NPTE – Cardiopulmonary Questions with
Complete Solutions
Which pts are resistive exercises contraindicated for? LV heart failure
ischemic changes on ECG during ETT
functional capacity <6 METs
uncontrolled HTN or arrythmias
The original Borg Scale spans what ranges? What value corresponds to 60% HRmax/"somewhat
hard"? 6-20
12-13
What is average conditiong time for moderate intensity workload? 20-30min
How frequently should someone working at a MET of 4 be exercising? Daily or multiple
daily
Following a PTCA, how long until the pt should begin exercise? 2 wks
,Following a CABG, what are exercise precautions? limit UE exercise during incision
healing
avoid lifting/pushing/pulling for 4-6 wks
Following MI what are PT goals? Return to I
Counteract effects of bed rest
Help w/ anxiety/depression
Initial Phase 1 Cardiac Rehab activities following MI would be at what MET? At d/c from
hospital what should METs be? Give an example of both. How much of an increase in HR
should there be? 2-3, walking 2mph
3-5, walking 3+mph
10-20 bpm (depending on meds)
Who is progressed more quickly, post-surgical or post-MI pts? post-surgical
What would be a Phase 1 HEP for d/c'ing a post-MI pt? 20-30min, 1-2 times/d, at 4-6wks
post-MI
, What would Phase 2 Cardiac Rehab goals for HEP be? 30-60min w/ warm-up and cool-
down
What are contraindications for inpt and OP Cardiac rehab? Unstable angina
Resting Systolic BP >200 or diastolic >110
Critical aortic stenosis
Systemic illness
dysrhythmias
uncontrolled sinus tach
uncompensated CHF
Complete heart block
pericarditis or myocarditis
embolism
thrombophlebitis
resting ST depression/elevation >2mm
uncontrolled DM
severe orthopedic problems
Complete Solutions
Which pts are resistive exercises contraindicated for? LV heart failure
ischemic changes on ECG during ETT
functional capacity <6 METs
uncontrolled HTN or arrythmias
The original Borg Scale spans what ranges? What value corresponds to 60% HRmax/"somewhat
hard"? 6-20
12-13
What is average conditiong time for moderate intensity workload? 20-30min
How frequently should someone working at a MET of 4 be exercising? Daily or multiple
daily
Following a PTCA, how long until the pt should begin exercise? 2 wks
,Following a CABG, what are exercise precautions? limit UE exercise during incision
healing
avoid lifting/pushing/pulling for 4-6 wks
Following MI what are PT goals? Return to I
Counteract effects of bed rest
Help w/ anxiety/depression
Initial Phase 1 Cardiac Rehab activities following MI would be at what MET? At d/c from
hospital what should METs be? Give an example of both. How much of an increase in HR
should there be? 2-3, walking 2mph
3-5, walking 3+mph
10-20 bpm (depending on meds)
Who is progressed more quickly, post-surgical or post-MI pts? post-surgical
What would be a Phase 1 HEP for d/c'ing a post-MI pt? 20-30min, 1-2 times/d, at 4-6wks
post-MI
, What would Phase 2 Cardiac Rehab goals for HEP be? 30-60min w/ warm-up and cool-
down
What are contraindications for inpt and OP Cardiac rehab? Unstable angina
Resting Systolic BP >200 or diastolic >110
Critical aortic stenosis
Systemic illness
dysrhythmias
uncontrolled sinus tach
uncompensated CHF
Complete heart block
pericarditis or myocarditis
embolism
thrombophlebitis
resting ST depression/elevation >2mm
uncontrolled DM
severe orthopedic problems
