Quiz 1

Question 1

a 51 year old female wants to participate in a triathlon next year. she wants to begin a more robust + comprehensive training program in preparation for this activity. she has been doing a jogging program 3-4x/week for 30-40 minutes/bout for the past 6 months, but she denies doing any other exercise. she says she was diagnosed with “mild peripheral vascular disease” two years ago, + she reports she has not had any issues with this condition. what would be the best decision for her being able to begin an exercise program with you using the ACSM aglorithm?

-no medical clearance needed
-medical clearance needed before she can participate in any exercise program with you
-she can participate in moderate exercise but needs medical clearance to progress beyond that intensity
-none of the above would be the best decision

Answer 1

she can participate in moderate exercise but needs medical clearance to progress beyond that intensity

Question 2

according to the JAMA Piercy article, which of the following is NOT an example of moderate intensity activity (using absolute intensity)

-carrying heavy groceries
-raking the yard
-walking briskly at 3.0 mph
-playing volleyball
-all of the above are examples of moderate intensity activity (using absolute intensity)

Answer 2

carrying heavy groceries

Question 3

T/F- answer the following based on the JAMA Piercy article. while taking the stairs instead of the elevator may be a good suggestion for those able to do so, this kind of activity choice should not be counted towards the total volume of moderate to vigorous activity if it does not take at least 10 minutes to complete

Answer 3

false

Question 4

ms. hamilton is a 28 year old female who completed the YMCA bench step test. her HBC is 88. using the physical fitness testing handout posted in canvas + used in lab sessions, which of the following are TRUE:

-her age-adjusted standard rating for her cardiovascular fitness is good, + her predicted VO2 max is 46.4 ml O2/kg/min
-her age-adjusted standard rating for her cardiovascular fitness is above average, + her predicted VO2 max is 46.4 ml O2/kg/min
-her age-adjusted standard rating for her cardiovascular fitness is good, + her predicted VO2 max is 57.2 ml O2/kg/min
-her age-adjusted standard rating for her cardiovascular fitness is above average, + her predicted VO2 max is 57.2 ml O2/kg/min

Answer 4

her age-adjusted standard rating for her cardiovascular fitness is good, + her predicted VO2 max is 46.4 ml O2/kg/min

Question 5

maria is a 47 year old accoountant who is wanting to begin an aerobic exercise program. she has an unremarkable medical history, her resting HR is 72 BPM, + her resting BP is 125/82. Using the HR reserve method (HRR) + karvonen formula, what is the range for the target HR that maria should exercise at if the intensity you prescribe is 45-50% of HRR

-101-109 BPM
-110-116 BPM
-117-123 BPM
-124-131 BPM
-132-139 BPM

Answer 5

117-123 BPM

Question 6

answer this question after reading the Jette article. an individual’s maximal aerobic power (VO2max) is 36 ml O2/kg/min. what is this individual’s functional capacity equivalent in METS

-8.5 METs
-10.3 METs
-12.6 METs
-14.1 METs

Answer 6

10.3 METs

Question 7

seth is a 35 year old healthy male who works full time as an accountant and enjoys playing tennis and bicycling 3-4 times/week. he has a VO2max of 50.0 ml O2/kg/min. using Balke’s sliding scale from page 564 of the Jette article, what would be seth’s calculated training intensity

-4.9 METs
-7.3 METs
-10.6 METs
-13.2 METs

Answer 7

10.6 METs

Question 8

using the link to the Supplemental digital content to Ainsworth 2011 - Physical Activities + the aforementioned information from the question above, which of the following would be the most appropriate exercise prescription for seth?

-bicycling, on dirt or farm road, moderate pace for 30 min sessions done 5x/week
-bicycling, 14-15.9 mph, racing or leisure for 30 min sessions done 5x/week
-conditioning exercise, bicycling stationary, 161-200 watts for 20 min sessions done 3/week
-water activities, water polo for 40 min sessions done 4x/week

Answer 8

bicycling, 14-15.9 mph, racing or leisure for 30 min sessions done 5x/week

Question 9

which of the following is NOT TRUE based upon the information in the Joint Vital Sign Booklet (APTA, 2021):

-a normal exercise response would be seeing an adult patient’s SBP linearly increase by 10 mmHg for every MET until reaching a physiological plateau/maximum
-a patient with a resting heart rate of 58 bpm has bradycardia, + a patient with a resting heart rate of 103 BPM has tachycardia
-a patient with a resting BP of 128/78 has stage 1 hypertension
-patients with dementia are more likely to have orthostatic hypotension than those without dementia
-all of the above are TRUE

Answer 9

a patient with a resting BP of 128/78 has stage 1 hypertension

Question 10

in your own words, discuss both the pros + cons of using METs for describing exercise intensity + estimating energy expenditure for physical activities

Answer 10

pros:
-convenience in rating the intensity of an exercise compared to baseline at rest
-can be translated into a range of different physical activities

cons:
-doesn’t consider how fit an individual may be
-doesn’t take into account the individual’s lean body mass (body composition) + fitness level

Question 11

EC question-
of the listed sources of error and measurement aspects for taking BP from the BP Mean Guidelines PTs Frese 2011 article (see sections Sources of Error in Blood Pressure Measurement, Measurement for Baseline/Diagnostic Purposes, + Table 2), which two do you feel you will need to most closely monitor and why? please be concise yet complete in your answer

Answer 11

my answer:
-cuff size/application + arm position
-the article discusses that “miscuffing” is the most commonly observed error in taking BP, which is why it is crucial to monitor it
-the article also discusses that arm position often leads to misreading BP due to hydrostatic pressures, + not having the arm at heart level can alter this value by 1-2 mmHg by only a 2.5cm difference from heart level
-therefore, incorrectly positioning the arm can lead to drastic discrepancies in measuring BP
-misreading this values can either overshoot or undershoot BP values, leading to the possibility of missing a potential red flag in a patient’s health

Question 12

EC question-
after reviewing the section Blood Pressure Measurement in Special Populations of the BP Meas Guidelines PTs Frese 2011 article, in your own words please describe which two of the BP measurements in special situations you feel will be most pertinent to you as a future physical therapist + why? please be concise yet complete in your answer

Answer 12

my answer:
Two of the blood pressure measurements in special situations I feel would be most pertinent to me as a future physical therapist include the elderly and pregnant populations. Two of the settings I am currently fond of include outpatient orthopedic or women’s health. While outpatient orthopedic clinics are not specifically for elderly people, many elderly people are found in these clinics as a result of arthroplasties or other relevant diagnoses and it is therefore crucial to understand what to be aware of in taking BP measurements. Further, in women’s health, it would be important to look out for hypertension in patients that may be pregnant.