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Post-Myocardial Infarction: Tips And Tricks For The PT And OT Provider

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1.  Which of the following best describes the primary goal of cardiac rehabilitation for post-MI patients?
  1. To prevent all future cardiac events through complete activity restriction
  2. To safely restore functional capacity and reduce cardiovascular risk through progressive activity
  3. To achieve maximum exercise capacity within the first week after MI
  4. To eliminate the need for medication management through exercise alone
2.  A patient is 5 days post-MI in the inpatient setting. Which MET level range is most appropriate for initial therapeutic activities during Phase I cardiac rehabilitation?
  1. 1-2 METs
  2. 5-7 METs
  3. 8-10 METs
  4. 10-12 METs
3.  During a therapy session, your post-MI patient's heart rate increases 30 beats per minute above resting with mild activity, and they report feeling short of breath. What is the most appropriate action?
  1. Continue the activity as planned since elevated heart rate is expected with exercise
  2. Stop the activity, allow the patient to rest, and monitor vital signs for return to baseline
  3. Increase the intensity of the activity to improve cardiovascular conditioning
  4. Document the response and continue with the same activity level
4.  Which energy conservation strategy is most appropriate to recommend for a post-MI patient returning to meal preparation activities at home?
  1. Prepare all meals while standing to maximize calorie expenditure
  2. Complete all cooking tasks as quickly as possible to minimize total activity time
  3. Sit during meal preparation tasks and organize supplies within easy reach before starting
  4. Avoid all meal preparation activities for at least 6 months post-MI
5.  What is the most important principle for PT and OT providers to remember when treating post-MI patients across all phases of recovery?
  1. All post-MI patients follow identical recovery timelines regardless of individual factors.
  2. Vital sign monitoring and individualized activity progression are essential for patient safety.
  3. Patients should avoid all physical activity until cleared by cardiology at 6 months.
  4. Therapy interventions are contraindicated until the patient completes outpatient cardiac rehabilitation.