PHYSICAL ACTIVITY AND PREEXERCISE EVALUATION (CHAPTERS 1-3)WITH 100% CORRECT ANSWERS

Body weight, resting blood pressure, auscultation of the lungs, palpation of the lower extremities, tests of neurologic function, and apical pulse rate and rhythm are all components of a physical examination 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) Physical fitness is defined as the ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and meet unforeseen emergencies. Exercise is defined as a type of physical activity consisting of planned, structured, and repetitive bodily movement done to improve and/or maintain one or more components of physical fitness. As a result of regular physical activity, which of the following is considered an improvement in cardiovascular and respiratory function? a. Reduced resting systolic/diastolic pressures b. Increased serum high-density lipoprotein cholesterol and decreased serum triglycerides c. Reduced total body fat and reduced intra-abdominal fat d. Increased maximal oxygen uptake resulting from both central and peripheral adaptations Increased maximal oxygen uptake resulting from both central and peripheral adaptations Which of the following methods may reduce the risk for musculoskeletal injury? a. Stretching b. Warm-up c. Gradual progression of exercise intensity and volume d. All of the above d. All of the above Which of the following is defined as a loss of consciousness? Select one: a. Syncope b. Orthopnea c. Paroxysmal nocturnal dyspnea d. Angina a. Syncope Which of the following is not true concerning the PAR-Q+? Select one: a. It is an evidence-based document. b. It includes several additional follow-up questions to better guide preparticipation recommendations. c. It was developed to reduce barriers for exercise and false positive screenings. d. It results in a higher rate of referral to a physician compared to the PAR-Q. d. It results in a higher rate of referral to a physician compared to the PAR-Q. Pulmonary function testing with spirometry is recommended for all smokers over the age of 45 Years Which of the following is not a CVD risk factor? a. Age b. Ethnicity c. Diabetes d. Obesity b. Ethnicity Which of the following cardiac rhythm disorders may lead to palpations? Select one: a. Tachycardia b. Ectopic beats c. Compensatory pauses d. All of the above d. All of the above There is strong evidence today for an inverse dose-response relationship between physical activity and all-cause mortality. Although CVD risk factor analysis is no longer part of the exercise preparticipation health screening process, CVD risk factor analysis may play a role in which of the following? a. Development of client ExRx b. The need for lifestyle modification c. Patient education about CVD risk reduction d. All of the above d. All of the above Which of the following has been defined as "moderate" physical activity? a. 3 METs b. 3-6 METs c. ≥6-9 METs d. 9 METs b. 3-6 METs Which of the following is not a primary recommendation from the ACSM-AHA physical activity and public health update? a. All healthy adults aged 18-65 yr need high-intensity aerobic physical activity for a minimum of 30 min 5 d · wk-1 or moderate activity for a minimum of 45 min 5 d · wk-1. b. Moderate-intensity aerobic activity can be accumulated toward the 30 min minimum by performing bouts each lasting 10 or more minutes. c. Every adult should perform activities that maintain or increase muscular strength and endurance a minimum of 2 d · wk-1. d. Because of the dose-response relationship between physical activity and health, persons who wish to further improve their personal fitness, reduce their risk for chronic diseases and disabilities, and/or prevent unhealthy weight gain may benefit by exceeding the minimum recommended amounts of physical activity. a. All healthy adults aged 18-65 yr need high-intensity aerobic physical activity for a minimum of 30 min 5 d · wk-1 or moderate activity for a minimum of 45 min 5 d · wk-1. Since the publishing of the U.S. Surgeon General's Report in 1996, several reports have been published advocating physical activity levels above the minimum recommendations. These guidelines and recommendations refer to the volume of physical activity required to prevent weight gain and/or obesity Regardless of participation in regular exercise, an exercise professional should advise a participant to seek medical clearance prior to participating in an exercise program under which of the following condition(s). a. If the participant is asymptomatic and has no cardiovascular, metabolic, or renal disease b. If the participant is symptomatic and has no cardiovascular, metabolic, or renal disease c. If the participant is asymptomatic and has cardiovascular, metabolic, or renal disease d. All of the above INCORRECT D is incorrect Which of the following is not an indication for spirometry? a. To evaluate symptoms, signs, or abnormal laboratory tests b. To measure the effect of disease on pulmonary function c. To measure maximal oxygen consumption d. To screen individuals at risk of having pulmonary disease c. To measure maximal oxygen consumption Physical activity is defined as any bodily movement produced by the contraction of skeletal muscles that results in a substantial increase in caloric requirements over resting energy expenditure Which one of the following factors is not associated with musculoskeletal injury? Exercise intensity b. Exercise duration c. Nature of the activity d. Musculoskeletal anomalies b. Exercise duration An individual has known cardiovascular and/or metabolic disease if a physician has diagnosed all but which of the following conditions? Select one: a. Peripheral vascular disease b. Cerebrovascular disease c. Type 2 diabetes mellitus d. Meningococcal disease d. Meningococcal disease According to a recent survey, what percentage of U.S. adults meet muscle strengthening guidelines? 29.3% Which of the following is considered to be the absolute annual risk of exercise-related sudden death among high school and college athletes? a. 1 in 200,000 men and 500,000 women b. 1 in 133,000 men and 769,000 women c. 1 in 100 d. 1 in 267,000 men and 268,000 women b. 1 in 133,000 men and 769,000 women Which of the following is considered a skill-related component of physical fitness? Select one: a. Body composition b. Muscular strength c. Flexibility d. Balance d. Balance Based on the U.S. Surgeon General's Report of 1996, which of the following is true? a. Important health benefits can be obtained by including a moderate amount of physical activity on most, if not all, days of the week. b. Americans are becoming more obese because they lack enough sleep, carbohydrates, and protein in the meals they eat. c. An exercise program must consist of aerobic activities of 30 min or more twice a week to be effective. d. Exercise programs can only be effective if they involve both small and large muscle groups and are done every day. a. Important health benefits can be obtained by including a moderate amount of physical activity on most, if not all, days of the week. Paroxysmal nocturnal dyspnea is defined as b. shortness of breath brought that usually begins 2-5 h after the onset of sleep. 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 Select one: a. presence of complex ventricular dysrhythmias during exercise testing or recovery. b. presence of angina or other significant symptoms at low levels of exertion or during recovery. c. high level of silent ischemia during exercise testing or recovery. d. presence of normal hemodynamics with exercise testing or during recovery. d. presence of normal hemodynamics with exercise testing or during recovery. Which of the following lipids and lipoproteins is strongly and inversely associated with the risk for cardiovascular disease? Select one: a. LDL cholesterol b. HDL cholesterol c. Total cholesterol d. Triglycerides b. HDL cholesterol Which of the following is diminished with obstructive airway diseases? Select one: a. Forced vital capacity (FVC) b. Forced expiratory volume in 1 s (FEV1.0) c. FEV1.0/FVC ratio d. Arterial partial pressure of carbon dioxide (PaCO2) c. FEV1.0/FVC ratio An intervention designed to prevent an initial occurrence of a disease is known as primary prevention The Global Initiative for Chronic Obstructive Lung Disease has classified the severity of COPD into four stages based on postbronchodilator FEV1.0. Stage IV is very severe. At what point is the FEV1.0 considered this stage of disease? 30% According to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, a "normal" blood pressure is 120 mm Hg systolic and 80 mm Hg diastolic