Ch 2

Question 1

What would cause a high risk classification?

Answer 1

Diagnosed or have signs of cardiovascular, pulmonary, or metabolic issues

Question 2

Cardiovascular diseases?

Answer 2

Cardiac
Peripheral vascular
Cerebrovascular

Question 3

Pulmonary diseases?

Answer 3

COPD
Asthma
Interstitial lung disease
Cystic fibrosis

Question 4

Metabolic diseases?

Answer 4

Diabetes 1 or 2

Renal disease

Question 5

Symptoms of CV, P, M diseases?

Answer 5

Pain in areas associated with ischemia

Shortness of breath with mild ex

Dizziness or syncope

Ankle edema

Leg cramps

Unusual fatigue

Palpations or tachycardia

Question 6

Positive risk factors acronym

Answer 6

A CODFISH

Age
Cigarettes
Obesity
Dyslipidemia 
Family history
Insulin
Sedentary life style
Hypertension

Question 7

Limits:
Age?

Cigarettes?

Answer 7

Age:
Men- 45+
Women- 55+

Cigarettes:
Current smoker
Quit within 6 mos
Exposed to environmental smoke

Question 8

Risk limits:
Obesity?

Dyslipidemia?

Answer 8

Obesity:
•Body mass 30+
•Waist size:
Men - 40"
Women - 35"

Dyslipidemia:
•LDL - 130+
•HDL - less than 40
•Total blood serum - 200+ if LDL or HDL unavailable

Question 9

Risk limits:
Family history?

Insulin?

Answer 9

Family history:
•myocardial infarction
•coronary revascularization
•sudden death of first degree relative before age:
Men: 55
Women: 65

Insulin:
•fasting blood glucose 100+

Question 10

Negative risk factor?

Answer 10

HDL: 60+ mg/dL

Question 11

Risk limits:
Sedentary lifestyle?

Hypertension?

Answer 11

Sedentary lifestyle:

Question 12

What are the risk factor differences between high, mod, and low risk individuals?

Answer 12

High: diagnosed or shows signs of CV, P, M disease

Mod: 2+ risk factors

Low:

Question 13

During an ex assessment, when does a med exam need to precede and doc need to be immediately available?

Answer 13

Low risk: never

Mod risk: exam only for max ex test, doc needs not be available

High risk: med for any ex test, doc available for any ex test