Cardiac Rehab New Brunswick
 
Exam - Multiple choice questions




NUTRITION SECTION
Alma Sidebottom is a 54 year old woman with very poor eating habits in a cardiac rehab program. She has had an MI and is being treated for dyslipidemia and hypertension and is overweight. She is more likely to ask nutrition questions in the gym than in the classroom. You have encouraged her to book an appointment with a Registered Dietitian. She agrees to do this, but has a few questions she would like you to answer prior to her dietitian appointment:
  1. She would like to lower her blood cholesterol, and is wondering what she should look for on food labels to help her make better choices. Which of the following nutrients has the greatest effect on blood cholesterol levels?
  2. Her doctor told her that eating soluble fibre can help to lower cholesterol. Which of the following foods would provide the most soluble fiber?
  3. She tells you she has stopped using a salt shaker at the table to help lower her blood pressure. What other changes could you suggest that may help patients reduce blood pressure?
INTERVENTION/SURGERY DX, TX MODULE
  1. Which of the following would not be considered in the treatment of arrhythmia?
  2. Specificity of a diagnostic test refers to:
EXERCISE PRESCRIPTIONS MODULE
  1. For any patient, who has completed an exercise stress test, what exercise intensity range does the ACSM recommend?
  2. Which of the following conditions would most likely contraindicate entering an exercise rehabilitation program?
  3. Which of the following would be the least useful for safety in assessing and prescribing exercise to a patient/client who has not had an exercise stress test?
PHARMACOLOGY MODULE
  1. Which medication would be the best choice for treatment of a diabetic patient with hypertension?
  2. If your patient reported an adverse reaction to one of her medications, you should
BEHAVIORAL CHANGE MODULE
  1. In answer to your question "What do you think about quitting smoking?" your patient has answered "I am always alone; all my children live far away. Smoking is all I have left!" What stage of change is your patient in and what best describes how he perceives his reasons for quitting and reasons for not quitting.
  2. Motivational Interviewing is an effective method to help patients deal with their ambivalence related to changing behaviours. Identify the best method for engaging patients in progressive dialogue.
COMMUNICATION MODULE
  1. What would do most to advance communication of your cardiac rehab patient’s progress to primary care physicians (PCP)?
  2. What are 3 common roadblocks to communication?
CASE MANAGEMENT BASICS
  1. General Case Management Processes involve which type of process?
  2. The end result of applying the Chronic Care or Chronic Disease Management Model in cardiac rehab populations is to?
INPT CARDIAC REHAB
  1. Which of the following would not be the main emphasis of inpatient education?
  2. The purpose of the inpatient mobility progression following STEMI, ACS, or PCI would not include:
  3. After cardiac surgery, which of the following would not be an objective of inpatient education?
RISK ASSESSMENT
  1. Smokers with a cardiovascular (CVD) history have a greater risk for cardiac events than non-smokers with CVD by
  2. The Canadian Association of Cardiac Rehabilitation risk stratification strategy for persons with documented coronary artery disease uses which score to determine the exercise training setting?
  3. According to Canadian guidelines, you should have your cholesterol tested if you:
EXERCISE PHYSIOLOGY MODULE
  1. Which of the following is the least likely benefit of increasing muscular strength:
  2. Improvements in functional capacity from physical training is the result of improvements in all but one of the following:
PERIPHERAL VASCULAR DISEASE (PAD)
  1. The following does not describe the PAD condition (choose only one):
  2. The two risk factors that correlate most with the development of PAD are:
  3. To calculate Ankle Brachial Index or ABI, use the following equations:
  4. Complete the following table:

    FITT Principle for Aerobic Training in PAD
    i) Frequency ii) Intensity iii) Time Type
    PAD patients 3-___d/wk ___-<60%VO2R that allows patient to walk until he/she reaches a pain score of ___ on the 4-point pain scale __-60min/day Weight-bearing, such as walking and non-weight bearing such as arm ergometry.


DIABETES
  1. Type 1 diabetes is a condition characterized by the following:
  2. True or false: people with Type 2 diabetes rarely have a family history of the condition and typically experience a slow onset after the age of 30.
  3. Risk factors for diabetes include:
  4. One benefit of exercise to the diabetes condition is: