Final Exam Flashcards
Intermittent claudication is defined as
a Pain that occurs in a muscle receiving inadequate blood supply
b. Chronic pain in the chest that is often described as a dull ache
c. Shortness of breath occurring only in the recumbent position
d. Shortness of breath brought on by physical exertion
a Pain that occurs in a muscle receiving inadequate blood supply
According to ACSM risk stratification categories, what level of risk describes an individual with 1or more signs and symptoms.
a. Low
b. Moderate
c. High
C.high
Benefits of field tests for cardiorespiratory fitness include
a.Large number of people can usually be tested at one time
b. The test always requires maximal effort
c. Individual results are very reliable
d. None of the above
a.) Large number of people can usually be tested at one time
Disease dependent risks are defined as
a.The adverse effects that are consequence of accidents occurring during an activity
b. Number of training sessions for a given time unit
c. A range of optimal exercise doses for a given activity
d.The adverse effects of exercise that are consequence of disease
D.The adverse effects of exercise that are consequence of disease
Which of the following is a benefit of resistance training?
a. Increased lean body mass
b. Improved blood glucose levels
c. Fewer cardiovascular disease events
d.All of the above
d.all of the above
In an EKG, which wave represents atrial depolarization?
a. QRS complex
b. P wave
c. T wave
d. None of the above
B. P wave
In the heart, the left atrium and ventricle are oxygen poor while the right atrium and ventricle are oxygen rich.
a. True
b.False
B.false
According to the ACSM guidelines, what is a relative contraindication for BP screening prior to an
a.SBP >200 or DBP > 110
b.SBP >140 or DBP > 90
c. SBP >160 or DBP > 120
d. SBP >250 or DBP > 115
e. SBP >120 or DBP > 80
a.SBP >200 or DBP > 110
Which blood vessel carries oxygen-poor blood from the heart to the lungs?
a. Carotid artery
b. Pulmonary artery
c. Pulmonary vein
d. Aorta
B. Pulmonary artery
Which of the following is an example of a self guided screening for physical activity?
a. Physician medical release form
b. Stress test performed by health care provider
c. PAR-Q+
d. Informed consent
C.PAR-Q+
What is the most controllable influence over your health?
a. Heredity
b. Lifestyle behavior
C.Environmental conditions
d. Economic conditions
B.lifestyle behavior
When reading an EKG, what represents ventricular depolarization?
a. P wave
b. ST segment
c. QRS complex
d.T wave
C.QRS complex
What is the correct order of blood flow through the heart?
a. Right atrium > mitral valve > right ventricle > left atrium > tricuspid valve > left ventricle
b. Right atrium > tricuspid valve > right ventricle > left atrium > mitral valve > left ventricle
c. Left atrium > tricuspid valve > left ventricle > right atrium > mitral valve > right ventricle
d. Left atrium > mitral valve > left ventricle > left atrium > tricuspid valve > left ventricle
b. Right atrium > tricuspid valve > right ventricle > left atrium > mitral valve > left atrium
What is known as the pacemaker of the heart?
a. AV node
b. Purkinje fibers
c. Bundle of His
d. SA node
D. SA node
The parasympathetic nervous system determines the fight or flight response.
A.True
B.False
B.false
__________________ occurs if plaque buildup occurs in major arteries that supply oxygen rich blood
A.Coronary artery disease
B.Peripheral artery disease
C.Hypertension
D. Hyperlipidemia
B. Peripheral artery disease
What is the most serious of all arrhythmias?
a.Ventricular fibrillation
b.Ventricular tachycardia
c.Supraventricular tachycardia
d. Premature atrial contraction
A.ventricular fibrillation
Which category of hypertension medication requires an adequate cool down to prevent hypotensive episodes?
a. ACE inhibitors
b. Diuretics
c. Nitrates
d.A and B only
e.A and C only
f. All of the above
E. A and C ONLY
Sequential preventricular contractions can be a precursor to further detrimental arrhythmias.
a.True
b.False
A. True
Low level exercise following a percutaneous transluminal coronary angioplasty (PTCA) can occur at what point in recovery?
a. 24 hours
b.2-3 days
c.2-3 hours
d. 7+ days
c.2-3 hours
Unstable angina is predictable and occurs with a specific amount of work.
a. True
b. False
B. False
A blood pressure of 121/71 is considered “optimal”.
a. True
b. False
B.false
To be in the objective portion of a SOAP note, it must be
a.Measurable
b. Repeatable
c.Told by the patient
d.A&B
e.A& C
f.All of the above
d.A&B
Goals that you create of a patient should be all of the following, except___________
a. Specific
b. Measurable
c. Attainable
d. Time frame
e) All of the above should be included in a goal
e) All of the above should be included in a goal
The appropriate positioning for taking blood pressure consists of all of the following, except:
a. Seated
b.) Arm unsupported
c. Uncrossed legs
d. No clothing if possible
b.) Arm unsupported
What type of cardiac arrhythmia can be “shocked” back into normal sinus rhythm?
a.Ventricular fibrillation
b) Atrial fibrillation
c. Premature ventricular contraction
d. Premature atrial contraction
a.Ventricular fibrillation
Which artery is the most common location for a myocardial infarction?
a. Right coronary artery
b. Circumflex artery
c.) Left anterior descending artery
d. None of the above
c.) Left anterior descending artery
On an EKG, ST segment elevation is a common characteristic of
a. Ischemia
b.Peripheral artery disease
c.Atherosclerosis
d.Myocardial infarction
D.Myocardial infarction
What can become the pacemaker of the heart if the SA and AV nodes fail respectively?
a.Bundle of His
b.Purkinje fibers
c.Bachman’s bundle
d.None of the above
b. Purkinje fibers
you should stop exercising in low risk adults if the subject asks to stop.
a.True
b.False
A.true
According to the dose response curve, increasing_________ will increase the response, but also increase the risk of disease dependent problems.
a.Frequency
b. Duration
c. Intensity
d. All of the above
D.all of the above
Low density lipoproteins and very low density lipoproteins are considered “bad” cholesterol.
a.) True
b. False
A.true
Reducing the amount of ________fat in your diet can help lower blood cholesterol level.
a. Monounsaturated
b. Saturated
c. Polyunsaturated
d. All of the above
B.saturated
A positive value for risk stratification occurs with all of the following, except:
a. HDL less than 40
b. LDL greater than 130
c. Quit smoking with 6 months
d. 50 year old female
D.50 yr old woman
_________is extreme muscle inflammation and damage that can lead to kidney
damage.
a.Myositis
b.Rhabdomyolysis
c.Creatine kinase elevation
d.None of her above
B.rhabdomyolysis
Which medication is typically given as a second line of treatment after statins to reduce blood cholesterol levels.
a.Cholesterol absorption inhibitors
b.Bile acid sequestrant
c. Fibrates
d. Niacin
a.Cholesterol absorption inhibitors
Which artery supplies blood to the SA and AV nodes?
a.Left main coronary artery
b. Left anterior descending artery
c.Right coronary artery
d. Circumflex artery
C. Right coronary artery
A hypertensive diagnosis is characterized by an SBP Of 140 and DBP OF 90.
a.True
b.False
B.false *Hypertensive diagnosis is an SBP ≥ 140 OR DBP ≥ 90
The procedure that utilizes a vessel from elsewhere in the body to bypass an obstructed coronary artery through a large sternal incision is known as
A.Percutaneous transluminal coronary angioplasty
B.Traditional coronary artery bypass graft
C.Minimally invasive coronary artery bypass graft
D.Heart transplant
B.Traditional coronary artery bypass graft
The most common symptom of ischemia is___________.
A.angina
B.intermittent claudication
C.shortness of breath
D. Acid reflux
A.angina
When taking a manual blood pressure, the disappearance of sound is representative of what?
A.Systolic blood pressure
B.Diastolic blood pressure
C.Heart rate
D.High blood pressure
B.Diastolic blood pressure
Long term complications of hypertension include all of the following, except:
a.Stroke
b.Right ventricular hypertrophy
c. Heart failure
d. Renal disease
e. All of the above are complications of HTN
b.Right ventricular hypertrophy
An “optimal” number for LDL cholesterol is
a. Less than 200
b.100
c.Less than 100
d.120
C. Less than 100
Diuretics decrease blood pressure by doing what?
A.Decreasing submaximal and maximal HR
B.Increasing oxygen supply by dilation of coronary arteries
C.Decreasing blood volume
D.Blocking effects of angiotensin converting enzyme
C.Decreasing blood volume
What describes a patient with moderate risk according to ACSM risk stratification?
a. Individual with known cardiovascular, pulmonary, or metabolic disease
b.Asymptomatic individual with 2 or more risk factors
c. Individual with 2 or more symptoms
d. Asvmptomatic individual with 1 or less risk factors
b.Asymptomatic individual with 2 or more risk factors
Major signs and symptoms suggestive of cardiovascular, pulmonary, or metabolic disease include which of the following:
a. Ankle edema
b. Palpitations
c.Intermittent claudication
d. Shortness of breath with usual activities
e.All of the above
e.All of the above
Which of the following is an absolute contraindication to exercise?
a. Uncontrolled metabolic disease
b. Chronic infectious disease
c.Unstable angina
d. SBP> 200 or DBP > 110
C.unstable angina
A temporary interruption of blood flow to the brain that can produce symptoms of neurological deficit is known as a
A.Cerebrovascular accident
B.Myocardial infarction
C.Transient ischemic attack
D.Pulmonary embolus
C.Transient ischemic attack
In order for exercise alone to be an efficient weight loss plan, it requires what kind of exercise?
a. High intensity
b.High volume
c.Extended duration
d. All of the above
d. All of the above
What kind of wound is typically found on the bottom of a patient’s foot?
a. Pressure wound
b. Diabetic ulcer
c. Vascular wound
d. Surgical wound
b. Diabetic ulcer
Hyaline cartilage, found in joints, has good blood supply and can heal itself when injured.
A.True
B.False
B.false
__________is tissue death due to lack of oxygen.
A.Ischemia
B.Infarction
C.Slough
D.Atherosclerosis
B.infarction
Which methods of body composition measurement utilize different applications of the same principles?
a. Bioelectrical impedance and DEXA
b. Bod pod and bioelectrical impedance
c. Hydrostatic weighing and bod pod
d. Hydrostatic weighing and DEXA
c. Hydrostatic weighing and bod pod
Granulation tissue should be removed when performing wound debridement.
a. True
b. False
b.false
Typical characteristics of osteoarthritis include all of the following, except:
A.Large joints
B.Crepitus
C.Bilateral presentation
D.Stiffness less than 30 minutes
C.bilateral presentation
What is the only lung volume that cannot be measured with spirometry?
A.Tidal volume
B.Residual volume
C.Expiratory reserve volume
D.Inspiratory reserve volume
B.Residual volume
All of the following are characteristics of Type 2 Diabetes, except:
a.Affects the body’s ability to use insulin properly
b. Related to life-style factors
c.Insulin receptors do not recognize the insulin available
d.Affects the body’s ability to produce insulin
d.Affects the body’s ability to produce insulin
Hemorrhagic strokes tend to be more common than ischemic strokes.
a. True
b. False
B.false, ischemic stroke is 85% and hemorrhagic is 15%
Which postural drainage position is to be avoided if you are attempting to avoid increased intracranial pressure?
a.Trendelenburg
b.Reverse Trendelenburg
c. Supine
d. Semi-reclined
a.Trendelenburg
All of the following are characteristics of rheumatoid arthritis, except:
a. Systemic
b. Bilateral presentation
c.Development of bone spurs
d. Joint deformity
c.Development of bone spurs