Signs and Symptoms suggestive of Cardiovascular, Metabolic, and Renal Disease – correct answer
Pain, discomfort (or other anginal equivalent) in the chest, neck, jaw, arms or other areas that may
result from myocardial ischemia – correct answer
Dyspnea – correct answerShortness of breath at rest or with mild exertion
Syncope – correct answerDizziness or loss of consciousness
Orthopnea – correct answerrefers to dyspnea occurring at rest in the recumbent position that is relieved
promptly by by sitting upright or standing
Ankle Edema – correct answerBilateral ankle edema that is most evident at night is a characteristic sign
of heart failure or bilateral chronic venous insufficiency.
Unilateral edema of a limb often results from venous thrombosis or lymphatic blockage in the limb.
Generalized edema occurs in persons with the nephrotic syndrome, severe heart failure, or hepatic
cirrhosis.
Palpitations or Tachycardia – correct answerDefined as an unpleasant awareness of the forceful or rapid
beating of the heart may be induced by various disorders or cardiac rhythm.
These include: tachycardia, bradycardia of sudden onset, ectopic beats, compensatory pauses, and
accentuated stroke volume resulting from valvular regurgitation.
Palpitations also often result from any anxiety states and high cardiac output states, such as anemia,
fever, etc.
Intermittent Claudication – correct answerPain that occurs in the lower extremities with an inadequate
blood supply (usually as a result of atherosclerosis) that is brought on by exercise
Known Heart Murmur – correct answermay indicate valvular or other cardiovascular disease
Unusal fatigue or SOB with usual activities – correct answerMay also suggest change in the status of
cardiovascular disease or metabolic disease
General Indications for Stopping an Exercise Test: – correct answerGeneral Indications for Stopping an
Exercise Test
Onset of angina or angina-like symptoms – correct answerGeneral Indications for Stopping an Exercise
Test
Drop in SBP of > 10 mm Hg with an increase in workload or if SBP decreases below the value obtained in
the same position prior to testing – correct answerGeneral Indications for Stopping an Exercise Test
Excessive rise in BP: systolic pressure > 250 and/or diastolic pressure > 115 – correct answerGeneral
Indications for Stopping an Exercise Test
Shortness of breath, wheezing, leg cramps, or claudication – correct answerGeneral Indications for
Stopping an Exercise Test
Signs of poor perfusion: light-headness, confusion, atxia, pallor, cyanosis, nausea, or cold and clammy
skin – correct answerGeneral Indications for Stopping an Exercise Test
Failure of HR to increase with increased exercise intensity – correct answerGeneral Indications for
Stopping an Exercise Test
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