<!-- 2025-03-18T18:05:11.0229601Z -->
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e=new URL(window.location.href);return t.filter(s=>s.hypotheses.some(i=>i.type==="dom"&&i.domSelectors&&i.domSelectors.some(o=>new RegExp(V(o)).test(e.toString()))))}async filterTestsByAudience(t,e,s){const i=[];let o=e.country;!o&&t.some(n=>n.requiresCountry&&!s.some(a=>a.testId===n.id))&&(this.log("Hiding page to check geoip"),this.hidePage(),o=await this.makeJsonRequest({method:"get",url:`${this.eventHost}/api/v0/visitors/get-country`,signal:AbortSignal.timeout(this.getCountryTimeout)}).catch(n=>(this.log("Error getting country",n),null)));for(const n of t){this.log("Checking audience for test '%s'",n.id);const a=this.visitorCreatedDuringTestActive(n.statusHistory);(s.some(h=>h.testId===n.id&&(n.device==="all"||n.device===e.device&&n.device===this.device))||this.isTargetAudience(n,e,a,o))&&(this.log("Visitor is in audience for test '%s'",n.id),i.push(n))}this.testsFilteredByAudience=i}isTargetAudience(t,e,s,i){const o=this.getChannel(e);return(t.device==="all"||t.device===e.device&&t.device===this.device)&&(t.visitorOption==="all"||t.visitorOption==="new"&&s||t.visitorOption==="returning"&&!s)&&(t.targetAudiences.length===0||t.targetAudiences.reduce((n,a)=>n||a.reduce((c,h)=>c&&h(e,s,o,i),!0),!1))}visitorCreatedDuringTestActive(t){let e="";for(const s of t){if(this.state.analytics.visitor!==null&&this.state.analytics.visitor.createdAt<s.createdAt||this.state.essential.initialState.createdAt<s.createdAt)break;e=s.status}return e==="active"}getDomTestsForCurrentUrl(){return this.domTestsForUrl(this.testsFilteredByAudience)}getCurrentVisitorHypothesis(t){return t.flatMap(e=>e.hypotheses).find(e=>e.type!=="dom"&&this.state.essential.visitorTests.some(s=>s.hypothesisId===e.id))}getVisitorDomHypothesis(t){return t.flatMap(e=>e.hypotheses).filter(e=>e.type==="dom"&&this.state.essential.visitorTests.some(s=>s.hypothesisId===e.id))}getHypothesis(t){return 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c=t.hypotheses.reduce((h,d)=>h&&d.visitorCount>20,!0)?n.visitorCount/s-n.trafficPercentage:0;return e<=n.trafficPercentage-c?n:(e-=n.trafficPercentage,null)},null)}typeFromTemplate(){switch(template.type){case"collection-list":return"collectionList";case"page":return"landing";case"article":case"blog":case"cart":case"collection":case"index":case"product":case"search":return template.type;default:return null}}queueRedirect(t){this.saveState(),window.setTimeout(()=>window.location.assign(t),0)}async syncAllEvents(){const t=async()=>{if(this.isSyncing){window.setTimeout(()=>void(async()=>await t())(),500);return}try{this.isSyncing=!0,await this.syncEvents(),this.syncGAEvents()}finally{this.isSyncing=!1}};await t()}async syncEvents(){var s,i;if(!this.state.essential.consentApproved||!this.shopifyAnalyticsId||this.state.analytics.queue.length===0)return;const t=this.state.analytics.queue.length,e=this.state.analytics.queue.splice(0,t);this.log("Syncing %s events",t);try{const o={shop:this.shop,visitorDetails:{shopifyAnalyticsId:this.shopifyAnalyticsId,device:((s=this.state.analytics.visitor)==null?void 0:s.device)??this.device,country:((i=this.state.analytics.visitor)==null?void 0:i.country)??null,...this.state.essential.initialState},events:this.state.essential.visitorTests.filter(a=>!a.isInvalid&&!a.isSaved).map(a=>new P(a.testId,a.hypothesisId,a.createdAt)).concat(e)},n=await this.sendEvents(o);n!==null&&this.updateLocalVisitor(n)}catch{this.state.analytics.queue.splice(0,0,...e)}finally{this.saveState()}}syncGAEvents(){if(!this.useGtag||!this.state.essential.consentApproved)return;const t=this.state.essential.visitorTests.filter(e=>e.shouldSendToGa);this.log("Syncing %s ga events",length);try{for(const e of t)this.sendGtagEvent(e.testId,e.hypothesisId),e.shouldSendToGa=!1}catch(e){this.log("Failed sending event to gtag",e)}finally{this.persistEssentialState()}}sendGtagEvent(t,e){this.log("Sending gtag event for",t,e);const s={exp_variant_string:`SL-${t}-${e}`};this.shopliftDebug&&Object.assign(s,{debug_mode:!0}),typeof window.gtag=="function"?gtag("event","experience_impression",s):(this.log("gtag not found, pushing to dataLayer"),window.dataLayer=window.dataLayer||[],window.dataLayer.push({event:"experience_impression",...s}))}updateLocalVisitor(t){let e;({visitorTests:e,...this.state.analytics.visitor}=t);for(const s of this.state.essential.visitorTests.filter(i=>!e.some(o=>o.testId===i.testId)))s.isSaved=!0,s.isInvalid=!0;for(const s of e)this.state.essential.visitorTests.some(o=>o.testId===s.testId)||this.state.essential.visitorTests.push(s);this.state.analytics.visitor.storedAt=new Date}async getVisitor(t){try{return await this.makeJsonRequest({method:"get",url:`${this.eventHost}/api/v0/visitors/by-key/${this.shop}/${t}`})}catch{return null}}async sendEvents(t){return await this.makeJsonRequest({method:"post",url:`${this.eventHost}/api/v0/events`,data:JSON.stringify(t)})}async getRemoteVisitor(t){return await this.makeJsonRequest({method:"get",url:`${this.eventHost}/api/v0/visitors/${t}`})}async updateShopifyAnalyticsId(t,e){return await this.makeJsonRequest({method:"put",url:`${this.eventHost}/api/v0/visitors/${t}`,data:JSON.stringify({shop:this.shop,shopifyAnalyticsId:e})})}getUTMValue(t){const s=decodeURIComponent(window.location.search.substring(1)).split("&");for(let i=0;i<s.length;i++){const o=s[i].split("=");if(o[0]===t)return o[1]||null}return null}hidePage(){this.log("Hiding page"),this.cssHideClass&&!window.document.documentElement.classList.contains(this.cssHideClass)&&(window.document.documentElement.classList.add(this.cssHideClass),setTimeout(this.removeAsyncHide(this.cssHideClass),2e3))}showPage(){this.cssHideClass&&this.removeAsyncHide(this.cssHideClass)()}getDeviceType(){function t(){let s=!1;return function(i){(/(android|bb\d+|meego).+mobile|avantgo|bada\/|blackberry|blazer|compal|elaine|fennec|hiptop|iemobile|ip(hone|od)|iris|kindle|lge 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)|mwbp|mywa|n10[0-2]|n20[2-3]|n30(0|2)|n50(0|2|5)|n7(0(0|1)|10)|ne((c|m)\-|on|tf|wf|wg|wt)|nok(6|i)|nzph|o2im|op(ti|wv)|oran|owg1|p800|pan(a|d|t)|pdxg|pg(13|\-([1-8]|c))|phil|pire|pl(ay|uc)|pn\-2|po(ck|rt|se)|prox|psio|pt\-g|qa\-a|qc(07|12|21|32|60|\-[2-7]|i\-)|qtek|r380|r600|raks|rim9|ro(ve|zo)|s55\/|sa(ge|ma|mm|ms|ny|va)|sc(01|h\-|oo|p\-)|sdk\/|se(c(\-|0|1)|47|mc|nd|ri)|sgh\-|shar|sie(\-|m)|sk\-0|sl(45|id)|sm(al|ar|b3|it|t5)|so(ft|ny)|sp(01|h\-|v\-|v )|sy(01|mb)|t2(18|50)|t6(00|10|18)|ta(gt|lk)|tcl\-|tdg\-|tel(i|m)|tim\-|t\-mo|to(pl|sh)|ts(70|m\-|m3|m5)|tx\-9|up(\.b|g1|si)|utst|v400|v750|veri|vi(rg|te)|vk(40|5[0-3]|\-v)|vm40|voda|vulc|vx(52|53|60|61|70|80|81|83|85|98)|w3c(\-| )|webc|whit|wi(g |nc|nw)|wmlb|wonu|x700|yas\-|your|zeto|zte\-/i.test(i.substr(0,4)))&&(s=!0)}(navigator.userAgent||navigator.vendor),s}return t()?"mobile":e()?"tablet":"desktop"}removeAsyncHide(t){return()=>{t&&window.document.documentElement.classList.remove(t)}}async getCartState(){try{let t=await this.makeJsonRequest({method:"get",url:`${window.location.origin}/cart.js`});return t===null?null:(t.note===null&&(t=await this.makeJsonRequest({method:"post",url:`${window.location.origin}/cart/update.js`,data:JSON.stringify({note:""})})),t)}catch(t){return this.log("Error sending cart info",t),null}}async makeJsonRequest(t){const e=await this.makeRequest(t);return e===null?null:JSON.parse(await e.text(),m)}async makeRequest(t){const{url:e,method:s,headers:i,data:o,signal:n}=t,a=new Headers;if(i)for(const h in i)a.append(h,i[h]);(!i||!i.Accept)&&a.append("Accept","application/json"),(!i||!i["Content-Type"])&&a.append("Content-Type","application/json"),(this.eventHost.includes("ngrok.io")||this.eventHost.includes("ngrok-free.app"))&&a.append("ngrok-skip-browser-warning","1234");const c=await this.fetch(e,{method:s,headers:a,body:o,signal:n});if(!c.ok){if(c.status===204)return null;if(c.status===422){const h=await c.json();if(typeof h<"u"&&h.isBot)throw new w}throw new Error(`Error sending shoplift request ${c.status}`)}return c}queueAddVisitorToTest(t,e){this.state.essential.visitorTests.some(s=>s.testId===t)||this.state.essential.visitorTests.push({createdAt:new Date,testId:t,hypothesisId:e.id,isThemeTest:e.type==="theme",themeId:e.themeId,isSaved:!1,isInvalid:!1,shouldSendToGa:!0})}queueCartUpdate(t){this.queueEvent(new x(t))}queuePageView(t){this.queueEvent(new E(t))}queueEvent(t){!this.state.essential.consentApproved&&this.state.essential.hasConsentInteraction||this.state.analytics.queue.length>10||this.state.analytics.queue.push(t)}legacyGetLocalStorageVisitor(){const t=this.localStorageGet(this.legacySessionKey);if(t)try{return JSON.parse(t,m)}catch{}return null}pruneStateAndSave(){this.state.essential.visitorTests=this.state.essential.visitorTests.filter(t=>this.testConfigs.some(e=>e.id==t.testId)||this.inactiveTestConfigs.filter(e=>this.testIsPaused(e)).some(e=>e.id===t.testId)),this.saveState()}saveState(){this.persistEssentialState(),this.persistAnalyticsState()}loadState(){const t=this.loadAnalyticsState(),e={analytics:t,essential:this.loadEssentialState(t)},s=this.legacyGetLocalStorageVisitor(),i=this.legacyGetCookieVisitor(),o=[s,i].filter(n=>n!==null).sort((n,a)=>+a.storedAt-+n.storedAt)[0];return e.analytics.visitor===null&&o&&({visitorTests:e.essential.visitorTests,...e.analytics.visitor}=o,e.essential.isFirstLoad=!1,e.essential.initialState={createdAt:o.createdAt,referrer:o.referrer,utmCampaign:o.utmCampaign,utmContent:o.utmContent,utmMedium:o.utmMedium,utmSource:o.utmSource,device:o.device},this.deleteCookie("SHOPLIFT"),this.deleteLocalStorage(this.legacySessionKey)),!e.essential.consentApproved&&e.essential.hasConsentInteraction&&this.deleteLocalStorage(this.analyticsSessionKey),e}loadEssentialState(t){var a;const e=this.loadLocalStorage(this.essentialSessionKey),s=this.loadCookie(this.essentialSessionKey),i=this.getInitialState();(a=t.visitor)!=null&&a.device&&(i.device=t.visitor.device);const o={timestamp:new Date,consentApproved:!1,hasConsentInteraction:!1,debugMode:!1,initialState:i,visitorTests:[],isMerchant:!1,isFirstLoad:!0},n=[e,s].filter(c=>c!==null).sort((c,h)=>+h.timestamp-+c.timestamp)[0]??o;return n.initialState||(t.visitor!==null?n.initialState=t.visitor:(n.initialState=i,n.initialState.createdAt=n.timestamp)),n}loadAnalyticsState(){const t=this.loadLocalStorage(this.analyticsSessionKey),e=this.loadCookie(this.analyticsSessionKey),s={timestamp:new Date,visitor:null,queue:[]};return[t,e].filter(i=>i!==null).sort((i,o)=>+o.timestamp-+i.timestamp)[0]??s}persistEssentialState(){this.log("Persisting essential state"),this.state.essential.isFirstLoad=!1,this.persistLocalStorageState(this.essentialSessionKey,this.state.essential),this.persistCookieState(this.essentialSessionKey,this.state.essential)}persistAnalyticsState(){this.log("Persisting analytics state"),this.state.essential.consentApproved&&(this.persistLocalStorageState(this.analyticsSessionKey,this.state.analytics),this.persistCookieState(this.analyticsSessionKey,this.state.analytics))}loadLocalStorage(t){const e=this.localStorageGet(t);return e===null?null:JSON.parse(e,m)}loadCookie(t){const e=this.getCookie(t);return e===null?null:JSON.parse(e,m)}persistLocalStorageState(t,e){e.timestamp=new Date,this.localStorageSet(t,JSON.stringify(e))}persistCookieState(t,e){e.timestamp=new Date;const s=JSON.stringify(e),i=new Date(new Date().getTime()+864e5*365).toUTCString();document.cookie=`${t}=${s};domain=.${window.location.hostname};path=/;expires=${i};SameSite=Strict;`}deleteCookie(t){const e=new Date(0).toUTCString();document.cookie=`${t}=;domain=.${window.location.hostname};path=/;expires=${e};`}deleteLocalStorage(t){window.localStorage.removeItem(t)}getChannel(t){var s;return((s=[{"name":"cross-network","test":(v) => new RegExp(".*cross-network.*", "i").test(v.utmCampaign)},{"name":"direct","test":(v) => v.utmSource === "" && v.utmMedium === ""},{"name":"paid-shopping","test":(v) => (new RegExp("^(?:Google|IGShopping|aax-us-east\.amazon-adsystem\.com|aax\.amazon-adsystem\.com|alibaba|alibaba\.com|amazon|amazon\.co\.uk|amazon\.com|apps\.shopify\.com|checkout\.shopify\.com|checkout\.stripe\.com|cr\.shopping\.naver\.com|cr2\.shopping\.naver\.com|ebay|ebay\.co\.uk|ebay\.com|ebay\.com\.au|ebay\.de|etsy|etsy\.com|m\.alibaba\.com|m\.shopping\.naver\.com|mercadolibre|mercadolibre\.com|mercadolibre\.com\.ar|mercadolibre\.com\.mx|message\.alibaba\.com|msearch\.shopping\.naver\.com|nl\.shopping\.net|no\.shopping\.net|offer\.alibaba\.com|one\.walmart\.com|order\.shopping\.yahoo\.co\.jp|partners\.shopify\.com|s3\.amazonaws\.com|se\.shopping\.net|shop\.app|shopify|shopify\.com|shopping\.naver\.com|shopping\.yahoo\.co\.jp|shopping\.yahoo\.com|shopzilla|shopzilla\.com|simplycodes\.com|store\.shopping\.yahoo\.co\.jp|stripe|stripe\.com|uk\.shopping\.net|walmart|walmart\.com)$", "i").test(v.utmSource) || new RegExp("^(.*(([^a-df-z]|^)shop|shopping).*)$", "i").test(v.utmCampaign)) && new RegExp("^(.*cp.*|ppc|retargeting|paid.*)$", "i").test(v.utmMedium)},{"name":"paid-search","test":(v) => new 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Take a deep dive into a variety of exam questions, gaining insight from seasoned Scorebuilders’ instructors as they help you understand and examine the why behind the correct answer. Ready to elevate your exam prep? Let’s go!
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Step into the entrepreneurial side of physical therapy as we explore innovative PT businesses and the inspiring journeys of their founders. Hear their stories, discover their strategies, and gain insights that could spark your own entrepreneurial path.
Episode 2 – Exercise Post Cardiac Transplantation
Scott Giles PT, DPT, MBA
Posted 04/23/2024
During an exercise session, a physical therapist monitors exercise intensity with a patient post cardiac transplantation. Which method is the MOST appropriate for the therapist to use?
1. Metabolic equivalents 2. Perceived exertion scale 3. Pulmonary function tests 4. Target heart rate range
Welcome back to the Scorebuilders’ Question and Answer Podcast! This podcast provides members of the Scorebuilders Team with the opportunity to explore challenging multiple choice examination questions with students actively preparing for the licensing examination.
My name is Scott Giles and I will be your host for today’s journey.
Today our question deals with a patient following a heart transplantation. This reminds me of a funny moment. My friend once said to me out of the blue….If I ever needed a heart transplant, I would want Nancy’s since it has never been used. Nancy was his ex-girlfriend and as you may have guessed it didn’t end well. I softly chuckled but then just felt awkward and became silent.
Back to business! Ready? Let’s go!
During an exercise session, a physical therapist monitors exercise intensity with a patient post cardiac transplantation. Which method is the MOST appropriate for the therapist to use?
1. Metabolic equivalents 2. Perceived exertion scale 3. Pulmonary function tests 4. Target heart rate range
Exercise Intensity There are a variety of subjective and objective methods available to monitor exercise intensity. The most appropriate method for a given clinical scenario is influenced by a number of variables including measurement purpose, medical status, medical history, patient’s abilities, setting, and equipment available.
Cardiac Transplantation The surgical procedure required for cardiac transplantation results in several relevant anatomical and physiological changes that must be carefully considered when designing an exercise program.
The medical management of a patient following cardiac transplantation focuses on controlling immune system rejection while minimizing potential side effects. For several months after the transplant, the transplanted heart fails to respond normally to sympathetic nervous stimulation. By one year after surgery, approximately one-third of patients will exhibit a near normal heart rate response to exercise.
Let’s explore each of the options:
Option 1 - Metabolic equivalents Metabolic equivalents (METs) are not an objective means of monitoring exercise intensity, although they may be useful to select appropriate exercise activities. Once the patient’s appropriate MET levels for exercise are determined, activities with the desired aerobic requirement can be selected from a published table of MET values.
Option 2 - Perceived exertion scale Patients can utilize a perceived exertion scale, such as Borg’s Rating of Perceived Exertion Scale, as a subjective means of rating the intensity of exercise. This is particularly useful following cardiac transplantation since the transplanted heart fails to respond normally to sympathetic nervous stimulation resulting in an abnormal heart rate response to exercise.
Option 3 - Pulmonary function tests Pulmonary function tests do not measure exercise intensity. Pulmonary function tests are performed to measure lung volumes and capacities at different times in the respiratory cycle.
Option 4 - Target heart rate range Target heart rate range is an objective means of monitoring exercise intensity. Heart rate increases with increasing intensity of exercise. As a result, intensity can be quantified as a percentage of maximum heart rate. Target heart rate range is less valid for a patient following cardiac transplantation due to the abnormal heart rate response to exercise.
The correct answer is Option 2.
Let’s explore the all student data:
6% of students selected Option 1, Metabolic equivalents 70% of students selected Option 2, Perceived exertion scale, the correct response 2% of students selected Option 3, Pulmonary function tests 22% of students selected Option 4, Target heart rate range
System Classification The question is a Cardiovascular and Pulmonary Systems question which represents approximately 14% of all exam items.
Content Outline Classification The question is a Physical Therapy Examination question which represents approximately 24% of all exam items.
Level Classification The question is a Level 2 question since the question requires students to integrate numerous pieces of information or to apply knowledge in a given clinical scenario. Remediation of Level 2 questions occurs by increasing flexibility with academic content and by carefully analyzing decision making processes when answering applied examination questions.
Academic Focus Area Looking to review related academic content? Pages 427, 442-443, 446-447, 458, and 460 from our review book PTEXAM: The Complete Study Guide .
Thanks for joining us on the Scorebuilders Q and A podcast. See you next week!