Ch 2 Preliminary Health Screening and HR-BP

Question 1

Why do we do preliminary health screening

Answer 1

determine client readiness for exercise

Detect presence of, or suggestion of, disease

Assess likelihood of unexpected cardiovascular event related to exercise

Protect yourself from litigation

Question 2

Does not exercise
does not have a known disesase
is not symptomatic

Do they need medical clearance

Answer 2

Not necessary
Exercise intensity - 2-5.9 METs
Progress gradually 6+ METs OK

Question 3

Does not exercise regularly
Has a known disease
Is not symptomatic

Do they need medical clearance

Answer 3

Required
Exercise intensity - 2-5.9 METs
Progression gradually as tolerated

Question 4

Does not exercise regularly
possibly has known disease
is symptomatic

Do they need medical clearance

Answer 4

Required
Exercise intensity - 2-5.9 METs
progression gradually as tolerated

Question 5

Exercises regularly
has no known disease
is not symptomatic

Do they need medical clearance

Answer 5

Not necessary
Exercise intensity - 3-6+ METs
Progression gradually 6+ METs OK

Question 6

Exercises regularly
has known disease
is not symptomatic

Do they need medical clearance

Answer 6

Not necessary for exercise less than 5.9 METs. Required if no change in signs and symptoms in past year for exercise greater than 6 METs

Exercise intensity - 3-5.9 METs
Progression gradually as tolerated after clearance

Question 7

Exercises regularly
has known disease
is symptomatic

Do they need medical clearance

Answer 7

Required, discontinue exercise until cleared.

Exercise intensity - resume after clearance
Progression - gradually as tolerated

Question 8

To answer yes for currently exercise what are the requirements

Answer 8

PLANNED physical activity
At least moderate intensity (> 3 METs)
At least 30 minutes for at least 3 days/week

Question 9

Known cardiovascular diseases examples

Answer 9

Heart Disease
Peripheral Vascular Disease
Cerebrovascular Disease

Question 10

Known Metabolic diseases examples

Answer 10

Type 1 and Type 2 Diabetes

Question 11

Known renal disease example

Answer 11

Kidney disease

Question 12

Examples of client being symptomatic

Answer 12

-Discomfort in cheek, jaw, neck, arms, back and so on due to Ischemia
-Shortness of Breath when performing normal activites
-Dizziness or Syncope
-Edema in ankles
-Heart palpitations or Tachycardia
-Intermittent Claudication
-known hear murmur
-unusual fatigue

Question 13

Preliminary Health Evaluation
Minimal Screening Elements

Answer 13

1. Par-Q+
2. Informed Consent
3. Lifestyle questionnaire
4. Medical History
5. Coronary disease risk factors
6. Medical clearance

Question 14

What should your informed conset describe

Answer 14

Procedures
Risks
Benefits
Confidentiality
Voluntary participation

Question 15

Lifestyle evaluation components

Answer 15

clients living habits
daily behavior patterns
barriers to physical activity

Question 16

What does a medical history questionnaire help with

Answer 16

identify previous diagnoses and symptoms of disease within the past year

Determine need for medical clearance

Question 17

Modifiable coronary risk factors

Answer 17

cigarette smoking
hypertension
diabetes
dyslipidemia
obesity
sedentary lifestyle

Question 18

Unchangeable coronary risk factors

Answer 18

age
family history

Question 19

Positive risk factors for coronary heart disease
Age

Answer 19

Age - Men: >45 yr, Women: >55 yr

Question 20

Positive risk factors for coronary heart disease
Family History

Answer 20

Myocardial infarction, coronary revascularization or sudden death before age 55 in father or first degree male relative. Or before age 65 in mother or first degree female relative

Question 21

Positive risk factors for coronary heart disease
Cigarette smoking

Answer 21

Current cigarette smoking, exposure to environmental smoke, or smoking cessation within previous 6 months

Question 22

Positive risk factors for coronary heart disease
Hypertention

Answer 22

Systolic BP >130 mmHg or diastolic >80mmHg

Question 23

Positive risk factors for coronary heart disease
Dyslipidemia

Answer 23

HDL-C <40 mmdl or LDL-C >130; on lipid lowering medication; use TC >200 mgdl, or HbA1C >6.5%

Question 24

Positive risk factors for coronary heart disease
Diabetes

Answer 24

Fasting plasma glucose > 126 mmdl or 2 hr oral glucose tolerance test values >200 mgdl, or HbA1c > 6.5%

Question 25

Positive risk factors for coronary heart disease
Obesity

Answer 25

BMI >30 kg/m or waist circumference >102cm for men or >88 cm in women

Question 26

Positive risk factors for coronary heart disease
physical inactivity

Answer 26

Not participating in >30 min moderate-intensity physical activity on at least 3 days/week for at least 3 mo

Question 27

Negative risk factor for coronary heart disease
High HDL-c

Answer 27

Serum HDL-C >60 mgdl

Question 28

Normal values for selected blood variables
Triglycerides

Answer 28

< 150 mgdl

Question 29

Normal values for selected blood variables
Total cholesterol

Answer 29

< 200 mgdl

Question 30

Normal values for selected blood variables
LDL-cholesterol

Answer 30

< 100 mgdl

Question 31

Normal values for selected blood variables
HDL-cholesterol

Answer 31

> 40 mgdl

Question 32

Normal values for selected blood variables
TC/HDL-cholesterol

Answer 32

<3.5

Question 33

Normal values for selected blood variables
Blood Glucose

Answer 33

60-99 mgdl

Question 34

give an example of absolute contraindications

Answer 34

ongoing unstable angina

Question 35

give an example of a relative contraindication

Answer 35

acquired advanced or complete heart atack

Question 36

Heart rate testing procedures

Answer 36

Allow 5 min seated rest before HR assessment

Question 37

Methods for heart rate testing

Answer 37

Auscultation (stethoscope)
Palpation
HR monitors
ECG

Question 38

Some causes for HR fluctuations

Answer 38

Stressors
Medication
Caffeine
Time of Day
Body position
Meals
Smoking
Drinking

Question 39

Give a type of BP medication and what it does

Answer 39

Beta-Blockers
Reduce HR and cardiac output

Question 40

Normal blood pressure category

Answer 40

Systolic less than 120 AND diastolic less than 80

Question 41

Elevated blood pressure category

Answer 41

Systolic 120-129 AND Diastolic less than 80

Question 42

High Blood Pressure (hypertension) state 1 Blood pressure category

Answer 42

Systolic 130-139 OR Diastolic 80-89

Question 43

High Blood Pressure Stage 2 blood pressure category

Answer 43

Systolic 140 or higher OR diastolic 90 or higher

Question 44

Hypertensive Crisis (consult dr immediately) blood pressure category

Answer 44

Systolic higher than 180 AND/OR diastolic higher than 120

Question 45

Hypertenisve lifestyle modification

Answer 45

lose weight
lots of fruits and veggies
Reduce sodium intake
Aerobic exercise > 150 min/week
Limit alcohol consumption

Question 46

FMS certification movements

Answer 46

Deep squat
Hurdle step
in line lunge
shoulder mobility
rotary and trunk stability
active straight leg raise

Question 47

FMS scoring

Answer 47

3 (green light) able to complete movement
2 (yellow light) - able to complete with compensatory methods
1 (red light) - unable to complete movement
0 - any pain during movement