Pre-Participation Screening

Question 1

6 A’s of the CSEP Path process

Answer 1

Ask, Assess, Advise, Agree, Assist, Arrange

Question 2

Explain the Ask step in the process

Answer 2

Understand the Clients:

• medical history and risks
• primary motivation and drivers
• level of commitment to making change
• confidence that they can execute a plan

Question 3

Purpose of Pre-participation screening

Answer 3

identify clients who may be at risk for adverse medical events when physically active

Question 4

what does QEP do if there is risk

Answer 4

must work within SOP; chart steps being taken to mitigate risk is applicable

Question 5

what does the pre participation screening include

Answer 5

• evidence based screening tool
• medical history
• measurement of resting HR and BP
• assessment of current PA levels

Question 6

what do you do if someone answers yes to a GAQ question and they do not have know the cause

Answer 6

cannot proceed with MVPA assessment, refer to doctor

Question 7

what do you do if someone answers yes to a GAQ question and they do have know the cause and have a way to address it with medication and a treatment plan

Answer 7

can proceed with MVPA assessment

Question 8

cons of GAQ

Answer 8

lots of text - could lead to improper answering of questions

Question 9

Brief overview of Assess

Answer 9

conduct physical activity, fitness and or lifestyle assessment

Question 10

Brief overview of Advise

Answer 10

summarize events and discuss

Question 11

Brief overview of Agree

Answer 11

devise an action plan

Question 12

Brief overview of Assist

Answer 12

increase motivation and overcome barriers

Question 13

Brief overview of Arrange

Answer 13

provide continuing support

Question 14

apparently healthy means

Answer 14

• no diagnosed medical condition
• no overt signs and symptoms suggesting any potential underlying medical condition
• able to exorcise independently (would not NEED our advice/advice of a QEP)

Question 15

lower risk medical condition means

Answer 15

Benefits of PA clearly outweigh the risks

client has a diagnosed medical condition and meets all following criteria

• asymptomatic
• condition is being medically treated and managed and no change in meds or treatment plan in the last 6 months
• client can exercise with QEP watching

Question 16

higher risk medical condition means

Answer 16

benefits of PA may not outweigh the risks; clinical monitoring or restrictions may be necessary

usually has a diagnosed medical condition and meets any of the following criteria

• not medically managed
• symptomatic
• treatment recently changed
• not able to exercise independently

OR multiple medical conditions are present

Question 17

what are the resting HR and BP cut offs

Answer 17

100 bmp and 160/90

Question 18

examples of low risk

Answer 18

• asthma or out of breathe that is received by medication
• heart condition that is asymptomatic and cardiac rehabilitation is completed
• high BP that is asymptomatic, below 160/90 at rest and medicated

Question 19

reasons to refer

Answer 19

• higher risk medical condition
• not able to exercise independently
• co morbid conditions
• resting BP or HR above cut offs
• interested in maximal or near maximal effort
• you do not feel you have the knowledge, skill or abilities to with with the client
• co morbid conditions even is both low risk, will interact in ways we are not qualified to work with

Question 20

what must physicians recommend to a client in order for us to work with them

Answer 20

unrestricted PA

Question 21

what form can a physician use to give to the QEP to clear the client

Answer 21

physician physical activity readiness clearance form