Exam 2 Clinical Exercise Physiology

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How fast does EKG paper move through the machine? a. 25 mm/sec b. 50mm/sec c. 1 mm/sec d. 5 mm/sec

1. A

Any bodily movement produced by contracting skeletal muscles a. Physical Activity b. Exercise c. Physical Fitness d. Energy Expenditure

A

EP-C's ____ new clients prior to prescribing ExRx to determine health risks. A. Pre-screen B. Exercise with C. Performs baseline D. None

A

Normal QRS interval duration ≤0.12 seconds, how many small squares A. 3 B. 5 C. 10 D. 2

A

On a 12-lead EKG strip, Ventricular arrhythmias- Asystole is seen as: a. A flat line (no electrical activity) b. Saw-tooth shaped P waves c. Heart Rate over 100 bpm d. Elevated ST segment

A

The worst type of ST segment depression is a Downslopping b Horizontal c Upsloping d Vertical

A

What is an indication of ischemia? A. Inadequate blood supply B. T wave is upright when QRS is upright C. Infraction D. No electrical activity

A

__________ is one of the largest components of PA-related EE. A. Occupational PA B. Household PA C. Transportation

A

Complete AV Block is a a. First degree block b. Third degree block c. Second degree block

B

In a 1st degree heart block, a PR interval less than how many seconds indicates that the AV node is taking too long to transmit depolarization a. <0.2 sec b. >0.2 sec c. <0.4 sec d. >0.4 sec

B

What does PVC stand for? A. All of the below B. Premature ventricular contractions C. Patient ventricular contractions D. P wave calibration

B

When is a patient most at-risk for musculoskeletal injury? A. Swimming B. Power lifting C. Walking D. None

B

Which of the following is not a health-related fitness component? A. Body composition B. Balance C. Cardiorespiratory fitness

B

A PVC (premature ventricular contraction) is seen as a(n) _____ on an EKG strip. a.Inverted P wave b.Elevated or depressed ST segment c.Abnormally-shaped QRS complex d.PR interval >0.2 seconds

C

All except what are physical fitness categories a. Leisure time b. Occupational c. Instructional d. Household

C

An abnormal Q wave tells us that a patient has a. A healthy heart b. Been dealing with ventricular dysthymias c. Necrosis of the heart d. Is going on vacation

C

An elevated ST segment is indicative of: a. Atrial Flutter b. Ventricular arrhythmias c. Infarction d. Torsades des Pointes

C

Benefits of PA in older adults EXCEPT a. Improved mobility b. Independent living c. Decreased Medicare d. Decreased risks for fall

C

Common thread for all ventricular arrhythmias = a. Narrow QRS b. Tall QRS c. Wide QRS d. Short QRS

C

Erratic ventricular rhythm w/o identifiable QRS waves is a PVC b infarction c ventricular fibrillation d asystole

C

If you notice that the rhythm on a EKG strip are not equally apart but follow a pattern, what is the correct term for this situation? a. Regular Regular b. Irregularly Irregular c. Regularly Irregular d. None of the above

C

Regarding your p waves, if the duration is longer than .12 seconds, it suggests that a. Hypotrophy of left atrium b. Hypertrophy of right atrium c. Hypertrophy of left atrium d. Hypotrophy of right atrium

C

The T wave tells us a patient has a(an) a. Arrhythmia b. 3rd Degree heart block c. Myocardial Ischemia d. Hypertrophy

C

A myocardial infarction is simply a. An area of tissue regeneration b. An area of Foci Stimulation c. A wide QRS complex d. Obstruction of blood flow to the heart

D

A run of 3 or more PVCs is a triplet b ventricular tachycardia c trigeminy d both a & b

D

All of the following are examples of Ventricular arrhythmias EXCEPT: a. Premature Ventricular Contractions (PVC) b. Ventricular Tachycardia c. Ventricular Fibrillation d. Atrial Flutter

D

Determine rate by: a. Math way b. Fast way c. 6-sec strip method d. All of the above

D

In a myocardial Infarction the ST segment can be a. Depressed b. Elevated c. Downward sloping d. All the Above

D

Torsades des Pointes means a. Twisting of pointes b. Is uncommon c. A rare form of ventricular tachycardia d. All the above

D

What is considered a component of skill-related fitness? A. Balance B. Power C. Endurance D. A & B

D

When does the PR interval begin? A. QRS complex B. St Segment C. T wave D. Beginning of the P wave to the start of the QRS complex

D

PR interval is used to assess function of the SA node A. True B. False

FALSE

T/F: Incorporating PA along with unhealthy eating habits can reduce risk of chronic disease.

FALSE

T/F: Most inactive/symptom free individuals needs a baseline exercise test for low/moderate intensity PA programs.

FALSE

T/F: PA recommendations include 115-300 minutes of moderate intensity exercise.

FALSE

T/F: Unifocal PVCs originate from the same site within the atria.

FALSE

T/F:Abnormal Q waves can be used as a tool to assess possible future myocardial infarctions.

FALSE

True or False: If atrial fibrillation happens during a GXT, the test does not have to be stopped.

FALSE

True/ False: Normal QRS interval duration > 0.12 seconds

FALSE

True/False: Broad QRS (>0.12 seconds) w/ sinus P wave may indicate impulse is originating in ventricle

FALSE

True/False: If blocks occur during GXT, you may continue test?

FALSE

T/F: Physical Activity is planned, structured, purposeful, and aims to improve physical fitness.

False

In the past 50 years, nature of work has become less physically demanding. A. True B. False

TRUE

PR interval decreases with increased HR A. True B. False

TRUE

T/F: Sudden cardiac death related to moderate intensity exercise is rare a. True b. False

TRUE

T/F: There is an inverse relationship between gains in bone mineral density and osteoporosis.

TRUE

True or False: Abnormal Q Waves can indicate area of necrosis.

TRUE

True/False: Torsades des Pointes means "twisting of the points"

TRUE

T or F: Is amplitude the magnitude of deflection?

True

How many cycles do you need to calculate heart rate if the patient has bradycardia and irregular beats? a. 6 b. 4 c. 5 d. 2

a. 6

How many seconds does 15 small squares on an EKG strip equal to? a. 5 b. 3 c. 6 d. 2

b.3

How many small squares are in one big square? a. 30 b. 50 c. 25 d. 20

c. 25

Which axis indicates voltage? a. Diagonal b. Horizontal c. Vertical d. None of the above

c. Vertical

When estimating the heart rate the" fast way", what is the correct order of triplets to do so? a. 300,200,100,75,60,40 b. 350,300,150,100,75,60,50 c. 320,150,100,75,60,50 d. 300,150,100,75,60,50

d. 300,150,100,75,60,50


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