Exam 1 Flashcards

1
Q

1) What is the difference between PA and exercise?

  • Physical Activity (PA)
  • Any bodily movement produced by the _________ of skeletal muscles that results in a substantial increase in caloric requirements over resting energy expenditure.
  • Exercise
  • A type of PA consisting of _______, _________, and repetitive bodily movement done to improve and/or maintain one or more components of physical fitness.
A
  • contraction —> PA - think regular activity that requires muscular contractions.
  • planned, structured —> Exercise - PLANNED and STRUCTURED.
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2
Q

Key Terms

*Health-Related and Skill-Related Components of Physical Fitness

1) Cardiorespiratory endurance
2) Body Composition.
3) Muscular strength
4) Muscular endurance
5) Flexibility

A

Yuh

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3
Q
  • Health-Related and Skill-Related Components of Physical Fitness
    1) Cardiorespiratory endurance
    2) Body Composition.
    3) Muscular strength
    4) Muscular endurance
    5) Flexibility

-_______ ________: the ability of muscle to exert force.

A

Muscular strength

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4
Q
  • Health-Related and Skill-Related Components of Physical Fitness
    1) Cardiorespiratory endurance
    2) Body Composition.
    3) Muscular strength
    4) Muscular endurance
    5) Flexibility

-_______: the range of motion available at a joint.

A

Flexibility

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5
Q
  • Health-Related and Skill-Related Components of Physical Fitness
  • 1) Cardiorespiratory endurance
    2) Body Composition.
    3) Muscular strength
    4) Muscular endurance
    5) Flexibility

-_______ ________: the ability of muscle to continue to perform without fatigue.

A

Muscular endurance

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6
Q
  • Health-Related and Skill-Related Components of Physical Fitness
    1) Cardiorespiratory endurance
    2) Body Composition.
    3) Muscular strength
    4) Muscular endurance
    5) Flexibility

-____________ _________: the ability of the circulatory and respiratory system to supply oxygen during sustained physical activity.

A

Cardiorespiratory endurance

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7
Q
  • Health-Related and Skill-Related Components of Physical Fitness
    1) Cardiorespiratory endurance
    2) Body Composition.
    3) Muscular strength
    4) Muscular endurance
    5) Flexibility

-_____ __________: the relative amounts of muscle, fat, bone, and other vital parts of the body.

A

Body Composition

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8
Q

Key Terms

*Skill-Related Physical Fitness Components

1) Agility
2) Coordination
3) Balance
4) Power
5) Reaction time
6) Speed

A

Yuh

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9
Q
  • Skill-Related Physical Fitness Components
    1) Agility
    2) Coordination
    3) Balance
    4) Power
    5) Reaction time
    6) Speed

-______: the ability or rate at which one can perform work.

A

Power

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10
Q
  • Skill-Related Physical Fitness Components
    1) Agility
    2) Coordination
    3) Balance
    4) Power
    5) Reaction time
    6) Speed

-______: the ability to perform a movement within a short period of time.

A

Speed

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11
Q
  • Skill-Related Physical Fitness Components
    1) Agility
    2) Coordination
    3) Balance
    4) Power
    5) Reaction time
    6) Speed

-______: the ability to change the position of the body in space with speed and accuracy.

A

Agility

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12
Q
  • Skill-Related Physical Fitness Components
    1) Agility
    2) Coordination
    3) Balance
    4) Power
    5) Reaction time
    6) Speed

-_______: the maintenance of equilibrium while stationary or moving.

A

Balance

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13
Q
  • Skill-Related Physical Fitness Components
    1) Agility
    2) Coordination
    3) Balance
    4) Power
    5) Reaction time
    6) Speed

-__________: the ability to use the senses, such as sight and hearing, together with body parts in performing tasks smoothly and accurately.

A

Coordination

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14
Q
  • Skill-Related Physical Fitness Components
    1) Agility
    2) Coordination
    3) Balance
    4) Power
    5) Reaction time
    6) Speed

-________ _____: the time elapsed between stimulation and the beginning of the reaction to it.

A

Reaction time

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15
Q

What MET level is considered “very light/light” ?

A

Anything LESS than 3.0 METS = very light/light

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16
Q

What MET level is considered “moderate” ?

A

3.0 - 5.9 METS = moderate

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17
Q

What MET level is considered “vigorous” ?

A

Anything GREATER than 6.0 METS = vigorous

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18
Q

Slowly walking around the home with a MET level of 2.0 would be considered…

1) very light/light
2) moderate
3) vigorous

A

1) very light/light

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19
Q

Heavy farming, such as bailing hay with a MET level of 8.0 would be considered…

1) very light/light
2) moderate
3) vigorous

A

3) vigorous

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20
Q

Mowing the lawn with a MET level of 5.5 would be considered…

1) very light/light
2) moderate
3) vigorous

A

2) moderate

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21
Q

Walking at a very brisk pace with a MET level of 6.3 would be considered…

1) very light/light
2) moderate
3) vigorous

A

3) vigorous

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22
Q

Sweeping the floors, vacuuming with a MET level of 3.0 would be considered…

1) very light/light
2) moderate
3) vigorous

A

2) moderate

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23
Q

ACSM-AHA Primary PA Recommendations

  • All healthy adults aged 18-65 should participate in either…
    1) moderate intensity aerobic PA for a minimum of ___ minutes on __ days a week
    2) or vigorous intensity aerobic activity for a minimum of ___ minutes on __ days a week.
A

1) 30 minutes per day (moderate intensity), 5 days per week

2) 20 minutes per day (vigorous intensity), 3 days per week.

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24
Q

ACSM-AHA Primary PA Recommendations

*Every adult should perform activities that maintain or increase muscular strength and endurance for a minimum of __ days per week.

A

2

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25
Q

Because of the dose-response relationship between PA and health, individuals who wish to further improve their fitness, reduce their risk for chronic diseases and disabilities, and/or prevent unhealthy weight gain may BENEFIT by _________ the minimum recommended amounts of PA.

A

exceeding

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26
Q

The Primary PA Recommendations

  • All Americans should participate in an amount of energy expenditure equivalent to…
    1) ____ minutes per week of MODERATE intensity aerobic activity.

2) __ minutes per week of VIGOROUS intensity aerobic activity.
3) or a combination of both that generates energy equivalency to either regimen for substantial health benefits.

A

150

75

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27
Q

What is the dose response relationship between PA and CVD?

A

1) There is an inverse, dose-response relationship between PA and CVD/HF risk.
2) “Some physical activity is better than none” and “additional benefits occur with more physical activity”.

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28
Q

Examples of the benefits of regular PA

  • Improvement in cardiovascular and respiratory function.
  • Increased maximal oxygen uptake.
  • Decreased HR and BP at a given submaximal intensity.
  • Decreased myocardial oxygen cost for a given absolute submaxiam intensity.
  • Reduction in cardiovascular disease and risk factors.
  • Reduced resting systolic/diastolic pressure
  • Reduced total body fat.
  • Reduced inflammation.
  • Decreased morbidity and mortality
  • Higher activity and/or fitness levels are associated with lower death rates from CAD.
  • Higher activity and/or fitness levels are associated with lower incidence rates from CVD, stroke, type 2 diabetes, etc.
  • Other benefits
  • Decreased anxiety and depression.
  • Improved cognitive function.
  • Enhanced physical function and independent living in older individuals.
  • Enhanced feelings of well-being.
  • Reduced risk of falls/injury.
  • Effective therapy for many chronic diseases in older adults.
A

*On the exam, be ready to list at least 5 benefits of regular PA.

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29
Q

Health Benefits of Improving Muscular Fitness

  • Higher levels of muscular strength are associated with a…
    1) Significantly better __________ risk factor profile.
    2) Lower risk of all-cause mortality.
    3) Fewer ____ events.
    4) Lower risk of developing physical function limitations.
    5) Lower risk for nonfatal disease.
A

1) cardiometabolic

3) CVD

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30
Q

Risks Associated with Physical Activity and Exercise

  • Although the benefits of regular PA are well established, participation in exercise is associated with an increased risk for musculoskeletal injury (MSI) and cardiovascular complications such as sudden cardiac death (SCD) and acute myocardial infarction (AMI).
  • [MSI/SCD/AMI] is the most common exercise-related complication and is often associated with exercise intensity, the nature of the activity, preexisting conditions, and musculoskeletal anomalies.
  • [MSI/SCD/AMI] and [MSI/SCD/AMI] are associated with vigorous intensity are much less common than MSI but may lead to long-term morbidity and mortality.
A

MSI - musculoskeletal injury

SCD - sudden cardiac death
AMI - acute myocardial infarction

31
Q

Who has a higher risk for AMI (acute myocardial infarction), regular exercisers or weekend warriors?

A

Weekend warriors (full-send extremists)

32
Q

Define VO2

-Volume of _______ consumed per _______.

A

oxygen, minute

33
Q

What is the difference between absolute and relative VO2?

  • Absolute VO2 -
    • The total volume of ______ consumed.
    • Expressed as __/min.
  • Relative VO2 -
    • The total volume of oxygen consumed related to body
    ______.
    • Allows comparison of aerobic fitness among individuals
    of various body size.
    • Expressed as __/__/min
A

oxygen

Absolute expressed as: L/min

weight

Relative expressed as: mL/kg/min

34
Q

How do you calculate relative VO2?

  • An Example
  • If you are 70kg and have an absolute VO2 of 3.5 L/min, what is your relative O2 consumption?
  • VO2 (mL/min) = 3.5 L/min x 1000 mL/1L = 3500
  • VO2 (mL/kg/min) = 3500 mL/min ÷ 70 kg = 50
A

Boom

35
Q

Define METs (Metabolic Equivalent of Task)

  • Physiological measure expressing the _____ cost for physical activities.
  • Defined as the ratio of metabolic rate during PA to a reference metabolic rate, set at ___ ml O2 · kg · min -1
A

energy

3.5

36
Q

METs review

  • Light activity =
  • Moderate activity =
  • Vigorous activity =
A

3

3 - 6

6

37
Q

VO2 at rest is approximately ___ ml/kg/min

A

3.5

38
Q

3.5 ml/kg/min Equivalent to __ MET

A

1

39
Q

The new preparticipation health screening process is based on three criteria…

1) The individual’s current level of structured ________ _______.
2) The presence of major signs or _______ suggestive of CV, metabolic, or renal diseases (Table 2.1)
3) The desired exercise ________.

A

1) physical activity
2) symptoms
3) intensity

40
Q

The ACSM preparticipation screening ________ (Figure 2.2) is a new instrument designed to identify participants at risk for CV complications during or immediately after aerobic exercise.

A

algorithm

41
Q
  • Algorithm components:
    1) Classifying individuals who do or do not currently participate in regular ________.
    2) _________ individuals with known CV, metabolic, or renal diseases or those with signs or symptoms suggestive of cardiac, peripheral vascular, or cerebrovascular disease, Types 1 and 2 diabetes mellitus (DM), and renal disease
    3) Identifying desired exercise _______.
A

1) exercise
2) Identifying
3) intensity

42
Q
  • Know how to screen using the SCSM screening algorithm (we will be given the algorithm).
  • Ch 2 PP, slide #15.
A

Yuh

43
Q

Self-Guided Methods

  • Preparticipation health screening by self-reported medical history or health risk appraisal should be done for all individuals wishing to initiate a physical activity program
  • This self-guided method can be easily accomplished by using the _______.
A

PAR-Q+

44
Q

Be able to understand and define the following:

1) Dysrhythmia
2) Angina
3) Dyspnea
4) Ischemia
5) Prudent

_______: an inadequate blood supply to an organ or part of the body, especially the heart muscles.

A

Ischemia

45
Q

Be able to understand and define the following:

1) Dysrhythmia
2) Angina
3) Dyspnea
4) Ischemia
5) Prudent

__________: abnormality in a physiological rhythm, especially in the activity of the brain or hear

A

Dysrhythmia

46
Q

Be able to understand and define the following:

1) Dysrhythmia
2) Angina
3) Dyspnea
4) Ischemia
5) Prudent

__________: a type of chest pain caused by reduced blood flow to the heart.

A

Angina

47
Q

Be able to understand and define the following:

1) Dysrhythmia
2) Angina
3) Dyspnea
4) Ischemia
5) Prudent

__________: difficult or labored breathing.

A

Dyspnea

48
Q

Be able to understand and define the following:

1) Dysrhythmia
2) Angina
3) Dyspnea
4) Ischemia
5) Prudent

__________: acting with or showing care and thought for the future.

A

Prudent

49
Q

What “MUST” be present in the informed consent form?

1) _______ and Explanation of Test
2) Attendant _____ and Discomforts
3) Responsibilities of the Participant
4) _______ to be Expected
5) Inquiries
6) Use of ______ Records
7) Freedom of _______

A

1) Purpose
2) Risks
4) Benefits
6) Medical
7) Consent

50
Q
  • Components of the Medical History
  • Medical diagnosis
  • Previous physical examination findings
  • Laboratory findings
  • History of symptoms
  • Recent illness, hospitalization, new medical diagnoses, or surgical procedures
  • Orthopedic problems
  • Medication use including supplements and drug allergies
  • Other habits including caffeine, alcohol, tobacco, or drug use
  • Exercise history
  • Work history
  • Family history
  • Negative Risk Factors
  • Family history
  • Cigarette smoking
  • Physical inactivity
  • Obesity
  • Hypertension
  • Dislipidemia
  • Diabetes
  • HDL levels (above 60 = bad)
A

Yuh

51
Q

Components of the Preparticipation Physical Examination

Appropriate components of the physical examination may include the following:

1) Body weight; in many instances determination of body mass index, waist girth, and/or body composition (percent body fat) is desirable
2) Apical pulse rate and rhythm
3) Resting blood pressure: seated, supine, and standing 4) Auscultation of the lungs with specific attention to uniformity of breath sounds in all areas (absence of rales, wheezes, and other breathing sounds)
4) Palpation of the cardiac apical impulse and point of maximal impulse
5) Auscultation of the heart with specific attention to murmurs, gallops, clicks, and rubs
6) Palpation and auscultation of carotid, abdominal, and femoral arteries
7) Evaluation of the abdomen for bowel sounds, masses, visceromegaly, and tenderness
8) Palpation and inspection of lower extremities for edema and presence of arterial pulses
9) Absence or presence of tendon xanthoma and skin xanthelasma
10) Follow-up examination related to orthopedic or other medical conditions that would limit exercise testing
11) Tests of neurologic function including reflexes and cognition (as indicated)
12) Inspection of the skin, especially of the lower extremities in known patients with diabetes mellitus

A

Yuh

52
Q
  • _______ _______ is the pressure of circulating blood on the walls of blood vessels.
  • Used without further specification, “______ ______” usually refers to the pressure in large arteries of the systemic circulation.
A

Blood pressure

53
Q

What are the four categories of BP?

A

1) Normal
2) Prehypertensive
3) Stage 1 hypertensive
4) Stage 2 hypertensive

54
Q

Normal BP:

  • SBP: less than ___
  • DBP: less than ___
A
  • SBP: less than 120

- DBP: less than 80

55
Q

Elevated BP:

  • SBP: ___ - ___
  • DBP: less than ___
A
  • SBP: 120 - 129

- DBP: less than 80.

56
Q

High BP - Stage 1 hypertensive BP:

  • SBP: ___ - ___
  • DBP: ___ - ___
A
  • SBP: 130 - 139

- DBP: 80 - 89

57
Q

*High BP - Stage 2 hypertensive BP:

  • SBP: greater than or equal to ___
  • DBP: greater than or equal to ___

*Hypertensive crisis

  • SBP: higher than ___
  • DBP: higher than ___
A
  • SBP: greater than or equal to 140
  • DBP: greater than or equal to 90

Hypertensive crisis

  • SBP: higher than 180
  • DBP: higher than 120
58
Q

______ are molecules that contain hydrocarbons and make up the building blocks of the structure and function of living cells.

A

Lipids

59
Q

Examples of lipids include fats, oils, waxes, certain vitamins (__, __, __ and __), hormones and most of the non-protein membrane of cells.

A

A, E, D, and K

60
Q

_________ are molecular level trucks to carry fats wherever they are required or stored.

A

Lipoproteins

61
Q

_________:

  • Modified steroid.
  • Essential structure in all animal membranes.
  • Precursor for biosynthesis of steroid hormones (including cortisol and aldosterone, progesterone, estrogens and testosterone), bile acid and Vitamin D.
A

Cholesterol

62
Q

Classifications of cholesterol

1) ___:
- Used to be the good cholesterol – not exclusively anymore.
- Garbage trucks of the blood system
- Synthesis of bile in the liver.
- Bile acids help to carry cholesterol out of our bodies through the stools

2) ___:
- Used to be bad, but not completely true.
- Assist in the release of cholesterol for use within body cells for normal cellular function.
- VLDLs are LDLs release their triglyceride to fat storage
- Elevated levels present a health risk.

A

1) HDL

2) LDL

63
Q

_________:

  • Lipid formed from 3 fatty acids attached to a glycerol molecule
  • Can easily be broken down for energy
A

Triglyceride

64
Q

What are the two types of triglycerides?

A

1) Saturated – contain double bonds – solid at room temperature
Examples – animal food sources – meat and dairy.

2) Unsaturated – do not contain double bonds – liquid at room temperature
Examples – plant sources – olives and nuts.

65
Q

Fats are a subgroup of lipids – called _________.

A

triglycerides

66
Q

What does HIPAA stand for?

A

Health Insurance Portability and Accountability Act

67
Q

Define HIPAA.
-A US law designed to provide privacy standards to _______ patients’ _______ records and other health information provided to health plans, doctors, hospitals and other health care providers.

A

protect

medical

68
Q

Top 10 Most Common HIPAA Violations

  1. Keeping Unsecured Records
  2. Unencrypted Data
  3. Hacking
  4. Loss or Theft of Devices.
  5. Lack of Employee Training
  6. Gossiping / Sharing PHI
  7. Employee Dishonesty
  8. Improper Disposal of Records
  9. Unauthorized Release of Information
  10. 3rd Party Disclosure of PHI
A

Yuhhh

69
Q

Be able to explain systolic blood pressure.

A

BAM –> the amount of pressure in your arteries during the contraction of your heart muscle.

70
Q

Be able to explain diastolic blood pressure.

A

relax –> the pressure in your blood vessels when your heart rests between beats

71
Q

When is low BP a problem?

-Only when it’s __________.

A

symptomatic

72
Q

What are symptoms of low BP?

A

Fatigue, dizziness, passing out, discoloration, no oxygen flow, etc. This is when low BP becomes a problem.

73
Q

When is someone considered obese?

-When your BMI is greater than ___.

A

30

74
Q

EXAM QUESTION:

-Name 3 potential sources of error in BP assessment

A
  • Inaccurate sphygmomanometer
  • Improper cuff size
  • Rate of inflation or deflation of cuff pressure
  • Faulty equipment
  • Background noise
  • Reaction time of technician