BPT2015 | BPT2015 Physiotherapy Exam 4
Version 2 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. Which of the following is the primary goal of the 6-Minute Walk Test (6MWT) in
pulmonary rehabilitation?
A. To determine the maximum heart rate of the patient
B. To measure peak expiratory flow rates in acute settings
C. To diagnose the specific type of restrictive lung disease
D. To assess functional exercise capacity and response to treatment
Correct Answer: D
Expert Explanation: The 6-minute walk test is a submaximal exercise test used to
assess functional capacity in patients with chronic respiratory or cardiac diseases.
The primary measurement is the total distance walked on a flat surface over six
minutes. It provides a better reflection of daily physical activities than maximal
exercise tests. Clinicians use these results to determine prognosis and monitor
response to medical interventions. Long-term functional improvement is often
tracked using the change in distance over successive tests.
2. Phase II of cardiac rehabilitation typically occurs in which setting?
A. Inpatient hospital ward
,B. Home-based self-management without supervision
C. Community fitness center for healthy individuals
D. Outpatient hospital-based supervised program
Correct Answer: D
Expert Explanation: Phase II cardiac rehabilitation is an outpatient program that
begins shortly after hospital discharge. This phase involves continuous ECG
monitoring and supervision by a multidisciplinary team to ensure patient safety. It
focuses on exercise training, education, and risk factor modification tailored to the
patient. Patients typically attend sessions multiple times a week for a duration of
three to six months. Successful completion of this phase prepares the patient for
independent long-term maintenance.
3. When using the Borg Scale for Rate of Perceived Exertion (RPE), which range is
generally recommended for aerobic training in cardiac patients?
A. 6 to 8
B. 1 to 4
C. 17 to 20
D. 11 to 14
Correct Answer: D
,Expert Explanation: The Borg 6-20 scale allows patients to subjectively rate their
exertion during physical activity. A range of 11 to 14 corresponds to ‘fairly light’ to
‘somewhat hard’ intensity. This level is considered safe and effective for promoting
cardiovascular fitness in most stable cardiac patients. Using RPE is particularly
helpful for patients on medications like beta-blockers that blunt heart rate response.
Teaching patients to monitor their own exertion promotes long-term adherence and
safety during independent exercise.
4. Pursed-lip breathing is primarily used to achieve which of the following
physiological effects?
A. Increase the respiratory rate during exercise
B. Maintain positive airway pressure to prevent airway collapse
C. Decrease the functional residual capacity of the lungs
D. Promote rapid shallow breathing for better oxygenation
Correct Answer: B
Expert Explanation: Pursed-lip breathing involves exhaling through tightly pressed
lips to create resistance. This technique maintains positive pressure in the airways,
preventing them from collapsing during exhalation. It is especially beneficial for
patients with COPD who suffer from air trapping and hyperinflation. By slowing the
breathing rate, it improves the efficiency of gas exchange and reduces the work of
, breathing. Patients find this strategy useful for managing dyspnea during physical
activities or episodes of breathlessness.
5. What is the approximate MET (Metabolic Equivalent of Task) level for a patient
walking at a brisk pace of 3.0 to 4.0 mph?
A. 1.0 to 2.0 METs
B. 12.0 to 15.0 METs
C. 8.0 to 10.0 METs
D. 3.0 to 5.0 METs
Correct Answer: D
Expert Explanation: MET levels are used to quantify the energy cost of various
physical activities compared to resting metabolism. Walking at a brisk pace typically
falls into the moderate-intensity category, ranging from 3.0 to 5.0 METs. This
measurement helps physiotherapists prescribe exercise levels that match the
patient’s functional capacity. Understanding MET values is essential for planning the
progression of activities in cardiac and pulmonary rehabilitation. Consistent activity
at this level contributes significantly to improving long-term cardiovascular health.
6. According to the GOLD criteria, what is the required FEV1/FVC ratio to confirm the
diagnosis of COPD?
A. Greater than 0.80
Version 2 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. Which of the following is the primary goal of the 6-Minute Walk Test (6MWT) in
pulmonary rehabilitation?
A. To determine the maximum heart rate of the patient
B. To measure peak expiratory flow rates in acute settings
C. To diagnose the specific type of restrictive lung disease
D. To assess functional exercise capacity and response to treatment
Correct Answer: D
Expert Explanation: The 6-minute walk test is a submaximal exercise test used to
assess functional capacity in patients with chronic respiratory or cardiac diseases.
The primary measurement is the total distance walked on a flat surface over six
minutes. It provides a better reflection of daily physical activities than maximal
exercise tests. Clinicians use these results to determine prognosis and monitor
response to medical interventions. Long-term functional improvement is often
tracked using the change in distance over successive tests.
2. Phase II of cardiac rehabilitation typically occurs in which setting?
A. Inpatient hospital ward
,B. Home-based self-management without supervision
C. Community fitness center for healthy individuals
D. Outpatient hospital-based supervised program
Correct Answer: D
Expert Explanation: Phase II cardiac rehabilitation is an outpatient program that
begins shortly after hospital discharge. This phase involves continuous ECG
monitoring and supervision by a multidisciplinary team to ensure patient safety. It
focuses on exercise training, education, and risk factor modification tailored to the
patient. Patients typically attend sessions multiple times a week for a duration of
three to six months. Successful completion of this phase prepares the patient for
independent long-term maintenance.
3. When using the Borg Scale for Rate of Perceived Exertion (RPE), which range is
generally recommended for aerobic training in cardiac patients?
A. 6 to 8
B. 1 to 4
C. 17 to 20
D. 11 to 14
Correct Answer: D
,Expert Explanation: The Borg 6-20 scale allows patients to subjectively rate their
exertion during physical activity. A range of 11 to 14 corresponds to ‘fairly light’ to
‘somewhat hard’ intensity. This level is considered safe and effective for promoting
cardiovascular fitness in most stable cardiac patients. Using RPE is particularly
helpful for patients on medications like beta-blockers that blunt heart rate response.
Teaching patients to monitor their own exertion promotes long-term adherence and
safety during independent exercise.
4. Pursed-lip breathing is primarily used to achieve which of the following
physiological effects?
A. Increase the respiratory rate during exercise
B. Maintain positive airway pressure to prevent airway collapse
C. Decrease the functional residual capacity of the lungs
D. Promote rapid shallow breathing for better oxygenation
Correct Answer: B
Expert Explanation: Pursed-lip breathing involves exhaling through tightly pressed
lips to create resistance. This technique maintains positive pressure in the airways,
preventing them from collapsing during exhalation. It is especially beneficial for
patients with COPD who suffer from air trapping and hyperinflation. By slowing the
breathing rate, it improves the efficiency of gas exchange and reduces the work of
, breathing. Patients find this strategy useful for managing dyspnea during physical
activities or episodes of breathlessness.
5. What is the approximate MET (Metabolic Equivalent of Task) level for a patient
walking at a brisk pace of 3.0 to 4.0 mph?
A. 1.0 to 2.0 METs
B. 12.0 to 15.0 METs
C. 8.0 to 10.0 METs
D. 3.0 to 5.0 METs
Correct Answer: D
Expert Explanation: MET levels are used to quantify the energy cost of various
physical activities compared to resting metabolism. Walking at a brisk pace typically
falls into the moderate-intensity category, ranging from 3.0 to 5.0 METs. This
measurement helps physiotherapists prescribe exercise levels that match the
patient’s functional capacity. Understanding MET values is essential for planning the
progression of activities in cardiac and pulmonary rehabilitation. Consistent activity
at this level contributes significantly to improving long-term cardiovascular health.
6. According to the GOLD criteria, what is the required FEV1/FVC ratio to confirm the
diagnosis of COPD?
A. Greater than 0.80
