REP2 Quiz 02

True or false? According to ACSM Risk Factor Thresholds, being a female over 45 years old is considered a positive risk factor.

False

True or false? An elevated BMI and an excessive waist circumference count as two separate risk factors.

False

True or false? When information regarding a specific risk factor is missing, the HFS should consider the missing information as a nonrisk factor.

False

True or false? A client with well-controlled exercise induced asthma, and no other notable risk factors, may be able to initiate exercise without first being screened by a physician.

True

True or false? Conditions that make the risk of exercise possibly greater than the benefits are referred to as contraindications.

True

True or false? Currently taking medication for hypertension counts as a risk factor.

True

True or false? One of the main purposes of preparticipation screening is to minimize risk of physical activity.

True

What should happen to undisclosed or unavailable CVD risk factor information? a. Count it as a risk factor except for prediabetes. b. Consider it only in the presence of other risk factors. c. Do not count it against the person. d. Forget that it exists.

a. Count it as a risk factor except for prediabetes.

Which is not part of a usual preparticipation screening? a. ECG assessment b. Heart rate assessment c. Demographic data d. Resting blood pressure

a. ECG assessment

Risk stratification of cardiac patients (patients with known disease) includes lowest risk, moderate risk, and high risk according to the AACVPR. Which of the following places a patient into the moderate-risk category? a. Mild to moderate level of silent ischemia during exercise testing or recovery (ST-segment depression <2 mm from baseline) b. Presence of complex ventricular dysrhythmias during exercise testing or recovery c. Functional capacity ≥7 METs d. Rest ejection fraction <40%

a. Mild to moderate level of silent ischemia during exercise testing or recovery (ST-segment depression <2 mm from baseline)

The process by which individuals are assigned a risk category is called risk classification, which is based on the presence or absence of all but which of the following? a. The potential for developing risk factors b. Signs or symptoms suggestive of cardiovascular, pulmonary, and/or metabolic disease c. Known cardiovascular, pulmonary, and/or metabolic disease d. CVD risk factors

a. The potential for developing risk factors

Which is not considered a typical reason to conduct a preparticipation screening? a. To generate income for an individual or facility b. To benchmark for goal setting c. To identify those with medical contraindications d. To identify those with significant, but nonlimiting medical concerns.

a. To generate income for an individual or facility

The PAR-Q is recommended as a minimal standard for entry into which type of activity: a. Moderate b. Vigorous c. Light d. Easy

a. moderate

After completing self-guided preparticipation health screening methods as the PAR-Q or AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire, the number of positive CVD risk factors should be a. summed b. multiplied by negative risk factors c. divided by negative risk factors d. subtracted from the number of negative risk factors

a. summed

Which of the following is a definition of high risk? a. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e., <2) CVD risk factors b. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, renal and/or metabolic disease c. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, but have two or more (i.e., ≥2) risk CVD factors d. Individuals with no factors and who also exhibit no symptoms of cardiovascular disease

b. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, renal and/or metabolic disease

Exercise or health/fitness professionals should have a thorough knowledge of all but which of the following when doing a risk classification? a. The specific criteria that determine the CVD risk factor schemes b. The pathologic sequencing of the disease c. The criteria for known cardiovascular, pulmonary, and metabolic diseases d. The descriptions of signs and symptoms for cardiovascular, pulmonary, and metabolic diseases

b. The pathologic sequencing of the disease

Dyspnea can be defined as a. substernal chest pain b. an abnormally uncomfortable awareness of breathing c. orthopnea d. syncope

b. an abnormally uncomfortable awareness of breathing

Orthopnea refers to a. an unpleasant awareness of the forceful or rapid beating of the heart b. dyspnea occurring at rest in the recumbent position c. dull ache or "knifelike," sharp, stabbing pain in the chest d. shortness of breath

b. dyspnea occurring at rest in the recumbent position

Potential exercise program participants should be screened for the presence, signs, symptoms, and/or risk factors of various cardiovascular, pulmonary, and metabolic diseases as well as other conditions (e.g., pregnancy, orthopedic injury) that require special attention to a. develop additional cost centers for your program b. optimize safety during exercise testing c. increase the likelihood that participants will drop out d. increase revenue generation

b. optimize safety during exercise testing

According to the AACVPR risk stratification criteria for patients with known CVD, individuals at high risk for exercise participation may exhibit any one or a combination of the following except a. presence of complex ventricular dysrhythmias during exercise testing or recovery b. presence of normal hemodynamics with exercise testing or during recovery c. presence of angina or other significant symptoms at low levels of exertion or during recovery d. high level of silent ischemia during exercise testing or recovery

b. presence of normal hemodynamics with exercise testing or during recovery

According to ACSM Risk Factor Thresholds, which is not considered a positive risk factor toward exercise participation? a. Current cigarette smoker b. Hypertension c. BMI of 25.0 to 29.9 kg m?2 d. Fasting blood glucose greater than 100 mg dL?1

c. BMI of 25.0 to 29.9 kg m?2

Which of the following is a definition of low risk? a. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, and/or metabolic disease b. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, but have two or more (i.e., ≥2) risk CVD factors c. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e.,<2) CVD risk factors d. Individuals with more than three risk factors and who also exhibit symptoms of cardiovascular disease

c. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e.,<2) CVD risk factors

An individual has known cardiovascular, pulmonary, and/or metabolic disease if a physician has diagnosed all but which of the following conditions? a. Pulmonary disease: chronic obstructive pulmonary disease (COPD), asthma, interstitial lung disease, or cystic fibrosis b. Cardiovascular disease (CVD): cardiac disease, peripheral artery disease (PAD), or cerebrovascular disease c. Meningococcal disease d. Metabolic disease: diabetes mellitus (type 1 or type 2), and renal or liver disease

c. Meningococcal disease

Which of the following is an example of a self-guided screening for physical activity? a. Physician's medical release form (i.e., HIPAA requirements) b. Stress test conducted by a qualified health care provider c. PAR-Q d. CVD risk factor assessment and classification qualified health/fitness, clinical exercise, or health care professionals

c. PAR-Q

Which of the following is NOT a purpose of the preparticipation health screening? a. Recognition of persons with clinically significant disease(s) or conditions who should participate in a medically supervised exercise program b. Identification of individuals with medical contraindications for exclusion from exercise programs until those conditions have been abated or are under control c. Recognition of persons with clinically significant disease(s) or conditions who should participate in a community-based exercise program d. Detection of individuals at increased risk for disease because of age, symptoms, and/or risk factors who should undergo a medical evaluation and exercise testing before initiating an exercise program or increasing the frequency and intensity of their current program

c. Recognition of persons with clinically significant disease(s) or conditions who should participate in a community-based exercise program

Which of the following is a NOT symptom of coronary artery disease? a. Dizziness or syncope b. Pain or discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other areas that may result from ischemia c. Swollen hands d. Shortness of breath at rest or with mild exertion

c. Swollen hands

Which of the following is defined as a loss of consciousness? a. Orthopnea b. Angina c. Syncope d. Paroxysmal nocturnal dyspnea

c. Syncope

Which of the following is NOT considered an ACSM risk classification level? a. High b. Low c. Very low d. Moderate

c. Very low

Self-guided screening for physical activity can be best described as a. one that is often conducted within the confines of a physician's office because of secrecy and patient confidentiality b. one whereby the health fitness/clinical assessment is conducted by and the exercise program is designed and supervised by appropriately trained personnel that possess academic training and practical/clinical knowledge, skills, and abilities c. a self-report medical history or health risk appraisal that should be done by all people wishing to initiate a physical activity program and is completed with little or no input or supervision from an exercise or health/fitness professional d. often misunderstood by exercise professionals because it is inherently misunderstood by the client and is subject to the client not being truthful

c. a self-report medical history or health risk appraisal that should be done by all people wishing to initiate a physical activity program and is completed with little or no input or supervision from an exercise or health/fitness professional

The American College of Sports Medicine recognizes the risk stratification procedures of which other organization? a. YMCA b. NSCA c. ACE d. AACVPR

d. AACVPR

The process of risk classification is meant to assist with determining: a. When a client should have a medical exam prior to exercise b. When an exercise test is recommended prior to initiating exercise training c. When an exercise test needs to be supervised d. All of the above are appropriate uses of risk classifying.

d. All of the above are appropriate uses of risk classifying.

Important signs of an individual at high risk for cardiovascular, pulmonary, or metabolic (CPM) disease include all except: a. Persistent chest, neck, jaw, or arm pain, particularly accompanying physical exertion b. Syncope, fainting, or dizziness during exercise c. Unusual fatigue or shortness of breath during light exercise or normal activity d. All of the above are signs of potential CPM disease

d. All of the above are signs of potential CPM disease

The EP-C can safely supervise exercise tests: a. That involve moderate-risk clients b. That involve any clients, regardless of risk. c. That involve high-risk clients. d. That involve low-risk clients.

d. That involve low-risk clients

According to the risk classification criteria, a patient in the moderate risk category should have a. his or her medical insurance coverage examined closely before giving him or her a graded exercise test b. a medical examination prior to engaging in an exercise program of any exercise intensity c. a medical examination and a graded exercise test prior to engaging in any form of exercise d. a medical examination prior to engaging in a vigorous exercise program

d. a medical examination prior to engaging in a vigorous exercise program

Intermittent claudication is defined as a. shortness of breath brought on by physical exertion b. chronic pain in the chest that is often described as a dull ache c. shortness of breath occurring only in the recumbent position d. the pain that occurs in a muscle with inadequate blood supply

d. the pain that occurs in a muscle with inadequate blood supply