Your-Doctor Multiple Choice Questions (MCQ)

Category: Cardiology--->Cardiac Rehabilitation
Page: 1

Question 1#Print Question

You are looking after a 75-year-old man who was admitted 3 days previously with an anterior STEMI and underwent primary PCI to his LAD. He has made a good recovery and his echocardiogram shows that he has only mild LV impairment. He is asking about safe levels of physical activity once he goes home.

What should you advise him?

a. To return immediately to his previous (pre-admission) level of activity
b. That exercise is dangerous after a heart attack and he should continue with at least 2 weeks of bed rest after he returns home
c. That he should be physically active for 20–30 minutes a day to the point of slight breathlessness
d. That he should undertake a 30-minute warm up period prior to any exercise
e. That he should start with at least 20–60 minutes of moderate aerobic exercise, three to five times a week


Question 2#Print Question

One of your patients is about to be discharged following an NSTEMI. They ask you for some dietary advice to help to try and reduce their risk of having a further heart attack. 

What advice should you give?

a. To eat a Mediterranean-style diet with less meat and more bread, fruit, vegetables, and fish, and to replace butter and cheese with products based on vegetable and plant oils
b. To read food labels when shopping to ensure that they reduce the amount of mono-unsaturated fats in their diet and eat more foods containing saturated fats
c. To eat at least 1 g of omega-3 fatty acids, which are contained in oily fish, every week
d. To take supplements containing beta-carotene, antioxidant supplements, (vitamin E and/ or C), or folic acid to reduce cardiovascular risk
e. All of the above


Question 3#Print Question

You are reviewing a 60-year-old patient in clinic after a recent NSTEMI. They have not yet completed their cardiac rehabilitation programme and are asking for advice about ongoing physical activity. They have been looking online and have come across articles that say they should exercise at about 6 ‘METs’. 

They ask you to explain what a MET is and if it means that they have to jog to keep healthy.

a. 1 MET, or metabolic equivalent of task, is equivalent to the resting metabolic rate when sitting quietly, and has a conventional reference value of 3.5 mL O2/kg/min which is equal to 1 kcal/kg/h
b. 1 MET, or metabolic equivalent of task, is equivalent to the resting metabolic rate when sleeping, and has a conventional reference value of 3.5 ml O2/kg/min which is equal to 1 kcal/kg/h
c. 1 MET, or metabolic equivalent of task, is equivalent to the resting metabolic rate when sitting quietly, and has a conventional reference value of 6.5 mL O2/kg/min which is equal to 1 kcal/kg/h
d. 1 MET, or metabolic equivalent of task, is equivalent to the resting metabolic rate when sleeping, and has a conventional reference value of 6.5 mL O2/kg/min which is equal to 1 kcal/kg/h
e. The METs are a baseball team from New York that have sponsored an exercise programme for cardiac patients


Question 4#Print Question

When advising patients about the DVLA regulations governing the entitlement to drive a private car or motorcycle,

which one of the following statements is correct?

a. After an ACS successfully treated by PCI, patients can drive after  week providing that their ejection fraction is >15%
b. After an elective PCI patients cannot drive for 24 hours
c. After a CABG patients cannot drive for 4 weeks
d. Patients with angina can continue driving even if symptoms occur at rest, with emotion, or at the wheel
e. After an ACS for which treatment with PCI has been unsuccessful, patients can drive after 4 months


Question 5#Print Question

Whilst you are working in your local cardiology ward, one of the nursing staff approaches you and asks, in general, which patients are very high risk and will need specialist assessment prior to referral for the exercise component of your local cardiac rehabilitation (CR) programme. 

Which one of the following statements is correct?

a. Patients with cyanotic congenital heart disease or those who have received an implantable cardiac defibrillator should never be referred for cardiac rehabilitation
b. Patients with decompensated heart failure should be encouraged to exercise if it is part of a cardiac rehabilitation programme
c. Patients with severe valvular stenoses can take part in exercise programmes whilst awaiting valve replacement surgery
d. Patients who undergo exercise testing and develop angina at <5 METs are safe to participate in community-based exercise programmes
e. Patients with angina or breathlessness occurring at a low level of exercise (e.g. inability to complete the first 4 minutes of the shuttle walking test) should participate in exercise sessions based in a safe environment with access to a defibrillator and staff trained in advanced life support




Category: Cardiology--->Cardiac Rehabilitation
Page: 1 of 4