physical examination

Question 1

the ACSM pre participation and pre exercise screening emphasizes

Answer 1

the public health message of physical activity for all

Question 2

the pre participation health screening identifies

Answer 2

those who are at risk for adverse exercise-related cardio-vascular events and which individuals should be referred for medical clearance

Question 3

recommended sequence of evaluation

Answer 3

informed consent
medical/health history
exercise pre-participation health screening
CV risk factor analysis

Question 4

informed consent is important for

Answer 4

ethical and legal consideration

Question 5

informed consent should be completed prior to

Answer 5

collection of any personal and confidential information
any form of fitness testing
exercise participation

Question 6

informed consent should ensure that

Answer 6

individuals know and understand the purposes and risks associated with screening, assessment, and the exercise program

Question 7

7 parts of IC

Answer 7

purpose and explanation
attendant risks and discomfort
responsibilities of participant
benefits to be expected
inquiries
use of medical records
freedom of consent

Question 8

medical history and CV screening provide

Answer 8

valuable information for designing individualized exercise programs to lower or reduce health risks

Question 9

CV disease risk factors

Answer 9

hypertension, obesity, dyslipidemia, diabetes

Question 10

previous physical examination findings

Answer 10

murmurs, clicks, gallop rhythms, other abnormal heart sounds, other cardiac and vascular findings, pulmonary findings, high BP, edema

Question 11

appropriate components of the medical history may include

Answer 11

medical diagnoses and history of procedures, lab findings, history of symptoms, recent illness, hospitalization, surgeries, orthopedics, medication, drug allergies

Question 12

FITT

Answer 12

frequency, intensity, time, type

Question 13

participation health screening before initiating PA or an exercise program is a___-stage process

Answer 13

two

Question 14

the need for medical clearance before initiating or progressing exercise programming is determined using

Answer 14

ACSM screening algorithm

Question 15

manner of clearance should be determined by

Answer 15

clinical judgement and discretion of the health care provider

Question 16

pre participation health screening:
- determine ___ levels
- identify signs and symptoms of ____
- identify individuals with diagnosed ____
-use ___, ___, ____, ____ to guide recommendations for pre-participation medical clearance

Answer 16

PA
underlying CV, metabolic, renal disease
CV, metabolic disease
signs and symptoms, disease history, current exercise, desired exercise

Question 17

ACSM pre participation screening algorithm is designed to

Answer 17

identify individuals at risk for CV complications during or immediately after aerobic exercise

Question 18

although resistance training is growing in popularity, current evidence is insufficient regarding

Answer 18

CV complications during resistance training to warrant formal prescreening recommendations

Question 19

ACSM algorithm 1 components

Answer 19

• classifying individuals who do (yes) or dont (no) currently participate in regular exercise
• identifying individuals with known CV, metabolic, or renal diseases or those with signs or symptoms suggestive of cardiac, peripheral vascular or cerebrovascular disease, diabetes, renal disease
• desired exercise intensity

Question 20

self-guided method can be easily accomplished by

Answer 20

using PAR-Q+

Question 21

a patient is at high risk if:
left ventricular ejection fraction ____%

Answer 21

<40

Question 22

a patient is at high risk if:
survivor of

Answer 22

cardiac arrest or sudden death

Question 23

a patient is at high risk if:
complex ________ at rest or with exercise

Answer 23

ventricular dysrhythmias

Question 24

a patient is at high risk if:
MI or cardiac surgery complicated by

Answer 24

cariogenic shock, CHF, and/or signs/symptoms of post procedure ischemia

Question 25

a patient is at high risk if:
abnormal ____ with exercise, especially flat or decreasing ____ blood pressure or _____ with increasing workload

Answer 25

hemodynamics
systolic BP
chronotropic incompetence

Question 26

a patient is at high risk if:
significant silence ischemia (ST depression ___ or greater without symptoms) with exercise or in recovery

Answer 26

2mm

Question 27

a patient is at high risk if:
signs and symptoms of ____,____,____,___ at low levels of exercise or in recovery

Answer 27

angina, dizziness, light-headedness or dyspnea

Question 28

a patient is at high risk if:
maximal functional capacity of less than

Answer 28

5 METs

Question 29

an individual does not participate in regular exercise:
No CV, metabolic or renal disease and no signs and symptoms
medical clearance?
exercise intensity recommended?

Answer 29

no medical clearance
light to moderate, gradually progress to vigorous

Question 30

an individual does not participate in regular exercise:
known CV, metabolic or renal disease and no signs and symptoms:
medical clearance?
exercise intensity recommended?

Answer 30

medical clearance recommended
light to moderate, gradually progress as tolerated

Question 31

an individual does not participate in regular exercise:
any signs or symptoms of CV, metabolic, renal disease:
medical clearance?
exercise intensity recommended?

Answer 31

medical clearance
light to moderate intensity, gradually progress as tolerated