Chapter 20: Clients with Cardiovascular and Respiratory Conditions

Question 1

Hyperthyroidism, pheochromocytoma, pypercortisolism, hyperaldosteronism and renal stenosis are all secondary causes of this disease

Answer 1

hypertension

Question 2

This refers to left ventricular thickening/hypertrophy due to untreated or inadequately treated hypertension, history of extertional chest pain or angina, having had a heart attack, having had reperfusion surgery, and overall cardiac dysfunction

Answer 2

target organ damage

Question 3

T/F: clients with controlled hypertension can exercise with limited restricitions

Answer 3

T

Question 4

What training intensities are appropriate for an exercise program for an individual with hypertension

Answer 4

40-50% VO2max, ultimately attaining 50-85% VO2max

Question 5

Contraindicated exercises for clients with hypertension

Answer 5

activities which increase intrathoracic pressure

Question 6

musculoskeletal conditions, neurologic disorders, vascular diseases

Answer 6

comorbid conditions with hypertension

Question 7

if comorbidites of hypertension exist, what should the personal trainer do

Answer 7

limit the choice of exercise

Question 8

if blood pressure is stage 1 or above what should the PT do

Answer 8

stop the session

Question 9

if the client is typically normotensive the PT should do this if blood pressure is elevated to stage 1 or above

Answer 9

reschedule the session and recheck before the next exercise session

Question 10

duration and frequency of aerobic sessions in clients with hypertension

Answer 10

15-30 targeting 30-60 minutes

3-7 days/week

Question 11

reps, intensity, and rest intervals for resistance training in hypertensive clients

Answer 11

16-20 rep/set
50-60% 1RM
2-3 minutes

Question 12

Frequency, reps and duration of exercise for hypertensive clients which have been training for atleast 4-6 months

Answer 12

2-3 times per week
8-12 reps
30-60 minutes

Question 13

goals of training a client post-MI

Answer 13

increase VO2max
decrease BP
reduce the risk for further coronary artery disease events

Question 14

typical training intensity for a client post-MI

Answer 14

40% VO2max or an RPE of 9-11

Question 15

Duration and frequency of workouts post MI

Answer 15

15-40 minutes

3-4 times/week

Question 16

Resistance program post MI reps, sets, frequency

Answer 16

20 reps
1-3 sets
2-3 times/week

Question 17

clients who have had a MI should never do this

Answer 17

valsalva maneuver

Question 18

PTs can train clients post cerebrovascular accident if the following is true

Answer 18

no neurological deficit, and are released by their physician to exercise in an unmonitored setting

Question 19

aerobic intensity for clients who have suffered a CVA, duration and frequency

Answer 19

30% peak VO2
5-60 minutes
atleast 3x/week

Question 20

Eventual goal set, rep, and frequency for clients who have suffered a CVA

Answer 20

3 sets
8-12 reps
2-3 days/week

Question 21

Clinets with peripheral vascular disease essentially have this

Answer 21

pain during walking

Question 22

goal of training for clients with PVD

Answer 22

increase duration of activity

Question 23

increase daily living activites, increase strength in both the involved, and uninvolved limbs, increase ROM of the involved side, and prevent joint contractures

Answer 23

goals for clients following CVA

Question 24

improve pain response or beactive for longer periods, reduce risk of CAD, improve gait, increase daily living activities, increase work potential, improve quality of life

Answer 24

goals for clients with PVD

Question 25

duration of aerobic exercise with clients who have PVD

Answer 25

walking 10-30 minutes, increasing until no breaks are needed

Question 26

resistance training guidelines for those with PVD

Answer 26

same as hypertension

Question 27

this is the only disease which is continuing to grow in its effect

Answer 27

COPD

Question 28

T/F: patients with COPD can exercise unsupervised if cleared by a doctor

Answer 28

F, should exercise in a formal pulmonary and respiratory rehabilitation facility

Question 29

The best way to monitor intensity in clients with asthma

Answer 29

RPE and the sense of SOB

Question 30

what time of the day should asthma clients exercise

Answer 30

mid to late morning due to the daytime release of cortisol from the adrenal glands

Question 31

during aerobic training with clients with asthma the RPE should be between

Answer 31

11 to 13, with continuous monitoring for SOB

Question 32

Frequency, duration of aerobic exercise for clients with asthma

Answer 32

2 times/day 3-7times/week

30 minutes