Exam Excellence! (Graded A+)
A patient with a tracheostomy tube has been hospitalized for two days. During physical therapy, the
patient suddenly exhibits dyspnea, cyanosis of lips, and cramping of right calf muscle. What should
the therapist most likely suspect based on the symptoms?
A) heart failure
B) deep vein thrombosis
C) respiratory distress
D) pulmonary embolism - C) respiratory distress
Symptoms: dyspnea, SOB, cramping in calf muscles
A patient diagnosed with Chronic Obstructive Pulmonary Disease was tested for an arterial blood gas
analysis. After reviewing the patient's chart, the physical therapist is most likely to see which of the
following changes in the arterial blood gas results?
A) decreased PaCO2, increased PaO2, decreased pH
B) decreased PaCO2, decreased PaO2, increased pH
C) increased PaCO2, increased PaO2, increased pH
D) increased PaCO2, decreased PaO2, decreased pH - D) increased PaCO2, decreased PaO2,
decreased pH
COPD = trouble getting air out = accumulation of CO2 and decreased O2
A 23 yo health patient plans to start working out. The sympathetic nervous system would contribute
to which of the following responses to acute exercise?
A) increased peristalsis
B) increased HR
C) increased rate of breathing
D) skeletal muscle contraction - C) increased rate of breathing
, acute exercise: SNS causes increased RR
initial increased in HR is due to withdrawal of PNS, not stimulation of SNS
A patient is positioned in prone lying with the foot of the bed elevated to 18 inches, pillow placed
under hips, and receiving percussions. Which lobe of the lung is most likely being drained?
A) lower lobes posterior segments
B) lower lobes superior segments
C) upper lobes posterior segments
D) upper lobes anterior segments - A) lower lobes posterior segments
When increasing a patient's workload to 5 METs, the therapist notes that the ECG reads 1 unifocal
premature ventricular contraction. What should the therapist's immediate action be?
A) continue to exercise at same intensity
B) stop exercise because the patient is undergoing ischemia
C) keep exercising at a lower intensity, consultation with a physician is not required
D) stop exercise and consult with physician before starting any exercise - C) keep exercising at a lower
intensity, consultation with a physician is not required
single PVCs does not compromise CO if <7/minute, so patient can keep exercising at lower intensity
Which of the following sympathetic cardiovascular changes occurs in patients with long-standing
type 1 diabetes?
A) HR becomes fixed
B) higher resting HR
C) lower resting HR
D) exercise increases HR - A) HR becomes fixed
long term complication of type 1 DM is cardiac denervation syndrome = fixed HR