Week 1 TI
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According to the ICF model, which intervention strategy focuses on restoring or enhancing a specific body function?

  • Compensating for lost function.
  • Preventing or reducing health risk factors.
  • Optimizing overall health status.
  • Remediating or preventing impairments. (correct)
  • During high-intensity, short-duration activities, which energy system is primarily responsible for ATP production?

  • Kreb's Cycle.
  • Glycolytic system.
  • Oxidative system.
  • Phosphagen system. (correct)
  • Creatine kinase plays a critical role in which of the following metabolic processes?

  • Rapid regeneration of ATP from ADP. (correct)
  • Breakdown of carbohydrates for energy.
  • Conversion of pyruvate to lactate.
  • Production of ATP through oxidative phosphorylation.
  • What is the net ATP production from glycolysis, excluding ATP generated during oxidative phosphorylation?

    <p>2 ATP (C)</p> Signup and view all the answers

    If glycolysis is proceeding at a high rate what end products would you expect to accumulate?

    <p>Increased pyruvate and/or lactate. (A)</p> Signup and view all the answers

    A physical therapist is designing an exercise program for a patient with limited shoulder range of motion. Which of the following interventions would be MOST appropriate to address this impairment, according to the principles of therapeutic exercise?

    <p>Range of motion exercises to improve joint mobility. (B)</p> Signup and view all the answers

    During a high-intensity weightlifting set lasting approximately 10 seconds, which energy system is primarily responsible for ATP regeneration?

    <p>Phosphagen System (C)</p> Signup and view all the answers

    A patient is performing a 400-meter sprint. Which energy system is the PRIMARY contributor to ATP production during this activity?

    <p>Glycolysis (B)</p> Signup and view all the answers

    During prolonged, low-intensity exercise such as a long-distance walk, which substrate is primarily used by the oxidative system to produce ATP?

    <p>Fats (D)</p> Signup and view all the answers

    A physical therapist is using the ICF model to guide their intervention strategy for a patient recovering from a stroke. Which of the following aspects of the patient's condition would be MOST directly addressed by focusing on the 'participation' component of the ICF model?

    <p>Improving the patient's ability to perform activities of daily living, such as dressing and bathing. (D)</p> Signup and view all the answers

    What is the primary role of the Krebs cycle in cellular respiration?

    <p>To complete the oxidation of acetyl-CoA, generating electron carriers for the electron transport chain. (B)</p> Signup and view all the answers

    How many molecules of ATP are generated from one molecule of FADH2?

    <p>2 (D)</p> Signup and view all the answers

    Why is oxygen essential for the electron transport chain?

    <p>It is the final electron and hydrogen acceptor, forming water. (A)</p> Signup and view all the answers

    Starting with one molecule of glucose, how many molecules of carbon dioxide ($CO_2$) are produced during the Krebs cycle?

    <p>4 (A)</p> Signup and view all the answers

    During steady state exercise, what substrate shift typically occurs as intensity increases?

    <p>A shift towards greater reliance on carbohydrate metabolism. (C)</p> Signup and view all the answers

    What role do NADH and FADH2 play in the Krebs cycle?

    <p>They act as hydrogen acceptors. (A)</p> Signup and view all the answers

    What is the approximate net ATP production from the complete oxidation of one molecule of blood glucose via the oxidative system?

    <p>38 (D)</p> Signup and view all the answers

    Why does muscle glycogen produce 39 ATP, while blood glucose produces 38 ATP during degradation?

    <p>The reaction is due to hexokinase not being necessary. (B)</p> Signup and view all the answers

    Which energy system has the lowest ATP production capacity but the highest rate of ATP production?

    <p>Phosphagen system. (B)</p> Signup and view all the answers

    In order of ATP production capacity from highest to lowest, how would you rank fast glycolysis, oxidation of carbohydrates, phosphagen, and oxidation of proteins?

    <p>Oxidation of Carbohydrates, Fast Glycolysis, Phosphagen, Oxidation of Proteins (D)</p> Signup and view all the answers

    What is not a typical component of the inflammatory response in tissues?

    <p>Decreased capillary permeability. (B)</p> Signup and view all the answers

    Tissue fibrosis, associated with tissue damage leads to which Tissue Cardinal Sign?

    <p>Necrosis (D)</p> Signup and view all the answers

    What is the primary focus of interventions designed to improve, restore, or enhance physical function?

    <p>Improving the ability to perform Activities of Daily Living (ADLs). (A)</p> Signup and view all the answers

    Which of the following factors would LEAST likely impede tissue healing?

    <p>A well-maintained vascular supply to the tissue (B)</p> Signup and view all the answers

    During the subacute stage of tissue healing, what is the MOST appropriate focus for physical therapy intervention?

    <p>Developing a mobile scar and promoting healing with active exercises (D)</p> Signup and view all the answers

    If an athlete is performing a long-duration, low-intensity activity, which metabolic process is primarily responsible for ATP production?

    <p>Oxidative system (A)</p> Signup and view all the answers

    Which of the following best describes the primary cellular activity during the fibroblastic repair phase of tissue healing?

    <p>Deposition of collagen and elastin by fibroblasts (B)</p> Signup and view all the answers

    Which of the following best describes chronic inflammation?

    <p>A prolonged inflammatory response that can lead to tissue damage and fibrosis. (D)</p> Signup and view all the answers

    During high-intensity exercise, which substrates are MOST likely to be depleted, and how are they typically replenished?

    <p>Phosphagens and glycogen; repletion influenced by post-exercise nutrition and recovery (C)</p> Signup and view all the answers

    A clinician is treating a patient in the maturation/remodeling phase of tissue healing. What intervention would be MOST appropriate during this stage?

    <p>Progressive strengthening and endurance exercises (C)</p> Signup and view all the answers

    Following an acute injury, PRICE (protection, rest, ice, compression, elevation) is indicated to manage the injury. What is the PRIMARY goal of using ice (cryotherapy) in the acute stage?

    <p>To reduce metabolic activity and control inflammation (A)</p> Signup and view all the answers

    Which of the following best describes the role of creatine kinase in the phosphagen system?

    <p>It facilitates the transfer of a phosphate group from phosphocreatine to ADP. (B)</p> Signup and view all the answers

    During a 400-meter sprint, which energy system would be the MOST dominant in supplying ATP?

    <p>Anaerobic glycolysis. (D)</p> Signup and view all the answers

    Which energy system is predominantly active during long-duration, low-intensity exercise such as a marathon?

    <p>The oxidative system. (C)</p> Signup and view all the answers

    What determines the predominant energy system used during physical activity?

    <p>Intensity and duration of the activity. (A)</p> Signup and view all the answers

    If an athlete performs a maximal burst activity lasting 10 seconds, which substrate is primarily utilized for ATP production?

    <p>Phosphocreatine. (C)</p> Signup and view all the answers

    Which of the following activities relies LEAST on the phosphagen system for energy production?

    <p>A marathon run. (A)</p> Signup and view all the answers

    During glycolysis, what is the net ATP production when glycogen, rather than glucose, is the initial substrate?

    <p>3 ATP (A)</p> Signup and view all the answers

    How does the contribution of each energy system change as exercise transitions from high-intensity to low-intensity over time?

    <p>The oxidative system increases while the phosphagen and glycolytic systems decrease. (A)</p> Signup and view all the answers

    Flashcards

    ATP

    Adenosine triphosphate, the primary energy carrier in cells.

    Glycolysis

    The process of breaking down carbohydrates to produce energy.

    Krebs Cycle

    A series of chemical reactions used by all aerobic organisms to generate energy.

    Phosphagen System

    Quick energy system using creatine phosphate to regenerate ATP.

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    Oxidative Phosphorylation

    The final stage of cellular respiration where most ATP is produced using oxygen.

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    Energy Sources at Rest

    At rest, the body primarily uses fats as the main energy source.

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    Energy During Exercise

    Higher intensity activities rely more on carbohydrates for energy.

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    Anaerobic vs Aerobic

    Anaerobic processes do not require oxygen, while aerobic processes do.

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    Fast Glycolysis

    Breaking down glucose for energy during high-intensity exercise.

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    Oxidation of Carbohydrates

    The process of breaking down carbs to produce ATP, primarily during moderate activities.

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    Improving Physical Function

    Efforts aimed at enhancing physical abilities for daily activities.

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    Hydrolysis of ATP

    The breakdown of ATP into ADP, releasing energy for work, requiring water.

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    Anaerobic Energy System

    Energy production without oxygen, mainly through phosphagen system and glycolysis.

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    Therapeutic Exercise

    Exercises designed to improve range of motion, strength, and flexibility.

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    Interventions Individualization

    Adapting treatment plans to meet specific patient needs and conditions.

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    Oxidative System

    Aerobic energy system that uses oxygen to produce ATP during low-intensity activities.

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    Acetyl-CoA

    A molecule that enters the Krebs cycle after glycolysis, formed from pyruvate.

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    NADH

    An electron carrier produced in the Krebs cycle that contributes to ATP synthesis.

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    Electron Transport Chain

    A series of proteins that transfer electrons and produce ATP using NADH and FADH2.

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    Creatine Kinase

    An enzyme that facilitates the transfer of a phosphate group from phosphocreatine to ADP.

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    ATP Yield from PC

    1 molecule of ATP is produced per molecule of phosphocreatine used.

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    Anaerobic Glycolysis

    The break down of glucose or glycogen to produce ATP without oxygen.

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    Glycogen

    Stored form of glucose in muscles, used to produce ATP.

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    Aerobic Oxidative System

    The energy system relying on oxygen to produce ATP, primarily from carbs and fats.

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    ATP Yield from Glycogen

    Up to 3 ATP produced from glycogen; 2 ATP if glucose is used as substrate.

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    Energy System Contribution

    All energy systems work together but vary by intensity and duration of activity.

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    Substrate Depletion

    Loss of energy sources like phosphagens and glycogen after high-intensity activities.

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    Inflammatory Phase

    The first phase of healing marked by redness, warmth, pain, and swelling.

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    Fibroblastic Repair Phase

    Phase where fibroblasts create collagen and elastin to form scar tissue.

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    Maturation/Remodeling Phase

    The final phase of healing where scar tissue strengthens and organizes over time.

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    Acute Inflammation

    A normal, short-term response to injury that aids healing.

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    Chronic Inflammation

    Prolonged inflammation that can lead to tissue damage and fibrosis.

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    Factors Impeding Healing

    Elements like edema, infection, and poor vascular supply that delay recovery.

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    Study Notes

    Bioenergetics and ATP

    • ATP (Adenosine Triphosphate) is the primary energy currency for muscle activity.
    • ATP hydrolysis releases energy for biological work, catalyzed by ATPase.
    • The breakdown of one ATP molecule to release energy requires one water molecule.

    Energy Systems

    • Phosphagen System (Anaerobic):

      • Rapid ATP production for short, high-intensity activities (e.g., sprinting, weightlifting).
      • Utilizes creatine phosphate (CP).
      • Simple one-enzyme reaction, does not require oxygen.
      • Yields 1 ATP per PC molecule.
      • Duration: 5-30 seconds.
    • Glycolysis (Anaerobic):

      • Breaks down carbohydrates (glucose or glycogen) for ATP resynthesis.
      • Dominant for activities lasting 30 seconds to 2-3 minutes.
      • Produces pyruvate or lactate.
      • Yields 2 ATP from glucose or 3 ATP from glycogen.
      • Duration: 30 seconds to 2-3 minutes.
    • Oxidative System (Aerobic):

      • Primary source of ATP at rest and during low-intensity activities.
      • Utilizes carbohydrates, fats, and (minimally) protein.
      • Occurs in the mitochondria.
      • Yields ~38 ATP from one molecule of blood glucose or ~39 from muscle glycogen.
      • Duration: >3 minutes.

    Krebs Cycle

    • Completes the oxidation of acetyl-CoA.
    • Utilizes NAD+ and FAD as electron carriers.
    • Produces 2 molecules of ATP, 3 NADH and 1 FADH2 when starting from one molecule of glucose
    • Generates energy to be used in the electron transport chain to reform ATP.

    Electron Transport Chain (ETC)

    • Uses potential energy from reduced hydrogen carriers (NADH and FADH2) to rephosphorylate ADP to ATP.
    • Series of electron carriers, known as cytochromes, are used.
    • Oxygen is the final electron and hydrogen acceptor in the process.
    • Results in the production of approximately 38 ATP molecules from the degradation of one glucose molecules.

    Energy Production Capacity

    • Different energy systems are used at different intensities and times.
    • Phosphagen is used for short bursts of high intensity, glycolysis for intermediate activities.
    • Oxidative phosphorylation is for sustained activities.

    Fatigue and Phosphogens

    • Depletion of phosphagens (creatine phosphate and ATP)
    • Depletion of glycogen can lead to fatigue.

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    Week 1 Async PDF

    Description

    Test your knowledge on key concepts in exercise physiology, focusing on metabolic processes, energy systems, and therapeutic interventions. This quiz covers crucial topics such as ATP production, glycolysis, and exercise program design for rehabilitation. Challenge yourself and see how well you understand the principles of exercise science.

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