Exercise Testing and Prescription

Question 1

normal responses to GXT

• systolic BP
• HR
• diastolic BP
• QT interval
• R wave amplitude
• ST segment

Answer 1

• linear increase proportional to workload
• linear increase proportional to workload
• minimal change
• shortened
• reduced amplitude
• upsloping

Question 2

Abnormal exercise response OR- indication of MI, mod-severe angina, >20mmHg drop in SBP with increased workload, onset of arrhythmia, severe SOA, diaphoresis, dizziness/blurred vision/confusion, subject asks to stop

Answer 2

Absolute termination criteria

Question 3

EKG changes from baseline, increasing chest pain, wheezing, leg cramping, abnormal SBP or DBP, moderate SOA

Answer 3

relative termination criteria

Question 4

3-4 consecutive, 3 minute stages. Prediction based on HR b/w 110 and 150 bpm, elicited at 2 different workloads

Answer 4

YMCA cycle ergometry test

Question 5

6 minute, single stage test

Answer 5

Astrand-Rhyming cycle ergometry test

Question 6

Large workload increments, more appropriate for younger/healthier subjects

Answer 6

Submaximal Bruce protocol (treadmill)

Question 7

employs small workload increments

Answer 7

Balke-Ware Protocol (treadmill)

Question 8

direct calorimetry measures ____

indirect calorimetry measures ____

Answer 8

heat expenditure

RER

Question 9

RER of .70 indicates _____
RER of 1.0 indicates _____
Resting RER ______

Answer 9

• fat as primary fuel source
• carbs as primary fuel source
• .78-.80

Question 10

VO2max vs. VO2peak

Answer 10

VO2max- physiologic maximum

VO2peak- subject’s self-limited tolerance

Question 11

“Maximal” qualifications

Answer 11

• plateau in VO2 with increasing workload
• RER > 1.15
• blood lactate > 8 mmol/L

Question 12

All exercise prescriptions should include

Answer 12

5-10 min warm up, conditioning- endurance training, strength/resistance, flexibility, recreational activities-, 5-10 min cool down

Question 13

HR or VO2 reserve for

• light
• moderate
• vigorous

Answer 13

• 30-40% HR or VO2 reserve
• 40-60% HR or VO2 reserve
• 60-90% HR or VO2 reserv

Question 14

RPE for

• moderate
• vigorous

Answer 14

• 12-13

- 15-16

Question 15

1 MET=

Answer 15

3.5 mLkgL

Question 16

% of 1-RM to be working at for…

• beginner
• novice-intermediate
• experienced
• for muscular endurance
• for power

Answer 16

-40-50%
-60-70%
->80%
-

Question 17

Reps for….

• strength/power
• older/novice
• endurance

Answer 17

• 8-12
• 10-15
• 15-20

Question 18

Sets for…

• strength/power
• older/novice
• endurance
• 2-3 min rest between

Answer 18

• 2-4
• 1
• 1-2