Chapter 4 Health Screening & Risk Appraisal (pg 71-80)

Question 1

What are the three main goals of the initial client interview or consultation?

Answer 1

1) Get acquainted
2) See if you are compatible
3) Acquire health screening information

Question 2

List the six (6) steps used to evaluate the Medical History Form.

Answer 2

1) Analyze ACSM Atherosclerotic CVD Risk Fx
2) S/S of CV, Pulmonary or Metabolic Disease
3) Decide if they are low, moderate or high risk
4) Determine if they need medical clearance or refer to medically supervised program
5) Determine if pregnant
6) Decide if there are any other reasons to recommend medical clearance.

Question 3

List and clearly define eight (8) positive and one (1) negative ACSM artheroscleric cardiovascular (CVD) risk factors

Answer 3

1) Age men >45 women >55
2) Family history
3) Cigarette smoking
4) Sedentary lifestyle
5) Obesity
6) Hypertension
7) Dyslipidemia
8) Prediabetes

Negative: HDL > 60

Question 4

How do the American Heart Association risk factors differ from the ACSM risk factors?

Answer 4

1) Male gender

Question 5

List the five symptoms of cardiovascular disease?

Answer 5

1) Chest pain
2) SOB mild exertion
3) Dizziness or fainting
4) Dyspnea when lying down or sleeping
5) Ankle swelling
6) Palpitations or irregular heartbeat
7) Intermittent claudication (cramping when exercising)
8) Known heart murmur
9) Unusual fatigue or SOB with usual activities

Question 6

When should you recommend a physicians clearance before initiating an exercise program

Answer 6

1) Two or more risk fx for CVD
2) Symptoms of CV, pulmonary or metabolic dx.
3) Known cardiac, pulmonary or metabolic dx.

Question 7

List three (3) other situations when you may recommend physicians clearance or supervision before/during exercise.

Answer 7

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Question 8

What legal documents should always be administered by the personal fitness trainers (PFT)?

Answer 8

Informed consent prior to exercise testing and programming. Outline potential risks with testing/or exercise.

Question 9

List several other questionnaires that may be helpful during the initial interview process?

Answer 9

1) Exercise and Activity Quiz
2) The Nutrition and Weight Profile
3) Self Assessment Quiz.