Chapter 3a

Question 1

What are four things a comprehensive pre-exercise test evaluation in the clinical setting generally includes

Answer 1

1. Medical History
2. Risk factor assessment
3. Physical Assessment
4. Lab tests

Question 2

An informed consent should be obtained (before/after) exercise testing and participation in an exercise program

Answer 2

before

Question 3

True or False:

If a patient signs an informed consent, they must participate in the whole procedure and cannot stop a program any time

Answer 3

False, they can stop a program any time

Question 4

True or False:

If a patient has atherosclerotic cardiovascular disease, the physician should still assess their CVD risk factors

Answer 4

true

Question 5

List the 8 positive CVD risk factors

Answer 5

age
family history
cigarette smoking
diabetes
obesity
hypertension
dyslipidemia
physical inactivity

Question 6

List the one negative CVD risk factor

Answer 6

HDL cholesterol over 60

Question 7

At what age do males and females have CVD risk factors

Answer 7

Men = 45 or older
Women = 55 or older

Question 8

Family History can lead to a positive CVD risk factor if a the relative is a (first/second/third) degree relative

Answer 8

first

Question 9

What is considered to be a first degree relative

Answer 9

Mom or Dad
Brother or Sister
Sons or daughters

Question 10

At what age are first degree relatives considered a positive CVD risk factor

Answer 10

Male figures before 55

Female figures before 65

Question 11

What is a coronary revascularization

Answer 11

A stent or open heart surgery for a bypass

Question 12

What is considered a sudden death

Answer 12

A sudden cardiovascular event occurs and a patient dies within 24 hours

Question 13

Chapter three discusses CVD risk factors that are _______

Answer 13

Atherosclerotic

Question 14

When is cigarette smoking a positive CVD risk factor

Answer 14

Currently smokes
Quit within the last 6 months
Exposed to environmental tobacco

Question 15

A patient is considered to have a sedentary lifestyle and gain a positive CVD risk factor under what conditions

Answer 15

If the patient does not exercise at least 30 minutes of moderate intensity, 3 days a week, within the last 3 months

Question 16

What does the BMI and waist circumference need to be in order for it to count as a positive CVD risk factor

Answer 16

BMI of 30 or greater

Waist circumference:
Males = greater than 40
Females = greater than 35

Question 17

When is blood pressure/hypertension considered a positive CVD risk factors

Answer 17

If the systolic is 140 or higher OR the diastolic is 90 or greater OR the patient is on hypertension medication

Question 18

When is dyslipidemia considered a positive CVD risk factor

Answer 18

When LDL is 130 or greater OR when HDL is less than 40 OR if the patient is on cholesterol medication OR the total cholesterol is 200 or more

Question 19

What numbers do the FPG, OGTT, and HbA1C must be at for diabetes to be a positive CVD risk factor

Answer 19

FPG = 126 or greater
OGTT = 200 or greater
HbA1C = 6.5% or greater

Question 20

What are normal fasting glucose levels

Answer 20

80-100

Question 21

When does HDL become a negative CVD risk factor

Answer 21

60 or higher

Question 22

True or False:

If a risk factor is unknown, it does not count as a risk factor

Answer 22

False, it does count as a risk factor