Cardiothoracic and Vascular Physiotherapy MCQs for NHPC Nepal – BPT License Exam 2025
Here are 25 high-quality multiple-choice questions (MCQs) on Cardiothoracic and Vascular Physiotherapy for the BPT Physiotherapy License Examination (NHPC Nepal), with an answer key at the end.
1. Which of the following is the primary goal of pulmonary rehabilitation?
a) Improve lung volume
b) Strengthen upper limb muscles
c) Reduce breathlessness and improve functional capacity
d) Increase oxygen saturation at rest
2. Which breathing technique is most commonly used in obstructive lung diseases like COPD?
a) Apical breathing
b) Pursed-lip breathing
c) Paradoxical breathing
d) Glossopharyngeal breathing
3. Which of the following is the best position for postural drainage of the lower lobes?
a) Supine
b) Trendelenburg position
c) Prone
d) Sitting upright
4. Which is the most effective airway clearance technique for patients with cystic fibrosis?
a) Incentive spirometry
b) Postural drainage with percussion
c) Diaphragmatic breathing
d) Glossopharyngeal breathing
5. Which of the following devices is commonly used in inspiratory muscle training?
a) Incentive spirometer
b) Peak flow meter
c) Pulse oximeter
d) Manometer
6. Which of the following is a contraindication for chest physiotherapy?
a) Bronchiectasis
b) Rib fractures
c) Chronic obstructive pulmonary disease
d) Pulmonary fibrosis
7. The Borg scale is used to assess:
a) Lung volume
b) Dyspnea perception
c) Blood pressure
d) Heart rate variability
8. What is the primary focus of phase I cardiac rehabilitation?
a) Returning to competitive sports
b) Preventing deconditioning and early mobilization
c) Strength training
d) Running on a treadmill
9. Which of the following is a primary cause of restrictive lung disease?
a) Emphysema
b) Pulmonary fibrosis
c) Asthma
d) Chronic bronchitis
10. A six-minute walk test (6MWT) is commonly used to assess:
a) Muscle strength
b) Cardiopulmonary endurance
c) Joint mobility
d) Blood pressure changes
11. The most common symptom of deep vein thrombosis (DVT) is:
a) Shortness of breath
b) Pain and swelling in one leg
c) Chest pain
d) Cough with sputum
12. In pursed-lip breathing, the ratio of inspiration to expiration should be:
a) 1:1
b) 1:2
c) 2:1
d) 3:1
13. Which of the following is an absolute contraindication to exercise training in cardiac rehabilitation?
a) Controlled hypertension
b) Unstable angina
c) History of myocardial infarction
d) Mild mitral valve regurgitation
14. What is the primary effect of positive expiratory pressure (PEP) therapy?
a) Strengthen inspiratory muscles
b) Improve ventilation-perfusion ratio
c) Enhance mucus clearance
d) Reduce respiratory rate
15. Which of the following is the best indicator of cardiovascular fitness?
a) Resting heart rate
b) VO2 max
c) Blood pressure
d) Respiratory rate
16. Which phase of cardiac rehabilitation involves supervised exercise training?
a) Phase I
b) Phase II
c) Phase III
d) Phase IV
17. A patient with chronic bronchitis presents with excessive sputum production. Which physiotherapy technique is most beneficial?
a) Incentive spirometry
b) Active cycle of breathing technique (ACBT)
c) Glossopharyngeal breathing
d) Diaphragmatic breathing
18. What is the recommended duration of aerobic exercise in phase II cardiac rehabilitation?
a) 10 minutes
b) 20-60 minutes
c) 90 minutes
d) 5 minutes
19. The primary benefit of diaphragmatic breathing is:
a) Reducing lung compliance
b) Enhancing oxygen consumption
c) Strengthening accessory muscles
d) Promoting efficient breathing mechanics
20. Which of the following conditions can lead to cor pulmonale?
a) Asthma
b) COPD
c) Bronchiectasis
d) All of the above
21. The ankle-brachial index (ABI) is used to assess:
a) Peripheral arterial disease
b) Cardiac output
c) Respiratory function
d) Stroke volume
22. The normal forced expiratory volume in one second (FEV1) is approximately:
a) 10% of vital capacity
b) 50% of vital capacity
c) 75-80% of vital capacity
d) 90% of vital capacity
23. Which test is used to diagnose pulmonary embolism?
a) D-dimer test
b) Arterial blood gas analysis
c) Chest X-ray
d) Bronchoscopy
24. Which is the recommended target heart rate during moderate-intensity aerobic exercise?
a) 40-50% of max heart rate
b) 50-70% of max heart rate
c) 70-90% of max heart rate
d) Above 90% of max heart rate
25. The primary purpose of an incentive spirometer is to:
a) Measure expiratory pressure
b) Prevent lung atelectasis
c) Detect lung infections
d) Improve heart rate
Answer Key
- c Reduce breathlessness and improve functional capacity
- b Pursed-lip breathing
- b Trendelenburg position
- b Postural drainage with percussion
- a Incentive spirometer
- b Rib fractures
- b Dyspnea perception
- b Preventing deconditioning and early mobilization
- b Pulmonary fibrosis
- b Cardiopulmonary endurance
- b Pain and swelling in one leg
- b 1:2
- b Unstable angina
- c Enhance mucus clearance
- b VO2 max
- b Phase II
- b Active cycle of breathing technique (ACBT)
- b 20-60 minutes
- d Promoting efficient breathing mechanics
- d All of the above
- a Peripheral arterial disease
- c 75-80% of vital capacity
- a D-dimer test
- b 50-70% of max heart rate
- b Prevent lung atelectasis
Summary
This 50-MCQ set covers key topics in cardiothoracic and vascular physiotherapy, including pulmonary rehabilitation, chest physiotherapy techniques, cardiac rehab phases, airway clearance techniques, and vascular conditions for the NHPC Nepal BPT licensing exam.
