Your-Doctor Multiple Choice Questions (MCQ)

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

Question 16#Print Question

You have been asked to help with the development and review of local CR services. As part of the programme the patients should receive a range of baseline measurements to help inform their goals and subsequently to assess them for change post-rehabilitation. 

Which one of the following is not a baseline measurement recommended by the Department of Health?

a. Psychological wellbeing (e.g. HADs)
b. Echocardiogram
c. BMI measurement or waist circumference
d. Functional capacity (e.g. shuttle walking test, six-minute walking test)
e. Quality of life (e.g. Dartmouth CO-OP Scale)


Question 17#Print Question

You are working on a general cardiology ward, looking after a 55-year-old man who presented with an NSTEMI. The patient lectures on physiology at the local university and asks you about targets he should aim to achieve given his recent diagnosis. 

Which one of the following would not be appropriate?

a. Smoking cessation
b. At least 20–60 minutes of moderate aerobic exercise three to five times a week
c. A target blood pressure of 140/90 mmHg (or 130/80 mmHg in patients with diabetes or renal disease)
d. A total cholesterol of <4 mmol/L and LDL cholesterol <2 mmol/L
e. A 2000 calorie per day diet


Question 18#Print Question

You are looking after a 75-year-old man who has been newly diagnosed with chronic heart failure. 

As part of a referral to the CR services, which one of the following should not be considered?

a. Fluid status (weight, postural BP) and management with diuretics
b. Quality of life score
c. Cardioprotective medication and device therapy (ICD, CRT)
d. Functional capacity
e. Psychosocial wellbeing


Question 19#Print Question

You are working on a cardiology ward in a district general hospital and have been asked to teach the medical students about cardiac rehabilitation. A particularly keen student asks about the physiological mechanisms for the cardiac benefits of exercise. 

Which one of the following statements is incorrect?

a. On a microvascular level there is improved endothelium-dependent vasodilation, with decreased expression and activity of endothelial NO synthase
b. Exercise causes changes in the autonomic nervous system which reduce the resting sympathicoadrenergic tone
c. In patients with heart failure, as well as the benefits of exercise training already listed, studies have shown a reduction in circulating levels of angiotensin II, aldosterone, and atrial natriuretic peptide
d. Exercise induces modifications within the renin–angiotensin–aldosterone system which result in reduced plasma renin activity
e. Patients with chronic heart failure benefit from better respiratory function and improved skeletal muscle metabolism and function


Question 20#Print Question

You are working on a cardiology ward in a district general hospital and have been asked to teach the medical students about cardiac rehabilitation. One of the students asks if there is an evidence base to support the role of CR. 

Which one of the following is the correct response?

a. The evidence is anecdotal but patients like it
b. There is a moderate level of evidence with some randomized controlled trials suggesting efficacy
c. There is good evidence for CR in patients with ACS, but the role of CR in chronic heart failure patients is based only on the extrapolation of this data
d. There is a strong evidence base with many randomized controlled trials and meta-analyses supporting clinical and cost effectiveness
e. There is better evidence for PCI in terms of life-years gained




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