NPTE-PTA Cardiopulmonary System 2 — Questions and Answers
Question 1: Which of the following is an absolute contraindication to aerobic exercise?
- Controlled hypertension
- Resting heart rate of 95 bpm
- Unstable angina (Correct answer)
- Type 2 diabetes mellitus
Correct answer: Unstable angina
Unstable angina is an absolute contraindication to exercise because it signals impending myocardial infarction.
Question 2: Normal resting respiratory rate for an adult is:
- 6–10 breaths/min
- 12–20 breaths/min (Correct answer)
- 22–28 breaths/min
- 30–35 breaths/min
Correct answer: 12–20 breaths/min
Normal adult resting respiratory rate is 12–20 breaths per minute.
Question 3: The 6-Minute Walk Test (6MWT) primarily measures:
- Maximal aerobic capacity (VO2 max)
- Functional exercise capacity and endurance (Correct answer)
- Muscle strength
- Balance and coordination
Correct answer: Functional exercise capacity and endurance
The 6MWT measures the maximum distance a patient can walk in 6 minutes, reflecting submaximal functional exercise capacity.
Question 4: A patient with COPD demonstrates barrel chest. This is caused by:
- Decreased lung compliance
- Air trapping from obstructed airways causing hyperinflation (Correct answer)
- Pleural effusion
- Pulmonary fibrosis
Correct answer: Air trapping from obstructed airways causing hyperinflation
Chronic air trapping in COPD leads to pulmonary hyperinflation, pushing the diaphragm down and ribs outward, creating barrel chest.
Question 5: Which incentive spirometry technique encourages maximum inspiration?
- Pursed lip breathing
- Diaphragmatic breathing
- Sustained maximal inspiration (SMI) (Correct answer)
- Forced expiratory technique
Correct answer: Sustained maximal inspiration (SMI)
Incentive spirometry uses sustained maximal inspiration (SMI) to prevent atelectasis by maximally inflating the lungs.
Question 6: Which medication class used in cardiac patients can blunt the heart rate response to exercise?
- ACE inhibitors
- Diuretics
- Beta-blockers (Correct answer)
- Calcium channel blockers
Correct answer: Beta-blockers
Beta-blockers reduce heart rate response to exercise, requiring RPE-based rather than heart rate-based intensity monitoring.
Which of the following is an absolute contraindication to aerobic exercise?