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ETP Test 1 > Case Studies- Prescription > Flashcards

Case Studies- Prescription Flashcards

1
Q

If does not participate in Regular Exercise and has No CV, Metabolic or Renal Disease and no signs or symptoms suggestive of these…

A

Medical Clearance is not necessary; Light to Moderate Intensity Exercise Recommended (May gradually progress to vigorous intensity exercise following ACSM Guidelines)

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2
Q

If does not participate in Regular Exercise and has Known CV, Metabolic or Renal Disease and Asymptomatic…

A

Medical Clearance Recommended; Following Medical Clearance Light to to Moderate Intensity Exercise Recommended (May gradually progress as tolerated following ACSM Guidelines)

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3
Q

If does not participate in Regular Exercise and has Any signs or symptoms suggestive of CV, Metabolic or Renal Disease (Regardless of disease status)…

A

Medical Clearance Recommended; Following Medical Clearance, Light to Moderate Intensity Exercise Recommended (May gradually progress as tolerated following ACSM Guidelines)

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4
Q

If participates in Regular Exercise and has No CV, Metabolic or Renal Disease and no signs or symptoms suggestive of these…

A

Medical Clearance Not Necessary; Continue Moderate or Vigorous Intensity Exercise (May gradually progress following ACSM Guidelines)

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5
Q

If participates in Regular Exercise and has Known CV, Metabolic or Renal Disease and Asymptomatic…

A

Medical Clearance for Moderate Intensity Exercise not Necessary; Medical Clearance (within the last 12 months if no change in signs/symptoms) Recommended before Engaging in Vigorous Intensity Exercise; Continue with Moderate Intensity Exercise (Following medical clearance, may gradually progress as tolerated following ACSM Guidelines)

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6
Q

If participates in Regular Exercise and has Any signs or symptoms suggestive of CV, Metabolic or Renal Disease (Regardless of disease status)..

A

Discontinue Exercise and Seek Medical Clearance; May return to Exercise Following Medical Clearance (Gradually progress as tolerated following ACSM Guidelines)

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7
Q

Exercise Participation

A

Performing planned, structured physical activity at least 30 minutes at moderate intensity on at least 3 days a week for at least the last 3 months

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8
Q

Light Intensity Exercise

A

30-39% HRR or VO2R; 2-2.9 METs; RPE 9-11; an intensity that causes slight increase in HR and breathing

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9
Q

Moderate Intensity Exercise

A

40-59% HRR or VO2R; 3-5.9 METs; RPE 12-13; an intensity that causes noticeable increases in HR and breathing

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10
Q

Vigorous Intensity Exercise

A

> /= 60% HRR or VO2R; >/= 6 METs; RPE >/= 14; an intensity that causes substantial increases in HR and breathing

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11
Q

Cardiovascular (CV) Disease

A

Cardiac, Peripheral Vascular, or Cerebrovascular disease

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12
Q

Metabolic Disease

A

Type 1 and Type 2 Diabetes Mellitus or Renal Disease

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13
Q

Signs and Symptoms

A

At rest or during activity includes pain, discomfort in the chest, neck, jaw, are, or other areas that may result from ischemia; shortness breath at rest or with mild exertion; Dizziness or Syncope: Orthopnea or Paroxysmal Nocturnal Dyspnea; Ankle Edema; Palpitations or Tachycardia; Intermittent Claudication; Known Heart Murmur; Unusual Fatigue or Shortness of Breath with Unusual Activities

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14
Q

Medical Clearance ACSM Guidelines

A

Approval from a health care professional to engage in exercise (See ACSM’S Guidelines for ETP)

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15
Q

Atherosclerosis Cardiovascular Disease (CVD) Rusk Factors

A

Age, Family History, Cigarette Smoking, Physical Inactivity, Obesity, Hypertension, Dyslipidemia, Diabetes, HDL-C

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16
Q

Age

A

Men >/= 45yr, Women >/= 55yr

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17
Q

Family History

A

Myocardial Infarction, Coronary Revascularization or Sudden death before 55yr in father or other male degree relative or before 65yr in mother or other female first degree relative

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18
Q

Cigarette Smoking

A

Current cigarette smoker or those who quit within the previous 6 months or exposure to environmental tobacco smoke

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19
Q

Physical Inactivity

A

Not participating in at least 30 minutes of moderate intensity physical activity (40-59 VO2R) on at at least 3 days of the week for at least 3 months

20
Q

Obesity

A

BMI >/=30 kg*m2; waist girth >102cm (40in) for men and >88cm (35in) for women

21
Q

Hypertension

A

Systolic blood pressure >/= 140mm Hg and /or Diastolic >/= 90mm Hg, confirmed by measurements in at least two separate occasions, or on antihypertensive medication

22
Q

Dyslipidemia

A

Low-density lipoprotein cholesterol >/= 130 mgdL (3.37mmolL) or High-density lipoprotein cholesterol <40 mgdL (1.04mmolL) or on lipid-lowering medication. If total serum cholesterol is all that is available, use >/= 200 mgdO (5.18mmolL)

23
Q

Diabetes

A

Fasting Plasma Glucose >/= 126 mgdL (7.0mmoldL) or 2 h plasma glucose values in oral glucose tolerance test >/= 200mg*dL (11.1 mil * L) or HbA1C >/= 6.5%

24
Q

HDL-C (Only Negative Risk Factor)

A

> /= 60 mgdL (1.55mmolL)

25
Q

1st degree Relative

A

Parent, Sibling, or Offspring

26
Q

Atherosclerosis Cardiovascular Disease Risk Factors and Defining Criteria Table

A

Should not be viewed as an all-inclusive list; contains clinically relevant established CVD risk factor criteria that should be considered collectively when making decisions about risk for development or progression of a cardiopulmonary or metabolic disease (No longer used as part of the screening process prior to exercise)

27
Q

If the presence or absence of a CVD risk factor is NOT disclosed or it is not available…

A

That CVD risk factor should be counted for as a risk factor!!!

28
Q

Normal BP Classification

A

<120 and <80

29
Q

Prehypertension BP Classification

A

120-139 or 80-89 (No antihypertensive drug indicated, drugs for compelling indications)

30
Q

Stage 1 Hypertension BP Classification

A

140-159 or 90-99 (Antihypertensive drug indicated, drugs for compelling indications, other antihypertensive drugs as needed)

31
Q

Stage 2 Hypertension BP Classification

A

> /=160 or >/=100 ( Antihypertensive drug indicated, two drug combination for most)

32
Q

<100 LDL Cholesterol

33
Q

100-129 LDL Cholesterol

A

Near optimal/ Above optimal

34
Q

130-159 LDL Cholesterol

A

Borderline High

35
Q

160-189 LDL Cholesterol

36
Q

> /=190 LDL Cholesterol

37
Q

<200 Total Cholesterol

38
Q

200-239 Total Cholesterol

A

Borderline High

39
Q

> /=240 Total Cholesterol

40
Q

<40 HDL Cholesterol

41
Q

> /= 60 HDL Cholesterol

42
Q

<150 Triglycerides

43
Q

150-199 Triglycerides

A

Borderline Highly

44
Q

200-499 Triglycerides

45
Q

> /=500 Triglycerides

46
Q

How to Calculate BMI (kg/m^2)

A

Body mass/ Height squared (Body mass in lbs/2.2) (Height in inches/ 0.0254)

47
Q

Pulmonary Disease

A

Chronic Obstructive Pulmonary Disease (COPD), Asthma, Interstitial Lung Disease, or Cystic Fibrosis

ETP Test 1 (5 decks)

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