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Exercise Phys > Lecture 5 > Flashcards

Lecture 5 Flashcards

1
Q

Pre-participation clinical assessment

A
  • Medical Referral
  • Complete medical history
  • Physical exam
  • Risk stratification
  • Resting functions
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2
Q

CV Risk factors

A
  • Age
  • Cigarette smoking
  • Physical inactivity
  • BMI/Waist circumfrence
  • Blood pressure (hypertension)
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3
Q

Cardiopulm disease signs and symptoms

A
  • Neck, chest or arm pain that may be ischemic
  • Respiratory
  • Lower Extremity
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4
Q

Planned, structured “moderate” intensity exercise

A

>30 mins, 3 days/wk, > 3 months

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5
Q

Planned, structured “moderate” intensity exercise

Light

A
  • 30-40% HRR or VO2 R, 2-3 METS
  • 9-11 RPE, slight increase in HR or RR
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6
Q

Planned, structured “moderate” intensity exercise

Moderate

A
  • 40-60% of HRR or VO2R, 3-6METS
  • 12-13 RPE, noticeable increase in HR or RR
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7
Q

Planned, structured “moderate” intensity exercise

Vigorous

A
  • 60-89% of HRR or VOR, 7-10 METS
  • 12-14 RPE, substantial increase in HR or RR
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8
Q

Exercise testing absolute contraindications

A
  • Myocarditis or pericarditis
  • Aortic dissection
  • Uncontrolled symptomatic heart failure
  • DVT or Embolus
  • Symptomatic Severe Aortic Stenosis
  • Acute Myocardial Infarction within 2 days
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9
Q

Normal responses of BP and HR to incremental exercise

A
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10
Q

General indications for stopping non-diagnostic exercise test

A
  • Onset of Angina
    • Angina like symptoms
  • Rise in systolic > 250 or diastolic > 115
  • Drop in systolic > 10 with increased workload
  • Change in heart rhythm palpation or auscultation
    • Failure of HR to increase with exercise workload
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11
Q

General indications for stopping non-diagnostic exercise test

continused

A
  • Signs of poor pefusion
    • Wheezing, SOB
    • leg cramps, claudication
    • light headedness, confusion,
    • ataxia, pallor, cyanosis
    • nausea, cold, clammy
  • Request to stop, c/o severe fatigue
  • Equipment failure
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12
Q

Incremental step

A

changes in workload that may vary in size

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13
Q

Ramp increase

A

continuous workload increase at constant rate

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14
Q

Adapting workloads in Maximal testing protocols should reach maximum in < __ mins

A

under 15 mins (8-12 mins)

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15
Q

Why test duration important

In diagnostic testing, if intensity increases too rapidly, patient may fatigue due to ____ before ____

A

may fatigue due to local muscle fatigue before cardiac ischemic changes are unmasked

  • If continuous protocol is too long > 15-20 mins
    • Muscular endurance may be limiting - not cardiac function
    • Motivation to complete may be lost
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16
Q

Duke treadmill score

A

Greater score = Lower risk

Exercise Phys (6 decks)

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