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Questions and Answers
A client should be referred to a physician for medical clearance to begin an exercise program if he or she answers yes to how many questions on the 2018 PAR-Q+?
A client should be referred to a physician for medical clearance to begin an exercise program if he or she answers yes to how many questions on the 2018 PAR-Q+?
What is an ePARmed-X+?
What is an ePARmed-X+?
Which of the following is not a positive risk factor for coronary heart disease?
Which of the following is not a positive risk factor for coronary heart disease?
According to the AHA/ACSM screening algorithm, the client's exercise routine and symptoms determine who needs medical clearance before participating in an exercise program.
According to the AHA/ACSM screening algorithm, the client's exercise routine and symptoms determine who needs medical clearance before participating in an exercise program.
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A ratio of high total cholesterol to low HDL-C (TC/HDL-C) is considered protective against coronary heart disease.
A ratio of high total cholesterol to low HDL-C (TC/HDL-C) is considered protective against coronary heart disease.
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The criteria for an optimal or desirable total cholesterol classification is a value < 240 mg/dL.
The criteria for an optimal or desirable total cholesterol classification is a value < 240 mg/dL.
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What is the significance of a high HDL-C value (> 60 mg/dL) in coronary risk factor analysis?
What is the significance of a high HDL-C value (> 60 mg/dL) in coronary risk factor analysis?
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Why might a graded exercise test (GXT) be useful for a client interested in starting an exercise program?
Why might a graded exercise test (GXT) be useful for a client interested in starting an exercise program?
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Physician supervision is required for all clients during a maximal exercise test.
Physician supervision is required for all clients during a maximal exercise test.
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Which of the following is an absolute contraindication to exercise testing?
Which of the following is an absolute contraindication to exercise testing?
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Blood pressure of 128/84 mmHg is classified as prehypertension.
Blood pressure of 128/84 mmHg is classified as prehypertension.
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Generally, blood pressure increases from a supine to sitting to standing position.
Generally, blood pressure increases from a supine to sitting to standing position.
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A blood pressure cuff that is too small for the arm will result in an underestimation of the individual's blood pressure.
A blood pressure cuff that is too small for the arm will result in an underestimation of the individual's blood pressure.
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When taking blood pressures during exercise, instruct the client to grasp the bike handlebars or the handrails on the treadmill to facilitate the measurement.
When taking blood pressures during exercise, instruct the client to grasp the bike handlebars or the handrails on the treadmill to facilitate the measurement.
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The lowest pressure in the artery during the cardiac cycle is called what?
The lowest pressure in the artery during the cardiac cycle is called what?
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Hypertension is defined as a systolic blood pressure that is equal to or exceeds what value?
Hypertension is defined as a systolic blood pressure that is equal to or exceeds what value?
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The auscultation method of blood pressure measurement involves listening for the Korotkoff sounds. What does Phase IV correspond to?
The auscultation method of blood pressure measurement involves listening for the Korotkoff sounds. What does Phase IV correspond to?
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Which noninvasive method of blood pressure measurement has the greatest validity?
Which noninvasive method of blood pressure measurement has the greatest validity?
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What is the recommended position for the client's arm when measuring blood pressure?
What is the recommended position for the client's arm when measuring blood pressure?
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Resting heart rate is one of the best indicators of cardiorespiratory fitness.
Resting heart rate is one of the best indicators of cardiorespiratory fitness.
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Study Notes
Exercise Program and Medical Clearance
- Clients should be referred to a physician for medical clearance if they answer "yes" to one or more questions on the 2018 PAR-Q+.
- ePARmed-X+ is a form reviewed by physicians to determine if a client is cleared for physical activity.
Risk Factors and Health Conditions
- A father's early myocardial infarction (age 52) is a positive risk factor for coronary heart disease (CHD).
- High-density lipoprotein cholesterol (HDL-C) levels > 60 mg/dL are protective (negative risk factor) in CHD risk assessment.
- Fasting blood glucose levels above 126 mg/dL indicate increased risk for diabetes, contributing to overall health risks.
Screening and Testing Guidelines
- The AHA/ACSM algorithm uses a client’s exercise routine and medical symptoms to assess the need for medical clearance.
- Graded exercise tests (GXTs) help determine a client’s functional aerobic capacity and are useful for exercise readiness evaluation.
- Physician supervision is not required for all clients undergoing maximal exercise tests.
Blood Pressure and Hypertension
- Blood pressure classification for prehypertension is incorrect at 128/84 mmHg.
- Essential hypertension is defined as a systolic blood pressure ≥ 130 mmHg.
- A blood pressure cuff that is too small will result in an overestimation of blood pressure.
Measuring Blood Pressure
- The auscultation method requires listening for Korotkoff sounds; diastolic pressure is indicated when sounds become muffled.
- The mercury column sphygmomanometer has the highest validity for measuring blood pressure.
- The client's arm should be supported and positioned at heart level during blood pressure measurement for accuracy.
Heart Rate and Fitness Indicators
- Resting heart rate is considered a poor indicator of cardiorespiratory fitness compared to other methods.
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Description
Test your knowledge on when to refer clients for medical clearance before starting an exercise program based on the 2018 PAR-Q+. This quiz will also cover the ePARmed-X+ and its significance in fitness assessments.
