NAME: ________________________

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5 Written Questions

5 Multiple Choice Questions

  1. - Age - as you age, pretest likelihood increases
    - Gender - women have lower pretest likelihood than men
    - Symptoms - those w/ symptoms have much higher pretest likelihood
  2. - Positive Predictive Value = True Positive/(TP + false positive)
    - Negative Predictive Value = True Negative/ (TF + False Negative)
  3. 12 lead ECG monitored at:
    - rest
    - last minute of each stage
    - each minute during recovery)
    BP monitored at:
    - rest
    - last minute of each stage unless response is abnormal
    - each minute during recovery
    RPE monitored at:
    - last minute of each stage
    - ask more often towards end of test
    Symptoms:
    - include angina or chest pain
    - dyspnea or SOB
    - ask about other discomforts
  4. - treadmill
    - leg ergometer
    - arm ergometer
  5. - chronic infectious disease
    - uncontrolled metabolic disease
    - hypertrophic cardiomyopathy

5 True/False Questions

  1. Describe the 5 aspects of the bayesian method of probability- treadmill
    - leg ergometer
    - arm ergometer

          

  2. Describe the sensitivity, specificity of exercise testing diagnostics with ECG. What is a better method?1) Sensitivity - % of persons test who have CAD and show positive test
    2) Specificity - % of persons test that don't have CAD and show negative test
    3) Predictive Value - how accurately a test result correctly identifies a presence or absence of CAD
    4) Positive predication value - % of subjects w/ a positive test that have CAD
    5) Negative predicted value - % subjects w/ negative who don't have CAD

          

  3. What's the difference b/t absolute and relative contraindications for exercise testing?Absolute:
    - potential serious medical complications of ETT is completed
    - risks of performing ETT outweigh benefits
    Relative:
    - a potential medical concern is present
    - benefit vs. risk of performing ETT should be evaluated

          

  4. Lists the tests to determine true positive and true negatives1) Determine # of ppl in population w/ disease
    2) Determine # w/ disease that will have '+' testing (# w/ disease x 0.7)
    3) Determine # w/ disease that will have '-' test (Total diseased # - # w/ '+' test)
    4) Do the same for those w/o disease

          

  5. When would you find value in doing a CAD diagnostic test?- treadmill
    - leg ergometer
    - arm ergometer

          

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