Chapter.11 Cardiopulmonary System Evaluation Test Bank Docx

Chapter 11: Examination and Evaluation of Cardiovascular/Pulmonary Systems in Neuromuscular Disorders

Ruth Lyons Hansen, PT, MS, DPT, CCS

Multiple Choice

1. All of the following factors contribute to increased risk of cardiovascular disease in clients with developmental disabilities except:

A. Health disparities

B. Inactivity and deconditioning

C. Structural cardiovascular abnormalities

D. Inability to perform complex movements

2. Contraction of the diaphragm causes:

A. Active movement of air into the lungs

B. Decrease in intrapulmonary pressure

C. Increase in intrapulmonary pressure

D. Passive movement of air out of the lungs

3. What muscle group functions to provide a stabilizing role to the rib cage during inspiration?

A. Abdominal muscles

B. Diaphragm

C. Intercostal muscles

D. Upper trapezius

4. Which of the following is true regarding central chemoreceptors?

A. They are located in the medulla and are sensitive to rising CO₂ levels in the cerebrospinal fluid

B. They are located in the medulla and sensitive to dropping O₂ levels in cerebrospinal fluid

C. They are located in the carotid bodies and sensitive to rising CO₂ levels in the arterial blood

D. They are located in the carotid bodies and sensitive to dropping O₂ levels in cerebrospinal fluid

5. The measure used to determine aerobic fitness is:

A. Stroke volume

B. Cardiac output

C. Maximal volume of oxygen consumed

D. Anaerobic threshold

6. With exercise training VO₂ should:

A. Increase

B. Decrease

C. Remain the same

D. Decrease first then remain the same

7. The body’s need for oxygen during acute exercise is partially met by which compensatory mechanism?

A. Local vasodilation

B. Local vasoconstriction

C. Increase in formation of red blood cells

D. Decreased respiratory rate

8. Following neurological disorders ____________________ is often a secondary complication.

A. Deconditioning

B. Respiratory failure

C. Heart attack

D. Diabetes

9. Respiratory function is often impaired in Guillain-Barré syndrome due to impairment of:

A. Oxygen delivery

B. Ventilation

C. Central control of respiration

D. Stroke volume

10. Which of the following is not a reason why infants and children are at higher risk for respiratory failure?

A. Small airway diameter

B. Decrease in number of fatigue resistant muscle fibers

C. Poor cough or inability to cough on command

D. Increased chest wall compliance

11. Which laboratory value would negatively impact oxygen delivery?

A. Increased white blood cell (WBC) count

B. Increased red blood cell (RBC) count

C. Decreased WBC count

D. Decreased RBC count

12. What is typically seen in pulmonary function testing in clients with neurological disease?

A. Decreased flow rates

B. Increased flow rates

C. Increased functional residual capacity (FRC)

D. Decreased forced vital capacity

13. Which is an indirect measure of inspiratory muscle strength?

A. Maximal inspiratory pressure

B. Maximal expiratory pressure

C. Functional residual capacity

D. Forced vital capacity

14. When a client moves from sit to stand one would normally observe:

A. Drop in systolic blood pressure (SBP) greater than 20 mm and a decrease in heart rate (HR)

B. Increase in SBP and increase in HR

C. Increase in SBP and decrease in HR

D. Drop in SBP less than 20 mm and increase in HR

15. A client has a diagnosis of cerebrovascular accident (CVA) with underlying emphysema. What oxygen saturation reading warrants cessation of exercise?

A. 97%

B. 94%

C. 90%

D. 86%

16. Which of the following is used to monitor level of exertion during exercise?

A. Rate of perceived exertion (RPE)

B. St. George’s Respiratory Questionnaire

C. 36-Item Short Form Survey (SF-36)

D. International Physical Activity Questionnaire (IPAQ)

17. Which of the following is an advantage of a bicycle ergometer?

A. It represents a functional activity for most people

B. It is useful for people with poor sitting or standing balance

C. It is useful for people who cannot walk or walk long distance or duration

D. It causes less lower extremity fatigue

18. An exercise test where a person walks back and forth a prescribed distance with progressive pacing is called the:

A. 6-Minute Walk Test (6MWT)

B. 12-Minute Walk Test (12MWT)

C. Shuttle Walk Test

D. Endurance Shuttle Walk Test (ESWT)

19. Which mode of exercise would be the best choice for a client post stroke?

A. Treadmill

B. Nustep

C. Arm crank ergometer

D. Bicycle

20. In clients with spinal cord injury, autonomic dysfunction occurs, negatively impacting cardiovascular function in injuries above:

A. T5

B. T6

C. T7

D. T8