Question : Of the answers below, which would be included in defining a positive Exercise Echocardiogram? Student Answer: Death two days after test Regional hypokensis of ventricular muscles walls Induced decrease in regional wall motion (Induced decrease in regional wall motion would be included in defining a positive exercise echocardiogram. Wall thickening would not traditionally occur in a positive test and hyperkinesis, not hypokinesis, generally occurs in a positive test.) Increase in wall thickening Points Received: 0 of 5 Comments: Question 19. Question : Improvements in the delivery and management of healthcare are necessary if we are to improve the overall health of this nation’s population. Which of the following are identified in your readings as strategic in the movement to improve the healthcare system? Student Answer: Population management and healthcare practice (Population management and healthcare practice are strategic in the movement to improve the nation’s healthcare system. ) Socialized medicine and governmental controls Monetary savings and limited disruption in healthcare delivery President and Congress Points Received: 0 of 5 Comments: Question 20. Question : Specifically, when is an ETT considered to be negative? Student Answer: Patient has ST-segmental changes with down sloping of greater than 1 mm at 50% of age-predicted maximum heart rate Patient exercises to 20% maximum age-predicted heart rate without induced ischemia Patient exercises to 85% of age predicted maximum heart rate without evidence of induced ischemia (An ETT is considered to be negative when the patient exercises to 85% of age predicted maximum heart rate without evidence of induced ischemia. ) Patient exercises until tired without evidence of induced ischemia Points Received: 0 of 5 Comments: Question 23. Question : Your patient has a maximum age-predicted heart rate of 180. During the exercise, he reaches a heart rate of 140 and then states he can no longer exercise. You see no evidence of ischemia on the ECG. This would be diagnostic for what condition? Student Answer: Diagnostic of laziness Has no diagnostic value to rule out CAD (This scenario has no diagnostic value to rule out CAD.) Diagnostic for impending Myocardial Infarction Predictive of no CAD Points Received: 0 of 5 Comments: Question 27. Question : Your preceptor decides to add Doppler Flow studies to the echocardiogram exercise test for a patient with a recent history of a holistic murmur best auscultated at the left steral boarder.