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ESH 470 > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

What is the overall purpose of PPHS?

A

So that exercise is safe and effective

To determine if medical screening is required

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2
Q

Exercise

A

A type of PA consisting of planned, structures and repetitive bodily movement done to improve and/or maintain one or more components of physical fitness

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3
Q

Fitness

A

Ability to carry out daily tasks with vigor and alertness without undue fatigue and with ample energy to enjoy leisure-time pursuits and meet unforeseen emergencies

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4
Q

What are the purposes of fitness testing?

A

Collecting baseline data
Provides data to develop individualized plans
Allows for comparison for follow up eval
Acts as a motivational tool

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5
Q

How should order of fitness teas be set up?

A

Minimize getting up and down
Resting should be taken first then height weight and body comp depending on what measurements will be taken
Allow for ample testing times

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6
Q

What is the ideal environment for exercise testing?

A

Explain everything clearly
Don’t rush
Quiet and private area, should be comfortable
Everything should be prepped
Comfortable place for testing measurements
Administrators should be relaxed and confident
Personnel should be trained for emergencies

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7
Q

Protest guidelines for submax bike test

A

No eating for 4 hours
No strenuous exercise for at least 24 hours
No caffeine for 12-24 hours
No nicotine for 3hours and alcohol for 24
Consult administrator regarding meds

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8
Q

Protest guidelines for submax treadmill test

A

No food, alcohol or nicotine for 3 hours
Participants should be rested, no exercise day of assessment
Clothing should be loose and allow freedom of movement
Bring all medications
Ensure normal hydration
Should be aware that they may be fatigued and need a driver

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9
Q

Parts of informed consent

A 
Purpose and explanation of test
Attendant risks and discomforts
Responsibilities of the participant 
Benefits to be expected 
Inquiries 
Use of medical records
Freedom of consent
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10
Q

What is the difference between max and submax test

A

Max is true max “stress test”

Submax is estimate with determined end point

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11
Q

Submax data collection

A

Heart rate every minute
Bp at end of each stage (3 min)
Looking for 2 consecutive hr between 110-150 in diff stages (bike)
Looking for 85% of max (treadmill)

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12
Q

When does data get collected/test end in max test?

A

HR Every minute
Bp at end of every stage (3 min)
Going until they can’t go anymore

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13
Q

Naughton protocol

A

Huge steps

Better for younger/active people

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14
Q

Ellestad protocol

A

One incline for a while with different speeds

Better for older/deconditioned people

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15
Q

Balke-ware protocol

A

Tiny steps

Better for older/reconditioned athletes

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16
Q

Describe RPE scale

A

6-20
6 very light
20 hardest thing ever

17
Q

Where is v1 placed

A

4th intercostal space just to the right of the sterna border

18
Q

Where is v2 placed

A

4th intercostal space just to the left of the sterna border

19
Q

Where is v3 placed

A

At the midpoint of a straight line between v2 and v4

20
Q

Where is v4 placed

A

On the midclavicular line in the 5th intercostal space

21
Q

Where is v5 placed

A

On the anterior axillary line and horizontal to v4

22
Q

Where is v6 placed

A

On the midaxillaty line and horizontal to v4 and v5

23
Q

Signs or symptoms of cardiovascular, metabolic disease, and renal disease

A

Pain or discomfort in the chest, jaw, arms, or other strands that may result from myocardial ischemia
Shortness of breath at rest or with mild exertion
Dizziness or syncope
Orthopnea or paroxysmal nocturnal dyspnea
Ankle edema
Palpitations or tachycardia
Intermittent claudication
Known heart murmur
Unusual fatigue or shortness of breath with usual activities

24
Q

Components of medical history

A 
Medical diagnosis and procedures
Previous exam findings like murmurs etc
Lab findings like plasma glucose, etc
History of symptoms 
Recent illness or hospitalization
Orthopedic problems like arthritis
Medication use 
Drug and alcohol use
Work history 
Family history
25
Q

CAD risk factors

A

Age: men over 45 and women over 55
Family history: heart disease before 55 in first degree male relative and 65 in first degree female
Cigarette smoking: current smoker or previous in past 6 months
Obesity: BMI greater than 30
Hypertension: systolic blood pressure over 140 and diastolic above 90
Dyslipidemia: LDL greater than 130
Diabetes: fasting plasma glucose over 126

26
Q

Negative CAD risk factor

A

HDL over 60

27
Q

Blood pressure classifications

A

Average: 120/80
Stage one hypertension: 120-130 sbp and 80-89 dbp
State 2: over 160sbp or over 100dbp

28
Q

Potential sources of error when measuring bp

A 
Inaccurate sphygmomanometer 
Improper cuff size
Auditory acuity of technician
Rate of inflation or deflation of cuff pressure
Experience of technician
Fault equipment 
Improper stethoscope placement or pressure
Not having the cuff at heart level
Background noice
Reaction time of technician 
Allowing patient to hold on to things
29
Q

General indications for stopping an exercise test

A

Onset of angina and angina like symptoms
Shortness of breath, wheezing, leg cramps, or claudication
Failure of testing equipment
Failure of HR to increase with increased exercise intensity

30
Q

Absolute contraindications

A

Ongoing unstable angina
Active endocarditis
Decompensated heart failure

31
Q

Relative contraindications

A

Acquired advanced or complete heart block
Recent stroke or transient ischemia attack
Mental impairment with limited ability to cooperate

32
Q

Absolute indications for terminating exercise test

A

Moderate to severe angina
Technical difficulties monitoring the ECG or systolic blood pressure
Central nervous system symptoms (ataxia, dizziness)
Signs of poor perfusion

33
Q

Relative indications or terminating an exercise test

A

Increasing chest pain
Fatigue, shortness of breath, wheezing, leg cramps or claudication
Exaggerated hypertensive response (systolic more than 250 or diastolic more than 115)

ESH 470 (3 decks)

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