Risk Assessment Flashcards
1
Q
pre-screening tools
A
- get active questionnaire + PAR-Q +, etc.
- questions are worded to obtain info that is general to assess risk
- anything flagged results in recommendation for additional clinical assessment
- simplify assessment of risk
2
Q
secondary risk assessment
A
- ## provides professionals with important info for the development of an exercise prescription
3
Q
secondary risk assessment is important for making decisions about….
A
- the level of medical clearance
- the need for pre-exercise testing
- the level of supervision for exercise testing and exercise program
- staying within scope of practice
4
Q
cardiovascular exercise induced risk
A
- very low risk of heart problems
- 99% of patients experienced no effects on the heart when participating in the VO2 max test
- risks are low but NOT zero
- still want to be able to identify some risks and be prepared for it
- vigorous exercise has the most complications
- want to reduce risks
5
Q
new ACSM pre-participation screening process
A
- the individuals current level of physical activity
- presence of signs and symptoms and/or known cardiovascular, metabolic, or renal disease
- desired exercise intensity
6
Q
signs
A
seeing things, measurable, observed
7
Q
symptoms
A
things the patient feels and has to tell you
8
Q
non-modifiable risk factors for CVD
A
age, family history, race, genetics
9
Q
age of CVD
A
men: 45yrs
women: 55yrs
( women are higher age because hormones change and what used to help prevent CVD is now gone, pass men in CVD risk)
10
Q
family history of CVD
A
- myocardial infarction
- coronary revascularization
- sudden death before 55yrs for father or first relative or 65 years for women or first degree female relative
11
Q
modifiable risk factors
A
cigarette smoking, hypertension, dyslipidemia, prediabetes, obesity, sedentary lifestyle,
12
Q
cigarette smoking and CVD
A
- current smoker or those who quit within the previous 6 months
- risk is still high for CVD when exercising even after quitting 6 months ago
13
Q
hypertension and CVD
A
- systolic bp is greater than 140/90mmHg
- diastolic bp is greater than 90mmhg
- measured on 2 separate occasions
- or taking anti-hypertensive medication
14
Q
dyslipidemia and CVD
A
- low density level proteins is greater than 130 mg/dl
- high density level proteins is less than 40mg/dl
- on lipid lowering meds
- having low LDL is BAD
- if total serum cholesterol is all that is available use less than 200 mg/dl
- high LDL = risk
- low HDL = decreased risk
15
Q
prediabetes and CVD
A
- impaired fasting of glucose of greater than or equal to 100 mg/dl or impaired glucose tolerance of greater than or equal to 140 mg/dl confirmed on 2 separate occasions
