Cardiac, Vascular and Pulmonary System Quiz

A patient with chronic obstructive pulmonary disease is referred to pulmonary rehab. The patient asks
his physical therapist what is happening in his lungs that causes his barrel-chested appearance. What should
the physical therapist tell the patient?

During blood flow through the heart, where does the blood travel after being pumped out of the right ventricle?

A five-year-old boy is hospitalized due to pneumonia. He also shows signs and symptoms of digital
clubbing, crackles and wheezes upon auscultation of the lungs, chronic cough, frequent respiratory
infections, and thick mucus secretions. What systemic pathology is suspected?

A physical therapist receives a referral from a hospi-talized patient for airway clearance techniques.
What is one possible secondary effect or complication of percussion for airway clearance?

A physical therapist is asked to give a lecture to residents of a retirement community about the risks,
warning signs, and treatment of heart attacks. What are two signs or symptoms of a myocardial infarction on
which the physical therapist can educate this popu-lation?

A physical therapist evaluates a hospitalized patient following coronary artery bypass grafting (CABG).
The patient has bilateral edema in the lower extremi-ties. The physical therapist places pressure on the pretibial area for 10 seconds. There is an easily identified depression left in the patient's skin that takes less than
15 seconds to rebound. How is this properly rated on the pitting edema scale?

A physical therapist auscultates a patient's lungs. What breath sound is normally heard in a healthy person
without pulmonary dysfunction?

A patient is referred to physical therapy. The patient is hospitalized secondary to vascular pathology.
What medical test is MOST likely to be ordered by the physi-cian to examine arterial occlusion?

Right-sided heart failure is usually a result of what condition?

A physical therapist examines the medical record of a patient with known pulmonary dysfunction to see
what volume of air the patient normally inhales and exhales with each breath. What lung volume should the
physical therapist look for?

A physical therapist works in a phase III cardiac rehab program. The physical therapist should know that
the normal heart rate response to submaximal exercise is which of the following?

A patient is in the intensive care unit following a mas-sive myocardial infarction of the left coronary
artery. The left coronary artery splits into the circumflex artery and what other artery?

What is the primary (intrinsic) pacemaker of the heart?

A physical therapist is incorporating treadmill walk-ing for a 65-year-old patient in a cardiac
rehabilitation program. The physical therapist adjusts the intensity, duration, and frequency based on the
patient's signs and symptoms. Which of these signs or symptoms does NOT indicate exercise intolerance?

A physical therapist receives a referral for a 60-year-old patient who has had a recent heart transplant.
What does the physical therapist know about this patient's heart rate?