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True or False
There are guidelines for exercise testing and participation that cover ALL situation.
- FALSE
- ACSM: level of recommended exercise
- AHA or AACVPR: guidelines for people with cardio or pulmonary disease
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What does the PAR-Q cover?
adults 15-69 yo that want to exercise at a higher level that they were previously (if at all)
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What is the specificity and sensitivity of PAR-Q?
- sensitivity: 100%
- specificity: 80% (20% of people who don't have contraindications answer yes to a question)
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In order to participate in exercise how must you answer all the questions of PAR-Q?
with the answer 'no'
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What are the 7 questions of the Par-Q?
- ever been told you have a heart condition?
- pain in chest with activity?
- chest pain while doing activity within the last month?
- lose your balance because of dizziness or lose consciousness?
- bone or jt problem that could worsen or change with activity
- prescribed drugs for BP or heart condition?
- any other reason you shouldn't do activity?
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What are two drawbacks to the PAR-Q?
- if you are over 69 it's an automatic referall to the doc
- it doesn't screen for CV risk factors
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What is the content (basic) of the AHA/ACSM fitness facility pre-participation screening questionnaire?
- medical history
- symptoms
- other health issues
- CV risk factors
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What is the purpose of risk stratification?
- presence of CV, pulmonary or metabolic disease
- signs or symptoms of above disease
- presence of CVD risk factors
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What does low risk stratification mean?
- men are younger than 45
- women are younger than 55
- asymptomatic
- meet no more than one risk factor
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What does moderate risk stratification mean?
- men are greater than 45
- women are greater than 55
- OR have 2 or more risk factors
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What does high risk stratification mean?
have one or more sign/symptom listed on CV, pulmonary, or metabolic disease
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What are different Cardiovascular diseases?
- heart
- peripheral vascular disease
- cerebrovascular
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What are different Pulmonary diseases?
- COPD
- asthma
- interstitial lung disease
- cystic fibrosis
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What are different Metabolic diseases?
- Type 1 or 2 Diabetes
- thyroid disorders
- renal or liver disease
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What are different signs or symptoms of CV, pulmonary, or metabolic diseases?
- pain in chest, neck, arms
- SOB at rest or mild exertion
- dizziness or synocope
- orthopnea or paroxysmal noctural dyspnea
- ankle edema
- palpitations or tachycardia
- intermittent claudication
- known heart murmur
- unusual fatigue or SOA
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What is pain in the chest, neck, arms, jaw or other areas associated with?
- cardiac insufficiency
- heart attack
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What is SOB at rest or with mild exertion is associated with?
- COPD
- asthma
- lung disease
- arythmia
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What is dizziness or syncope associated with?
- HBP
- decrease blood glucose
- vertigo
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What is orthopnea or paroxysmal nocturnal dyspna (PND) associated with?
congestive heart failure
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What is ankle edema associated with?
- peripheral vascular disease (PVD)
- lymphedema
- heart failure
- renal failure
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What is palpitations or tachycardia associated with?
ayrthmia
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What is intermittent claudication associated with?
peripheral artery disease
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What is a unusual fatigue or SOA with usual activities associated with?
- lung disease
- anemia
- mono
- cancer
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What type of medical supervision is required for moderate exercise, vigorous exercise, submaximum test, and maximal test for LOW risk?
- NONE RECOMMENDED
- moderate exercise: not necessary
- vigorous exercise: not necessary
- submax test: not necessary
- maximal test: not necessary
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What type of medical supervision is required for moderate exercise, vigorous exercise, submaximum test, and maximal test for MODERATE risk?
- moderate exercise: not necessary
- vigorous exercise: recommended
- submax test: not necessary
- maximal test: recommended
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What type of medical supervision is required for moderate exercise, vigorous exercise, submaximum test, and maximal test for HIGH risk?
- moderate exercise: recommended
- vigorous exercise: recommended
- submax test: recommended
- maximal test: recommended
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