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527 > exercise testing > Flashcards

exercise testing Flashcards

1
Q

why perform exercise testing

A

diagnois
prognose
exercise presc
treatment eval

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2
Q

indications for exercise testing

A

structural / functional limitation

factors contributing to activity limitation

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3
Q

does not exercise, asmpyotomic - need medical clearance

A

yes

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4
Q

exercises, asmpyotomic - need medical clearance

A

no - but if going vigorous yes

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5
Q

absolute contraindications

A

condition needs to stabilize first

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6
Q

relative contraindication

A

can be tested after careful eval of risk/beneftis

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7
Q

5 absolute contraindications

A 
CHF
Unstable Angina
Uncontrolled asthma
Pulmonary Edema
Acute infection
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8
Q

5 relative contraindications

A 
recent MI
aortic valvue disease
resting tacky
poorly controlled dieabetes
fixed rate pacemaker
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9
Q

how to standardize exercise test

A

validity and reliability

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10
Q

pre test conditions

A 
explain, consent
avoid heavy meal
rested
clothing
termination criteria 
environment (room time, temp)
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11
Q

criteria for premature test termination

A 
fatigue
light headed
confused
ataio
nausea
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12
Q

ECG signs

A 
sins tacky
ventricular tachy
premature vent contractions
Q wave shows up
BP below resting
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13
Q

factors to consider when selecting test

A 
cognitive 
age
weight
mobilty
needs
the test (valid reliable)
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14
Q

predictive tests

A

submaximal used to predict aerobic

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15
Q

performance tests

A

respond to standard PA

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16
Q

advantages predictive test

A 
frequently used
uses HR (easy to measure)
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17
Q

disadvantage for predictive test

A

error
variabilty
uncomfortable (biking)

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18
Q

12 minute run advantages

A

no equip
lots ppl tested
high level function ppl

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19
Q

12 minute run disadvantages

A

males developed
pacing
sounds maximal
age or body weight

20
Q

20 meter shuttle advantages

A

stages
little equip
lots ppl tested

21
Q

20 meter disadvantages

A

pacing
stoping starting
making sure its submax

22
Q

1 mile walk advantages

A

wide range ppl
familiar
little equip
rehab

23
Q

1 mile walk disadvantages

A

limited data
facility
assisntat required

24
Q

modified bruce advantages

A

lots of data on it

can mesure ECG

25
Q

disadvantaged modified bruce

A

treadmill safelty

special training in measuring ECG

26
Q

Examples performance tests

A 
self paces walking
incremental shutte walking
bag and carry
time up and go
harvard step
6 min walk
27
Q

advantages self paced walking test

A

mobilty devices are ok
older people
indentfy risk of injury

28
Q

disadvantages self paced walking test

A

doesn’t measure endurance
not sensitive for high level of function
could be too hard

29
Q

how long is recovery in self paced walking test

A

5 min

30
Q

incremental shuttle adntages

A

simple
slow
can help prescribe walking speed

31
Q

incremental shuttle disadvantages

A

required near max effort

pacing

32
Q

bag and carry advantages

A

integrated endurance balance every activity

33
Q

bag and carry disadvantages

A

guidelines not well described

not specification step heigh handrail etc..

34
Q

timed up n go advantages

A

easy to do

provided mobility info

35
Q

disadvantages of times up n go

A

lack sensitivity

need data on its predictability

36
Q

Harvard step test advantages

A

simple

can be done anywhere

37
Q

disadvantages Harvard step

A

safety

fixed step height

38
Q

whats 6 min walk test predictor of

A

morbidity mortality

39
Q

T/f warm up for 6 minute ?
patient should be standing before?
walk with patient?
motivate them?

A

False
false sitting for 10
false
fasle - theres are standard phrases

40
Q

what do you ask after 6 min walk test

A

borg

what kept you from walking further

41
Q

can you perform 6 min walk twice in a day

A

yes 30 min rest

42
Q

6 min walk test with or without aid

A

with

43
Q

patient on or off meds during test

A

whatever is regular and and record it

44
Q

minimally clinically importance difference

A

30 m

45
Q

advantages 6 min walk

A 
simple
functional
healthy or diseased ppl
own pace
tested and validated
46
Q

disadvantages 6 min walk

A

different protocols

difficult to monitor HR

47
Q

coming measures during predictive and performance tests

A

HR, BP sp02

527 (18 decks)

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