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Exercise Physiology > Risk Stratification > Flashcards

Risk Stratification Flashcards

1
Q

What is the leading cause of death in the United States?

A

A form of cardiovascular disease

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2
Q

What are the ages of individuals who should first consult a physician before embarking on a program of vigorous physical activity to which they are unaccustomed?

A

Previously inactive men over 40 and previously inactive women over 50

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3
Q

Besides age, who should first consult a physician before embarking on a program of vigorous physical activity to which they are unaccustomed?

A

People at high risk for or have S & S of CVD

People with a known Disease

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4
Q

What are the recommendations for physical exercise with regards to intensity, time and frequency for the US pop?

A

Accumulate at least 30 mins of exercise daily of moderate intensity most days of the week (at least 5)

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5
Q

Comprehensive Medical/health questionnaire
ACSM/AHA Questionnaire
Physical Activity Readiness Questionnaire
are the

A

3 types of HHQ

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6
Q

Where is comprehensive medical/health questionnaire commonly used?

A

Medical Setting

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7
Q

Where is ACSM/AHA questionnaire commonly used?

A

Independent trainers

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8
Q

Where is Physical Activity Readiness questionnaire commonly used?

A

schools ( large groups of relatively healthy people)

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9
Q
  1. Used in the process of client risk stratification
  2. Used to establish client’s medical/health risks for level of exercise testing
  3. Used to establish clients medical /health risk for beginning intensity level of clients exercise program
  4. Determines if client should be referred back to their M.D. for a complete physical examination prior to being tested or participating in an exercise program
    are the
A

4 main purposes of the pre-participation interview and HHQ

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10
Q

What are the 9 signs and symptoms of possible cardiopulmonary disease

A
  1. Pain, discomfort in chest, neck, jaw, arms - due to ischemia
  2. Shortness of breath @ rest or w/ mild exertion
  3. Dizziness or syncope
  4. Orthopenia or paroxysmal nocturnal dyspnea
  5. Ankle edema
  6. Palpitations
  7. Intermittent claudication
  8. Known heart murmur
  9. Unusual fatigue or shortness of of breath w/ usual activity
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11
Q

What are the 3 categories of known diseases in which if an individual has, they would be classified as a high risk client/patient?

A
  1. Cardiovascular disease
  2. Pulmonary Diseases
  3. Metabolic Diseases
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12
Q 
Family History
Smoking History
Dyslipidemia
Hypertension
Impaired fasting glucose
Obesity 
Sedentary lifestyle

are the

A

7 positive risk factors

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13
Q

what is the 1 negative risk factor

A

high HDL

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14
Q

What is normal BP

A
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15
Q

What is Pre-Hypertension

A

120-139/80-89 or

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16
Q

What is Stage I HTN

A

140-159/90-99 or

17
Q

What is Stage II HTN

A

> 160 / >100 or

18
Q

What is the definition of a low risk client

A

male

19
Q

What is the definition of a moderate risk client

A

male at or >45, female at or> 55, or 2 or more risk factors

20
Q

What is the definition of a high risk client

A

one or more signs/symptoms or known disease

21
Q

What is anything that is not a risk factor but is a concern to you & or will influence how you prescribe exercise?

A

special considerations

22
Q

Once the client has been risk stratified what decision must be made according to the gathered data?

A

refer client to physician OR begin exercise testing and prescription

23
Q
  1. Measure baseline functional capacity
  2. Asses safety of exercise at various intensities
  3. aide in the diagnosis of heart disease
  4. follow the progress of physical fitness
  5. asses efficacy or current intervention
  6. motivation to continue or start an exercise program
    are the
A

6 main purposes of performing a Graded Exercise Test GXT

24
Q

What are the two main things you need to know prior to performing a GXT?

A
  1. When is a medical exam/GXT recommended prior to beginning an exercise program?
  2. Will a physician need to be present for the GXT
25
Q

What 2 things determine the need for M.D. supervision during your clients GXT?

A
  1. Risk stratification - low, moderate, high

2. Wat level test will be given - submax vs max

26
Q

What is the purpose of GXT/ Exercise prescription consent form?

A

They explain the program/procedures and possible risks/discomforts. Explains the benefits, describe responsibility. Tell client that they can stop at any time.

27
Q

What are the 5 basic components of a complete fitness test?

A 
Cardiorespiratory Fitness
Body Composition
Musculoskeletal Strength
Musculoskeletal Endurance
Musculoskeletal Flexibility

Exercise Physiology (5 decks)

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