Evidence-Based Practice in Physical Therapy Test Bank
Course Introduction
This course introduces students to the principles and application of evidence-based practice (EBP) within the field of physical therapy. It explores the integration of the best available clinical research, patient values, and clinical expertise to inform decision-making in patient care. Students will learn to formulate clinical questions, search and critically evaluate scientific literature, and apply evidence to support effective treatment interventions. Emphasis is placed on developing skills for critical appraisal, interpreting research findings, and understanding the importance of evidence-based approaches for improving patient outcomes and advancing the physical therapy profession.
Recommended Textbook
Essentials of Cardiopulmonary Physical Therapy 4th Edition by Ellen Hillegass
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22 Chapters
681 Verified Questions
681 Flashcards
Source URL: https://quizplus.com/study-set/1349 Page 2
Chapter 1: Anatomy of the Cardiovascular and Pulmonary Systems
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/26937
Sample Questions
Q1) Irritation of the phrenic nerve supplied pleura results in which of the following pain referral patterns?
A)Thoracic wall
B)Abdominal wall
C)Mediasternal region
D)Lower neck and shoulder
Answer: D
Q2) Which of the following interventions is MOST appropriate for a patient with lower rib fractures?
A)Short,shallow breaths
B)Pursed lip breathing
C)Deep breaths with splinting
D)Breathing with arms raised
Answer: C
Q3) Which of the following functions does the myocardium layer of the heart serve?
A)Forms a continuous lining with the tissue of the valves.
B)Minimizes friction during cardiac contraction.
C)Provides a tough fibrous layer of dense irregular connective tissue.
D)Facilitates the pumping action of the heart.
Answer: D
Page 3
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Chapter 2: Physiology of the Cardiovascular and Pulmonary Systems
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following age-related cardiovascular physiological changes MOST likely leads to increased ventricular wall thickness?
A)Increased body weight
B)Decreased maximal heart rate
C)Reduced arteriovenous oxygen uptake
D)Increased collagen presence
Answer: D
Q2) Which of the following brain areas provides control for automatic breathing?
A)Medulla oblongata
B)Pons
C)Frontal lobe of the cerebrum
D)Hypothalamus
Answer: A
Q3) To facilitate the diffusion of oxygen from alveoli to pulmonary capillary,which of the following must occur?
A)The alveolar walls become thicker.
B)Concentration of oxygen is high in the pulmonary artery.
C)Concentration of oxygen is high in the alveoli.
D)Partial pressure of oxygen must equal 20.93%.
Answer: C
Page 4
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Chapter 3: Ischemic Cardiovascular Conditions and Other Vascular Pathologies
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In a patient with coronary artery disease,beta-blocking medications may be prescribed.Which of the following statements BEST describes the reasoning?
A)Beta-blockers lower resting heart rate,increasing diastolic filling time.
B)Beta-blockers lower the intramyocardial pressures,increasing muscle relaxation.
C)Beta-blockers lower the vasomotor tone in the media,increasing the diameter of the artery.
D)Beta-blockers lower the aortic pressure during systole,increasing blood flow to coronary arteries.
Answer: A
Q2) Which of the following layers of the coronary arteries is responsible for making adjustments to the luminal diameter?
A)Adventitia
B)Media
C)Intima
D)All of the above
Answer: B
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Chapter 4: Cardiac Muscle Dysfunction and Failure
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/26940
Sample Questions
Q1) Which of the following physiological changes would be considered true effects of aging as opposed to pathological processes?
A)Decreased distensibility of arteries
B)Development of coronary disease
C)Exposure to toxins such as cigarette smoking
D)Malnutrition
Q2) Pulmonary capillary wedge pressure commonly monitored in patients in coronary care units closely approximates which of the following pressures?
A)Left ventricular filling pressure
B)Pulmonary artery pressure
C)Left atrial filling pressure
D)Right ventricular filling pressure
Q3) Dilated cardiomyopathy is caused by which of the following factors?
A)Long-term alcohol abuse
B)Malalignment of myocardial fibers
C)Myocardial fibrosis
D)Abnormal sympathetic stimulation
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Chapter 5: Restrictive Lung Dysfunction
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which of the following statements BEST defines congestive atelectasis resulting from a pulmonary emboli?
A)Lack of blood flow to the alveolar wall
B)Decrease in alveolar surfactant
C)Edema and hemorrhage into the surrounding lung
D)Increase in alveolar dead space
Q2) A patient with restrictive lung disease develops a rise in pulmonary circulation pressure subsequently increasing the work of the right ventricle.This is BEST described as: A)tachypnea.
B)hypoxemia.
C)pulmonary hypertension.
D)low lung volume.
Q3) Which of the following types of bronchogenic carcinoma is the least responsive to radiation?
A)Small cell carcinoma
B)Squamous cell carcinoma
C)Adenocarcinoma
D)Large cell carcinoma
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Chapter 6: Chronic Obstructive Pulmonary Diseases
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following signs are associated with lung hyperinflation noted in obstructive lung diseases?
A)Elevation of shoulder girdle
B)Horizontal ribs
C)Low,flattened diaphragm
D)All of the above
Q2) What is the minimum age a child can perform pulmonary function tests (PFTs)reliably?
A)3
B)6
C)8
D)10
Q3) For a patient with COPD in pulmonary rehabilitation,exercise has been shown not to have an effect on exercise tolerance and tends to increase symptoms of dyspnea and fatigue.
A)True
B)False
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Chapter 7: Cardiopulmonary Implications of Specific Diseases
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/26943
Sample Questions
Q1) Research evidence supports which of the following interventions as being the MOST likely have the greater short- and long-term weight loss among obese and overweight adults?
A)Moderate-intensity activity
B)Diet modifications
C)Moderate-intensity activity plus diet modifications
D)Behavior modifications
Q2) Which of the following strategies would MOST likely be an appropriate primary intervention for extreme obesity that is consistent with a stepped-care approach?
A)Caloric restriction
B)Increased physical activity
C)Bariatric surgery
D)Medications
Q3) Which of the following factors is NOT considered to be recognized as a metabolic risk factor associated with metabolic syndrome (MetS)?
A)Visceral obesity
B)Dyslipidemia
C)Elevated C-reactive protein
D)Insulin resistance
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Chapter 8: Cardiovascular Diagnostic Tests and Procedures
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following tests is MOST useful for identifying the high-risk patient?
A)Low-level testing
B)Maximal stress test
C)Submaximal test
D)Pulse recovery test
Q2) The results of a cardiac catheterization indicate the left ventricle is normal in size with anteroapical hypokinesis.Which of the following statements BEST defines hypokinesis of a cardiac region?
A)The anteroapical region is demonstrating low electrical activity.
B)The anteroapical region is demonstrating sluggish movement.
C)The anteroapical region is demonstrating muscle fatigue.
D)The anteroapical region is demonstrating a slow rhythm.
Q3) Which of the following imaging modalities is often the diagnostic tool of choice over the PET imaging for measuring myocardial perfusion?
A)Computed tomography
B)Single-photon emission computed tomography (SPECT)
C)Electron beam compute tomography
D)Magnetic resonance imaging
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Chapter 9: Electrocardiography
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A 21-year-old female college student was sitting in class listening to a lecture and reported that her heart was racing away and that she felt lightheaded.This episode of symptoms occurred a second time in the same class.Her past medical history is unremarkable.Which of the following arrhythmias is MOST likely occurring in this case?
A)Sinus tachycardia
B)Atrial flutter
C)Paroxysmal atrial tachycardia
D)Premature atrial complex
Q2) Which of the following types of myocytes have the highest rate of rhythmicity?
A)Mechanical myocytes
B)Nodal myocytes
C)Transitional myocytes
D)Purkinje cells
Q3) Both an ST-segment depression or elevation and significant Q wave are indicative of an acute infarction.
A)True
B)False
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11
Chapter 10: Pulmonary Diagnostic Tests and Procedures
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following conditions would contribute to reduced reliability of a pulse oximetry reading?
A)Poor peripheral circulation
B)Presence of nail polish
C)Decrease in hemoglobin levels
D)All of the above
Q2) A patient has the following arterial blood gas values:pH = 7.49,PaCO = 31,PaO = 90,and HCO - = 24.Which of the following statements is the MOST accurate interpretation?
A)Uncompensated metabolic alkalosis
B)Uncompensated respiratory alkalosis
C)Partially compensated metabolic alkalosis
D)Partially compensated respiratory alkalosis
Q3) Which of the following statements is TRUE about a volatile type of acid?
A)An example is lactic acid.
B)A type of acid that cannot change to gaseous form.
C)Most of this type of acid is metabolized by the liver.
D)This type of acid is regulated by the lungs.
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Chapter 11: Cardiovascular and Thoracic Interventions
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) To drain air from the chest cavity,chest tubes are commonly placed in which of the following anatomical sites?
A)Fourth or fifth intercostal space at the anterior axillary line
B)Eighth or ninth intercostal space at the midaxillary line
C)Second or third intercostal space at the midclavicular line
D)Fourth or fifth intercostal space at the midclavicular line
Q2) Which of the following surgical approaches is MOST commonly used for cardiac procedures?
A)Posterolateral thoracotomy
B)Median sternotomy
C)Thoracoabdominal
D)Subxiphoid
Q3) Which of the following advantages of video-assisted thoracoscopic surgery over a thoracotomy is MOST related to recovery in the activities domain within the International Classification of Functioning (ICF)model?
A)Reduced hospital length of stay
B)Improved pulmonary functioning
C)Early patient mobilization and recovery
D)Less pain postoperatively
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Page 13
Chapter 12: Thoracic Organ Transplantation: Heart, Heart
Lung, and Lung
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In heart transplant candidates,research evidence demonstrated which of the following peak oxygen consumption values (VO m )to be a cutoff indicating high risk of death and a need to be referred for transplantation?
A)13 mL/kg/min
B)15 mL/kg/min
C)18 mL/kg/min
D)20 mL/kg/min
Q2) The use of steroids by patients after transplantation will MOST likely cause which of the following postoperative complications?
A)Hypertension
B)Impaired mitochondrial function
C)Weakness of proximal muscles of extremities
D)Type II diabetes mellitus
Q3) Which of the following cardiac transplantation techniques is referred to as the "piggyback" technique?
A)Total transplantation
B)Biatrial technique
C)Bicaval technique
D)Heterotopic heart
14
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Chapter 13: Monitoring and Life Support Equipment
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The term cardiac index is BEST defined by which of the following statements?
A)The amount of blood pumped by the heart per unit of time
B)The amount of blood pumped by the heart per unit of time per square meter of body surface area
C)The amount of blood ejected with each contraction of the heart
D)The primary indicator of left ventricular performance reflecting pulmonary vascular resistance
Q2) Which of the following invasive ventilator devices provides an airway and is LESS likely to stimulate a gag reflex in the semiconscious or alert patient?
A)Oral pharyngeal airway
B)Nasal pharyngeal airway
C)Endotracheal tube
D)Tracheostomy
Q3) A central line or central venous pressure (CVP)provides which of the following functions?
A)Continuous monitoring of cardiac function and intravascular fluid status.
B)Route for medication administration.
C)Emergency placement of temporary pacemaker.
D)All of the above functions can be completed through a central line.
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Page 15
Chapter 14: Cardiovascular Medications
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/26950
Sample Questions
Q1) Which of the following situations are considered recommendations to a patient with diabetes when participating in an exercise session?
A)Avoid exercise immediately after injection of insulin dose.
B)Avoid injecting insulin into muscle,but instead into subcutaneous tissue.
C)Avoid resistance training at moderate to high intensity.
D)Avoid eating snacks within 90 to 120 minutes of the exercise session.
Q2) A patient presents with pulmonary congestion in which cardiac output is normal,but left ventricular filling pressure is elevated.Which of the following pharmacological therapies would be MOST appropriate?
A)Observation
B)Volume replacement
C)Diuretics
D)Use of circulatory assist agents
Q3) Which of the following components does calcium MOST affect to facilitate a muscle contraction?
A)Actin
B)Myosin
C)Troponin
D)Tropomyosin
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Page 16
Chapter 15: Pulmonary Medications
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following normal respiratory functions are inhibited by the presence of bronchoconstriction?
A)Mucociliary transport
B)Removal of secretions
C)Alveolar ventilation and oxygenation
D)All of the above
Q2) Administration of which of the following sympathomimetic agent would MOST likely produce a quick response and be more specific to the respiratory system?
A)Epinephrine (adrenaline)
B)Ephedrine
C)Short-acting Beta adrenergic agonists (SABAs)
D)Long-acting Beta adrenergic agonists (LABAs)
Q3) A patient is postoperative and was prescribed morphine intravenously using a patient-controlled analgesic pump.Which of the following side effects related to the respiratory system may occur?
A)May induce an increase in ventilation.
B)May block Beta stimulation resulting in bronchospasm.
C)May increase tidal volume and respiratory rate.
D)May depress the central nervous system leading to respiratory depression.
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Page 17
Chapter 16: Examination and Assessment Procedures
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Orthopnea is defined BEST by which of the following statements?
A)Difficulty breathing in postures other than erect
B)Rapid rate,shallow depth,regular rhythm;associated with accessory muscle activity
C)Slow rate,deep inspiration followed by apnea,irregular rhythm;associated with brainstem disorders
D)Normal rate and rhythm;characterized by abrupt cessation of inspiration when restriction is encountered;associated with pleurisy
Q2) Which of the following reasons BEST describes the importance of understanding or having knowledge of specific surgical procedures and chest wall anatomy?
A)Able to identify potential limitations or precautions to therapeutic procedures.
B)Able to identify potential limitations with the musculoskeletal system.
C)Provides insight to activity limitations prior to surgery based on the extent of the surgical intervention completed.
D)All of the above.
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Chapter 17: Interventions for Acute Cardiopulmonary Conditions
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Sample Questions
Q1) Which of the following factors that contribute to functional losses in a hospitalized patient does a physical therapist have the MOST influence to improve?
A)Acute inflammation
B)Severity of illness
C)Prolonged immobilization
D)Marginal baseline function
Q2) Which of the following medical interventions is better administered following the provision of airway clearance techniques?
A)Optimal pain control
B)Inhaled bronchodilator
C)Inhaled antibiotics
D)None of the above
Q3) Which of the following conditions is LEAST likely to be a precaution for percussion and vibration airway clearance technique?
A)Osteoporosis
B)Rib fractures
C)Recent head trauma
D)Recent pacemaker placement
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Chapter 18: Interventions and Prevention Measures for
Individuals With Cardiovascular Disease, or Risk of Disease
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following factors would be considered a modifiable risk factor to target in a primary prevention program for cardiovascular disease?
A)Male gender
B)Family history of coronary artery disease
C)Age
D)Elevated cholesterol level
Q2) Which of the following is considered a sign of an abnormal response to exercise?
A)Undue dyspnea
B)Pallor
C)Excessive fatigue
D)Severe leg claudication
Q3) Use of nonselective beta-blockers may be MOST detrimental to which of the following special patient populations during physical activity?
A)Patients with peripheral arterial disease
B)Patients with chronic obstructive pulmonary disease (COPD)
C)Patients with diabetes mellitus
D)Patients with renal disease
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Page 20
Chapter 19: Pulmonary Rehabilitation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which of the following physiological adaptations occur as a result of moderate- to high-intensity aerobic endurance training?
A)Lower anaerobic threshold
B)Diminished capillary density of muscle
C)Increased oxidative enzyme capacity
D)Hypertrophy of the muscle fiber
Q2) Which of the following criteria would be considered an indication for supplemental oxygen in a patient with right-sided heart failure?
A)Arterial partial pressure of 55 mm Hg or oxygen saturation 88%
B)Arterial partial pressure of 59 mm Hg or oxygen saturation 89%
C)Arterial partial pressure of 50 mm Hg or oxygen saturation 85%
D)Arterial partial pressure of 40 mm Hg or oxygen saturation 83%
Q3) Which of the following outcomes is MOST associated with improvement in clinical symptoms?
A)Timed activities of daily living tests
B)Questionnaire to measure impact of dyspnea
C)Evaluation of a patient diary
D)Evaluation of a behavioral survey
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21
Chapter 20: Pediatric Cardiopulmonary Physical Therapy
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/26956
Sample Questions
Q1) Upon completing a thorough history of a child,the physical therapist should pause to observe which of the following conditions to provide a more complete picture?
A)Resting position
B)Mobility of ribcage
C)Functional mobility
D)Flexibility of extremities
Q2) When initiating an exercise program with a child diagnosed with cystic fibrosis (CF),the physical therapist should consider which of the following factors?
A)The patient is typically a child with different motivation.
B)Must be considered is an already demanding home treatment program.
C)The parents or caregiver are usually involved in care regularly.
D)Airway clearance is the primary focus for physical therapy.
Q3) Which of the following conditions is considered an absolute contraindication to high-frequency chest wall oscillation (HFCWC)?
A)Lung contusion
B)Bronchospasm
C)Burns,open wounds,and skin infections of the thorax
D)Unstable Back injury
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Chapter 21: The Lymphatic System
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30 Flashcards
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Sample Questions
Q1) Which of the following lymphedema stages is also termed lymphostatic elephantiasis?
A)Stage 0
B)Stage I
C)Stage II
D)Stage III
Q2) Which of the following factors contribute the MOST to reduced lymphatic function in the cardiovascular system leading to the formation of atherosclerosis?
A)Sedentary lifestyle
B)Decreased vital capacity
C)Obesity
D)All of the above
Q3) Which of the following characteristics BEST distinguishes lipedema from lymphedema?
A)Presence of distal edema in the foot.
B)Absence of pain on pressure.
C)Occurs in bilateral lower extremities.
D)Family history is rare.
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23
Chapter 22: Outcome Measures:a Guide for the Evidence
Based Practice of Cardiopulmonary Physical Therapy
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Sample Questions
Q1) Within the core component of an overall management in a cardiac rehabilitation program,which of the following indicators would BEST assess the service aspect?
A)Health-related quality of life
B)Patient satisfaction
C)Risk factor profile
D)Appropriate response to symptoms
Q2) The gold standard for measurement of functional exercise capacity is which of the following outcome measures?
A)6-minute walk test
B)Modified shuttle test
C)Oxygen consumption test
D)200-meter walk test
Q3) Which of the following benefits is MOST associated with a disease-specific health-related quality of life instrument?
A)Apply to heterogeneous population.
B)Allow cross-population comparisons.
C)Address issues related to clinical manifestations of a disorder.
D)Address multiple issues related to limitations in health status.
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