia, dyspnea, or airway hyperreactivity during physical reconditioning activities, which of the following should be available in the rehabilitation area? 1) Intubation tray 2) Bronchodilator agents 3) Emergency oxygen

In preparing an outpatient for a cardiopulmonary stress test to be conducted the next day, which of the following instructions would you provide? 1) The patient should fast for at least 8 hr before testing. 2) The patient should wear loose-fitting clothing and sneakers. 3) The patient should stop all medications at once. 4) The patient should review the drugs with the physician.

A patient is being considered for participation in a pulmonary rehabilitation program. Which of the following test regimens would you recommend in order to ascertain the patient's cardiopulmonary status? 1) Cardiopulmonary exercise evaluation 2) Pulmonary function testing 3) Cardiac catheterization

Below what level of the predicted FEV₁/FVC are patients with irreversible airway obstruction considered good candidates for pulmonary rehabilitation?