Exercise Testing Guidelines

Question 1

Contraindication for exercise testing
Resting SBP?
Resting DBP?

Answer 1

SBP > 200mmHg

DBP > 110mmHg

Question 2

Contraindication for exercise testing

acute systemic fever temperature?

Answer 2

above 102

Question 3

Contraindication for exercise testing

uncontrolled sinus tachycardia

Answer 3

> 120bpm

Question 4

Contraindication for exercise testing

uncontrolled diabetes

Answer 4

resting blood glucose >400

Question 5

Normal exercise response

heart rate

Answer 5

increases linearly

Question 6

Normal exercise response 
stroke volume (how many ml/beat, what kind of curve?)

Answer 6

60-100ml/beat

curvilinearly

Question 7

Normal exercise response 
cardiac output (how many L per beat, what kind of curve?)

Answer 7

5L/min starting to 20L/min w/ upright exercise

linear

Question 8

Normal exercise response

rate pressure product

Answer 8

increases with increasing work rate

Question 9

Normal exercise response

arteriovenous-oxygen difference

Answer 9

reflects ability of skeletal m. to extract oxygen

Question 10

Normal exercise response

maximum oxygen consumption (conditioned vs non-conditioned person)

Answer 10

10-fold raise for unconditioned person

23 fold raise for conditioned person

Question 11

Normal exercise response

blood pressure SBP and DBP

Answer 11

SBP - increase linearly

DBP - remain constant or slightly decrease

Question 12

anaerobic threshold adaptation to training

Answer 12

increased ability to buffer and to tolerate lactate

Question 13

Abnormal response to exercise

heart rate

Answer 13

no linear increase in HR

Question 14

Abnormal response to exercise

stroke volume

Answer 14

impaired or depressed stroke volume

Question 15

Abnormal response to exercise

cardiac output

Answer 15

failure of CO to increase linearly with workrate

Question 16

Abnormal response to exercise

rate pressure product

Answer 16

does not increase with increasing work rate

myocardial ischemia

Question 17

Abnormal response to exercise

arteriovenous-oxygen difference

Answer 17

impaired ability for muscle to extract oxygen

Question 18

Abnormal response to exercise

maximum oxygen consumption

Answer 18

inability to increase oxygen transport with increasing energy demands

Question 19

Abnormal response to exercise

blood pressure SBP & DBP

Answer 19

sudden sharp rise in SBP or lack of increase

DBP increases or drops sharply

Question 20

Adaptation to training

heart rate

Answer 20

lower resting heart rate

max heart rate same or slightly lower

Question 21

Adaptation to training

stroke volume

Answer 21

stroke volume and ejection fraction both increase

Question 22

Adaptation to training

cardiac output

Answer 22

CO at max training increases

Question 23

Adaptation to training

rate pressure product

Answer 23

resting RPP decreases over time

Question 24

Adaptation to training

arteriovenous-oxygen difference

Answer 24

increase in exercise tolerance

Question 25

Adaptation to training

maximum oxygen conspumption

Answer 25

VO2 max increases

Question 26

Adaptation to training

blood pressure

Answer 26

in ppl without HTN SBP should remain the same after training