final Flashcards

(65 cards)

1
Q

What defines the condition known as arthritis

A

A condition affecting the synovial joint characterized by inflammation varying degrees of degeneration of joint structures and pain

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2
Q

What are the four general characteristics of arthritis regardless of type

A

Pain, impaired physical function, fatigue, and adverse changes in body composition

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3
Q

What is the definition of Osteoarthritis

A

A local degenerative joint disease that can affect one or multiple joints such as the hands hips spine and knees

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4
Q

How is Rheumatoid arthritis clinically defined

A

A chronic systemic inflammatory autoimmune disease causing inflammation of the joint lining and bony erosions

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5
Q

What systemic effects are associated with Rheumatoid arthritis

A

Muscle loss ,fat gain, and accelerated atherosclerosis

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6
Q

What are the distinct characteristics of Osteoarthritis presentation

A

Joint pain, crepitus, gel phenomenon, and pain that worsens throughout the day

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7
Q

Which joints are primarily affected by Rheumatoid Arthritis presentation

A

Wrists MCPs and PIPs

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8
Q

What diagnostic markers are used for arthritis since there are no specific tests

A

Joint imaging and serum or synovial fluid studies including rheumatoid factor and C-reactive protein

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9
Q

When is high-intensity exercise contraindicated for arthritis patients

A

During periods of acute inflammation or acute flare-ups

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10
Q

Which modes of exercise testing may be less painful for arthritis patients

A

Cycle ergometry or arm ergometry

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11
Q

What is the resistance training intensity recommendation for arthritis patients unaccustomed to training

A

Lower initial intensity at 50%-60% 1-RM

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12
Q

What is the appropriate water temperature range for aquatic exercise to relax muscles and reduce pain in arthritis patients

A

83 to 88 degrees Fahrenheit

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13
Q

What is the definition of a neoplasm

A

An abnormal growth of tissue that grows by cellular proliferation more rapidly than normal and lacks structural organization

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14
Q

What distinguishes malignant tumors from benign tumors

A

Malignant tumors are fast growing, invade host tissue, and can metastasize while benign are slower growing and usually not fatal

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15
Q

What are oncogenes

A

Genes that act at the cellular level to cause uncontrolled proliferation of previously normal cells

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16
Q

What is the purpose of palliative surgery in cancer treatment

A

To remove a large tumor mass to relieve tumor burden rather than to cure

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17
Q

What specific exercise testing consideration applies to cancer survivors with bone metastases

A

Avoid direct musculoskeletal loading to metastatic lesions to prevent fractures

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18
Q

What hemoglobin level is considered a contraindication for exercise in cancer patients

A

Less than 10.0 g/dL

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19
Q

What platelet count is considered a contraindication for exercise in cancer patients

A

Less than 50 x 10^9 /mL

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20
Q

What white blood cell count is considered a contraindication for exercise in cancer patients

A

Less than 3000 /μL

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21
Q

What body temperature constitutes a fever contraindication for exercise in cancer patients

A

Greater than 38 degrees Celsius

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22
Q

What specific precaution must breast cancer survivors with lymphedema take during resistance exercise

A

Wear a compression garment and progress weight slowly

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23
Q

Why should swimming be avoided for cancer survivors with central lines or ostomies

A

To reduce infection risk in immunocompromised states

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24
Q

What type of activities should be avoided by cancer survivors with ostomies

A

Contact sports and exercises that cause the Valsalva maneuver

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25
What percentage of adults in the United States reported having a doctor’s diagnosis of arthritis
0.23
26
What percentage of diagnosed arthritis patients complain of arthritis-related physical activity limitations
0.44
27
What is the term for the crackling or grating sound in Osteoarthritis
Crepitus
28
What is the gel phenomenon in Osteoarthritis
Joint stiffness after inactivity
29
What rheumatic diseases are categorized as spondyloarthropathies
Ankylosing spondylitis, psoriatic arthritis, reactive arthritis, enteropathic arthritis,
30
Besides analgesics and NSAIDs what pharmaceutical treatment is used for Rheumatoid Arthritis
DMARDs
31
What pain medications provide benefit near exercise for arthritis patients
NSAIDs
32
What scale is recommended to monitor pain during exercise testing for arthritis patients
Borg CR10 scale or visual numeric scale
33
What is the lowest intensity recommendation for resistance training for arthritis
50% for unaccustomed individuals
34
In addition to strength and endurance what else may resistance training improve for arthritis patients
Reduce pain and improve function
35
What is a major barrier to exercise in individuals with arthritis
Belief that exercise worsens joint damage and pain
36
In what time increment should short bouts of aerobic exercise start if continuous exercise is difficult
10 minutes or less
37
How often should duration be increased for arthritis sufferers
Increase by 5–10 minutes every 1–2 weeks for the first 4–6 weeks
38
What are two functional exercises to improve neuromotor control and balance in arthritis patients
Sit-to-stand and step-ups
39
What is the second leading cause of mortality globally
Cancer
40
What is the final common pathway leading to cancer
A genetic mutation converting a normal cell into a destructive renegade
41
What is the difference between curative and palliative cancer surgery
Curative removes tumor plus margin palliative reduces tumor burden
42
What cancer treatment stimulates the immune response to protein antigens
Biotherapy
43
What neutrophil value is a contraindication for exercise
Neutrophils less than 0.5×10^9·mL⁻¹
44
What is the contraindication for exercise relating to extreme weight loss in cancer patients
Cachexia or >35% premorbid weight loss
45
What special consideration is needed for cancer survivors with peripheral neuropathy
Select weight-bearing activities carefully to reduce fall risk
46
What is the purpose of flexibility training for arthritis patients
To enhance ROM and prevent negative joint effects
47
What is the general population recommendation for increasing aerobic exercise duration for arthritis sufferers
Increase duration by 5–10 min every 1–2 weeks for 4–6 weeks
48
What are the four treatment options for cancer
Surgery radiation therapy chemotherapy biotherapy
49
What is the purpose of radiation therapy in cancer treatment
To damage DNA in cancer cells
50
What is the purpose of chemotherapy in cancer treatment
To interfere with cell replication or proliferation
51
What cancer survivor population needs medical evaluation and or exercise testing
Those with metastatic disease significant treatment side effects or significant comorbidities
52
What is the risk associated with peripheral neuropathy in cancer survivors
Instability balance difficulty altered gait and increased fall risk
53
What is the exercise contraindication related to breathing difficulty in cancer patients
Limiting dyspnea with exertion
54
When are repetitions to failure unnecessary in resistance training for cancer survivors
When RPE correlates with percent 1-RM
55
What exercises should be avoided in cancer survivors with bone metastases
Exercises loading metastatic sites or muscles proximal to metastases
56
What type of stretch should be used for flexibility training in cancer survivors
Static stretches passive or active for all major muscle tendon groups
57
What is the minimum rest time between sets for resistance training in cancer survivors
≥60 seconds
58
What exercises can supplement static stretching for cancer survivors
Tai chi and yoga
59
What is the common consequence of arthritis on body composition
Muscle mass loss and increased adipose tissue while body weight remains unchanged
60
What is the leading cause of pain and disability
Arthritis and rheumatic diseases
61
What must cancer survivors with established upper extremity lymphedema wear during resistance exercise
A compression garment
62
What is the key goal of the Exercise Prescription Ex Rx for individuals with arthritis
To improve cardiorespiratory fitness CRF with little to no joint pain or damage
63
What is the key concern for cancer survivors with peripheral neuropathy
Increased risk of falls
64
What is the term for the inflammatory response locally causing inflammation of the joint lining in Rheumatoid Arthritis
Synovitis
65
What are the common rheumatic diseases besides Osteoarthritis and Rheumatoid Arthritis
Fibromyalgia gout spondyloarthropathies and specific connective tissue diseases