THE UNIVERSITY OF FAISALABAD

Department of Rehabilitation Sciences

Final Semester Examination Fall 2022

Degree Program: DPT Semester 9

Course Title: Cardiopulmonary Physical Therapy Total Marks 40

Date of Examination 16-01-2023 Time: 1 hr 45 min

Subjective
Note: Attempt all the questions. Draw Diagrams where required.

Being a cardiopulmonary physical therapist, you are appointed for the 8

Cardiovascular conditioning of a patient. The patient is elderly adult and has
recently recovered from cardiovascular surgery.

 Which CV training approach is recommended for that patient?

 Why you discourage to perform exercises in recumbent position in that
Question 1 patient?
 Write down the class management for CV conditioning?
 Tabulate an example of circuit design for that patient?
 What are the contraindication of resistance training?

a) What are the indications for mechanical ventilation? 4

Question 2 b) What are the Conventional weaning criteria (clinical, mechanical, and 4
biochemical parameters?)

a) A patient presents with a constant level of hypocapnia which drops further 4

as a result of running. The voluntary hyperventilation provocation test was
performed. Using end-tidal PaC02 recordings the patient is requested to
hyperventilate for 3 minutes. The PaC02 falls by 1.33 kPa (10mmHg) and the
rate of recovery is less than two-thirds of the former resting level after 3
Question 3 minutes.

 What is your diagnosis?

 What are the effects of altered breathing patterns and fluctuations in
PaC02 on autonomic system, urinary excretion, calcium ions and
musculoskeletal system?
  What are the factors contributing to the hyperventilation-anxiety
spiral?

b) A boy of age 5 years presents with a history of recurrent infections in the 4

nose, ears, sinuses and lungs. Chest x-ray reveals dextrocardia and situs
inversus. The boy has history of Pneumonia and has hearing problems
associated with secretory otitis media (glue ear). A sweat test was perform
and it exclude the diagnosis of cystic fibrosis.

 What is your diagnosis?

 What are the specific tests for this disease?
 What is the physical therapy management for this disease?

a) What are the aims of pulmonary rehabilitation? 4

Question 4 b) What is the role of aerobic training, strength training and ventilator muscle
training in exercise prescription of pulmonary rehabilitation program? 4

8
A 72-year-old female presents to clinic with complaints of her heart racing,
chest pain and dizziness. She has history of hypertension, hyperlipidemia and
coronary artery disease. Patient is comfortable at rest but have symptoms
with less than ordinary activity. The perceived exertion rate is very strong.

Vitals HR – 103 BP – 128/72 RR – 18 O2 – 98%

Meds: • Lisinopril 10 mg daily • Aspirin 81 mg daily • Atorvastatin 80 mg daily

Question 5 • Metoprolol tartrate 50 mg bid

 According to NYHA criteria, in which class this patient is classified for

functional capacity?
 Write down NYHA criteria of functional capacity?
 In which category patient currently present on modified Borg scale?
 Write down the modified Borg scale?