Exercise Testing Quiz

How many ECG leads should you watch while someone is exercising?

3

What is the correct definition of significant ST depression

>= 1mm depression at .08 sec past the J point

What is the benefit of a good skin preparation for electrode placement?

More stable ECG, less artifact

Which of the following is the definition of a true positive test?

Someone with CVD has a positive test

Which of the following is an absolute contraindication to exercise testing

all of the above

Who should have an exercise test with ECG only

all of the above

Which of the following is the gold standard for determining whether coronary artery disease exists?

coronary angiography

When a patient enters the recovery period, heart rate and blood pressure are the only measurement that are still needed

false

What is the current concern with using calcium score via CT scan as means for determining coronary artery disease

poor sensitivity and poor correlation with lesions

Which of the following allows you to see wall motion abnormalities

stress echocardiogram

Which of the following stress tests could be described as: Patient has "pictures" of the heart movement taken undergoes exercise on a treadmill to maximum, at fatigue, they immediately have a second set of "pictures" taken

stress echocardiogram

what is the optimal duration of an exercise test?

8-12 mins

Calculate the sensitivity and specificity 400 total patients 100 have CVD, out of these 100, 82 had positive test 300 do not have CVD, out of these 300, 60 had positive test

82% sensitivity, 80% specificity

Select all that apply: Which of the following is a potential reason for a false positive test?

All of the above

Which of the following is a potential reason for a false positive test?

All of the above

What information is NOT provided from a health screen or medical history

All of these are provided and important

Why should you NOT stop an exercise test at a percentage of age-predicted max heart rate

Because you may miss any ischemia that occurs at greater work rates

Which scale would be used for rating discomfort associated with pain in a limb while exercising?

Claudication

Which of the following would not be a responsibility of the clinical exercise physiologist who is trained to perform exercise training?

Determine the next step in treatment based on findings of the exercise test

What medication is commonly used for a pharmacological stress echo test?

Dobutamine

What is defined as "abnormally uncomfortable awareness of breathing"?

Dyspnea

Which of the following tests would not be appropriate if the resting ECG was abnormal?

Exercise stress test with ECG

A patient completing an exercise test for diagnostic purposes should continue all medications they are taking

False

You perform an exercise test on a patient. You record the following information: Peak HR: 185, one minute into recovery HR 170, two mins into recovery HR 146, three mins into recovery HR 138 True or false, the HR at min 2 is still too high?

False

If a patient with CVD has a negative test, what would it be called?

False negative

Which of the following is not a potential reason for a negative test?

Female patient

Which of the following is true

Holding handrails reducing metabolic costs of the work rate

Which of the following stress tests could be described as: Patient receives radioactive isotope, as a scan of the heart, has a vasodilator given with a second radioactive isotope, has a second scan

Lexiscan MPI

What is the name of the placement for electrodes when someone is exercising?

Masen-Likar

Does the following individual have CVD? a 40 year old male with chest pain and resting left ventricular hypertrophy undergoes a stress test with echocardiography. there is >1mm of ST depression on the ECG but the echo shows normal

No, ECG non diagnostic and Echo normal

Which of the following is/are major signs/symptoms of CVD or metabolic disease?

Palpitations Syncope Ankle edema Chest pain

Which of the following is NOT one of the six considerations for a good exercise protocol?

Patient preference

In regards to pre-test instructions, which of the following is false?

Patients should not eat within 24 hours of the test

Select all that apply: Which of the following would need to be included in a report of test results?

Peak work rate in METS Protocol chosen Rest, exercise, peak ECG's Peak HR and BP Test described as normal or abnormal Reason for test

Which of the following is NOT recommended that the exercise testing personnel knows

Phlebotomy

Select all that apply: which of the following is a relative contraindication to exercise testing

SBP >200 Mental impairment Tachycardia

Who should have an exercise test with ECG only?

Someone with unexplained shortness of breath

Which stage of the bruce protocol is incorrect?

Stage 4- 4.0mph and 16% grade

Select all that apply: Which of the following is an indication (absolute or relative) to stop an exercise rest

Subject asks to stop SBP reaches 250 or higher Failure of testing equipment Severe fatigue

What is defined as "loss of consciousness"?

Syncope

What mode of exercise is typically used in the United States for exercise testing?

Treadmill

How would chest pain be categorized that a patient describes as "a pressure in the upper chest and arm that occurs when exercising?"

Typical

When is intermittent claudication most likely to occur?

Upstairs walking

Which of the following would reduce blood pressure?

Using a cuff that is too large

Which of the following ECG rhythms would cause the ECG to be considered nondiagnostic

Wolf-parkinson white

In a clinical situation, stop the test when an individual has ataxia or cyanosis

true

Which is NOT part of the good skin preparation for electrode placement?

wash with soap