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5 Written questions

5 Multiple choice questions

  1. - 3-4 on angina scale
    - drop in SBP >= 10 mmHg
    - ventricular tachycardia
    - fatigue
  2. - 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. - chronic infectious disease
    - uncontrolled metabolic disease
    - hypertrophic cardiomyopathy
  4. - treadmill
    - leg ergometer
    - arm ergometer
  5. 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

5 True/False questions

  1. 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
    - a potential medical concern is present
    - benefit vs. risk of performing ETT should be evaluated


  2. Describe the sensitivity, specificity of exercise testing diagnostics with ECG. What is a better method?- Sensitivity = 70% (7 of 10 patients w/ CAD will have '+' test)
    - Specificity = 90% (9 of 10 patients w/o CAD will have '-' test)


  3. List some typical reasons that people are referred to a clinic for exercise testing- unstable angina
    - acute infection
    - uncontrolled arrhythmia


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


  5. What is monitored during an ETT and when should it be monitored?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