Module 19 physical activity Flashcards

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1
Q

WHO physical activity recommendations for children 5-17

A

60 minutes/day of moderate to vigorous activity

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2
Q

Carb intake 4-18 y/o

A

45-65% of total calorie intake

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3
Q

protein intake 4-18 y/o

A

10-30% of total caloric intake

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4
Q

Fat intake 4-18 y/o

A

25-35% total caloric intake

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5
Q

3 types of sports activities classified by AAP

A

contact and collision
limited contact
noncontact

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6
Q

objective of sports physical

A
  • cardiovascular risks
  • health status: fitness level
  • detecting injuries, conditions, and illness that might limit competition/lead to injury
  • recommend alternative activities as appropriate
  • anticipatory guidance about safety equipment
  • promote healthy choices
  • recommend ways to improve athletic performance
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7
Q

components of pre-participation physical exam

A
  • Ht/Wt and BMI
  • BP/HR
  • general appearance: marfan’s
  • eyes: eyes should be > 20/40 corrected
  • CV
  • respiratory: accessory muscle use, prolonged expiration
  • GU: hernias, vericoceles, undescended
  • Musculoskeletal
  • Skin: molluscum, HSV, impetigo, MRSA, tinea corpis, scabies
  • neuro: gross motor assessment
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8
Q

CV screening PMH

A
  • chest pain/discomfort related to exertion
  • unexplained syncope
  • excessive exertional and unexplained dyspnea/fatigue/palpitations with exercise
  • prior heart murmur
  • HTN
  • prior restriction from participation in sports
  • prior testing for the heart
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9
Q

cardiovascular screening FHx

A
  • premature death, before 50, r/t heart disease
  • disability from heart disease in close relative <50
  • hypertrophic or dilated cardiomyopathy
  • long QT syndrome
  • marfan syndrome
  • clinically significant arrhythmias
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10
Q

Causes of sudden cardiac death in young athletes

A

hypertrophic cardiomyopathy
anomalous origin of a coronary artery
-> ventricular arrhythmia

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11
Q

Assessing young athletes for head injury

A
  • baseline neurocognitive testing
  • concussion may occur with no obvious indications of concussion
  • no return to play same day of injury
  • graduated return-to-sport strategy should be used after concussion
    • 6 steps, each should take at least 24 hours
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12
Q

Female athlete triad

A
  • low energy availability with or without disordered eating
  • menstrual dysfunction
  • low bone mineral density
    Associated with:
  • sports that emphasize a lean body mass,
  • low wt maintenance
  • retaining ones prepubertal physique
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13
Q

Concussion

A

mild traumatic brain injury

  • complex pathologic brain process resulting from primary or secondary forces on the head that disrupt brain processes and functioning
  • > physical, cognitive, emotional, and sleep s/s
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14
Q

Concussion exam physical

A
headache
nausea/vomiting
difficulty with balance
changes in vision
dizzy
light or sound sensitivity
paresthesias
dazed or stunned
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15
Q

concussion exam cognitive

A
confusion
altered concentration
mental torpor
altered memory
forgetfulness
- conversations or recent events
needs to repeat or slowly answer questions
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16
Q

concussion exam emotional

A

abnormal irritability
feelings of sadness or being “emotional”
abnormal feelings of being nervous

17
Q

concussion exam sleep

A

drowsiness
insomnia or hypersomnia
difficulty falling asleep