ACSM Clinical Exercise Physiologist

1 MET = - correct answer-3.5 ml/kg/mig 1 large box - correct answer-5mm or 0.2 seconds 1 small box - correct answer-1mm or 0.04 sec 1 Rep Max (1RM) Procedure - correct answer-1.) warm up with sub max reps (40-60% RM) 2.) 3-5 reps moderate wt (70-80% RM) 3.) 2 min rest then estimated max attempt 4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries 5.) once attempt failed- attempt weight between last 2 Intraventricular conduction delay - correct answer-- wide QRS = 0.1 - refers to disturbances in the intraventricular propagation of supraventricular impulses resulting in changes in the QRS complex either in morphology or duration, or both - abnormal activation the ventricle cause by conduction delay Indicators of an old MI - correct answer-- Abnormal/significant Q waves - 1 box wide of 1/3 of R-wave Absolute Contraindications to Exercise Testing - correct answer-1. recent change in ECG 2. unstable angina 3. uncontrolled dysrhythmia causing sxs 4. symptomatic severe AS 5. uncontrolled HF w/ sxs 6. acute PE or pulmonary infarct 7. acute myocarditis/pericarditis 8. suspected / known dissecting aneurysm 9. acute systemic infection ***Risk of testing outweigh the benefits*** Absolute indications to Terminate Exercise Testing - correct answer-1. Drop in SBP 10 mmHg w/ increased workload 2. Moderately severe angina 3. Increase in Dizziness 4. signs of poor perfusion 5. technical difficulties 6. Sustained V-TAch 7. ST elevation (+1mm) in leads w/o Q waves Blood Glucose Management with exercise - correct answer-- Requires balance between hepatic glucose production, peripheral glucose uptake, combined with effective insulin response - Continuous monitoring - Regular PA Dangers of BS of 250-300 mg/dl - correct answer-- Urinary Ketones form as a result of ineffective fat metabolism that contribute to diabetic ketoacidosis Ideal blood glucose post Exercise - correct answer- 80 mg/dl Ideal Blood Glucose before exercise - correct answer- 100 mg/dl Normal BP response to Exercise - correct answer-- Progressive increase in SBP with workload until plateau in peak exercise - No change or slight decrease in SP