practice midterm Flashcards
which of the following is an example of a self-guided screening for physical activity
a. Physician’s medical release form (i.e., HIPAA requirements)
b. Stress test conducted by a qualified health care provider
c. Informed consent
d. PAR-Q+
PAR-Q+
Exercise professionals should have a thorough knowledge of factors and criteria for conducting an appropriate exercise preparticipation health screening. However, one area that is outside the scope of expectation for these professionals is
a. the criteria for known cardiovascular, metabolic diseases, and renal disease.
b. the definition of participation in regular exercise.
c. signs and or symptoms suggestive of cardiovascular, metabolic, and renal diseases.
d. the pathologic sequencing of the disease
the pathologic sequencing of the disease
An individual who takes type 2 diabetes and does not participate in regular exercise does not need medical clearance prior to engaging in moderate intensity aerobic exercise
true or false
false
When you have a new patient/client, what is the FIRST component you would do during the interview
a. Have them fill out the informed consent
b. Have them fill out the exercise preparticipation health screening
c. Have them fill out the Past Medical/Health history form
d. Perform a Cardiovascular (CV) risk factor analysis
fill out the informed consent
Regardless of participation in regular exercise, an exercise professional should advise an individual to seek medical clearance prior to participating in an exercise program under which of the following conditions
A. If the individual is asymptomatic and has no cardiovascular, metabolic, or renal disease
B. If the individual is symptomatic, yet has no cardiovascular, metabolic, or renal disease
C. If the individual is asymptomatic, yet has cardiovascular, metabolic, or renal disease
D. All of the Above
all of the above
A 60 year old woman is beginning a professionally led walking program. Two years ago, she had a drug eluting stent placed in her left anterior descending coronary artery artery a routine exercise stress test revealed significant ST-segment depression. She completed a brief cardiac rehabilitation program in the 2 months following the procedure but has been inactive since. She reports no signs or symptoms and takes a cholesterol- lowering stain and antiplatelet medications as directed by her cardiologist.
Known CV, metabolic, or renal disease?
yes
A 60 year old woman is beginning a professionally led walking program. Two years ago, she had a drug eluting stent placed in her left anterior descending coronary artery artery a routine exercise stress test revealed significant ST-segment depression. She completed a brief cardiac rehabilitation program in the 2 months following the procedure but has been inactive since. She reports no signs or symptoms and takes a cholesterol- lowering stain and antiplatelet medications as directed by her cardiologist.
Signs or symptoms suggestive of disease?
no
A 60 year old woman is beginning a professionally led walking program. Two years ago, she had a drug eluting stent placed in her left anterior descending coronary artery artery a routine exercise stress test revealed significant ST-segment depression. She completed a brief cardiac rehabilitation program in the 2 months following the procedure but has been inactive since. She reports no signs or symptoms and takes a cholesterol- lowering stain and antiplatelet medications as directed by her cardiologist.
desired intensity?
moderate
A 60 year old woman is beginning a professionally led walking program. Two years ago, she had a drug eluting stent placed in her left anterior descending coronary artery artery a routine exercise stress test revealed significant ST-segment depression. She completed a brief cardiac rehabilitation program in the 2 months following the procedure but has been inactive since. She reports no signs or symptoms and takes a cholesterol- lowering stain and antiplatelet medications as directed by her cardiologist.
Medical Clearance needed?
yes
What is the most common type of heart surgery?
a. Aortic repair
b. Coronary artery bypass grafting (CABG)
c. Valve replacement
d. Heart Transplant
CABG
what group has the highest rate of asthma
a. hispanic
b. african american
c. white
d. alaskan native and american indian
alaskan native and American Indian
Why should upper limb activities above the shoulder be avoided for the first six weeks after implantation of a pacemaker?
a. It will hurt their shoulder
b. They should avoid all activities
c. To prevent lead dislodgment
d. None of the above
to prevent lead dislodgment
What are common symptoms of congestive heart failure?
a. fatigue, shortness of breath, arrythmias, weight gain, edema
b. fatigue, shortness of breath, chest tightness
c. fatigue, chest tightness, wheezing, coughing
d. None of the above
fatigue, shortness of breath, arrythmias, weight gain, edema
Cerebral Vascular Accident (CVA) a leading cause of death in the US…
true or false
true
What race has a waiting percentage of 70% for heart transplantation?
a. Asian
b. African American
c. White
d. Hispanic
white
What may contribute to a diagnosis of angina?
A. balanced diet with nutritional variety
B. getting 6 or less hours of sleep
C: emotional distress
D: b & c
E: none of the above
b and c
Which of the following would be most at risk of developing angina?
a. Male (Age 62)
b. Female (Age 63)
c. Male (Age 24)
d. Female (Age 26)
female, age 63
What is the most common cause of COPD?
a. Air Pollutants
b. drinking too much water
c. consistently exercising
d. Smoking
smoking
What demographic group is most likely to have congestive heart failure
a. older adults who suffer chronic consequences of unhealthy habits (smoking, unhealthy eating, etc.)
b. older populations (around 65)
c. older populations with a history of cardiovascular disease or family history of cardiovascular disease
d. All of the Above
all of the above
For individuals with PAD, the most noticeable improvements from exercise rehabilitation tend to occur
a. in the first month.
b. in the initial 2–3 mo.
c. after 3–4 mo.
d. after 6 mo.
in the initial 2-3 months
For the individual with diagnosed hypertension, emphasis in exercise prescription should be placed on
a. aerobic activities.
b. resistance training with education on avoiding the Valsalva Maneuver .
c. healthy weight loss, if overweight.
d. all of the above
all of the above
If individual with hypertension performs intermittent aerobic exercise, bouts should be a minimum of
a. 5 min
b. 10 min
c. 20 min
d. 30 min
10 min
Major risk factors for peripheral arterial disease (PAD) include all except
a. diabetes.
b. hypertension.
c. male gender.
d. female gender.
female
PAD generally affects which area of the body
a. The upper chest
b. The upper legs
c. The lower legs
d. The abdomen
lower legs
In the individual with diagnosed hypertension, it is prudent to maintain systolic (SBP) ______________mmHg and diastolic (DBP) ___________ mmHg during exercise
a. 120; 80
b. 150, 90
c. 220; 105
d. 250, 120
220, 105
One of the primary focuses on aerobic exercise presciptions with individuals who have PAD/Intermittent Claudication
a. Light intensity (i.e., 20%–39% V∙ O2R) to the point of moderate pain (i.e., 3-4 out of 5 on the claudication pain scale)
b. Moderate intensity (i.e., 40%–59% V∙ O2R) to the point of mild pain (i.e., 1-2 out of 5 on the claudication pain scale)
c. Moderate intensity (i.e., 40%–59% V∙ O2R) to the point of moderate pain (i.e., 3-4 out of 5 on the claudication pain scale)
d. Vigorous intensity (i.e., 80%–100% V∙ O2R) to the point of moderate pain (i.e., 3-4 out of 5 on the claudication pain scale)
c
The pre-exercise assessment for individuals who have PAD/Intermittent claudication includes
a. A careful evaluation of the lower extremity skin and feet and regarding proper shoes to avoid skin irritation and breakdown
b. A careful review of the heart EKG
c. A stress test to evaluate a baseline of symptoms
d. A thorough evaluation of the individual’s functional capacity
a careful evaluation of the lower extremity skin and feet and regarding proper shoes to avoid skin irritation and breakdown
When exercising an individual with hypertension, it is important to recognize that the diastolic blood pressure should
a. Increase Steadily
b. Decease Steadily
c. Should remain the same or change very little (±10 mm Hg)
d. Rapidly decease within the first 10 minutes of exercise training
should remain the same or change very little (+- 10mmHg)
When individuals with PAD engage in exercise training programs, increased in pain free walking time are shown to increase
a. 50%–75%.
b. 70%–85%.
c. 85%–100%.
d. >100%.
> 100%
A blood glucose level of less than ___________- mgx DL is considered a relative contraindicate for exercise
a. 70
b. 75
c. 80
d. 90
70
During combined training, completing resistance training prior to aerobic training may lower the risk of hypoglycemia in individuals with Type 1 diabetes mellitus
true or false
true
HbA1C is the current standard for diagnosing diabetes. The threshold at which HbA1C is considered diabetes is
a. 3.8%
b. 5.7%
c. 6.0%
d. 6.7%
6.7%
Which of the following is true about Type 1 Diabetes?
a. It usually affects older individuals
b. The body produces too much insulin
c. The body does not produce insulin
d. It can be treated with oral medications
the body does not produce insulin
what is the fastest way to raise blood glucose during hypoglycemia?
a. Inject insulin
b. Administer sublingual sugar
c. Drink water
d. Take oral insulin
administer sublingual sugar
Which group is disproportionately affected by type 2 diabetes?
a. Caucasians
b. Asians/Pacific Islanders
c. Europeans
d. Children
aisans/Pacific Islanders
Which is true FREQUENCY for the FITT RECOMMENDATIONS FOR INDIVIDUALS WITH DIABETES?
a. Aerobic exercise is recommended 3–7 day per week and no more than 2 consecutive days without activity
b. A minimum of 2 nonconsecutive days per week for resistance training
c. ≥2–3 days per week for Flexibility and Balance
d. All of the Above
all of the above
Resistance training should be encouraged for individuals with diabetes mellitus unless they
a. have increased HbA1C levels.
b. are insulin resistant.
c. also have hypertension.
d. have severe proliferative retinopathy.
have severe proliferative retinopathy
Type 2 diabetes mellitus is by far the most prevalent type of diabetes in the population
true or false
true
Which of the following is not an effective strategy to prevent hypoglycemia and hyperglycemia during exercise?
a. Changing insulin timing
b. Increasing protein intake
c. Increasing carbohydrate intake
d. Reducing insulin doses
increasing protein intake
About what percentage of initial weight loss is regained within 1 year of terminating treatment?
a. 10%–25%
b. 25%–40%
c. 30%–50%
d. >70%
30-50%
Overweight and obesity are linked to all of the following health issues except
a. cancer
b. diabetes mellitus.
c. osteoporosis.
d. musculoskeletal problems.
osteoporosis
What is a normal body mass index (BMI)?
a. 18.5–24.9
b. 15–17
c. 25–30
d. >35
18.5-24.9
Which factors contribute to obesity?
a. Genetics
b. Sedentary Lifestyle
c. Excessive caloric intake
d. All of the above
all of the above
The exercise prescription to maximize weight loss should:
a. Start with aerobic conditioning at moderate to vigorous intensities for 30 min and progress to daily if possible
b. only include resistance training
c. Start with aerobic conditioning at low to moderate intensities for 30 min and progress to daily if possible
d. start with aerobic conditioning at low to moderate intensities for 30 min for 2-3 days a week
c
Dyslipidemia is characterized by having ______________ levels of low-density lipoprotein (LDL-C),__________ levels of triglycerides (TG), or _______________levels of high density lipoprotein (HDL-C)
a. elevated, low, low
b. elevated, low, elevated
c. low, low, elevated
d. elevated, elevated, low
elevated
elevated
low
a desirable value for your low-density lipoprotein (LDL) is considered:
a. <100
b. 120
c. 150
d. 190
<100
Individuals taking statins or fibric acid may experience muscle weakness and soreness termed myalgia
true or false
true
the current indication for bariatric surgery is a BMI of
a. 10.0 kg · m−2.
b. >40.0 kg · m−2 and comorbidities.
c. >35.0 kg · m−2.
d. >35.0 kg · m−2 and comorbidities.
> 35 and comorbitities
To promote long- term weight loss individuals should progress to at least ___________-min.wk of moderate to vigorous intensity aerobic exercise
a. 150
b. 200
c. 250
d. 400
250
