chapter 2: prelim health screen and preparticipation forms

Question 1

what are the purposes of health screening

Answer 1

1) classify their health and lifestyle
2) identity risk of cardivascular events
3) identify medical contraindications
4) diseases with symptoms and signs
5) identify special needs
6) medical clearnce
7) medical supercision

Question 2

what are the MINIMUN REQUIREMENTS for pretest screening

Answer 2

informed conset
par q or GAQ
evaluation of exercise in last 3 months
analysis of coronary risk factors 
medical clearnce

Question 3

what is the purpose of parq and gaq

Answer 3

To determine the client’s readiness for physical activity.

Question 4

what is the prupose of a Coronary risk factor anaylsis

Answer 4

To determine the client’s number of CHD (CAD) risk factors.

Question 5

what is the purpose of assessing medical history

Answer 5

To review the client’s past & present personal & family health history, focusing on conditions requiring medical referral & clearance.

Question 6

what is the purpose of informed consent

Answer 6

To explain the purpose, risks & benefits of physical fitness tests or participation in an exercise program & to obtain the client’s consent for participation in these tests or in an exercise program.

Question 7

is informed consent a waiver form

Answer 7

no

Question 8

beofre what 3 things should informed consent be opbtained before

Answer 8

the collection of any personal & confidential information.

any form of fitness testing.

exercise participation.

Question 9

what are the 3 things to Make the Client Aware of Before the Assessment

Answer 9

The client is volunteering.

The client has certain responsibilities as far as informing us of any problems they may be experiencing.

The client is free to withdraw

Question 10

informed consent informs the client about just the benefits of physcial activity

Answer 10

false, of the risks as well

Question 11

true or false: the preparticipation health screening uses any questionnaire to identify those at risk

Answer 11

FALSE MUST BE EVIDENCE BASED

Question 12

what are the 4 EVIDENCE BASED questionnaires

Answer 12

American College of Sports Medicine/American Heart Association Pre-Participation Questionnaire (AAPQ)

Adult Pre-Exercise Screening System (APSS) used in Australia

The 2021 Physical Activity Readiness Questionnaire Plus (PAR-Q+)

The Get Active Questionnaire (GAQ).

Question 13

what is the fucntion of the par q

Answer 13

assess readiness for phys activity

Question 14

explain the parq

Answer 14

must answer no to all the primary questions (if you do that you are ready to exercise)

if answer yes to any: must do the follow up quesitons and if you answer no you are cleared
if you answer yes you must be cleared with a physcian beofre

Question 15

what is the eparq +

Answer 15

phycisian clearance form follow uo
valid for 6 months
(with avoidance/inclusion)

Question 16

true or false: the GAQ is evidence based and NOT self administered

Answer 16

false

it is evidence based by it is self administersed

Question 17

how long is the gaq form valid for

Answer 17

12 months or until conditions change

Question 18

if unsure about a question in any form, the client should answer…BLANK

Answer 18

YES

Question 19

what are the absolute contraindications for excercise

Answer 19

Acute myocardial infarction within 2 days (recent heartattack)
Ongoing unstable angina (happening at rest)
Uncontrolled cardiac arrhythmia with hemodynamic compromise (irregular heartrates, circulation is compromised)
Acute endocarditis.
Symptomatic severe aortic stenosis
Decompensated heart failure
Acute pulmonary embolus, pulmonary infarction, or deep venous thrombosis (”lung attack”)
Acute myocarditis or pericarditis (inflation of heart muscle, or sack)
Acute aortic dissection (cut aorta)
Physical disability that precludes safe & adequate testing

Question 20

what are the relative contraindications

Answer 20

Known obstructive left main coronary artery stenosis (narrowing of main artery)
Moderate to severe aortic stenosis with uncertain relationship to symptoms
Tachyarrhythmias with uncontrolled ventricular rates. (too fast heartbreak)
Acquired advanced or complete heart block
Recent stroke or transient ischemic attack
Mental impairment with limited ability to cooperate.
Resting hypertension: SBP > 200 mm Hg &/or DBP > 110 mm Hg.
Uncorrected medical conditions, such as significant anemia, important electrolyte imbalance, and hyperthyroidism.

Question 21

true or false: CRF Analysis is part of the ACSM’s (2022) health screening process for exercise preparticipation,

Answer 21

FALSE it is not part of it

Question 22

what are the 8 postivie risk factors for ACSM 2022 CVD risk factors

Answer 22

1) age
2) fam his
3) cig smoking
4) phys inact
5) obisty
6) hypertension
7) dislipedimia
8) impaired blood glucose

Question 23

what is the negative risk factor for ACSM CVD risk factor

Answer 23

high hdl concentration

Question 24

what is the risk factor for ACSm in relation to age

Answer 24

men at least 45

women at least 55

Question 25

what is the risk fractor for ACSM in relation to family history

Answer 25

sudden death on male side before 55 | sudden death on woman side before 65

Question 26

what is the risk factor for cig smoking according to ACSM

Answer 26

smoke | or quit smoking in the last 6 mnths

Question 27

what is the risk factor for phys act ACSM

Answer 27

Not participating in at least 30 minutes of moderate intensity physical activity (40% to < 60% VO2R; 3 to < 6 METs) on at least 3 days of the week for at least the last 3 months.

Question 28

true or false: an individual who quiet smoking 1 year ago has the positive risk factor

Answer 28

false, must be 6 months

Question 29

what is the risk factor for obsesity according to ACSM

Answer 29

BMI greater or equal than 30 women: grater than 88 cm men: greater than 102 cm

Question 30

what is the risk factor associated to hypertension according to acsm

Answer 30

130/80 on 2 measures, 2 seperate occasion OR ON ANTIHYPERTENSION meds

Question 31

what is the risk factor for dislipedia

Answer 31

TC: greater than or equal to 200 LDL: greater or eual to 130 HDL: less than 40

Question 32

what is the risk factors for impaired BG

Answer 32

fasting glucose: greater than100 oral: greater than 140 HB1AC: greater 5.7 ON 2 SEPERATE OCCASIONS

Question 33

true or false:If a CVD risk factor is not disclosed or is not available, it should be NOT be counted as a risk factor

Answer 33

false, it should be counted

Question 34

what are the 4 things the ACSM’s 2022 Exercise Preparticipation Health Screening Process are based on

Answer 34

the individual’s current level of physical activity, the presence of signs or symptoms of cardiovascular (CV), metabolic (M), or renal (R) disease, the presence of known CV, metabolic, or renal disease, and the desired exercise intensity.

Question 35

true or false: thwe ACSM’s 2022 Exercise Preparticipation Health Screening Process is based on presence of a respitory disAASE

Answer 35

false, cardio, metabolic or renal only

Question 36

if a client participates in regular exercise with no known disease or symptoms, do they need medical clearance and how should they progress

Answer 36

not needed and continue with m-v moderately

Question 37

if a client DOES NOT participates in regular exercise with no known disease or symptoms, do they need medical clearance and how should they progress

Answer 37

no medical clearance needed | may start with LI to MI intensitety

Question 38

if a client participates in regular exercise, HAS A KNOWN disease but is asymptomatic, do they need medical clearance and how should they progress

Answer 38

Medical clearance not needed for MI but it is needed for VI | progress with Moderate and vigorous only aafter being clearaed

Question 39

if a client DOES NOT participates in regular exercise, HAS A KNOWN disease but is asymptomatic, do they need medical clearance and how should they progress

Answer 39

medical clearance is recommended | may continue LI to MI when cleared

Question 40

if a client participates in regular exercise, shows any signs or symptoms regardless of precence of disease, do they need medical clearance and how should they progress

Answer 40

STOP EXERCISE IMMEDIATELY and seek medical clearace | may return after cleared

Question 41

if a client DOES NOT participates in regular exercise, shows any signs or symptoms regardless of precence of disease, do they need medical clearance and how should they progress

Answer 41

medical clearnce necessrary | gradual LI to MI

Question 42

what is considered light intensity (mets, HRR (vo2R) or RPE)

Answer 42

MET: 2 to less than 3 HRR: 30 to less than 40 RPE: 9-11

Question 43

what is considered moderate intensity (mets, HRR (vo2R) or RPE)

Answer 43

met: 3 to less than 6 HRR: 40 to less than 60 RPE: 12/13

Question 44

what is considered vigorous intensity (mets, HRR (vo2R) or RPE)

Answer 44

met: 6 and above HRR: 60 to less than 90 RPE: 14-17

Question 45

what are the major signs and symptoms

Answer 45

Pain, discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other areas that may result from ischemia. Shortness of breath at rest or with mild exertion. Dizziness or syncope. (not enough blood flow to the brain/loss of conc.) Orthopnea or paroxysmal nocturnal dyspnea. (lying down=shortness of breath fixed by standing) Ankle edema. (water accumulation) Palpitations or tachycardia (faster than 100bpm at rest) Intermittent claudication. Known heart murmur. Unusual fatigue or shortness of breath with usual activities.

Question 46

WHEN TO DO A PREEXERCISE EVAL?

Answer 46

1) CONCERN ABOUT HEALTH STATUS 2) REQUIRE ADDITIONAL INFO FOR EXERCISE PRESCRIPTION 3) CLIENT HAS CONCERNS

Question 47

true or false: the lifestyle evaluation is evidence based

Answer 47

false

Question 48

what are the 4 main factors that tjhe lifestyle assessment assess

Answer 48

Smoking (behaviour) Drinking habits Lack of physical activity Dietary habits

Question 49

what is the CSEP fantastic lifestyle checklist

Answer 49

``` F=friends and family A=activity N=nutrition T=tobaco,toxics A=alcohol S=safe sex , stress, sleep T=type of behavuir I=insight C=career ```

Question 50

what are some examples of clinical tests

Answer 50

blood chemistry profie ecg GXT