ACCURATE SOLUTIONS
What is used as a preparticipation health screening tool by a professional for the general (non-
clinical) population? - CORRECT ANSWER✔✔The ACSM algorithm
Sedentary
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - CORRECT ANSWER✔✔Medical clearance is recommended
Light-moderate, progress as tolerated
Sedentary
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - CORRECT ANSWER✔✔Medical clearance is not necessary
Light to moderate, progress to vig
Sedentary
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
,At what intensity? - CORRECT ANSWER✔✔Medical clearance is recommended
Light-moderate, progress as tolerated
Active
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - CORRECT ANSWER✔✔Medical clearance is not necessary
Light to vigorous
Active
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - CORRECT ANSWER✔✔Medical clearance is not necessary for light to
moderate, but necessary before vigorous
Active
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? - CORRECT ANSWER✔✔Discontinue exercise and seek clearance before
continuation
Definition for active vs sedentary - CORRECT ANSWER✔✔Exercised for at least 30 min/day, 3
days/wk for last 3 months
,Light intensity VO2R and HRR - CORRECT ANSWER✔✔30-39% HRR or VO2R
Light intensity METs - CORRECT ANSWER✔✔2-2.9 METs
Light intensity RPE - CORRECT ANSWER✔✔RPE 9-11
Moderate intensity HRR or VO2R - CORRECT ANSWER✔✔40-59% HRR or VO2R
Moderate intensity METs - CORRECT ANSWER✔✔3-5.9 METs
Moderate intensity RPE - CORRECT ANSWER✔✔RPE 12-13
Vigorous intensity VO2R or HRR - CORRECT ANSWER✔✔≥ 60% HRR or VO2R
Vigorous intensity METs - CORRECT ANSWER✔✔≥ 6 METs
Vigorous intensity RPE - CORRECT ANSWER✔✔RPE ≥ 14
CV disease - CORRECT ANSWER✔✔cardiac, peripherovascular, or cerebrovascular disease
Metabolic disease - CORRECT ANSWER✔✔Any 3 out of 5 of the following:
-increased waist circumference (M ≥ 40in, W ≥ 35in)
-increased triglycerides ≥ 150 mg/dL
-decreased HDL (M < 40mg/dL, W < 50)
, -increased BP (SBP ≥ 130 or DBP ≥ 85)
-increased fasting glucose ≥ 100mg/dL
Signs and symptoms suggestive of CV, renal, and metabolic disease - CORRECT ANSWER✔✔-
pain/discomfort in neck, chest, jaw, arms
-SOB at rest or w/mild exertion
-dizziness or syncope
-orthopnea or paroxysmal nocturnal dyspnea
-ankle edema
-palpitations or tachycardia
-intermittent claudication
-known heart murmur
-unusual fatigue or SOB w/usual activities
What is used as a preparticipation health screen in absence of a professionals help? - CORRECT
ANSWER✔✔The 2014 PAR-Q+
What is used as a pre-participation screening tool by a professional for cardiac rehab and other
medical fitness facilities? - CORRECT ANSWER✔✔AACVPR risk stratification
AACVRP lowest risk components during exercise test and recovery - CORRECT ANSWER✔✔-no
complex ventricular dysrhythmias
-no angina or other sig sx
-normal hemodynamics
-functional capacity ≥ 7 METs
PT case: