Clinical Exercise Phys

Question 1

what is CEP

Answer 1

clinical exercise physiology

Question 2

the CEP focuses on ?

- what is closely linked with it?

Answer 2

clinical setting, restoring patient mobility and functional capacity
- sports medicine

Question 3

preeminent organization offering most recognizable competency based certification program

Answer 3

ACSM

Question 4

3 positions of the health/fitness track of ACSM

2 positions of the clinical track of ACSM

Answer 4

1. health fitness director
2. health fitness instructor
3. health fitness leader
4. program director
5. exercise specialist

Question 5

develops and implements a tailored physical activity, fitness and lifestyle plan to apparently healthy individuals

Answer 5

CSEP- CPT (certified personal trainer)

Question 6

performs assessments, prescribes conditioning exercise, exercise supervision, counselling and healthy lifestyle education in apparently healthy individuals and or populations with medical conditions, functional limitations or disabilities associated with muscoluskeletal, cardiopulmonary, metabolic, neuromuscular, and ageing condition

Answer 6

CSEP-CEP (certified exercise physiologist)

Question 7

________ represents a group of disease collectively characterized by uncontrolled growth of abnormal cells

Answer 7

cancer

Question 8

more than ____ types of cancer (carcinomas, leukemias, lymphomas, sarcomas)

Answer 8

100

Question 9

over all goal of health care team for cancer patients

Answer 9

rehabilitate patient to functional level that allows return to work and pursuit of normal recreational activities

Question 10

estimated cancer deaths in US are mostly from ?

Answer 10

lung and bronchus cancer

Question 11

3 types of cancer therapies

Answer 11

surgery
radiations therapy
systemic therapies

Question 12

what are the 10 prevention goals for cancer patients

Answer 12

1. improve functional status
2. improve action motion for nonrestrictive segments /joints
3. prevent loss of flexibility by active and passive motion
4. stimulate peripheral and central circulation
5. increase ventilatory function
6. prevent thrombosis through physical activity
7. prevent loss of motor control and muscle strength and endurance
8. reduce rate of bone loss
9. slow loss of FFM and reduction of BMR
10. monitor signs of increased fatigue weakness, lethargy, dyspnea, pallor, dizziness, claudication, or cramping

Question 13

effects of 6 week physical activity rehabilitation program for cancer patients suffering sever fatigue
–> what were the results

Answer 13

• at steady state they had decreased HR and blood lactate levels
• decreased fatigue

Question 14

what does exercise do in regards to cancer cells

Answer 14

helps get blood flow into tumour cells and keeps up the immune system

Question 15

doing exercise right after chemo help suppress the cancer by ____ %

Answer 15

31

Question 16

in mice, exercise reduced the growth of cancer cells by _____ % and the tumour of exercise mice were full of?

Answer 16

60-70%

- natural chemo cells

Question 17

9 protective effects of regular physical activity on cancer occurrence

Answer 17

1. lowers circulating levels of blood glucose and insulin
2. increases anti-inflammatory cytokines
3. increases corticosteroid hormones
4. augments insulin receptor expression in cancer fighting T cells
5. promotes interferon production
6. stimulates glycogen synthesis
7. enhances leukocyte function
8. improves ascorbic acid function
9. exerts beneficial effects on provirus or oncogene activation

Question 18

cancer patients recieve a _____ ______ _____ to form their exercise prescription
–> procedures the same as for healthy individuals except greater attention to ?

Answer 18

• symptom- limited GXT

- sensations of fatigue

Question 19

prescription for exercise for cancer patients includes ______-____, ______ and _________ PA

Answer 19

• symptom - limited
• progressive
• individualized

Question 20

3 characteristics of PA for cancer

Answer 20

1. ambulation of any kind ASAP
2. intervals of low to moderate aerobic PA performed several times daily
3. ROM and other exercise to improve muscular strength. augment FFM and improve mobility

Question 21

5 consensus recommendations for physical activity for cancer survivors

Answer 21

(same as DHHS guidelines(

1. 150 min/ week mod aerobic, 75 min vigorous
2. strength training 2-3 x week
3. avoid inactivity
4. return to normal daily activities as soon as possible
5. continue normal daily activities and exercise

Question 22

disease affecting the heart muscle ( 6)

Answer 22

1. CHD
2. Angina
3. Myocardial infarction
4. Pericarditis
5. Congestive heard failure
6. Aneurysms

Question 23

diseases affecting the heart valves (4)

Answer 23

1. rheumatic fever
2. endocarditis
3. mitral valve prolapse
4. congenital deformations

Question 24

diseases affecting the cardiac NS

Answer 24

1. arrhythmias
2. tachycardia
3. bradycardia

Question 25

designing aerobic exercise programs for cardiac patients should consider

Answer 25

1. specific pathophysiology of the disease 2. mechanisms that may limit exercise performance 3. individual differences in functional capacity

Question 26

terms to indicate myocardial disease:

Answer 26

degenerative heart disease, arthrosclerosis, cardiovascular disease, coronary artery disease, arteriosclerotic cardiovascular disease, coronary artery disease, coronary heart disease

Question 27

BP for stage 1, 2 and 3 hypertension

Answer 27

stage 1: systolic (140-159) diastolic (90-99) stage 2: systolic (160-179), diastolic (100-109) stage 3: systolic (>180), diastolic (>110)

Question 28

systolic and diastolic BP decrease ___ to ____ mmHG with aerobic physical activity in previously sedentary individuals

Answer 28

- 6-10 mmHg

Question 29

regular physical activity controls tendency for BP _____ over time

Answer 29

increase

Question 30

2 contributing factors to how PA lowers Blood Pressure

Answer 30

1. reduced sympathetic NS activity and possible normalization of arteriole morphology decrease peripheral resistance to blood flow 2. altered renal function facilitates kidneys elimination of sodium, which reduced fluid volume