Test #1 Flashcards
Definition: Blood Pressure
the force of blood against the walls of the arteries created by the heart as it pumps blood to all parts of the body
Definition: Physical Fitness
a set of attributes or characteristics that people have (or achieve) that relates to their ability to perform physical activity
What determines the starting stage for the m-CAFT
age and gender
Population for one mile walk?
general population 20-69 yo
If you are unsure of how to answer a question on the GAQ, you should answer:
Yes
Definition: Systolic BP
the maximum pressure in the arteries when the heart contracts during a heart beat
Definition: Parallax
the apparent displacement of an object as seen from two different points not on a straight line with the object
Who should fill out page 1 of the PPARC form?
the physician
DON’T’s of SOAP Notes?
Don’t WISPer
- Diagnose (med or psych)
- Irrelevent over the counter medication
- Specific nutrition recommendations
- Personal or confidential
- Wordiness
SOAP?
RHR has decreased from 75 bpm to 70 bpm since 01/30/2016
Objective
Which Korotkoff sound is DBP?
4th
How much % of weight does “Essential” fat take up in males?
3-5%
What specific records should you keep?
ACRONYM
Cindy Smith’s PMS PICS
- Cleaning & Maintenance
- Safety Procedures
- Manufacturer’s Warranties & Guidelines
- Personnel Credentials
- Signed Informed Consent
- PAR-Q+
- Injury Report Forms
- Client Data
- SOAP Notes
What is the BMI formula?
BMI = weight(kg) / height(m2)
Definition: Physical Activity
all leisure and non-leisure body movement produced by the skeletal muscles, which result in an increase in energy expenditure over resting levels
Answered “Yes” to one or more of questions 1-7 on the PAR-Q+
Complete pages 2 and 3
What body composition measurement is the most predictive of cardiovascular events?
waist circumference
SOAP?
Client is losing weight at targeted rate per week (0.5 –1 kg)
Assessment
What should the Welcome Package include?
- AAL-Q
- PAR-Q+ (PAR-med-X for Pregnancy)
- Consent Form (adult or youth)
- PASB-Q
- FANTASTIC Lifestyle Checklist
What record keeping method do we focus on in this course?
SOAP Notes
What 5 steps are included in the Pre-Participation Screening process?
ACRONYM
PHMSA
- PAR-Q+ or GAQ (determine if further medical advise needed)
- HR & BP measurements
- Medical History
- Scope of Practice (if diagnosed with condition)
- Current Activity Level
What type of fitness is the focus of the CSEP-CPT?
Health-related Fitness
What intensity of exercise is allowed if a client answers yes to having asthma that is relieved by medication?
Light to moderate
What 4 things are you trying to understand about the client during the “Ask” stage of the CSEP PATH sequence?
ACRONYM
Know Primary Levels of Confidence
- Knowledge of the importance of physical activity
- Primary motivation (goals) and drivers (intrinsic & extrinsic)
- Level of commitment (readiness for change)
- Confidence that they can initiate and stick with physical activity plan (self-efficacy)
Tachycardia
HR>100bpm
What is some important subjective data to record in your SOAP Notes?
- Reason for visit
- Results from previous tests (medical & exercise)
- PA history. Did it work in the past? Why? Limitations
How fast should you release the BP cuff pressure?
2mmHg per second
Read BP to the nearest how many mmHg?
2
What is another word for Muscle Dysmorphia?
Bigorexia
What is adult age?
18+
What is associated with BMI when at a higher risk for disease?
Waist circumference
Definition: Performance-Related Fitness
physical training for a specific task like a recreational sport or a physically demanding job
How many kp does everyone’s first workload start at?
0.5kp
Where is “Nonessential” fat stored?
Adipose tissue
How long do long term (chronic) effects take to develop?
12 weeks
How many cm is each step in the m-CAFT?
20.3
True or False: The objective portion of your SOAP notes should include a summary of all the signed forms
True
How long is BP lowered post-exercise for normal & hypertensive individuals?
up to 22 hours
There should be no more than how many degrees of a bend in the knee when client has foot at bottom of revolution?
5
What should clients wear to their assessment?
shorts, t-shirt, running shoes
Requirements of the witness of the Consent Form
Age of majority
Someone other than the assessor or employee of the company
How long should you abstain from alcohol before your assessment?
6 hours
What is the purpose of the AAL-Q?
to determine if the client may require some accommodation on the part of the facility or qualified exercise professional
What should a client do if they answer Yes to question 2 of the GAQ, and the pain/swelling is new?
Speak to HCP
How long should you keep a client’s records if they are under 18?
10 years after they turn 18
Client answers Yes to 1C on GAQ
Dizziness
Recommend they speak to a health care provider
When is a condition considered low risk?
- Condition is being medically managed and client is asymptomatic
- No change in meds/treatment plan in the last 6 months
- HCP meds are being taken as directed
SOAP?
Last week client’s ROM was 900, this week it was 750
Assessment
Definition: Rate Pressure Product
cardiac workload; how much oxygen heart needs; how hard the heart is working
Answered “Yes” to one or more of the follow-up questions on the PAR-Q+
seek further informationg before becoming more physically active
How long is of concern when a client has been experiencing joint pain, stiffness or swelling?
More than 14 days
How long should you abstain from strenuous exercise before your assessment?
6 hours
What 5 areas of the body are of the most concern, relating to question 2 of the GAQ (swelling, pain, arthritis, etc)
Back, hips, knees, feet & spine
SOAP?
Client complete 3 sets of 12 reps at 50 lbs; can progress to next level next session
Objective; Assessment
What should you do if weighing someone on carpet?
Place a board underneath
What are the 5 causes of mortality?
- High Blood Pressure
- Tobacco Use
- High Blood Sugar
- Physical Inactivity
- Overweight & Obesity
Benefits of SOAP Notes?
ACRONYM
OOP CPT FEE
- Organizes complex problems into simpler parts
- Helps identify obstacles & develop strategies to help achieve goals
- Manages progress of the client
- Evidence of improvement
- Demonstrates professionalism
- Builds trust and credibility
- Enhances client compliance & retention
- Compatible with all allied health professionals
- Facilitates dialogue between health professionals
What should you do if a client answers yes to having asthma, but does not experience relief with medicatioon or has not been prescribed medication?
Recommend they speak with HCP
How long should the warm up be before the one mile walk test?
3 minutes
What happens to the following with chronic response to PA at rest, at fixed work rate and at max?
HR - Decreases, Decreases, Stays the same
SV - Increases, Increases, Increases
CO - Stays the same, Stays the same, Increases
SBP - Decreases, Decreases, Stays the same
DBP - Decreases, Decreases, Stays the same
Oxygen Consumption - Stays the same, Stays the same, Increases
a-v02 difference - Stays the same, stays the same, Increases
Purpose of the CSEP-CPT Health Screening Tool
used when clients identify (as part of the pre-screening process) that they have one medical condition
When should you start and stop measuring HR during m-CAFT?
at the termination of the word COUNT on the CD
at the first sound of the word STOP
Clients who need medical clearance are required to fill out what form?
PPARC
Physician Physical Activity Readiness Clearance
Definiton: Body Composition
the relative proportion of fat mass and fat-free mass
Benefits of Physical Activity (G-L) (5)
ACRONYM
HHIIL
- Immune System
- Insulin sensitivity
- Life Expectancy
- Hypertension
- Health care costs
What 6 things constitute fat-free mass?
bone, water, muscle, connective tissue, teeth, organs
Definition: Total Peripheral Resistance
resistance to the flow of blood in the peripheral arterial vessels
True or False: Increased waist circumference can indicate an increased risk of a cardiovascular event, even if the client is of a healthy weight
True
SOAP?
Client’s self-reported glucose today was 110, 1 hour prior to exercise
Objective
*note that it was self reported
What should you do if a client answers Yes to 1E?
Loss of consciousness/fainting
Recommend they speak to a HCP
Before you touch a client, explain:
- Why
- Where
- How
After 3 minutes of passive recovery, HR and BP are below cutoffs…
continue to msk tests
What causes your HR to artificially slow down if you press too hard on the carotid?
Baroreceptors
To pass, what must you be within for HR and BP?
1bpm and 4mmHg
Definition: Body Mass Index
a rough assessment based on the concept that a person’s weight should be proportional to height
Where should you place the diaphragm of the stethoscope when assessing RHR?
on the sternum or over the second intercostal space on the left side
When should you measure HR and RPE during the one mile walk test?
immediately after
If your client’s HR is >99bpm on the second try, what should you do?
recommend that the client see their physician and provide them with the PARQ
When should you ask client about RPE during m-CAFT?
last minute of the 3 minutes stage
What happens to capillaries with chronic adaptations?
the density increases to improve oxygen delivery
How do you destroy paper records?
Cross-shred machine
SOAP?
Client inquired about blood pressure changes resulting from exercise?
Subjective
When should you start a count with ‘0’?
When starting simultaneously with a stopwatch
What happens to the following with acute PA?
HR - Increase
SV - Increase
CO - Increase
TPR - Decrease
Splancnic Blood Flow - Decrease
SBP - Increase
DBP - Stays the same
Rate Pressure Product - Increases
What should you do if after 3 minutes of passive recovery, client’s HR or BP is still above cutoffs
give another 2 minutes, repeat
How many kpm/minute is 1kp?
300
SOAP?
Suggest client consult with her physician regarding changes in her lipid profile and “big toe numbness”
Plan
True or False: client has to be pedaling for the pendulum to move
True
2 ways Physical Fitness is categorized
- General Fitness - a state of health and well-being
- Specific Fitness - ability to perform specific aspects of a sport or physically demanding occupation
What are some reasons to refer a client to their physician?
ACRONYM
MR SICU
- Unable to exercise independantly
- Unstable health condition, at risk for adverse event
- Wants maximal or near-maximal assessment
- Co-morbidity
- RHR or BP above cutoffs
- Scope of practice
When should you palpate HR during the cycle ergometer test?
In the last 15 seconds of the minute, and count for 10
5 seconds for HR monitor
Should you measure waist circumference on the left or right side?
Right
Which fat disrupts normal balance of hormones
visceral
What does the RHR need to be in order to proceed with the assessment?
99bpm or less
Benefits of Physical Activity (M-Q) (9)
ACRONYM
MMMOONN PQ
- Physical and mental health
- Quality of life
- Mood
- Neuromuscular awareness
- Opportunities for social interaction
- Muscle and bone strength
- Mobility
- Overweight and Obesity
- Need for medication
Under what 3 circumstances would a client be under a higher risk of an adverse effect in relation to heart disease?
# 2 ACRONYM
AVAAAAH
- Experienced cardiac symptoms in the last 6 months (or during a cardiac rehabilitation program)
- Diagnosed or suspected: aneurism, valve disease, angina, acute myocardial infarction, acute myocarditis, arrhythmia, heart failure
- Not completed a rehabilitation program
How long should your client be sitting in a comfortable chair with arm supported and feet flat on the ground?
5 minutes
SOAP?
Client seems much more upbeat about exercise compared with earlier sessions, when she was pessimistic about the prospect of making progress
Subjective