Exam 1 Review Flashcards

1
Q

What’s the difference between a health screening and a medical history form?

A

medical history - long version

health screening - shortened, effective, PARQ

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2
Q

What seven items should be included on all informed consent documents?

A
  1. purpose/explanation of test
  2. clients risk and discomfort
  3. responsibilities of client
  4. expected benefits
  5. inquiries
  6. use of medical records
  7. freedom of consent
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3
Q

When is a physicians release form needed?

A

only those who don’t fall into healthy population

purpose of treatment, payment, or healthcare operations

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4
Q

What is a fitness assessment form?

A

recording for VO2max, 1RM, flexibility

NCSA Fitness Assessment form

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5
Q

What should be discussed during exercise prescription interview?

A

likes and dislikes of activity, previous experience

goals for fitness

American Council on Exercise (ACE) attitude questionnaire

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6
Q

Why should you have a fitness contract?

A

holds client accountable

can help provide motivation to stick to plan or to avoid fines/time waisting

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7
Q

What are the 2018 fitness guidelines?

A

150-300 minutes of moderate intensity physical activity for 3 months

75-150 = 3x per week of vig activity

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8
Q

What is the Dose-Response Relationship?

A

how does of exercise is related to volume:

frequency x intensity x duration

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9
Q

How does exercise and muscular strength change the body?

A

increase in: power, strength, speed

improvements in: glycogen/calcium storage, neuromuscular communication, joint stability

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10
Q

How does exercise and cardiovascular endurance change the body?

A

lower bp, lower resting HR, improves LDL to HDL ratio, increases fat usage, increases tidal volume/VO2max, improves functioning of alveoli

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11
Q

pg 33-50 in textbook and CH4 in IHD clinical testing in guidelines book, cardiovascular risk factor table

A
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12
Q

how does exercise change body composition?

A

lower body fat, increased muscle mass, increased metabolic rate, decrease in heart disease risk

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13
Q

What are potential detrimental effects of anaerobic activity?

A

valsalva maneuver - coronary ischemia from bracing to hard

rhabdomyolysis - breakdown of skeletal muscle causing myoglobin into blood –> kidney failure

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14
Q

How many high school athletes are at risk for exercise related death? (old vs new evidence)

A

old evidence: males = 1 in 133,000 vs f = 1 in 769,000

new evidence: 1 in 40,000 and 1 in 80,000

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15
Q

What’s found to be the biggest reason for exercise related deaths among children-young adults? What’s the biggest risk for this population?

A

hypertrophic cardiomyopathy and coronary anomalies

risk = musculoskeletal injury

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16
Q

What is the absolute risk for adults (exercise)

A

during vigorous activity, death for 1 per year for every 15-18k

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17
Q

What are the causes of absolute risk in adults?

A

sudden cardiac death and acute myocardial infraction

18
Q

how likely are active adults to develop CVD

A

between 1/4 to 1/2 the risk if they are physically acive

19
Q

What are some major signs or symptoms of CVD, metabolic, and renal disease? (9)

A

pain - chest, neck, jaw, arms –> myocardial ischemia

shortness of breath at rest or mild exertion –> dyspnea

dizziness/syncope –> hypertrophic cardiomyopathy, aortic stenosis

Orthopnea or nocturnal dyspnea —> at rest left ventricular dsyfunction

ankle edema –> heart failure

palpitation/tachycardia –> high cardiac output

intermittent claudication –> pain in lower extremities due to inadequate blood supply

heart murmur –>CV disease

shortness of breath with usual activities –> CV disease or metabolic

20
Q

According to ACSM, exercise participation is defined as?

A

structured physical activity at least 30 min at mod intensity 3x a week for at least 3 months

21
Q

According to ACSM, light intensity exercise is? (HRR, VO2R, and RPE)

A

HRR: 30-39%

VO2R: 2-2.9 METS

RPE: 9-11

22
Q

According to ACSM, moderate intensity exercise is? (HRR, VO2R, and RPE)

A

HRR: 40-59%

METS: 3-5.9 METs

RPE: 12-13

23
Q

According to ACSM, vig intensity exercise is? (HRR, VO2R, and RPE)

A

HRR: 60>

METS: 6>

RPE: 14>

24
Q

How do we measure intensity?

A

METS, RPE, HR, VO2max

25
Q

How do we find THR?

A

(Hrmax) * (%I)

26
Q

How do we find max heart rate?

A

Astrand (men and women: 4-34) –> 216.6 - (0.84 x age)

27
Q

How to find THRR?

A

(HRmax - HRrest) (%I) + HRrest

28
Q

How to find TVO2?

A

(VO2max)(%I)

29
Q

What is VO2rest?

A

3.5mm/kg/min or 1 MET

30
Q

How to find TMETs?

A

(VO2max/VO2rest) (%I)

31
Q

What is normal blood pressure? When does it become stage 1 hypertension?

A

normal: 120/80

stage 1 hypertension: 130-139/80-89

32
Q

What is a desirable LDL to HDL ratio? When is it borderline high

A

normal: <100-129mg/dL (LDL) and <35-65 (HDL)

borderline high: 130-159 mg/dL (LDL)

HDL below 40 is bad and above 60 is good

33
Q

What are the components of pre-exercise test health and wellness?

A

health screening questionnaires (PAR-Q+ or HHQ)

lifestyle/behavior habits

medical history

baseline vitals

34
Q

What doubles the risk of CVD?

A

40-70yrs –> +20mm HG in systolic or 10mm HG in diastolic

35
Q

What is the difference between Pes Planus Distortion Syndrome and Lower Crossed?

What is upper crossed?

A

Pes Planus = collapse arch and caved in knees (valgus)

Lower Crossed = anterior pelvic tilt and lumbar curvature

Upper crossed = neck pushed forward and rounded shoulders

36
Q

when should patients not be allowed to perform exercise testing? Provide examples?

A

absolute contradictions unless cleared by doctor

angina, severe aortic stenosis, heart failure, acute myocarditis

37
Q

When should a patient be allowed to exercise test? What are some examples?

A

relative contradictions - benefits is necessary

left main artery stenosis, tachydysrhythmia, chronic disease, impairment

38
Q

What are clinical exercise tests for?

A

determine level of ischemic heart disease in patients at risk

39
Q

What is Ischemic heart disease?

A

coronary heart disease –> major blood vessels are damaged causing lack of oxygenated blood

40
Q

Clinical tests are conducted for what reasons?

A

diagnostic (disease response), prognosis (risk of event), evaluation of response to exercise

41
Q

What signs and symptoms indicate termination of test?

A

HR increase 10bpm per MET increase

beta blockers/calcium blockers/ACE inhibitors

failure of heart rate to drop by at least 12bpm during first minute
BP increase 10mmHG each MET increase

42
Q

What is considered maximal effort?

A

RPE greater than 17 or Borg greater than 7 out of 10

or RER greater than or equal to 1.10