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5 Written questions

5 Multiple choice questions

  1. 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
  2. - unstable angina
    - acute infection
    - uncontrolled arrhythmia
  3. - Diagnosis - do they have CVD (most used)
    - Disease severity and prognosis in patients w/ CAD
    - Evaluation of medical therapy
    - Stratify patients for further medical intervention (e.g. determine if person is good patient for heart transplant)
    - Functional capacity for activity counseling and exe program
  4. 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
  5. 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

5 True/False questions

  1. List some exercise test and describe who they're appropriate forBruce or Ellestad:
    - good for young ppl b/c the between-stage graduations of grade and speed are more aggresive
    USAFSAM or Naughton
    - Food for older ppl b/c more gradual between-stage progressions of grade and speed

          

  2. What factors do you look at when determining the pretest likelihood of CAD?- Age - as you age, pretest likelihood increases
    - Gender - women have lower pretest likelihood than men
    - Symptoms - those w/ symptoms have much higher pretest likelihood

          

  3. What is the formula used to determine positive predictive value and negative predictive value- Positive Predictive Value = True Positive/(TP + false positive)
    - Negative Predictive Value = True Negative/ (TF + False Negative)

          

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

          

  5. Lists the tests to determine true positive and true negatives- treadmill
    - leg ergometer
    - arm ergometer

          

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