AACVPR Chapter 4: Medical Evaluation
and Exercise Testing for Outpatient CR
UPDATED ACTUAL Questions and
CORRECT Answers
Why is it important to evaluate sternal stability especially after, a coronary artery bypass or
valvular surgery via median sternotomy? - CORRECT ANSWER -- it is important to
evaluate for sternal stability by identifying:
- any movement in the sternum, pain, clicking, popping
How long does it take for the sternal bone to heal post CAB or valvular surgery via median
sternotomy? - CORRECT ANSWER -- usually achieved by 8 weeks
what precentage of infection, nonunion, and instability occur? - CORRECT ANSWER --
2-5% of cases and are often predisposed by clinical factors such as diabetes mellitus, obesity,
immunosuppression, advanced age, and osteoporosis
What are the components of the Medical History? - CORRECT ANSWER -1. Medical
Diagnoses
2. Symptoms
3. Risk factors for atherosclerotic disease progression
4. Recent illness, hospitalization, or surgical procedure
5. Medication (both prescribed over the counter) dose and schedule, drug allergies
6. All supplements
7. Other habits
8. Physical activity history
9. Work history
10. Psychosocial history
, 1. Medical Diagnoses - CORRECT ANSWER -A variety of diagnoses should be reviewed,
including:
-CVD including existing CAD
-previous MI
-percutaneous intervention
-chronic systolic heart failure
-valvular disease
-cardiac surgery
-angina
-hypertension
-pulmonary disease: asthma, emphysema, and bronchitis
-cerebrovascular disease: including stroke or transient ischemic attack
-diabetes mellitus
-peripheral vascular disease
-anemia, phlebitis, or emboli
-cancer
-pregnancy
-musculoskeletal imbalances and neuromuscular and joint dis.
-osteoporosis
-emotional disorders
-eating disorders
2. Symptoms - CORRECT ANSWER --Angina pectoris
-discomfort (pressure, tingling, pain, heaviness, burning, numbness) in the chest, jaw, neck, or
arms
-atypical angina, such as light headiness, dizziness, or fainting
-shortness of breath
rapid heartbeats or palpitations, especially if associated w/ physical activity, eating a large meal,
emotional distress, or exposure to cold
and Exercise Testing for Outpatient CR
UPDATED ACTUAL Questions and
CORRECT Answers
Why is it important to evaluate sternal stability especially after, a coronary artery bypass or
valvular surgery via median sternotomy? - CORRECT ANSWER -- it is important to
evaluate for sternal stability by identifying:
- any movement in the sternum, pain, clicking, popping
How long does it take for the sternal bone to heal post CAB or valvular surgery via median
sternotomy? - CORRECT ANSWER -- usually achieved by 8 weeks
what precentage of infection, nonunion, and instability occur? - CORRECT ANSWER --
2-5% of cases and are often predisposed by clinical factors such as diabetes mellitus, obesity,
immunosuppression, advanced age, and osteoporosis
What are the components of the Medical History? - CORRECT ANSWER -1. Medical
Diagnoses
2. Symptoms
3. Risk factors for atherosclerotic disease progression
4. Recent illness, hospitalization, or surgical procedure
5. Medication (both prescribed over the counter) dose and schedule, drug allergies
6. All supplements
7. Other habits
8. Physical activity history
9. Work history
10. Psychosocial history
, 1. Medical Diagnoses - CORRECT ANSWER -A variety of diagnoses should be reviewed,
including:
-CVD including existing CAD
-previous MI
-percutaneous intervention
-chronic systolic heart failure
-valvular disease
-cardiac surgery
-angina
-hypertension
-pulmonary disease: asthma, emphysema, and bronchitis
-cerebrovascular disease: including stroke or transient ischemic attack
-diabetes mellitus
-peripheral vascular disease
-anemia, phlebitis, or emboli
-cancer
-pregnancy
-musculoskeletal imbalances and neuromuscular and joint dis.
-osteoporosis
-emotional disorders
-eating disorders
2. Symptoms - CORRECT ANSWER --Angina pectoris
-discomfort (pressure, tingling, pain, heaviness, burning, numbness) in the chest, jaw, neck, or
arms
-atypical angina, such as light headiness, dizziness, or fainting
-shortness of breath
rapid heartbeats or palpitations, especially if associated w/ physical activity, eating a large meal,
emotional distress, or exposure to cold
