VP6-Physical Acitivity & LM Implementation

Question 1

What are the physical activity guidelines for children?

A. Exercise 150 minutes/week of moderate or 75 minutes of vigorous aerobic physical activity, or as close to guidelines as possible

B. Exercise one hour/day, with ≥ three days/week of vigorous activity

C. Muscle-strengthening or bone-strengthening exercises for one hour/day, ≥ three days/week

D. Exercise one hour/day, with ≥ three days/week of vigorous activity with muscle-strengthening or bone-strengthening exercises for one hour/day, ≥ three days/week

Answer 1

D
Children should exercise one hour/day, with ≥ three days/week of vigorous activity with muscle-strengthening or bone-strengthening exercises for one hour/day, ≥ three days/week.

Adults >65 should exercise 150 minutes/week of moderate to vigorous aerobic activity, or as close to guidelines as possible.

Question 2

Which is not a component of exercise screening?

A. Current exercise level

B. Desired exercise level

C. Presence of medical conditions (metabolic disorders, cardiovascular disease, kidney disease)

D. Presence of respiratory diseases

Answer 2

D
Respiratory diseases are not a significant cause of death associated with exercise and do not need to be evaluate in routine exercise screening.
The three components of exercise screening are:
Current physical activity level
Desired physical activity level
Presence of cardiovascular, renal, or metabolic disease

Question 3

Who needs to be screened by a medical provider before increasing intensity? Check all that apply.

A. A sedentary patient with diabetes who is uncontrolled

B. Patient with chest pain with light walking

C. Patient with asthma and wheezing during exercise

D. A patient with high cholesterol

E. Moderately active patient with chronic kidney disease who was cleared six months ago

Answer 3

A. A sedentary patient with diabetes who is uncontrolled
True

B. Patient with chest pain with light walking
True

C. Patient with asthma and wheezing during exercise
False

D. A patient with high cholesterol
False

E. Moderately active patient with chronic kidney disease who was cleared six months ago
False

Question 4

Which patient is at a 90% risk of having alcohol abuse disorder?

A. 22 year old college student who binge drinks three weekends a month with an AUD Score of 5

B. 48 year old woman who has three drinks every evening and had a DUI two years ago, AUD score of 8

C. 55 year old woman, who has five+ drinks every Saturday and Sunday and an AUD score of 15

D. 55 year old man, who has three beers most nights, AUD score of 10

E. 36 year old male physician, who has a bottle of wine every evening and six beers once a weekend, AUD 18

Answer 4

E.
36 year old male physician, who has a bottle of wine every evening and six beers once a weekend, AUD 18
AUDIT Scores help guide therapy
5-10: at risk drinker (20% will have alcohol use disorder)
11-15: more at risk (40% have alcohol use disorder)
16+: high probability of moderate + alcohol use disorder (90%)
Higher scores = greater sensitivity
An audit score of 18 is consistent with a 90% chance the patient will have alcohol use disorder.

Question 5

Which vital sign has been validated by research?

A. Emotional wellness

B. Stress

C. Tobacco

D. Physical activity

E. Nutrition

Answer 5

D
Physical activity is a validated vital sign; all others have not been validated by research but rather are markers suggested by expert opinion

Question 6

Which statement about physical activity is true?

A. Singleness and being overweight are risk factors for being sedentary

B. Physical inactivity has become a greater public health concern than smoking

C. Weight lifting is easy to assimilate into workout and usually does not require a referral

D. Fitness testing for muscular strength is easily accomplished in the clinic setting

Answer 6

A
Singleness and being overweight are risk factors for physical inactivity (Answer A).

Currently smoking is still listed as the number one cause of preventable deaths, but physical inactivity is becoming increasingly more important as a public health concern (Answer B).

Weight training incorporation often takes a referral to an exercise specialist (Answer C).

Muscular endurance is easy to test in clinic but muscular strength requires assistance with a machine like a bench or squat press (Answer D).