Your-Doctor Multiple Choice Questions (MCQ)

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Category: Cardiology--->Cardiac Rehabilitation
Page: 3

Question 11#Print Question

Your consultant has asked you to set up an audit of secondary prevention measures taken in your patients who have had an acute MI. 

Which one of the following would be the correct standards/targets to assess?

a. Eighty-five per cent of people discharged from hospital with a primary diagnosis of AMI or after coronary revascularization should be offered cardiac rehabilitation
b. All patients should be offered treatment with aspirin, a statin, an ACE inhibitor/ARB, a beta-blocker, and an aldosterone antagonist post-MI unless contraindicated
c. A year after discharge, at least 80% of people should be non-smokers, exercise regularly, and have a BMI <35 kg/m2
d. Following a cardiac event, patients should aim for a target blood pressure of 150/90 mmHg
e. Following a cardiac event, patients should aim to lower serum cholesterol concentrations to <5 mmol/L (LDL to <3 mmol/L)

Question 12#Print Question

Cardiac rehabilitation programmes aim to consider the psychological and social implications of CHD as well as the practical lifestyle and medication measures involved in secondary prevention. 

Which one of the following steps would not be an appropriate part of a cardiac rehabilitation programme?

a. Assessment with the Hospital Anxiety and Depression Scale (HADS)
b. Assessment of quality of life using the Dartmouth CO-OP Scales
c. Assessment of quality of life using the Borg Scale
d. Support for economic, welfare, and housing issues
e. Support and advice for stress management

Question 13#Print Question

A newly qualified physiotherapist has started working on the cardiology ward and is interested in the exercise component of cardiac rehabilitation. 

Which one of the following statements would give correct information about the structured exercise component of the CR programme?

a. Exercise sessions should involve low to moderate intensity activity at least five times a week for a minimum of 12 weeks
b. Patients should be prescribed an individualized exercise regime
c. Patients should not undertake resistance training
d. Exercise sessions usually last  hour including an aerobic phase for 45 minutes and a period of relaxation
e. Patients should be advised to aim for a perceived level of exertion of >15 on the Borg Scale

Question 14#Print Question

The National Audit of Cardiac Rehabilitation has highlighted the problem of poor uptake of CR, with a mean of 4% of the target population taking part in 2008–2009.

Which one of the following statements is correct with regard to efforts to improve access to CR services?

a. Sessions should be held in more accessible community venues or transport provided whenever possible
b. Services should be able to adapt to an individual patient’s gender, age, ethnicity, and mental and physical comorbidities
c. Evidence shows that uptake is particularly poor amongst women, the elderly, people from ethnic minority groups, and patients from lower socioeconomic groups
d. There is a need for improved referral from cardiology acute services
e. All of the above

Question 15#Print Question

You are asked to help develop CR services in your area with the resources available. 

Which one of the following patient groups should be prioritized to receive support from the CR programme?

a. Patients newly diagnosed with chronic heart failure
b. Patients recently admitted with an ACS
c. Heart failure patients who have had a step change in their clinical condition
d. All patients undergoing reperfusion (e.g. CABG or stenting)
e. All of the above

Category: Cardiology--->Cardiac Rehabilitation
Page: 3 of 4