Exercise Testing & Prescription

Question 1

how many hours should a patient refrain from food, alcohol, caffeine, or tobacco before testing?

Answer 1

3 hours

Question 2

what are the 2 most common modalities of exercise testing? (of which our program has none)

Answer 2

bicycle ergometers and treadmills

Question 3

what kind of testing would be appropriate for a patient who suffered an MI?

Answer 3

submaximal testing

Question 4

what are good heart rate and MET parameters for a patient over 40? under 40?

Answer 4

130bpm/5 METs

140bpm/ 7 METs

Question 5

what scale is useful for patients taking beta-blockers?

Answer 5

borg scale

Question 6

values exceeding 200 for SBP are not uncommon, however if they reach how high should testing be stopped?

Answer 6

260

Question 7

what does VO2 max define?

Answer 7

upper limits of cardiorespiratory function

Question 8

what is one of the most signifigant prognostic indicators of survival? in CHF?

Answer 8

exercise capacity

VO2

Question 9

exercise induced typical angina confirms the presence of what condition?

Answer 9

CAD

Question 10

anginal rating scale 1-4 labels what?

Answer 10

1 onset of discomfort, you notice sensation
2 mod discomfort, pain increasing
3 mod severe pain causes you to rest or take NTG
4 severe discomfort

Question 11

what is the general best position for a patient to revover?

impaired left ventricular fcn and COPD have what condition typically?

Answer 11

supine

dyspnea

Question 12

patients with symptom limiting angina/dyspnea should recover post exercise in what position?

Answer 12

seated or semi recumbent

Question 13

what type of recovery should be avoided due to potential complication of venous pooling?

Answer 13

passive standing

Question 14

progress should be monitored/progressed based on which 3 vitals?

Answer 14

HR
BP
RPE

Question 15

4 factors to consider before determining intensity

Answer 15

level of fitness
medications
risk of cardiovascular/orthopedic injury
individual objectives

Question 16

what is the total volume of exercise recommended by ACSM for one day?

Answer 16

20-60 minutes continuous or intermittent

Question 17

how to train individuals with very low functional capacities?

Answer 17

1 to 2 short exercise sessions per day

Question 18

initial conditioning
what intensity?
for how many weeks?
duration?

Answer 18

40-60%
4 weeks
15-20 min

Question 19

improvement stage

lasts for how long?

Answer 19

4-5 months

Question 20

maintenance stage
begins after how long?
how many calories should be burned per week

Answer 20

after 5-6 months of training

should exceed minimal caloric thresholds (1000kcal per week)