ACTUAL Questions and CORRECT
Answers
How do you measure a MET? - CORRECT ANSWER -1 MET = 3.5ml/kg/min of oxygen
consumption
What is ventricular entropy? - CORRECT ANSWER -> 7 PVCs per minute
How is ejection fraction measured? - CORRECT ANSWER -measured by
echocardiography or cardiac catheterization
- is calculated by divine stroke volume (SV) by end-diastolic ventricular function
What is the EF at rest generally between? - CORRECT ANSWER -50-60%
What is a reduced EF? - CORRECT ANSWER -<50%
A reduced EF is associated with - CORRECT ANSWER -left ventricular systolic
dysfunction and my produce signs and symptoms of heart failure
An EF of < or equal to 35% represents - CORRECT ANSWER -significant left ventricular
dysfunction
What does rate pressure product reflect? - CORRECT ANSWER -myocardial demand
- particularly important in patients with myocardial ischemia as signs and symptoms of ischemia
generally occur at a consistent and reproducible RPP
, How do you estimate rate pressure product? - CORRECT ANSWER -RPP= (HR x
SBP)/100
What are normal ECG responses to exercise? - CORRECT ANSWER -- minor and
insignificant changes in p wave morphology
- superimposition of the p and t waves of successive beats
- increases in septal q wave amplitude
- slight actresses in r wave amplitude
- increases in t wave amplitude (although wide variability exists among subjects)
- minimal shortening of the qrs duration
- depression of the j point
- rate relates shortening of the qt interval
What are abnormal ECG responses to exercise? - CORRECT ANSWER -- st- segment
elevation
- st-segment depression
- st-segment normalization or absence of change
What is st- segment elevation? - CORRECT ANSWER -early repolarization
1. exercise induced
- displaying a precious q wave infarction my be indicative of a wall motion abnormality or
ventricular aneurysm
On a normal ECG, what does st- segment elevation indicate? - CORRECT ANSWER -
significant myocardial ischemia
ST- segment elevation indicates what when followed by evolution of significant q waves -
CORRECT ANSWER -myocardial injury