CLASS 5 - Exercise Screening

Question 1

T/F: Pre-exercise screening is more important OA than younger adults.

Answer 1

True, they have more risk factors for CAD and other conditions

Question 2

Name the 5 purposes of exercise screening.

Answer 2

1. Become familiar with the physical condition of each person
2. Identify relevant health problems, medications, and PA level
3. Identify risk level/ determine need for medical referral
4. Choose correct fitness and mobility tests
5. Identify clients goals, interests, barriers, motivators, QOL, family support, and psychological state.

Question 3

Why is it important to assess a client’s goals, interests, barriers, QOL, family support, and psychological state before exercise?

Answer 3

It will help increase adherence

Question 4

Medical screening helps determine: (4)

Answer 4

1. Who has diseases or risk factors
2. Who is at risk of a cardiac event
3. Who should be excluded from a program
4. Who needs medical clearance/ medial supervision

Question 5

Name the 8 signs or symptoms of cardiovascular or pulmonary disease

Answer 5

1. Chest pain (angina)
2. SOB w/ mild exercise (CAD)
3. Dizziness or fainting (syncope)
4. Swelling around ankles (congestive heart failure)
5. Fast or irregular heart beat
6. Pain in the lower legs (intermittent claudication)
7. Heart murmur (valves won’t close)
8. Undue fatigue

Question 6

How does heart failure cause fluid accumulation?

Answer 6

Heart can’t pump hard enough, kidneys think there is less fluid which leads to water retention.

Question 7

What are two absolute contraindications to exercise?

Answer 7

1. Unstable angina
2. Uncontrolled cardiac arrhythmia

Question 8

What are 4 relative contraindications to exercise?

Answer 8

1. Sever hypertension (BP over 200/110)
2. Tachyarrthymia or bradyarrhythmia
3. Neuromuscular, musculoskeletal, or rheumatoid disorders that get worse with exercise
4. Uncontrolled metabolic disease (like diabetes)

Question 9

Why is intermittent claudication painful?

Answer 9

Muscles don’t recieve enough blood so they are starved of O2

Question 10

What is the most serious risk associated with vigorous exercise?

Answer 10

Sudden cardiac death

Question 11

T/F: Long term benefits of PA do not outweigh the temporary elevation of risk during exercise.

Answer 11

False

Question 12

T/F: Incidence of MI is inversely proportional to the frequency of physical exertion per week.

Answer 12

True, more frequent = less MI

Question 13

What is considered a low risk classification?

Answer 13

Men under 45, women under 55. Asymptomatic, no more than 1 risk factor

Question 14

What is considered a moderate risk classification?

Answer 14

Men older than 45, women older than 55, two or more risk factors.

Question 15

What is considered a high risk classification?

Answer 15

One or more s/s or known cardiovascular or pulmonary disease. Or known metabolic disease.

Question 16

Is medical clearance needed for moderate risk for moderate intensity exercise?

Answer 16

No

Question 17

Is medical clearance needed for moderate risk for vigorous intensity exercise?

Answer 17

Yes

Question 18

What are the 8 risk factors for CAD?

Answer 18

1. Age
2. Family history of CAD
3. Smoking
4. Hypertension (140/90)
5. Cholesterol
6. Diabetes
7. BMI
8. Sedentary lifestyle

Question 19

When is type 1 diabetes considered a risk factor?

Answer 19

Over the age of 30 or for more than 15 years.

Question 20

When is type 2 diabetes considered a risk factor?

Answer 20

Over the age of 35

Question 21

What BMI is considered a risk factor?

Answer 21

30+

Question 22

What waist girth is considered a risk factor?

Answer 22

102 cm for men, 88 cm for women

Question 23

T/F: HDL cholesterol below 35 mg/Dec is not a risk factor.

Answer 23

False.

Question 24

T/F: total cholesterol over 200 mg/Dec is a risk factor.

Answer 24

True

Question 25

T/F: if you have not smoked for two years it’s no longer a risk factor.

Answer 25

True

Question 26

What are the 4 screening steps before exercise?

Answer 26

1. Informed consent
2. PA readiness questionnaire
3. Physician consent
4. Health, history, and activity questionnaire

Question 27

A consent form should include (5)

Answer 27

1. Purpose
2. Procedures
3. Risks
4. Benefits
5. Signature

Question 28

What is the goal of the Par-Q?

Answer 28

Establish readiness to participate in low to moderate activities

Question 29

What is the age range for the PAR-Q?

Answer 29

Age 15-69

Question 30

T/F: medical permission is only needed if the participants answer yes to two questions on thr Par-Q?

Answer 30

False, 1 question

Question 31

T/F: medical permission is needed if the participants are over 69 and not active in regards to the Par-Q?

Answer 31

True

Question 32

What are the 9 categories of the Par-Q+ part 2?

Answer 32

1. Arthritis
2. Cancer
3. Heart disease
4. Metabolic
5. Mental health
6. Respiratory
7. Spinal coed
8. Stroke
9. Other or two chronic conditions

Question 33

What is the main advantage to the ParQ+?

Answer 33

Creates less barrier to PA participation

Question 34

What percent of participants need medical clearance after the ParQ+?

Answer 34

1%

Question 35

What componants should a medical clearance form have? (6)

Answer 35

1. Description of testing
2. Componants of program
3. Your contact info
4. Physicians consent
5. Physicians denial + reason
6. Physicians signature

Question 36

Name at least 6 componants of the H,H, and A questionnaire. (11)

Answer 36

1. Demographic
2. Chronic and acute diseases
3. Assisting devices
4. Perceived health status
5. Family history of heart disease
6. Medications
7. Smoking
8. Fall history
9. Functional limitations and disability
10. Current PA level
11. Perceived QOL

Question 37

How much time does the h, H, and A questionnaire take?

Answer 37

15-30min

Question 38

When do screening tests need to be updated?

Answer 38

If there is a decline in health or function or every 12 months