Quiz 2

Question 1

which of the following is NOT TRUE regarding ACSM’s exercise pre-participation health screening:

-current general recommendations are for medical clearance rather than medical exams or exercise tests
-the ACSM pre-participation screening algorithm is designed to identify individuals at risk for cardiovascular complications as a direct result of exercise
-the ACSM’s screening algorithm includes assessing factors such as desired exercise intensity, current physical activity level, + the presence or symptoms of renal disease
-all of the above are TRUE regarding exercise preparticipation health screening

Answer 1

all of the above are TRUE regarding pre-participation health screening

Question 2

which of the following is NOT a general indication by ACSM for stopping an exercise test

-moderate to severe angina
-drop in SBP >= 10 mmHg with increasing workload
-SBP rises to > 215 mmHg
-HR does not increase with increased exercise intensity
-all of the above are indications for stopping an exercise test

Answer 2

SBP rises to > 215 mmHg

Question 3

eddie is a 32 year old man who just participated in an exercise test. the readings you recorded for him towards the end of the test were: RR = 40 breaths/min, SpO2 = 97%, VO2 consumed = 85.0 ml/kg/min, and VCO2 produced = 98.9 ml/kg/min. based on eddie’s respiratory exchange ratio (RER), how would you rate eddie’s effort during this exercise test

-poor
-fair
-average
-good
-Bialosky-esque
-not enough information is provided to rate eddie’s effort during this exercise

Answer 3

good

Question 4

T/F- mr. bluth is a 68 year old male who participated in an exercise test. at rest/baseline, his measurements were:
HR 81 BPM, BP 125/78, BORG (6-20 scale) 6, angina 0, Sp02 98%

when the exercise test was stopped, his measurements were:
HR 149 BPM, BP 175/81, BORG (6-20 scale) 20, angina 0, Sp02 96%

from ACSM’s standards, mr. bluth has chronotropic incompetence

Answer 4

false

Question 5

T/F- using the information from the question above to determine RPP rest, mr. bluth is at risk of cardiovascular disease

Answer 5

true

Question 6

your patient, mrs. garcia, is a 65 year old female who had a stroke 2 years ago + has minor residual weakness in her left upper + lower extremity. she does not have any cognitive deficits. she walks independently without any history of falling, but she uses a small base quad cane when walking outside her home on uneven surfaces “just to be extra safe.” she reports walking up to “about 5 blocks” before needing to rest. she hasn’t been working since her stroke and enjoys knitting, gardening, + playing cards

what is an appropriate test you would use for this patient to assess her cardiorespiratory fitness/exercise capacity? why is this the test you chose?

Answer 6

my answer:
-I would use the 6 minute walk test to assess mrs. garcia’s cardiorespiratory fitness/exercise capacity
-the 6 minute walk test would be appropriate due to her preference in walking as an exercise modality, ability to walk on even surfaces, + no history of falling

Question 7

mrs. garcia in the above two questions has a VO2max of 17.5 ml O2/kg/min when assessed by a treadmill-based test (refer to Table 3.8 in your ACSM textbook that provides normative fitness categories and percentiles of VO2max for females). given this VO2max value + what you have read about mrs. garcia in the preceding two questions, describe an exercise mode (type of specific activity) you would recommend/prescribe for her to improve her cardiorespiratory fitness. be sure to include a recommended frequency, intensity, + time/duration for this prescribed exercise/activity + provide your rationale

Answer 7

my answer:
-given this information, I would prescribe mrs. garcia to walk as her exercise mode to improve her cardiorespiratory fitness. for this activity, I would recommend a frequency of at least 3 days per week, light intensity (~3 METS), + a time/duration of 2-3 bouts of 10-15 minutes per day, given she can only walk 5 blocks at a time
-I prescribed walking as the mode due to mrs. garcia’s current interest + familiarity with walking. she stated she was only uncomfortable on uneven surfaces, so an even + stable surface would be preferable for her safety. I would initially recommend 3 days a week so that it is manageable, hoping she would eventually work her way up to more as her cardiovascular fitness improved. it is often better to start small and increase as necessary so that patients remain compliant. I chose a light intensity (~3 METS according to the metabolic equivalents table in the Jette article), given she often can only walk 5 blocks at a time, which also related to my choice of 10-15 minutes at a time. in order to reach the recommended requirement of at least 75 minutes of activity per week, mrs. garcia would need to complete multiple bouts of these increments on each day, which could be spread out throughout the day

Question 8

EC question- based on the FITT VP principle, what are the components that make up exercise volume?

Answer 8

-frequency
-intensity
-time