Exercise stress test protocol and ambulatory Holter monitor concepts tested on EKG technician certification exams.
30 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the primary purpose of an exercise stress test?
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To evaluate the heart's response to physical exertion and detect signs of coronary artery disease (ischemia).- The most commonly used exercise stress test protocol is called the ____.
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Bruce protocol- How does the Bruce protocol change treadmill settings during the test?
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It increases both speed and incline every 3 minutes in stages.- What is the standard formula for estimating a patient's maximum predicted heart rate?
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220 minus the patient's age.- What percentage of the age-predicted maximum heart rate is the typical target for a submaximal stress test?
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85 percent.- What recent cardiac event is an absolute contraindication to exercise stress testing?
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Acute myocardial infarction within the past 2 days.- What unstable cardiac condition is an absolute contraindication to stress testing?
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Unstable angina.- What valve condition is an absolute contraindication to stress testing?
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Symptomatic severe aortic stenosis.- What acute pulmonary condition is an absolute contraindication to stress testing?
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Acute pulmonary embolism.- What ECG change is considered a positive finding during an exercise stress test?
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Horizontal or downsloping ST-segment depression of 1 mm or more.- What blood pressure response during exercise should prompt stopping a stress test?
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A drop in systolic blood pressure as workload increases.- Besides abnormal vital signs, what patient-driven reason can end a stress test early?
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The patient requests to stop due to severe fatigue or intolerable symptoms.- Which patient population is the Modified Bruce protocol designed for?
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Patients with lower fitness levels, such as elderly or deconditioned patients.- How does the Modified Bruce protocol differ from the standard Bruce protocol?
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It adds low-intensity warm-up stages before the standard Bruce stages begin.- When is a pharmacologic stress test used instead of an exercise stress test?
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When a patient is physically unable to exercise adequately.
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