Exercise Testing chapter 2

a client should be referred to a physician for medical clearance to begin an exercise program if he or she answers yes to ____ question(s) on the PAR-Q

1

an asymptomatic, young adult (men <45 years and women <55 years) needs to have ____ or more risk factors before being classified as a moderate risk for coronary heart disease

2

your client is a 45 year old male who takes antihypertensive medications and quit smoking three months ago. His father died of a stroke at age 55 and he reports that his serum HDL-C is 65 mg/dl and LDL-C is 125 mg/dl. how many coronary risk factors does this client have?

2

A 40 year old male office worker who exercises only one day per week is your new client. He has never smoked and both of his parents are in their 70s and still alive. His BMI is 32 kg.m2. A recent check up with blood work revealed a total cholesterol of 190 mg/dl you measure his blood pressure and it is 130/84 mmHg. How many coronary risk factor does he have?

3

Which of the following prospective clients should obtain a physical examination and signed medical clearance from a physician?

all of the above

white coat hypertension...

can increase the risk of cardiovascular disease

which of the following is NOT a positive risk factor for coronary heart diease

client has an HDL-C of 67 mg/dl

when determined heart rate by palpation

do not apply heavy pressure to the carotid site because this may cause a reflex slowing

a blood pressure cuff that is too small for the arm will result in an underestimation of the individuals blood pressure

false

a ratio of high cholesterol to low HDL-C is considered protective against coronary heart disease

false

physician supervision is required for all clients during a maximal exercise test

false

the criteria for an optimal or desirable total cholesterol classification is a value 240 mg/dl

false

all BUT WHICH of the following are parts of a comprehensive pretest health screening?

if requested by the physician, prepare the client and administer an electroencephalograph

when is it recommended that a client have a graded exercise test (GXT) before starting an exercise program?

it is recommended for all high-risk clients

if the arm circumference is 35 cm, then the recommended cuff to use is

larger adult

An asymptomatic individual with two or more coronary risk factor is classified as

moderate coronary heart disease risk

a resting heart rate of 82 beats per minute (bpm) is classified as

normal

when the metallic tapping sound disappears during blood pressure measurement, it is called

phase V value

prehypertensive individuals are encouraged to modify their lifestyle which of the following ways in order to reduce their risk of developing hypertension?

restricting sodium intake to no more than 3.0g per day and losing body weight if overweight

What is recommended position for the clients arm when measuring blood pressure?

supported and positioned at heart level

The PARmed-X is used by

the physician to assess and convey medical clearance for physical activity participation

cardiorespiratory assessment 5: the auscultation method of blood pressure measurement involves listening for the korotkoff sounds. Phase IV occurs when the ___ and corresponds to ____ pressure

thumping sound becomes muffled; diastolic

what is the purpose of inflating the cuff and noting by palpation when the pulse disappears?

to estimate how much the cuff needs to be inflated to determine systolic blood pressure with the auscultatory technique

blood pessure of 128/84 would be classified as prehypertension

true

which of the following is an absolute contraindication to exercise testing?

unstable angina

the electrode configuration is modified for an exercise 12-lead ECG in which ways?

1.the right and left electrodes are attached to the right and lefts sides of the trunk below the rib cage. 2. the right and left arm electrodes are placed below the right and left clavicles, respectively

when selecting the blood pressure cuff, experts recommend using a cuff with a bladder width that is ___% of the measured upper-arm circumference and a length that encircles at least ___% of the arm circumference

40;80