Ch. 5 Preparticipation Health Screening

Question 1

When is medical clearance needed for those do NOT currently exercise?

Answer 1

If they have cardiovascular, metabolic or renal disease

Question 2

When is medical clearance needed for those who DO regularly exercise?

Answer 2

If they have signs or symptoms of cardiovascular, metabolic or renal disease

Question 3

What are the signs and symptoms that warrant medical clearance before exercise?

Answer 3

Pain/discomfort in neck/chest/jaw/arms
Shortness of breath (dyspnea)
Orthopnea (dyspnea in reclined position)
dizziness or syncope
Ankle edema
Palpitations or tachycardia 
claudication (pain/cramping in lower extremities)
Unusual fatigue

Question 4

What effect might a beta blocker have on an individual and how should the PT evaluate their exercise?

Answer 4

reduce HR; use RPE

Question 5

What effect do calcium channel blockers have on the body?

Answer 5

Lower blood pressure

Question 6

What effect do angiotensin converting enzyme inhibitors have on the body?

Answer 6

Block an enzyme that prevents formation of a blood vessel constricting hormone; lower blood pressure

Question 7

What do bronchodilators do?

Answer 7

Increase exercise capabilities in those limited by bronchocontriction (asthma) but have little effect on HR

Question 8

What effect do cold medications have on exercise?

Answer 8

May cause drowsiness or an increase in BP/ heart rate but usually are taken in low doses and have little effect on exercise.

Question 9

What effect might nicotine replacement therapy have on heart rate?

Answer 9

Increases it