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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. 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
    - include angina or chest pain
    - dyspnea or SOB
    - ask about other discomforts
  3. Bruce 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
  4. - Sensitivity = 70% (7 of 10 patients w/ CAD will have '+' test)
    - Specificity = 90% (9 of 10 patients w/o CAD will have '-' test)
  5. - likelihood that diagnostic test will lead to a positive CAD diagnosis

5 True/False Questions

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


  2. Describe the 5 aspects of the bayesian method of probability1) 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. List some typical reasons that people are referred to a clinic for exercise testing- 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. List some indicators for stopping an ETT.- treadmill
    - leg ergometer
    - arm ergometer


  5. What's the difference b/t absolute and relative contraindications for exercise testing?- chronic infectious disease
    - uncontrolled metabolic disease
    - hypertrophic cardiomyopathy


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