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+?
What is an ePARmed-X+?
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.
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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.
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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?
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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?
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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.
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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.
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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.
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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?
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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?
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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.
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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.
