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2018 Board Review Pre-Test:
Assessment of Functional Capacity in HF/CPET
Assessment of Functional Capacity in HF/CPET- Mark Drazner, MD, FHFSA
Please complete this brief Pre-Test to give a baseline for learning.
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1.
A 65-year-old woman is being evaluated for transplant and undergoes a cardiopulmonary stress test.
Which of the following variables, when numerically high, suggests her prognosis is poor?
(Required.)
A. Peak V02
B. Oxygen pulse
C. Heart rate recovery
D. VE/VC02
E. Oxygen uptake efficiency slope (OUES)
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2.
A 76-year-old man with an ischemic cardiomyopathy and COPD is referred to you because of persistent dyspnea on exertion for consideration of a DT VAD. His CPX showed:
Based on this, you would:
(Required.)
A. Proceed with DT VAD
B. Perform invasive CPX to determine if limited by CHF or COPD
C. Assess for JVD; if present, proceed with DT VAD
D. Do not proceed with DT VAD and refer to pulmonary
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3.
A 45-year-old woman with familial cardiomyopathy, LVEF 20%, and recent HF hospitalization is referred for consideration of heart transplantation. Her CPET showed the following:
Based on this test, you conclude:
(Required.)
A. Patient not ill enough: do not start transplant evaluation
B. Need a right heart catheter to determine if ill enough for transplant
C. Submaximal effort, need to repeat CPET
D. Patient ill enough: start transplant evaluation
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4.
Please provide your first and last name.
Pre-test questions will not be scored, your name is required solely to confirm completion.
(Required.)
First Name
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Last Name
