Correct!
5. All of the above
The cardiology referral is indicated because of the possible positive nuclear stress test. In a meta-analysis exercise single-photon emission computed tomography (SPECT) imaging had a specificity of only 64% (1). Neuropsychological testing is indicated because her symptoms of dizziness, fatigue and difficulty concentrating suggest a possible central nervous system cause to her symptoms. PFTs are indicated because of the frequency of lung disease causing chest symptomatology.
Cardiology repeated the exercise stress test with a negative result and concluded it was very unlikely the patient had significant coronary artery disease or heart failure. Although an appointment for neuropsychological testing was made, she did not keep the appointment. Her PFTs are shown in Table 1.
Table 1. Complete Pulmonary Function Testing (Click here to view the pulmonary function tesing in a separate, enlarged window)
The patient’s pulmonary function testing is …? (Click on the correct answer to be directed to the third of six pages)
