Care of patients and families at the end of life and during the last few weeks or months of life that builds on the palliative care model to minimize suffering by providing appropriate symptom management and emotional support.

Questions seeking responses either directly from the patient or from his or her surrogate decision maker in building the goals-of-care framework would include which of the following? I. Will we get sued if the patient dies? II. What is important to her/him/them? III. What would “intolerable days” be like for the patient? IV. What religious, spiritual, and cultural beliefs influence end-of-life decision making?

Disadvantages of home liquid O2 systems include which of the following?1. Oxygen is lost when not used (because of venting).2. The low temperature of liquid O2 can be a hazard.3. Liquid O2 must be delivered when needed.4. Provide large volumes.

Decision made by a third party based on that individuals knowledge of the desired of the patient. 

All of the following are CMS qualifications for oxygen at home criteria except:

   A cardiopulmonary exercise evaluation is conducted on a patient before participation in pulmonary rehabilitation for what purposes? I. to quantify the patient’s baseline exercise capacity II. to develop an exercise prescription (including target heart rate) III. to determine how much desaturation occurs with exercise

All of the following are goals of Home Ventilator Care except:

   What is the ideal class size for pulmonary rehabilitation programs?

   A patient is being considered for participation in a pulmonary rehabilitation program. Which of the following test regimens would you recommend in order to ascertain the patient’s cardiopulmonary status? I. cardiopulmonary exercise evaluation II. pulmonary function testing III. cardiac catheterization

   What are some relative contraindications for cardiopulmonary exercise testing? I. severe pulmonary hypertension or cor pulmonale II. known electrolyte disturbances (e.g., hypokalemia) III. SaO2 or SpO2 less than 85% breathing room air IV. untreated or unstable asthma