Exam 1 (mainly Pharmacology) Flashcards

1
Q

Chronatropic

A

affects heart rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Inotropic

A

affects cardiac contractility (the strength of contraction)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Dromotropic

A

affects cardiac conductivity (conduction speed through AV node)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Preload

A

the maximum stretch of the cardiac muscles right before contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Afterload

A

resistive force that ventricular walls have to overcome in contraction to pump blood out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the equation for systolic blood pressure?

A

Cardiac output (Q) X systemic vascular resistance (TPR)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What makes up cardiac output?

A

Heart rate X SV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Benefits of regular physical activity and exercise?

A

improvement in cardiovascular and respiratory function, reduction in CVD factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What CVD factors are reduced due to physical activity?

A
  • systolic and diastolic BP
  • increased HDL
  • decreased triglycerides
  • reduced total body fat and intra-abdominal fat
  • reduced insulin needs; improved glucose tolerance
  • reduced blood platelet adhesiveness and aggregation
  • reduced inflamation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Benefits of PA: Decreased morbidity and mortality rates of which diseases?

A
  • lower death rates from CAD
  • lower disease rates of CAD, stroke, T2DM, metabolic syndrome, osteoporotic fx, cancer of bladder, breast, colon, endometrium and lung, and gallbladder disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which components have the strongest dose-response relationship with exercise?

A
  • all-cause mortality
  • cardiorespiratory health
  • weight loss
  • muscular health
  • breast and colon cancer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the major risks of exercise?

A
  • musculoskeletal injury
  • sudden cardiac death in young
    but these risks do not outweigh the benefits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is OPQRST and A stand for as well as its use in pre-health screening?

A

Onset
Provocation and palliation
Quality
Region and radiation
Severity
Timing
Associated signs and symptoms
- the history of present illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is PAR Q+ and what is it used for?

A
  • exercise pre-participation health screening
  • Patient-guided method
  • yes/no questions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the three components of the ACSM risk screening algorithm?

A
  • does patient participate in regular physical activity?
  • does patient have any signs or symptoms of CV, metabolic or renal disease?
  • Does patient has a diagnosis of CV, metabolic or renal disease?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

According to ACSM what is considered regular physical activity?

A

30 minutes of moderate planned, structure physical activity, 3 x per week for at least 3 months

3,3,3 rule: 30 min, 3x/week, 3 months

17
Q

ACSM: What are the major signs and symptoms of CV, metabolic or renal disease?

A
  • pain/discomfort in chest, jaw, arms or other areas that could be ischemia
  • SOB at rest or with mild exertion
  • Dizziness or syncope
  • orthopnea or paroxysmal nocturnal dyspnea
  • ankle edema
  • palpations or tachycardia
  • intermittent claudication
  • known heart murmur
  • unusual fatigue or SOB with usual activities
18
Q

ACSM: What are the known, C, M, R diseases?

A
  • heart attack
  • heart surgery, cardiac catheterization, or coronary angioplasty
  • pacemake/ICD
  • heart valve disease
  • heart transplant
  • congenital heart disease
  • diabetes
  • renal disease
19
Q

How do you calculate LDL?

A
20
Q

What are the components of informed consent?

A

Patients should know, understand and be able to verbalize back to you:
- test purpose and benefits
- test procedures
- test risks

21
Q

What are some red flags when doing a physical exam?

A
  • new onset or definite change in pattern of SOB or chest pain
  • complaint of recent syncope or near syncope
  • neurologic symptoms suggestive of vision or speech disturbances
  • recent fall
  • lower leg pain and bluish skin discoloration
  • severe headache
  • pain in a bone area
  • unexplained resting tachycardia or bradycardia
  • pulmonary rales or active wheezing
  • SBP >200mmHG or <86 mmHg or DBP >100 mmHg