Physiotherapy For Cardio Respiratory Conditions: Q.P.CODE:1119-NS

Q.P.
CODE:1119-NS
DR NTR UNIVERSITY OF HEALTH SCIENCES :: VIJAYAWADA
BPT DEGREE EXAMINATION – SEPTEMBER, 2018
FOURTH YEAR EXAMINATION
PHYSIOTHERAPY FOR CARDIO RESPIRATORY CONDITIONS
(New Scheme)
Time : 3 Hours Max. Marks : 80
Note : Answer all questions
_____________________________________________________________________
ESSAY QUESTION: 2x10=20
1. a) Write in detail regarding exercise tolerance testing and its clinical 10
implications. (5+5)
OR
b) What is Cardiac Rehabilitation? Describe the phases of Cardiac
Rehabilitation in detail. (5+5)
2. a) Discuss upon the exercise programme prescription for a patient 10

recently discharged from the ICU after an episode of Myocardial
infarction.
OR
b) Describe the physiology of exchange of blood gases. Write in
detail regarding the active cycle of breathing. (5+5)
Short notes: 8x5=40

3. Hazards of bed rest
4. Pulmonary hypertension
5. Manual hyperinflation
6. Pursed lip breathing
7. Muscles of accessory respiration
8. Clinical signs of respiratory muscle fatigue
9. Physiological effects on the respiratory function in different
positions of the body
10. Oxygen therapy in COPD patients
Brief notes: 10x2=20
11. Diaphragm
12. Acid Base Balance
13. Six minute walk test
14. Sino atrial node
15. Vibration and shaking
16. Contra-indications for postural drainage
17. Relaxed positions for asthmatic patients
18. Occupational history and respiratory disease
19. Effect of exercise on the cardiovascular system
20. Mucociliary transport
---
Q.P.CODE:1119-NS
BPT DEGREE EXAMINATION – APRIL, 2018
(New Scheme)
_____________________________________________________________________
21. a) What is postural drainage? What are its indications and contra- 10
indications? How will you position the patient to drain the
various segments of the right lower lobe? (2+2+2+4)
OR
b) Outline the principles of physiotherapy for a patient
following open heart surgery.
22. a) Explain the possible complications in a patient who has 10

underwent left sided thoracotomy. Outline the detailed
management of the same. (4+6)
OR
b) Describe the aims and means of physiotherapy management in a
patient with chronic bronchitis.
Short notes: 8x5=40

23. Orthopnea
24. Vital signs
25. Incentive Spirometry
26. Regulation of respiration
27. Humidification
28. Deep vein thrombosis (DVT)
29. Thoracic expansion Exercises
30. Ejection fraction and exercises
31. Tidal volume
32. Grades of Dyspnoea
33. FEV1/VC ratio
34. Coughing and huffing
35. Exercise induced asthma
36. Intercostal drainage
37. Physiological dead space
38. Diaphragmatic paralysis
39. Incisions in Cardiopulmonary surgeries
40. Posture in chronic asthma
Q.P.CODE:1119-NS
BPT DEGREE EXAMINATION – OCTOBER, 2017
(New Scheme)
_____________________________________________________________________
41. a) Mention the congenital cardiac anomalies. Describe the pre and 10
post operative physiotherapy in case of Tetralogy of Fallot (3+7)
OR
b) Outline the principles of physiotherapy and also the means in the
physiotherapy management of a patient with Kyphosis. (4+6)
42. a) Discuss the principles and methods of physiotherapy in ICU 10

OR
b) Discuss the importance of observing and recording the vital signs.
Short notes: 8x5=40

43. Exercise tolerance
44. Myocardial contractility
45. Pulmonary embolism
46. Muscles of respiration
47. Advantages of postural drainage
48. Conduction system of the heart
49. Optimizing lung volumes and capacities
50. Movement of the ribs
51. Wheezing
52. Endotracheal Suctioning
53. Labored breathing
54. Pleural effusion
55. Peep
56. Nebulization
57. Oxygen transport
58. Pedal edema
59. ECG
60. Smoking history and respiratory disease
---
1119-NS
(New Scheme)
_____________________________________________________________________
61. a) Write about assessment and Physiotherapy Management for 10
Patient underwent Inter Coastal Drainage for Right Side Pleural
Effusion and on auscultation Provokes Crackles over Bilateral
Lower Lobes. (5+5)
OR
b) Write about signs and symptoms, Pathophysiology and
Physiotherapy management for Bronchial Asthma.
(3+2+5)
62. a) Write in detail about the Apparatus, Airways and tubes used in 10
ICU. (5+5)
OR
b) Write in detail about assessment and Physiotherapy
management following Thoracotomy. (5+5)
Short notes: 8x5=40

63. Pulmonary Function Tests
64. Treadmill Test
65. Explain Intermittent Claudication and its Physiotherapy
Management
66. Explain about various measures to reduce the work of Breathing
67. IPPB (Intermittent Positive Pressure Breathing)
68. Empyema and its Treatment
69. Indications for Humidification

71. Normal ABG Values
72. Define Clubbing
73. Tidal Volume
74. Buerger’s Disease
75. DVT
76. Incisions used in Thoracotomy
77. Radiological changes in Pulmonary Tuberculosis
78. Haemoptysis
79. Uses of Incentive Spirometer
80. Define Dead Space
1119
EIGHT SEMESTER EXAMINATION
PHYSIOTHERAPY CARDIO RESPIRATORY CONDITIONS
(Common for both NR & OR)
1 WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15
a) Describe the Physiotherapy Management of Bronchiectasis in

detail.
b) Write in detail the assessment and Physiotherapy Management

for the Respiratory changes which occurs in Chest Deformities
(7+8)
2 WRITE BRIEFLY ON: 7x5=35
a) Relaxed Diaphragmatic Breathing exercises

b) Explain Phases of Cardiac Rehabilitation
c) Berger’s Exercise
d) Blood Gas Analysis
e) Explain Pump-Handle and Bucket Handle Movements
f) Write about Mechanical Techniques to Increase Long Volumes
g) Role of Physiotherapists in Neonatal ICU
3 WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15
a) Explain any two peripheral vascular diseases and their

Physiotherapy management in detail. (7+8)
b) Write in detail about aetiology, clinical features, Patho-physiology

of chronic bronchitis. Add a note on its therapeutic management
(2+5+4+4)
4 WRITE BRIEFLY ON: 7x5=35
a) Various measures to control Dyspnoea during walking

b) Define Forced Expiratory Techniques
c) Flail Chest
d) Vital Capacity
e) Uses and Types of Suction
f) Incentive Spirometer
g) Broncho Pleural Fistula
---
1119-NS
(New Scheme)
______________________________________________________________
1. a) Describe Active Cycle of Breathing Technique (ACBT)
OR
b) Describe bronchiectasis and write in detail about the
physiotherapy management for the same.
2. a) Explain in detail the cardiac rehabilitation following coronary

artery bypass surgery.
OR
b) Describe relaxed positions for breathless patients and how

will you design an exercise program for these patients.
Short notes: 8x5=40

3. Modes of ventilation
4. Mention the indications, contraindications, uses and effects of
breathing exercises.
5. Write the physiotherapy management following chronic
bronchitis
6. Raynaud’s disease
7. Explain the indications and postural drainage positions of
upper lobes
8. Forced expiratory techniques
9. Indications and precautions of suctioning
10. Tetralogy of Fallot

11. Valsalva’s maneuver
12. Aerobic exercise
13. What is paradoxical breathing?
14. What is maximum voluntary ventilation?
15. Humidification
16. Relaxation techniques
17. Syncope
18. ECG
19. 2 PFT abnormalities in COPD
20. Define coughing and huffing
----
1119
1. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

a) Define cardiac rehabilitation. Design an exercise protocol for a
patient after CABG
OR
b) Explain in detail the role of physiotherapy required in the
management of congenital chest deformities.
2. WRITE BRIEFLY ON: 7x5=35

a) O2 therapy
b) Auscultation
c) Stress testing
d) Muscle fatigue
e) Berger’s exercise
f) Suction catheters
g) Incentive Spiro meter

a) Discuss the pre-operative assessment and management of a
patient posted for aortic valve replacement.
OR
b) Explain the clinical features of pneumonia. Describe in detail the pre
and post operative management after a Pneumonectomy
4. WRITE BRIEFLY ON: 7X5=35
a) Chest expansion exercises

b) Humidification
c) Septal defect
d) Status asthmaticus
e) Pleural effusion
f) Flail chest
g) Ischaemic Heart Disease
---
1119-NS
(New Scheme)
______________________________________________________________
21. a) Assessment and Physiotherapy management of chest
complications associated with scoliosis
OR
b) Explain the pulmonary rehabilitation program for a 60 year
old patient suffering with Asthma
22. a) Explain the principles of intensive care Physiotherapy

OR
b) What is Pneumonectomy? Write in detail about the

assessment and management following pneumonectomy
Short notes: 8x5=40

23. Role of physiotherapy in COPD
24. Biomechanics of respiration
25. Pulmonary function tests
26. Explain phase 1 and 2 of cardiac rehabilitation
27. Pursed lip breathing
28. Explain the blood supply to Heart
29. Classify lung sounds and mention its importance
30. Exercise stress testing

31. Define coughing and huffing
32. Mention two mucolytic drugs
33. Normal ABG values
34. Mention two causes of cyanosis
35. Write two complications of pneumonia
36. Define oxygen debt
37. Incisions in cardiothoracic surgeries
38. Define dead space
39. Define residual volume and its normal value.
40. Name two types of mechanical prosthesis used in valve
replacement surgeries
----
1119

a) A 55 year old patient has under gone CABG, explain cardiac
rehabilitation program following CABG.
OR
b) 25 year old athlete has been diagnosed to have bronchial asthma,
describe the physiotherapy management for this patient

h) Weaning from ventilator
i) Precautions, indications and contraindications of suctioning
j) Pulmonary function tests
k) Indications, goals and procedures for relaxed positions
l) Aerosol therapy
m) Positive end-expiratory pressure (PEEP)
n) Mitral valve disease

a) Explain the principles and techniques of postural drainage
OR
b) Explain the indications, goals and procedures for deep breathing
exercises
h) Inter Costal Drainage

i) Forced expiratory techniques
j) Blood gas analysis
k) Explain normal and abnormal breath sounds
l) Six minute walk test
m) Explain the blood supply to heart
n) Various types of chest incisions
---
1119-NS
(New Scheme)
______________________________________________________________
41. a) Explain graded exercise tolerance testing
OR
b) PT management for Chronic Bronchitis.
42. a) PT management following coronary artery bypass

grafting.
OR
b) Basic and advanced techniques of bronchial hygiene
Short notes: 8x5=40

43. Humidifiers
44. Tracheostomy
45. Intensive spirometry
46. Glosso pharyngeal breathing exercise
47. Postural drainage for left lower lobe
48. Weaning of ventilator
49. Tetralogy of Fallot
50. ABG analysis

51. Paradoxical breathing
52. Chordae tendineae
53. Broncho pulmonary segments
54. Diaphragmatic breathing
55. Cough Reflex
56. Contraindications for Postural drainage
57. Mitral stenosis
58. Define cardiac cycle
59. Draw normal ECG curve
60. V/Q ratio
----
1119

a) Write in detail about the assessment and physiotherapy
management of a patient with kyphosis. 7+8
OR
b) Formulate a detailed cardiac rehabilitation program for a patient
who has undergone medical management for myocardial
infarction.

o) Thoracic mobility exercises
p) Diaphragmatic breathing exercises
q) Continuous positive airway pressure
r) Relaxation positions for breathless patients
s) Patent Ductus Arteriosus
t) Blood supply to heart and explain different types of grafts used in
CABG
u) Pursed lip breathing exercises

a) A 50 year old patient has been diagnosed to have bronchiectasis.
Write the physiotherapy management for this patient.
OR
b) What is thoracotomy? And write in detail about the assessment and
management following pneumonectomy. 5+5+5
o) Bronchial asthma
p) Coughing and huffing
q) SIMV
r) Describe interpretation of normal ECG and add a note on ECG
changes in ischemic heart disease
s) Postural drainage
t) Interpretation of arterial blood gas (ABG) analysis
u) Pump handle and bucket handle movement of chest
---
1119
BPT DEGREE EXAMINATION – NOVEMBER, 2013

a) A 15 year old school boy is diagnosed to have night sided
bronchiectasis. Describe the management of this patient.
OR
b) Differentiate between closed and open-heart surgeries. Discuss the
difference in the assessment and management of patients posted
for them. (7+8)

v) Relaxed diaphragmatic breathing exercises
w) Coughing and Huffing
x) Problem list in Bronchial asthma
y) Advantages of PEEP
z) Physiotherapy in acute bronchitis
aa) Precautions during suctioning
bb) Pursed lip breathing

a) A 40 year old mineworker is diagnosed with lung abscess in the
lower lobes. Explain the assessment and management of this
patient in detail. (7+8)
OR
b) Formulate a detailed cardiac rehabilitation program for a patient
after an acute myocardial infarction.
v) Thoracic mobility exercises

w) Incisions in Cardiothoracic surgery
x) Bronchopleural fistula
y) SIMV
z) Blue bloaters
aa)Splinted coughing
bb)Weaning from ventilator
---
1119-NS
BPT DEGREE EXAMINATION – NOVEMBER, 2013
(New Scheme)
______________________________________________________________
1. Explain the physiotherapy assessment and management

of a patient with scoliosis. (5+5)
OR
Physiotherapy management of an asthmatic patient.
2. Explain the principles and techniques of postural drainage.

(3+7)
OR
Physiotherapy management for a patient who underwent
cardiac bypass surgery.
Short notes: 8x5=40

3. ECG
4. Blood supply to heart
5. Forced expiratory techniques
6. Endotracheal suctioning
7. Deep breathing exercises
8. Management of atherosclerosis
9. Raynaud’s disease
10. Shoulder hand syndrome

11. Syncope
12. Clubbing
13. IPPB
14. Hemoptysis
15. Dead space
16. Tactile and vocal fremitus
17. Aerosol therapy
18. Relaxation postures in obstructive lung diseases
19. Vibratory shaking
20. Chest X-ray
---
1119-NS
BPT DEGREE EXAMINATION – APRIL / MAY - 2013
(New Scheme)
______________________________________________________________
1. Describe the principles of intensive care therapy.
OR
Describe the indications and means of exercise tolerance
test.
2. Physiotherapy management for a patient of 10

Bronchiectasis.
OR
Define breathing exercise and write the indications and 10
procedures of teaching breathing exercise.
Short notes: 8x5=40
3. Pulmonary circulation
4. Principles of humidification therapy
5. Assessment of sputum
6. Coughing and Huffing
7. Buerger’s disease
8. Broncho Pulmonary Segments
9. Intercostal drainage
10. Incentive Spirometry

11. Nebulization
12. Autogenic drainage
13. PEEP
14. Bruce Protocol
16. Pulse oximetry
17. Auscultation
18. Nasopharyngeal suctioning
19. Dyspnoea
20. Chest expansion at different levels.
---
1119
BPT DEGREE EXAMINATION – APRIL / MAY - 2013

a) What are the methods of testing the exercise tolerance of a patient?
Describe the various techniques of improving the exercise
tolerance. (7+8)
OR
b) Explain in detail the role of physiotherapy in the management of
acquired and congenital chest deformities.
2. WRITE BRIEFLY ON :
7x5=35
c) Costal breathing exercises
d) Valsalva technique.
e) Chest manipulations
f) Physiotherapy in scoliosis
g) Nebulizer
h) Clubbing
i) Dyspnea

a) Describe the principles of management of a patient in the intensive
care unit.
OR
b) Describe the management of a 45 year old male who underwent

surgery for coronary artery bypass grafting
c) Pneumonectomy
d) ARDS
e) Ischaemic Heart Disease
f) Contraindication of postural drainage
g) Paradoxical respiration
h) Cough reflex
i) Endotracheal tubes
---
1119-NS
BPT DEGREE EXAMINATION – OCTOBER / NOVEMBER -2012
(New Scheme)
______________________________________________________________
2x10=20
1. What are the signs and symptoms of Chronic Bronchitis?
Mention assessment and treatment for the same
(2+2+3+3)
OR
What is Cardiac Rehabilitation? Discuss its rationale and
significance (4+3+3)
2. Physiotherapy management of an asthmatic patient. 10

OR
Write about the pre and post operative physiotherapy
management for a patient undergoing coronary artery 10
bypass grafting.
Short notes: 8x5=40

3. Postural drainage
4. Mechanics of respiration
5. Principles of Aerosol Therapy.
6. Suctioning
7. Paradoxical respiration
8. Coughing and huffing
9. Valsalva maneuver.
10. Pulmonary function tests.

11. ECG
12. Endotracheal Tube
13. Aerobic Exercise
14. Hemoptysis
15. CPAP
16. Pigeon Chest
17. Normal Breath Sounds
18. Dead space
19. Scoliosis
20. Kyphosis
---
1119
BPT DEGREE EXAMINATION – OCTOBER / NOVEMBER - 2012

a) Explain in detail the management following left Pneumonectomy.
OR
b) A 60 year old male accountant has been diagnosed to have inferior
wall myocardial infarction. Plan a cardiac rehabilitation program for
this patient.
2. WRITE BRIEFLY ON : 7x5=35

c) Autogenic drainage techniques
d) Management of bronchopulmonary dysplasia.
e) PT assessment in neonatal ICU
f) Kyphoscoliosis
g) Exercise tolerance testing
h) Buerger’s exercise.
i) Incisions in thoracic surgery

a) A 35 year old coal mine worker is diagnosed with lung abscess in
the lower zone of right lung. Explain the assessment and
management in detail. (7+8)
OR
b) Describe the principles of cardiopulmonary resuscitation in

detail.
c) Suctioning
d) Carcinoma lung
e) Cervical rib
f) Oxygen therapy
g) Regulation of cardiac output
h) MET
i) Arterial blood gas analysis.
---
1119

a) Write about the pre and post operative physiotherapy
management for a patient undergoing coronary artery
bypass grafting. (7+8)
b) What is cardiac rehabilitation? Discuss its rationale

and significance.. (3+12)

c) Management of incisional pain.
d) Anatomical and physiological dead space.
e) Paradoxical respiration.
f) Abdominal breathing.
g) Six minute walking test.
h) Chest massage manipulations.
i) Contra-indications for postural drainage.

a) Physiotherapeutic management of chronic bronchitis.
b) Describe the assessment and PT management of a 10 year

old school boy diagnosed with cystic fibrosis. (7+8)
c) Cardiopulmonary resuscitation.
d) Humidification.
e) Surface marking of lungs.
f) Abnormal breathing patterns.
g) Effects of immobilisation.
h) Exercise prescription for children with lung dysfunction.
i) Coronary circulation.
---
1119

a) Discuss the physiotherapy management of bronchial asthma.
b) Discuss the physiotherapy management for artificial mitral

valve replacement in a patient with mitral stenosis. Add a note
on few possible complications the therapist should guard
against.

c) Artificial Pacemakers.
d) Athlete’s heart.
e) Care of the neonate in intensive care.
f) Deep vein thrombosis and its prevention.
g) Continuous positive airway pressure (CPAP).
h) Use of incentive spirometry.
i) Pneumo Thorax.
a) Discuss the physiotherapy management of bronchiectesis.
b) What is postural drainage? Discuss its indications,

contraindications, uses and techniques.
c) Uses of proper positioning in post surgical patients.

d) Pulse oximetry.
e) Weaning and use of ventilators.
f) Nasotracheal suction.
g) Importance of warm up phase during exercise.
h) Meaning and significance of MET (Metabolic equivalent).
i) Exercise prescription for cardiac patients.
---
1119

a) A 42 year male underwent coronary artery bypass grafting.
Discuss the cardiac rehabilitation program for him from the
first day of surgery.
b) Discuss general cardio respiratory assessment.

c) Humidification therapy
d) Thoracoplasty and its PT management
e) Paradoxical Breathing
f) Ventilation Perfusion Ratio
g) CPAP
h) Measurement of chest expansion at all levels
i) Pulmonary function tests

a) Define bronchiactasis. Explain assessment and its
PT management.
b) Discuss in detail about various modes of mechanical
ventilation and explain about weaning from ventilators.

c) Autogenic drainage
d) Role of physiotherapist in ICU
e) Discuss various methods of strengthening diaphragm
f) Meter dose inhalers
g) Chronic bronchitis. Mention its PT management
h) Discuss principles of operation of nebulizers
i) Ventricular septal defect
---
1119

a) Describe the principles of Intensive Care Therapy.
b) Describe the mechanism of ventilation and name the muscles
involved in ventilation.
c) Exercise tolerance testing
d) Technique of postural drainage
e) Aerosol therapy. Types of aerosols
f) Bronchitis
g) Home program after an attack of acute myocardial
infarction
h) Cor Pulmonale
i) Breathing exercises
a) Discuss in detail the physiotherapymanagement for a
patient of pneumonectomy.
b) Describe the principles, effects and procedure and uses of
breathing exercises.
c) Breathing exercises in Asthma

d) Relaxation techniques
e) Nasotracheal suctioning
f) Atelectasis
g) Lung Volumes
h) Pneumonectomy
i) Empyema Thoracis
---

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Q.P.

2. a) Discuss upon the exercise programme prescription for a patient 10

Short notes: 8x5=40

22. a) Explain the possible complications in a patient who has 10

Short notes: 8x5=40

42. a) Discuss the principles and methods of physiotherapy in ICU 10

Short notes: 8x5=40

Short notes: 8x5=40

Brief notes: 10x2=20

1 WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

a) Describe the Physiotherapy Management of Bronchiectasis in

b) Write in detail the assessment and Physiotherapy Management

2 WRITE BRIEFLY ON: 7x5=35

a) Relaxed Diaphragmatic Breathing exercises

3 WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

a) Explain any two peripheral vascular diseases and their

b) Write in detail about aetiology, clinical features, Patho-physiology

4 WRITE BRIEFLY ON: 7x5=35

a) Various measures to control Dyspnoea during walking

2. a) Explain in detail the cardiac rehabilitation following coronary

b) Describe relaxed positions for breathless patients and how

Short notes: 8x5=40

Brief notes: 10x2=20

1. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

2. WRITE BRIEFLY ON: 7x5=35

3. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

4. WRITE BRIEFLY ON: 7X5=35

a) Chest expansion exercises

22. a) Explain the principles of intensive care Physiotherapy

b) What is Pneumonectomy? Write in detail about the

Short notes: 8x5=40

Brief notes: 10x2=20

1. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

2. WRITE BRIEFLY ON: 7x5=35

3. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

4. WRITE BRIEFLY ON: 7X5=35

h) Inter Costal Drainage

42. a) PT management following coronary artery bypass

b) Basic and advanced techniques of bronchial hygiene

Short notes: 8x5=40

Brief notes: 10x2=20

1. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

2. WRITE BRIEFLY ON: 7x5=35

3. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

4. WRITE BRIEFLY ON: 7X5=35

1. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

2. WRITE BRIEFLY ON: 7x5=35

3. WRITE AN ESSAY ON ANY ONE OF THE FOLLOWING: 15

4. WRITE BRIEFLY ON: 7X5=35

v) Thoracic mobility exercises

1. Explain the physiotherapy assessment and management

2. Explain the principles and techniques of postural drainage.

Short notes: 8x5=40

Brief notes: 10x2=20

1. Describe the principles of intensive care therapy.

2. Physiotherapy management for a patient of 10

Brief notes: 10x2=20