8.5 Post Sports Physio

Question 1

A patient standing quietly uses this much METS
a. 3.5
b. 2.0
c. 1.0
d. 4.5

Answer 1

B

Question 2

What energy from this system is used for maximal short bursts of muscle activity (8-10 seconds)?
a. Aerobic
b. Anaerobic
c. Phosphagen
d. Glycogen-lactic acid

Answer 2

C

Question 3

As a PT/or in Sports Med, you were assigned to a Marathon. Basic knowledge of Exercise-associated collapse and their differentials should be clear to you in case of an emergency which may include all EXCEPT one of the following:
a. Cardiac arrest
b. Hypoglycemia
c. Hyperglycemia
d. Heat stroke

Answer 3

C

Question 4

Males generally become stronger than females after puberty because males .
a. Have higher muscle strength per crosssectional area
b. Keep themselves in condition through proper diet and exercise
c. Develop a greater muscle mass
d. Have faster rate of biologic maturation

Answer 4

C

Question 5

The following are typically utilized when measuring skinfold in anthropometric measurements designed to determine percent body fat, EXCEPT:
a. Lateral calf
b. Subscapular
c. Iliac crest
d. Triceps

Answer 5

A

Question 6

The following characteristics describe type I muscle fibers, EXCEPT:
a. Higher myosin ATPase activity than the other fiber type
b. Resistant to fatigue, with high levels of
oxidative enzyme activity and low levels of glycolytic enzyme activity
c. Contained in motor units characterized by a low firing frequency or discharge rate
d. Associated with extensive capillary density and a high concentration of myoglobin
e. Low threshold for activation and slow twitch contraction

Answer 6

A

Question 7

Fast twitch fibers differ from slow twitch fibers, EXCEPT:
a. Number of capillaries per mass of fibers is greater in slow twitch fibers
b. Type II organized for endurance
c. Type II can achieve 2x the maximal power
d. Type II is 2x in diameter

Answer 7

B

Question 8

DOMS after 6-8 hours will be worst after:
a. 1-2 days
b. 2-3 days
c. 3-4 days
d. 5-6 days

Answer 8

A

Question 9

Your patient returns to PT after his first exercise session complaining of muscle soreness that developed later that day after his first session and continued to the next day. His next session should
include:
a. Eccentric ex, 1 set of 10, lifting body weight
b. Eccentric ex, 3 sets of 10, with gradual
increase in intensity
c. Concentric ex, 3 sets of 10, with gradual increase in intensity
d. Concentric ex, 3 sets of 10, at 80% of max intensity

Answer 9

C

Question 10

Any bodily movement produced by skeletal muscles that results in an increase in energy expenditure.
a. Physical Performance
b. Physical Activity
c. Physical fitness
d. Physical Exercise
e. SAID principle

Answer 10

B

Question 11

This term is used to describe a decline in physical performance in healthy individuals participating in high intensity, high volume strength and endurance
training programs
a. Local muscle fatigue
b. Overtraining
c. Delayed onset muscle soreness
d. Cardiopulmonary fatigue
e. Detraining

Answer 11

B

Question 12

According to the reversibility principle, “Detraining” happens when there is lack of training or physical activity after:
a. 1-2 days
b. 3-5 days
c. 1-2 weeks
d. 1-2 months
e. 3 months or more

Answer 12

C

Question 13

The use of substitute motions, and difficulty in completing range of motion during a physical activity can be a sign of?
a. Muscle cramps
b. Local Fatigue
c. DOMS
d. Overtraining
e. Detraining

Answer 13

B

Question 14

What exercise can be done to improve ATP synthesis of the phosphagen energy system?
a. Increase load, increase repetition, short period of time
b. Decrease load, increase repetition, long period of time
c. Increase load, decrease repetition, shorter period of time
d. None of these
e. Decrease load, increase repetition, short period of time

Answer 14

C

Question 15

A by-product of anaerobic metabolism which causes fatigue and acute muscle soreness:
a. Water
b. Oxygen
c. Lactic Acid
d. Pyruvic acid
e. all of these

Answer 15

C

Question 16

True of energy systems except?
a. The phosphagen energy system is used for bursts of muscle power
b. The glycogen lactic acid systems provide energy for 2.5 moles of ATP/min, and 1.3-1.6 minutes
c. Anaerobic metabolisms occurs without need for oxygen
d. Aerobic system predominates in endurance training
e. All are correct

Answer 16

E

Question 17

A client consults to you about soreness of the thigh and leg muscles after yesterday’s intense leg workout session that included downhill running. What could be the possible explanation for this?
a. He is experiencing acute muscle soreness as result of lactic acid build up
b. There has been overtraining which results from lack of rest intervals
c. Uphill running would have been more
appropriate
d. He has delayed onset muscle soreness due to previous eccentric leg activity
e. He should consult a physician

Answer 17

D

Question 18

Which of the following characteristics of type IIB muscle fibers are incorrect?
a. High levels of glycolytic enzyme activity
b. Fast glycolytic
c. Twice as large in diameter
d. High concentration of myoglobin
e. Fast fatiguable

Answer 18

D

Question 19

There would be more slow twitch fibers in an individual who is:
a. Sedentary
b. Runs in a marathon
c. Weight lifter
d. Sprinting in sports competition
e. All of these

Answer 19

B

Question 20

The following are true of slow twitch and fast twitch muscle fibers except:
a. The number of capillaries is much greater in the vicinity of slow twitch fibers than in the vicinity of fast twitch fibers
b. Fast twitch fibers are twice larger in diameter than slow twitch
c. Slow twitch muscles are mainly organized for endurance, and contain far less mitochondria than fast twitch
d. Fast twitch fibers are phasic muscles while slow twitch muscles are regarded as postural muscles
e. All statements are true

Answer 20

C

Question 21

What changes in a muscle can be observed with training?
a. Heavy resistance training causes higher capillaries per muscle fiber than endurance athletes
b. Type I muscle fibers can be converted to Type II
c. Increase in muscle diameter within two weeks
d. Left ventricle wall thickness of the heart may increase with endurance training
e. All are correct

Answer 21

D

Question 22

This refers to the highest heart rate value one achieves in an all out effort:
a. Maximum Heart Rate
b. Maximum Oxygen Uptake
c. Target Heart Rate
d. Myocardial Oxygen Consumption
e. Maximum myocardial oxygen consumption

Answer 22

A

Question 23

The Metabolic Equivalent (MET) is another common
measurement for oxygen uptake (VO2). One MET is
equivalent to:
a. 3.5 mL/kg/min
b. 3.5 L/kg/min
c. 3.5 mL/g/min
d.3.5 mL/kg/sec
e. 3.5 L/min

Answer 23

A

Question 24

Which of the following correctly describes a trained athlete from an untrained individual?
a. The heart rate of an athlete is higher than that of a sedentary individual as a result of higher stroke volume
b. The heart rate of an athlete is lesser than that of a sedentary individual due to a higher stroke volume and cardiac output
c. A sedentary individual has a lower stroke volume and heart rate
d. Sedentary and trained individuals have similar stroke volume
e. Cardiac output of sedentary and trained individuals are almost the same

Answer 24

E

Question 25

A cardiac pt. was referred for early rehab. Based on the perceived rate of exertion, which among these will not stress the body while doing exercise?
a. 13
b. 15
c. 19
d. 17
e. 11

Answer 25

E

Question 26

In the BORG scale, a rating of 13 means:
a. Fairly light
b. Somewhat hard
c. Hard
d. Very hard
e. Maximal exertion

Answer 26

B

Question 27

A person who is contraindicated to do any activities of 5 METS or beyond should NOT:
a. Sit with ease
b. Ascend stairs
c. Walk at 1 mph
d. Perform archery
e. Dance ballet

Answer 27

B

Question 28

The body mass index of 18.5 is considered:
a. Overweight
b. Underweight
c. Normal
d. Anorexic
e. Mesomorph

Answer 28

C

Question 29

Which method of data collection would provide the therapist with the MOST accurate measurement of body composition?
a. Skin fold measurements
b. Caliper method
c. Anthropometric measurements
d. BMI calculation
e. Hydrostatic Weighing

Answer 29

E

Question 30

This is defined as the work produced by a muscle for a given period of time:
a. Strength
b. Endurance
c. Power
d. Agility
e. Mobility

Answer 30

C

Question 31

According to the overload principle, a load should exceed metabolic capacity in order to increase muscle performance. Which of the following is true regarding improving endurance?
a. Increase load, increase repetition, short period of time
b. Decrease load, increase repetition, long period of time
c. Increase load, decrease repetition, shorter period of time
d. None of these
e. Decrease load, increase repetition, short period of time

Answer 31

B

Question 32

The formula for target heart rate is:
a. (MHR – RHR) 60-80% + RHR
b. (MHR – RHR) 60-80% - RHR
c. (HRmax - RHR) 60-80% + RHR
d. (HRmax + RHR) 60-80% - RHR
e. None of these

Answer 32

C

Question 33

Conversion of skeletal muscle fiber types is only possible in what manner?
a. Type II → I
b. Type I→ II
c. Type IA → IIB
d. Type IIB → IIA

Answer 33

D

Question 34

A person who is contraindicated to do any activities of 5 METS or more can only perform:
a. Stair negotiation
b. Walking at 2 mph
c. Light to heavy housework
d. Running on level surface

Answer 34

B

Question 35

When measured in terms of the muscle’s strength per square centimeter of cross-sectional area, maximal force of contraction of males can be achieved almost exactly by females. What is the muscles’ maximum contractile force?
a. 1-2 kg/cm2
b. 2-3 kg/cm2
c. 3-4 kg/cm2
d. 4-5 kg/cm2
e. 5-6 kg/cm2

Answer 35

C

Question 36

The main source of ATP immediately after exercising for 120 seconds
a. Glycogen breakdown
b. Phosphocreatine
c. Glycolytic processes
d. Oxidative processes

Answer 36

D

Question 37

Two or three muscle contractions that do not require expenditure of oxygen made possible by chemical energy provided by ATP, stored in the skeletal muscles is referred to as:
a. Anaerobic metabolism
b. Glycolysis
c. Krebs Cycle
d. Aerobic metabolism

Answer 37

A

Question 38

The following statements are generally accepted in improving muscle strength and endurance, EXCEPT:
a. Isometric contractions close to maximal forces for long periods of time is necessary to increase muscle endurance
b. Concentric contractions against light loads may increase endurance
c. To improve endurance a muscle must maintain small forces for long periods of time
d. A muscle must generate close to maximal forces for short periods of time to build muscle strength
e. Isometric or even eccentric forceful
contractions may be necessary for building

Answer 38

A

Question 39

Fast twitch fibers differ from slow twitch fibers, EXCEPT:
a. Number of capillaries per mas of fibers in greater in slow twitch fibers
b. Fast twitch fibers are organized for endurance
c. Fast twitch fibers can achieve double the maximal power
d. Fast twitch fibers are twice in diameter

Answer 39

B

Question 40

A set of attributes people have or achieve that relates to the ability to perform physical activity
a. Physical Performance
b. Physical Activity
c. Physical fitness
d. Physical Exercise
e. SAID principle

Answer 40

C

Question 41

Delayed onset muscle soreness starts at:
a. 12-24 minutes
b. 24-48 minutes
c. 12-24 hours
d. 24-48 hours
e. 5 days

Answer 41

C

Question 42

“SAID” principle stands for:
a. Specific Accommodation on Imposed
Demands
b. Specific Activity on Imposed Demands
c. Specific Adaptation on Imposed Demands
d. Specific Activation on Imposed Demands
e. None of these

Answer 42

C

Question 43

Matching type: Metabolic systems
Write:
A- ATP-CP
B- Glycogen Lactic acid
C- aerobic
D – ATP-CP and Anaerobic
E – Anaerobic and Aerobic

43. Duration of 1.3 to 1.6 minutes
44. Jogging
45. Boxing
46. 10000 meter skating
47. Baseball home run
48. Phosphocreatine
49. Main fuel source is glycogen
50. 100 m Swim

Answer 43

43. B
44. C
    45.E
45. C
46. D
47. A
48. B
49. B