Domain I Health and Fitness Assessment Flashcards
Provides an explanation of the test to the client
Informed consent
Which of the following is a false statement regarding an informed consent
negligence, improper test administrations, inadequate personnel qualifications, and insufficient safety procedures are all items that are expressly covered by the informed consent.
What is the purpose of agreements, releases, and consent forms
to inform the client of participation risks as well as the rights of the client and the facility
In commercial settings, clients should be more extensively screened for potential health risks. The information solicited should include
Personal medical history, present medical status , and medication
Subjective self evaluation tool used as a quick health screening before beginning the activity
Physical Activity Readiness Questionaire+ PAR-Q+
Which of the following actions would be most appropriate if a client’s pre-screening results indicated she has no known cardiovascular disease, has not been exercising in the previous year, and has been experiencing dyspnea?
Because she is currently experiencing symptoms she should seek medical clearance prior to beginning exercise
Which of the following LDL cholesterol readings would be characterized as a risk factor for CVD?
greater or equal to 130 mg dL
What bp reading is characterized as hypertension in an adult?
> 130 sbp or >80 dbp
Which medication is designed to modify blood cholesterol level?
Antilipemics controls blood lipids, especially cholesterol and LDL.
Which medication is used to reduce chest pain?
antianginal like nitrates or nitroglycerine
Which medication is used to reduce BP?
antihypertensives like beta blockers which reduce bp by inhiving the action of adrenergic neurotransmitters at the beta receptor by promoting vasodilation
Which molecule represents more than 90% of the fat stored in the body and is composed of glycerol molecule connected to 3 fatty acids?
Triglycerides
Which of the following BP readings represents elevated blood pressure category in adults?
120/78mm Hg
A source intimal injury though to initiate the process atherogenesis are?
Dyslipidemia, hypertension, turbulence of blood flow withing the vessel.
According to the ACSM, at what level is high-density lipoprotein (HDL) considered a risk factor in development of CVD?
<40 mg dL
Which of the following describes pain and/ or cramping in the lower leg due to inadequate blood flow to skeletal muscles?
Claudication
This is considered ____ risk factor: Not participating in at least 30 min of moderate-intensity physical activity on at least 3 days a week for at least 3 months
Positive
Which CVD risk factors may be favorably modified by physical activity?
Obesity, hypertension, hypercholesterolemia.
What are necessary steps after going through ACSM algorithm for a person who regularly exercises but has recently experienced dyspnea at rest and with mild exertion?
seek medical clearance
Which term refers to an inadequate blood supply to an organ or part of the body?
Ischemia
T/F based on the ACSM pre-participation algorithm, a participant with a history of heart valve disease, who does not currently exercise, and is currently asymptomatic should seek medical clearance prior to exercise
T
When using the ACSM pre-participation algorithm, what is considered meeting the criteria for exercise participation?
Performing planned, structured PA at least 30 min at a moderate intensity on at least 3 days a week for at least 3 months
When performing a battery of tests in a single session, which of the following orders is most optimal for testing multiple health-related components of fitness?
HRrest, Queens college step test, ACSM pushup test, flexibility
______ pertains to the ability to correctly identify patients who do not have given condition
specificity
Which of the following would not require termination of a maximal or submax exercise test in a low risk adult?
A slight decrease in diastolic pressure
From rest to maximal exercise, the SBP should ______ progressively with an increase in workload
Increase
Fitness Assessment is an important aspect of a training program because it provides information for which of the following?
Developing an exercise prescription
After completing an examination of your client’s health screening documents and the prior psychological resting measurements that were recorded, you decide to proceed with a single session of fitness assessments. Identify the recommended order of administration
Body composition, CRF, muscular fitness,flexibility
Which of the following pathologies is associated with abnormally low systolic BP or drop in systolic BP during a graded exercise test?
Cardiac Dysfunction
Which medication would result in a blunted HR response to graded exercise testing?
Beta Blockers
Upon completion of a submaximal CRF assessment, how should HR and BP be observed?
at least 5 min
Which of the following would be considered a test of anaerobic power?
The wingate test
Which describes the rationale for performing a resting electrocardiogram?
To asses myocardial electrical conduction and oxygenation.
Which of the following energy systems would contribute most to performance on the verticle jump test?
Phosphagen system
Which of the following statement is true regarding exercise testing with children?
Exercise testing for clinical purposes is generally not indicated for children unless there is a health concern
Which is accepted as the criterion for measure of CRF?
Maximal Volume of oxygen consumed per unit time VO2max
When estimating Vo2 max using the YMCA cycle ergometer protocol, which of the following best describes the relationship between HR> 110 and 85% age-predicted HRmax or 70% HR reserve?
Linear
Which of the following variables is unique to the Rockport One-mile fitness Walking Tests regression equation to estimate VO2 max?
Gender because males have a 15% higher relative VO2 max
What is the suggested work rate or a deconditioned female in individual performing the astrand Rhyming cycle ergometer protocol?
300 or 450 kg m min (50 or 75W). For untrained female individuals the minimum recommendation is 50 RPM
The Queens College Step test (also known as the Mcardle step test) is performed for how long?
3 min
This is considered the “gold standard” to objectively measure cardiovascular exercise
Maximal exercise test using indirect calorimetry
This is a graded exercise protocol that is most widely used in the United states in a clinical setting.
Bruce Treadmill protocol
The normal HR response to incremental exercise is to increase workloads at an HR of _____ bpm per 1 MET
10 bpm
Indirect calorimetry is a technique that analyzes the volume of ____ _____ to estimate energy production
expired oxygen
What are ACSM’s guidelines to determine “maximal” effort during a maximally graded exercise test (GXT)
A postexercise venous lactate concentration >8mmol per L
A RPE at peak exercise >17 on 6-20 scale or > 7 on the 0-10scale
A peak Respiratory Exchange Ration > or equal to 1.10
For every 1 MET increase in exercise intensity during submaximal exercise, SBP should increase_____
approx. 10mmHg
What is true about the bruce protocol?
speed and incline are increase every 3 min of the test
Which artery is considered the standard location for the auscultatory method of blood pressure measurement?
Brachial
These are what regarding BP?
Auditory acuity
observer Bias
improper cuff size
these are the potential sources of error in resting BP measurement
In regards to the termination of VO2 max during a GX which RER is the criteria for reaching VO2 max?
RER > or equal to 1.15
Which of the following ventilation ranges would likely be observed in a healthy individual during a maximal GXT?
70-125L per min
At rest, tidal volume among healthy individuals tends to range between
400-500mL
Which of the following is not a valid test for muscular strength?
A) Gript strength test
B) YMCA bench press test
C) 3 rep max bench press test
D) 10 RM shoulder press test
B YMCA bench press test
Which muscle group is considered the agonist of the bench press pattern?
Pectoralis major
A measure of muscular endurance is?
The YMCA bench press test?
The Romanian dead lift (RDL) occurs primarily in which anatomical plane?
Saggital plane
The push-up test is ais an example of an ______ muscular endurance test.
dynamic
A _____ ______monitors the force a muscle generates at a constants speed
isokinetic dynamometer
The joint action of the shoulder during the concentric phase of the bench press is ______ _____.
horizontal adduction
What are the benefits of muscular endurance testing?
Provides info about strengths and weaknesses
Provides data for the development of exercise Rx
Can highlight a participant’s progress and provide positive feedback, which promotes exercise adherence
A handgrip dymamometer is a method of assessing _____ strength
isometric
What are the following procedures for conducting a 1RM strength test?
Provide adequate time for dynamic warm-up
Ensure participant is experienced with the strength pattern
Permit 3-5 min between attempts
What are the procedures for a pushup test?
For males the pushup test starts at the down position
Females perform the pushup test with knee as a pivot point
The test is terminated when the participant is unable to maintain proper technique
The participant should be familiarized of proper pushup technique
During the eccentric phase of the romanian deadlift the hips are ________
flexing
Which of the following terms is synonymous with cephalic
Superior
Which term is used to describe an outward deviating knee?
genu verus
____ muscles such as the rectus femoris , have fibers aligned at a small angle to a tendon running along the axis of a muscle
pennate
Which term is used to describe movements away from the midline of the body?
Abduction
Underweight is classified as a BMI of?
<18.5 kg x m^2
When measuring regional body circumference, an average of duplicate measures is provided that those measurements do not differ by more than ______.
5mm
Which of the following represents the demarcation point of a very high health risk for young women when using waist-to-hip ratio (WHR)?
>0.86
>0.95
>1.00
>1.03
> 0.86
The ________ skinfold site is performed using a diagonal fold method.
Thigh
Medial Calf
Suprailiac
Abdominal
Suprailiac
Which of the following methods of body composition assessment measures body volume within the air?
Air displacement plethysmography
Hydrodensimetry is body composition assessment technique that uses measures of body weight, volume, and residual lung volume as the participant is completely _____ underwater.
submerged
Which of the following is not considered an assessment that provides an estimate of body composition?
BMI
Hydrodensometry
DEXA
Skinfold assesment
BMI
_______ obesity is associated with higher risk of hypertension, metabolic syndrome, and Type 2 diabetes
android
What are the procedures for taking skinfold measurements?
Take all the measurements on the right side of the client’s body
Take a minimum of two measurements
Place the jaws of the caliper perpendicular to the fold, one inch below the fingers that are holding the skinfold
Take skinfold measurements in rotation order to permit the skinfold site to regain normal thickness.
For females, a waist circumference of more than __________ is associated with high health risk.
88CM (35 inch)
