CARDIOPULMONARY NPTE
QUESTIONS WITH COMPLETE
SOLUTIONS
Which value is most representative of the partial pressure of oxygen in arterial blood?
a. 40 mm Hg
b. 55 mm Hg
c. 70 mm Hg
d. 85 mm Hg - Answer-D
Which heart structure is responsible for pumping blood into the aorta and the systemic
circulation?
a. left ventricle
b. right ventricle
c. left atria
d. right atria - Answer-A
Which area of the body is not supplied with blood from the ascending aorta?
a. head
b. neck
c. arms
d. visceral tissues - Answer-D
Which cardiac medication acts to decrease cardiac contractility and increase
vasodilation resulting in a reduction of the heart's oxygen demand?
a. antiarrhythmics
b. calcium channel blockers
c. angiotensin-converting enzyme inhibitors
d. antithrombotics - Answer-B
White blood cell count is not used in the assessement of:
a. bone marrow integrity
b. degree of immunosuppression
c. extrinsic coagulations factors
d. infection - Answer-C
Which diagnosis is characterized by pressure in the substernal area without radiating
pain?
a. emphysema
b. myocardial infarction
c. restrictive lung disease
,d. congestive heart failure - Answer-B
What cardiac measure would most closely approximate the volume associated with a
patient's venous return?
a. ejection fraction
b. blood volume
c. cardiac output
d. stroke volume - Answer-C
What artery can be palpated deep within the posterior aspect of the knee?
a. posterior tibial artery
b. popliteal artery
c. dorsalis pedis artery
d. fibular artery - Answer-B
Laboratory testing reveals that a patient has an extremely high platelet count. The
primary risk for the patient is:
a. thrombosis
b. bleeding
c. anemia
d. immunosuppression - Answer-A
A physical therapist observes an electrocardiogram of a patient on beta-blockers. Which
of the following electrocardiogram changes could be facilitated by beta blockers?
a. sinus bradycardia
b. sinus tachycardia
c. premature ventricular contractions
d. ST segment sagging - Answer-A
A physical therapist monitors a patient's vital signs while completing 20 minutes of
jogging at 5 mph on a treadmill. As the session approaches its conclusion, the therapist
incorporates a cool down period. The anticipated response during the post-exercise
period is:
a. a progressive increase in systolic blood pressure
b. a progressive decrease in systolic blood pressure
c. a progressive increase in diastolic blood pressure
d. a progressive increase in rate pressure product - Answer-B
3. A physical therapist determines that a 67-year-old female is at an increased fall risk
after being prescribed a new medication that tends to promote postural hypotension.
The mediation MOST consistent with the described scenario is:
a. ACE inhibitor
b. antiepileptic agents
c. anticoagulant agents
d. antispasticity agents - Answer-A
, 4. A patient treated in an acute care hospital one day ago is not able to attend a
scheduled physical therapy session due to suspected critical limb ischemia. Which
symptom is MOST commonly associated with this condition?
a. severe pain in the legs and feet at rest
b. increased temperature in the lower leg and foot
c. bounding lower extremity peripheral pulses
d. flaking skin on the legs with brownish discoloration - Answer-A
5. A physical therapist attempts to calculate the target heart rate range for a 40-year-old
female with no significant past medical history. The patient's resting heart rate is
recorded as 60 beats per minute and the maximal heart rate is 180 beats per minute.
Using the heart rate reserve method (Karvonen formula) and a range of 60%-80%
intensity, the patient's target heart rate range should be recorded as:
a. 96-120 bpm
b. 132-156 bpm
c. 144-174 bpm
d. 164-185 bpm - Answer-B
6. A patient exercising in the physical therapy gym informs the physical therapist that he
is experiencing chest pain. After resting for 20 minutes the patient's condition is
unchanged, however, he insists it is something he can work through. The MOST
appropriate therapist action is:
a. allow the patient to resume exercise and continue to monitor the patient's condition
b. reduce the intensity of the exercise and continue to monitor the patient's condition
c. discontinue the treatment session and encourage the patient to make an
appointment with his physician
d. discontinue the treatment session and call an ambulance - Answer-D
7. A patient with a lengthy medical history of cardiac pathology is referred to a phase II
cardiac rehabilitation program. During the first session the physical therapist prepares to
measure the patient's blood pressure by inflating the cuff 20 mm Hg above the patient's
estimated systolic value. Which of the following values describes the MOST appropriate
rate to release the pressure when obtaining the blood pressure measurement?
a. 2-3 mm Hg per second
b. 3-5 mm Hg per second
c. 5-7 mm Hg per second
d. 8-10 mm Hg per second - Answer-A
8. A physical therapist designs a training program for a patient without cardiovascular
pathology. The therapist calculates the patient's age-predicted maximal heart rate as
175 beats per minute. Which of the following would be an acceptable target heart rate
for the patient during cardiovascular exercise?
a. 93 beats per minute
b. 135 beats per minute
c. 169 beats per minute
d. 195 beats per minute - Answer-B
QUESTIONS WITH COMPLETE
SOLUTIONS
Which value is most representative of the partial pressure of oxygen in arterial blood?
a. 40 mm Hg
b. 55 mm Hg
c. 70 mm Hg
d. 85 mm Hg - Answer-D
Which heart structure is responsible for pumping blood into the aorta and the systemic
circulation?
a. left ventricle
b. right ventricle
c. left atria
d. right atria - Answer-A
Which area of the body is not supplied with blood from the ascending aorta?
a. head
b. neck
c. arms
d. visceral tissues - Answer-D
Which cardiac medication acts to decrease cardiac contractility and increase
vasodilation resulting in a reduction of the heart's oxygen demand?
a. antiarrhythmics
b. calcium channel blockers
c. angiotensin-converting enzyme inhibitors
d. antithrombotics - Answer-B
White blood cell count is not used in the assessement of:
a. bone marrow integrity
b. degree of immunosuppression
c. extrinsic coagulations factors
d. infection - Answer-C
Which diagnosis is characterized by pressure in the substernal area without radiating
pain?
a. emphysema
b. myocardial infarction
c. restrictive lung disease
,d. congestive heart failure - Answer-B
What cardiac measure would most closely approximate the volume associated with a
patient's venous return?
a. ejection fraction
b. blood volume
c. cardiac output
d. stroke volume - Answer-C
What artery can be palpated deep within the posterior aspect of the knee?
a. posterior tibial artery
b. popliteal artery
c. dorsalis pedis artery
d. fibular artery - Answer-B
Laboratory testing reveals that a patient has an extremely high platelet count. The
primary risk for the patient is:
a. thrombosis
b. bleeding
c. anemia
d. immunosuppression - Answer-A
A physical therapist observes an electrocardiogram of a patient on beta-blockers. Which
of the following electrocardiogram changes could be facilitated by beta blockers?
a. sinus bradycardia
b. sinus tachycardia
c. premature ventricular contractions
d. ST segment sagging - Answer-A
A physical therapist monitors a patient's vital signs while completing 20 minutes of
jogging at 5 mph on a treadmill. As the session approaches its conclusion, the therapist
incorporates a cool down period. The anticipated response during the post-exercise
period is:
a. a progressive increase in systolic blood pressure
b. a progressive decrease in systolic blood pressure
c. a progressive increase in diastolic blood pressure
d. a progressive increase in rate pressure product - Answer-B
3. A physical therapist determines that a 67-year-old female is at an increased fall risk
after being prescribed a new medication that tends to promote postural hypotension.
The mediation MOST consistent with the described scenario is:
a. ACE inhibitor
b. antiepileptic agents
c. anticoagulant agents
d. antispasticity agents - Answer-A
, 4. A patient treated in an acute care hospital one day ago is not able to attend a
scheduled physical therapy session due to suspected critical limb ischemia. Which
symptom is MOST commonly associated with this condition?
a. severe pain in the legs and feet at rest
b. increased temperature in the lower leg and foot
c. bounding lower extremity peripheral pulses
d. flaking skin on the legs with brownish discoloration - Answer-A
5. A physical therapist attempts to calculate the target heart rate range for a 40-year-old
female with no significant past medical history. The patient's resting heart rate is
recorded as 60 beats per minute and the maximal heart rate is 180 beats per minute.
Using the heart rate reserve method (Karvonen formula) and a range of 60%-80%
intensity, the patient's target heart rate range should be recorded as:
a. 96-120 bpm
b. 132-156 bpm
c. 144-174 bpm
d. 164-185 bpm - Answer-B
6. A patient exercising in the physical therapy gym informs the physical therapist that he
is experiencing chest pain. After resting for 20 minutes the patient's condition is
unchanged, however, he insists it is something he can work through. The MOST
appropriate therapist action is:
a. allow the patient to resume exercise and continue to monitor the patient's condition
b. reduce the intensity of the exercise and continue to monitor the patient's condition
c. discontinue the treatment session and encourage the patient to make an
appointment with his physician
d. discontinue the treatment session and call an ambulance - Answer-D
7. A patient with a lengthy medical history of cardiac pathology is referred to a phase II
cardiac rehabilitation program. During the first session the physical therapist prepares to
measure the patient's blood pressure by inflating the cuff 20 mm Hg above the patient's
estimated systolic value. Which of the following values describes the MOST appropriate
rate to release the pressure when obtaining the blood pressure measurement?
a. 2-3 mm Hg per second
b. 3-5 mm Hg per second
c. 5-7 mm Hg per second
d. 8-10 mm Hg per second - Answer-A
8. A physical therapist designs a training program for a patient without cardiovascular
pathology. The therapist calculates the patient's age-predicted maximal heart rate as
175 beats per minute. Which of the following would be an acceptable target heart rate
for the patient during cardiovascular exercise?
a. 93 beats per minute
b. 135 beats per minute
c. 169 beats per minute
d. 195 beats per minute - Answer-B
