Unit 2a

Question 1

why do we need informed consent ? (5)

Answer 1

1. explains purpose of and procedure for each diff assessment
2. explains risks and benefits
3. ensures confidentiality
4. indicates participation is voluntary
5. allows parental approval for minors

Question 2

10 cad risk questions ?

Answer 2

1. do you smoke
2. do you have high cholestrol ?
3. do you have high blood pressure ?
4. are you more then 10kg over weight ?
5. do you have family history of heart disease or stroke ?
6. do you feel stressed or depressed most of the time ?
7. are you male older then 45 or female over 55 ?
8. chest pains or fainting ?
9. do you have diebetes ?
10. do you exercise less then 3 times per week for less then 30 min ?

Question 3

what to ask in medical history ?(7)

Answer 3

1. demographics
2. complaint
3. symptoms
4. relieving and aggravating factors
5. previous treatment received
6. other medical conditions and family history
7. goals

Question 4

9 signs and symptions of cad, metabolic or renal disease ?

Answer 4

1. chest pain
2. shortness of breathe
   3, syncope
3. orthopnea
4. ankle edema
5. palpitations
6. intermittent claudication
7. heart murmur
8. fatigue

Question 5

9 contraindictaions to stopping exercise test ?

Answer 5

1. ischemia on ecg
2. angina
   3.cardiac arrththmias
3. aortic stenosis
4. heart failure
5. acute pulmonary infarcation
6. acute myocarditis
7. aneursyms in aorta or brain
8. acute infections

Question 6

relative contrindications ? (11)

Answer 6

1. S tenotic valvular heart disease (moderate)
2. E lectrolyte abnormalities
3. T achyarrhythmias
4. H ypertrophic cardiomyopathy
5. M usculoskeletal disorders
6. I nfections (chronic)
7. M etabolic disorders
8. 3 rd degree av block
9. L eft coronary atery stenosis
10. H ypertention
11. V entricular aneurysm

Question 7

7 par Q health questions?

Answer 7

1. has your doctor ever said you have high bp ? or heart condition
2. do you have pain in chest when active or rest
3. lost balance or lost consciousness in past 12 m
4. have you ever been diagnosed with another chronic medical condition ?
5. are you taking medication for chronic condition ?
6. do you have or have had (past 6 m) any bone, joint, soft tissue problem that could be made worse ?
7. has your doctor ever said you should only do medical supervised PA?

Question 8

describe low , moderate and high risk px ?

Answer 8

1. low - asymptomatic active < 40 and < 2 cAD
2. moderate - asymptomatic , inactive > 2 cad
3. high - symptomic or known cad,

Question 9

only needmedical clearance if ? (2)

Answer 9

INactive and known or shows signs
Active and shows signs

Question 10

8 cad risk factors

Answer 10

1. age
2. family history
3. hypercholesterolemia
4. hypertension
5. smoking
6. obesity
7. prediabetes/diabetes
8. physical inactivity