Question: 18 – 22. You, The Exercise Specialist And A Physician Are Performing A Graded Exercise Test (GXT). Choose Your Response To The Following Situations: Continue The Test Stop The Test, Although The Supervising Physician Is Responsible, You Recover The Patient Until All Abnormalities Resolve / Return To Baseline Stop The Test, Activate The Emergency Procedure,…

Question: 18 – 22. You, The Exercise Specialist And A Physician Are Performing A Graded Exercise Test (GXT). Choose Your Response To The Following Situations: Continue The Test Stop The Test, Although The Supervising Physician Is Responsible, You Recover The Patient Until All Abnormalities Resolve / Return To Baseline Stop The Test, Activate The Emergency Procedure,…

18 – 22. You, the exercise specialist and a physician areperforming a graded exercise test(GXT).  Choose your response to the followingsituations:

  1. Continue the test
  2. Stop the test, although the supervising physician isresponsible, you recover the patient until all abnormalitiesresolve / return to baseline
  3. Stop the test, activate the emergency procedure, and ifnecessary begin CPR

18. A 58-year-old male with a history of hypertension, smoking,and high cholesterol & a recent history of chest pain whilewalking. At 1 minute of exercise, the EKG showed 4 mm down-slopingST depression and the patient c/o chest pain (scale: 3 out 4).

19. A 67-year-old female status post (s/p) extensive anteriorwall myocardial infarction (MI) 2 months ago, during the2nd stage of exercise, c/o severe fatigue, has a 30 mmHgdrop in systolic blood pressure but no EKG abnormalities.

20. A 65-year-old with a history of atrial fibrillation developsatrial fibrillation at 5 minutes of exercise and complains ofextreme lightheadedness.

21. A 50-year-old male with a family history of early heartdisease and a recent interest in getting in better shape, presentsfor a GXT and at 6 minutes of exercise develops crushing chest painand ST segment elevation.

22. A 62-year-old female with recent history of lightheadednesswhile cleaning bathroom & near fainting, presents for a GXT andat 1 minute of exercise develops sustained ventricular tachycardiaand loses consciousness.