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Cardiac Education Quiz

If you are unsure of an answer, please take your best guess and we will review it together!

No trouble with shortness of breath except with strenuous exercise such as running or carrying 25 lbs. while walking up hill.You feel short of breath while walking on a flat level of ground in a hurry or walking up a slight hill.You walk slower than others of the same age or have to stop to catch your breath while walking on level ground because of shortness of breath.You have to stop to catch your breath after walking a short distance (less than 100 yards, less than the length of a football field) or after walking for just a few minutes on level ground.You are too breathless to leave the house or are too breathless to dress and fix meals.

Risk Factor Reduction

SmokingHypertension (High Blood Pressure)High CholesterolAll of the above

Smoke low tar cigarettes onlyEat a low fat, low sodium dietAvoid taking all medicationsMaintain a fast-paced, stressful lifestyle

Blood pressure less than 120/80Blood pressure greater than 120/80Blood pressure greater than 140/90All of the above

Benefits of Exercise

Exercise decreases the heart’s need for oxygen so it can work more efficientlyExercise stimulates the natural process by which tiny new blood vessels are created to bypass clogged or diseased blood vesselsExercise lowers blood pressureAll of the above

My blood pressure is too highMy resting heart rate is too lowMy heart rate when I exerciseAll of the above

Stress Reduction and Relaxation

Too much or too little sleepIrritability or impatienceMigraine or tension headachesAll of the above

Causing the heart to beat fasterCausing the blood vessels to constrict, leading to decreased blood flowCausing sustained presence of stress hormones in the body, keeping it in a state of tensionAll of the above

Take it at the same time every dayKeep a medication chartTake it along with meals if advised or other daily activities, like brushing your teethAll of the above

Know why you are taking your medication, how and when you’re supposed to take itIf you have difficulty paying for your medications, ask your physician or pharmacist if alternatives are availableIf you have concerns about the effectiveness or side effects of your medication, talk to your physicianAll of the above

Sex After a Heart Diagnosis

Watch for cardiac symptoms (chest pain, excessive fatigue, nausea, shortness of breath)The ability to climb two flights of stairs without symptoms is equal to the energy required for sexual activityAvoid sexual activity for two to three hours after eating or after consuming alcoholAll of the above

Dartmouth Quality of Life Index

Very heavy: run fast, carry heavy loads uphillHeavy: jog, climb stairs or hillModerate: walk medium, carry heavy loadsLight: walk medium, carry light loadsVery Light: walk slow, wash dishes

Patient Health Questionnaire

	Not at all (0)	Several days (1)	More than half the days (2)	Nearly every day (3)
Little interest or pleasure in doing things.
Feeling down, depressed, or hopeless.
Trouble falling/staying asleep, sleeping too much.
Feeling tired or having little energy.
Poor appetite or overeating.
Feeling bad about yourself, or that you are a failure, or have let yourself or your family down.
Trouble concentrating on things, such as reading the newspaper or watching TV.
Moving or speaking so slowly that other people could have noticed. Or the opposite; being so fidgety or restless that you have been moving around more than usual.
Thoughts that you would be better off dead or of hurting yourself in some way.

Not difficult at allSomewhat difficultVery difficultExtremely difficult

Rate Your Plate

≈If you are a vegetarian, check the column A for these (≈) topics.

	A) Usually eat: lean cuts from the round, loin or leg; ham. Or, seldom eat meat.	B) Sometimes eat: higher-fat cuts, such as chuck, ribs, brisket, Tbone steak, prime rib.	C) Usually/often eat: higher-fat cuts
Meat cuts such as fresh beef, pork, lamb, veal

	A)Usually eat: without skin	B) Sometimes eat: with skin	C) Usually eat: with skin
Chicken, turkey

	A) Usually eat: 5-7% fat (93-95% lean); ground turkey breast Or, seldom eat.	B) Usually eat: 10-15% fat; ground turkey (dark & white meat)	C) Usually/often eat: regular ground meat, with 20% fat or more
Ground meat and poultry

	A) Usually eat: lower-fat choices from lean meat or poultry; veggie breakfast links. Or, seldom eat.	B) Sometimes eat: higher-fat choices, such as salami, bologna, hot dogs, bacon, sausage	C) Usually/often eat: higher-fat choices
Cold cuts, hot dogs, sausage, breakfast meats

	A) Usually eat: small portions ( < 3 oz.) deck of cards size	B) Usually eat: medium portions (4-6 oz.)	C) Usually/often eat: large portions (7 oz. or more)
Cooked or processed

	A) Usually eat: twice a week or more, especially oily fish like salmon, herring or sardines	B) Usually eat: any type once a week	C) Usually eat: any type less than once a week
Fish, shellfish

	A) Usually: cook without added fat or use vegetable oil spray	B) Sometimes: cook with added fat or deep fry	C) Usually/often: cook with added fat or deep fry
For poultry, fish, meat

	A) Usually eat: twice a week or more	B) Usually eat: less than twice a week	C) Rarely eat: meatless meals
Veggie burgers, vegetable or bean soups, meatless spaghetti sauce, tofu, rice & beans

	A) Usually eat: 3 or less a week OR egg substitutes OR egg whites only	B) Sometimes eat: 4 or more a week	C) Usually eat: 4 or more a week
Whole eggs

	A) Usually use: 1% or skim milk, fat-free or low-fat yogurt, fat-free ½ & ½	B) Sometimes use: 2% or whole milk, fullfat yogurt, regular ½ & ½	C) Usually use: 2% or whole milk, full fat yogurt, light cream
Includes yogurt, cream

	A) Usually eat: reduced-fat or part-skim Or, seldom eat.	B) Sometimes eat: regular cheese, such as cheddar, Swiss, and American	C) Usually eat: regular cheese
Includes cheese for pizza, sandwiches, snacks, mixed dishes, etc.

	A) Usually eat or drink 2 or more servings a day	B) Usually eat or drink: 1 serving a day	C) Rarely eat or drink
1 serving = 1 c. milk or yogurt, 1½ oz. cheese

	A) Usually eat: 3 or more servings a day, 100% whole wheat bread & pasta, brown rice, whole grain cereals, i.e., oatmeal, raisin bran, Wheaties	B) Sometimes eat: 1 or 2 servings a day	C) Usually eat: mostly refined grains, i.e., white bread, white rice, saltine crackers, corn flakes, Rice Krispies, Special K
1 serving = 1 oz slice bread; ½ English muffin; 1 c. cereal; ½ c. rice, pasta; 5 crackers; tortilla; mini bagel, 3 c. light popcorn

	A) Usually eat: 4-5 cups a day	B) Usually eat: 2-3 cups a day	C) Usually eat: 0-1 cup a day
Includes legumes 1 c. = medium whole fruit or potato, large tomato or ear corn, 2 c. raw leafy greens

	A) Usually prepare: without fat & sauces OR use vegetable oil spray	B) Sometimes prepare: with sauce, butter, margarine, oil	C) Usually prepare: with sauce, butter, margarine, oil
For vegetables, pasta, rice

	A) Usually use: olive or Canola oil. Or, usually cook without added fat	B) Usually use: other oils, tub margarine	C) Usually use: butter, bacon drippings, stick margarine, lard, shortening
Includes baking

	A) Always/usually: compare and choose lower-sodium options	B) Sometimes: consider sodium content	C) Rarely/never: consider sodium content
Salt from processed foods

	A) Usually use: spray or light tub margarine Or, seldom use.	B) Usually use: regular tub margarine	C) Usually use: butter or stick margarine
Added at the table on bread, potatoes, vegetables, pancakes, sandwiches, etc.

	A) Usually use: fat-free or low-fat salad dressings & mayonnaise Or, seldom use.	B) Usually use: light salad dressings & mayonnaise	C) Usually use: regular salad dressings & mayonnaise
Dressings, mayo

	A) Usually eat: plain pretzels, light popcorn, baked chips Or, seldom eat	B) Sometimes eat: regular chips & popcorn, flavored pretzels	C) Usually/often eat: regular chips & popcorn
Snacks

	A) Usually eat: 3 servings or more a week	B) Usually eat: 1-2 servings a week	C) Usually eat: 1 or less serving a week. Or, seldom eat
Includes nut butters serving size =1/4 c. nuts, 2 T. peanut butter

	A) Usually eat: sherbet, sorbet, fruit juice bars, low-fat ice cream or frozen yogurt. Or, seldom eat.	B) Sometimes eat: regular ice cream, ice cream bars/sandwiches	C) Usually eat: regular ice cream, ice cream bars/sandwiches
Frozen dessert

	A) Usually eat: angel food cake, low-fat or fat-free products Or, seldom eat.	B) Sometimes eat: donuts, cookies, cake, pie, pastry, or chocolate candy	C) Usually/often eat: donuts, cookies, cake, pie, pastry or chocolate candy
Sweets

	A) Seldom eat out Or, usually choose lower-fat menu items	B) Usually eat: 1-2 times a week	C) Usually eat: 3 times a week or more
Eat in or take out, any meal

If your score is:
58–72: You are making many healthy choices.
41–57: There are some ways you can make your eating habits healthier.
24–40: There are many ways you can make your eating habits healthier.

Look at your Rate Your Plate responses.

Do you have any responses in Column A? If you do, great! You are already making some heart healthy choices.

Look at your responses in Columns B and C. Where you checked Column C, can you start eating more like Column B? Over time, move toward Column A.

Think about changes. Write down eating changes you are ready to consider.

Begin today. Make changes a little at a time. Let your new way of eating become a healthy habit.

Set goals. After discussion with your doctor, write down eating changes you are ready to work on.

(Your Rate Your Plate responses will be sent to your email upon submission so you have a copy.)

STOPBANG

Screening Tool for Obstructive Sleep Apnea

Please answer the following questions below:

If you have answered Yes to 3 or more of these questions, there is a likelihood of Obstructive Sleep Apnea.

Cardiac Patient Forms

Cardiac Education Quiz

Risk Factor Reduction

Benefits of Exercise

Stress Reduction and Relaxation

Cardiac Medications

Sex After a Heart Diagnosis

Dartmouth Quality of Life Index

Feelings

Physical Fitness

Social Support

Daily Activities

Social Activities

Pain

Overall Health

Quality of Life

Change in Health

Patient Health Questionnaire

Rate Your Plate

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