Medical Screening Flashcards
Medical screening is the __________ in the five-step process.
Medical screening is the first step a five-step process. It helps to answer the question “where is the client currently”.
What is the objective of medical screening?
The purpose of medical screening is to review existing information to see if there is any risk of exercise.
If you are not a medical professional, is it your objective to diagnose anything when you perform medical screenings?
No, unless a licensed professional, at no point in time should a fitness professional make a diagnosis during the screening process.
List some sophisticated and some practical screening techniques.
Examples of sophisticated screening techniques are bloodwork, resting ECG and underwater or hydrostatic weighing.
Examples of practical screening techniques are questionnaires, measures of resting heart rate and resting blood pressure, BMI, body composition, and waist circumference.
What is the purpose of a maximal exercise treadmill test?
The purpose of a maximal exercise treadmill test is to measure cardiorespiratory fitness, determine the presence or absence of CAD and/or establish that exercises safe for the client.
A 50-year-old male has hypertension with no other major risk factors or symptoms. In which ACSM risk category does he fall?
Over 45 and hypertension would put the client in the moderate risk category. This category includes those that are asymptomatic and have two or more risk factors.
The high risk category includes those with signs/symptoms of CVD/pulmonary disease or known CVD, pulmonary disease or metabolic disease.
What criteria must be met in order for someone to qualify as a low risk category in that a A risk stratification system?
The low-risk category includes of those that are asymptomatic and have no more than one major risk factor.
Define the term “contraindication”.
Contraindications are serious medical conditions where the risk of exercise generally outweighs the benefits.
Give one example of what is meant by “known CVD”. List one absolute contraindication.
Examples of known CVD would be a personal history of heart attack, stroke, bypass surgery, or angioplasty. Uncontrolled cardiac dysrhythmia is an absolute contraindication.
As a famous leader in a field setting, should you perform a fitness assessment if an individual has either an absolute or a relative contraindication?
No, if a client has either an absolute or relative contraindication do not perform fitness assessments.
A client has a resting blood pressure of 164/94. Can the client undergo fitness assessment in a field setting?
Yes, CI recommends a resting blood pressure of 160/100 for fitness assessments. Do not administer fitness assessment of clients that meet or exceed this cut off.
What does PAR-Q stand for? What should you do if an individual to be tested has one or more “yes” answers on the PAR-Q?
PAR-Q stands for participant activity readiness questionnaire. It is the first screening tool used with a new client. If they answer yes to one or more questions they should not be allowed starting exercise program.
What information is contained in the informed consent form?
An informed consent form informs client about the nature of fitness activities, including the potential benefits and risks.
With regard to liability, define “commission” and “omission”.
In terms of liability, lack of duty can be shown by either omission; failing to do what should be done or, commission; doing what should not have been done.
