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EXCI 252: INTRO TO PHYS ACT > chapter 2: prelim health screen and preparticipation forms > Flashcards

chapter 2: prelim health screen and preparticipation forms Flashcards

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1
Q

what are the purposes of health screening

A

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

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2
Q

what are the MINIMUN REQUIREMENTS for pretest screening

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

what is the purpose of parq and gaq

A

To determine the client’s readiness for physical activity.

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4
Q

what is the prupose of a Coronary risk factor anaylsis

A

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

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5
Q

what is the purpose of assessing medical history

A

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

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6
Q

what is the purpose of informed consent

A

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.

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7
Q

is informed consent a waiver form

A

no

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8
Q

beofre what 3 things should informed consent be opbtained before

A

the collection of any personal & confidential information.

any form of fitness testing.

exercise participation.

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9
Q

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

A

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

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10
Q

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

A

false, of the risks as well

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11
Q

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

A

FALSE MUST BE EVIDENCE BASED

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12
Q

what are the 4 EVIDENCE BASED questionnaires

A

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).

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13
Q

what is the fucntion of the par q

A

assess readiness for phys activity

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14
Q

explain the parq

A

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

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15
Q

what is the eparq +

A

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

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16
Q

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

A

false

it is evidence based by it is self administersed

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17
Q

how long is the gaq form valid for

A

12 months or until conditions change

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18
Q

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

A

YES

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19
Q

what are the absolute contraindications for excercise

A

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

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20
Q

what are the relative contraindications

A

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.

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21
Q

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

A

FALSE it is not part of it

22
Q

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

A

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

23
Q

what is the negative risk factor for ACSM CVD risk factor

A

high hdl concentration

24
Q

what is the risk factor for ACSm in relation to age

A

men at least 45

women at least 55

25
Q

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

A

sudden death on male side before 55

sudden death on woman side before 65

26
Q

what is the risk factor for cig smoking according to ACSM

A

smoke

or quit smoking in the last 6 mnths

27
Q

what is the risk factor for phys act ACSM

A

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.

28
Q

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

A

false, must be 6 months

29
Q

what is the risk factor for obsesity according to ACSM

A

BMI greater or equal than 30

women: grater than 88 cm
men: greater than 102 cm

30
Q

what is the risk factor associated to hypertension according to acsm

A

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

31
Q

what is the risk factor for dislipedia

A

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

32
Q

what is the risk factors for impaired BG

A

fasting glucose: greater than100
oral: greater than 140
HB1AC: greater 5.7

ON 2 SEPERATE OCCASIONS

33
Q

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

A

false, it should be counted

34
Q

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

A

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.

35
Q

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

A

false, cardio, metabolic or renal only

36
Q

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

A

not needed and continue with m-v moderately

37
Q

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

A

no medical clearance needed

may start with LI to MI intensitety

38
Q

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

A

Medical clearance not needed for MI but it is needed for VI

progress with Moderate and vigorous only aafter being clearaed

39
Q

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

A

medical clearance is recommended

may continue LI to MI when cleared

40
Q

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

A

STOP EXERCISE IMMEDIATELY and seek medical clearace

may return after cleared

41
Q

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

A

medical clearnce necessrary

gradual LI to MI

42
Q

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

A

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

43
Q

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

A

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

44
Q

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

A

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

45
Q

what are the major signs and symptoms

A

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.

46
Q

WHEN TO DO A PREEXERCISE EVAL?

A

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

47
Q

true or false: the lifestyle evaluation is evidence based

A

false

48
Q

what are the 4 main factors that tjhe lifestyle assessment assess

A

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

49
Q

what is the CSEP fantastic lifestyle checklist

A 
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
50
Q

what are some examples of clinical tests

A

blood chemistry profie
ecg
GXT

EXCI 252: INTRO TO PHYS ACT (9 decks)

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