Clinical Exercise Physiology (Richardson) Final Exam
Review with question and answer 100% correct
OPQRST and A
O= onset
P= provocation and palliation
Q= quality
R= region and radiation
S= severity
T= timing
A= associated signs and symptoms - History of present illness information gathered during
the interview portion of the clinical evaluation?
-Abnormal findings based on patient complaints
-Symptoms and info from prior examinations performed by others - What is the focus of the
physical examination?
Dorsi pedal and radial
Graded:
3= bounding
2= normal
1= reduced/diminished
0= absent/nonpalpable - Examination of a peripheral artery pulse?
,-Normal
-Antalgic
-Slow
-Hemiplegic
-Shuffling
-Wide base
-Foot drop or slapping - Various gait abnormalities?
normal gait - Narrow based, steady, deliberate
antalgic gait - Limping because of unilateral pain and compensation for that pain
slow gait - Tipoff for back disease, hip arthritis, or underlying neurological problems
hemiplegic gait - Attributable to weakness or paralysis
shuffling gait - Parkinsons
wide base gait - Cerebellar ataxia or loss of position info
-Suggestive/Transient ischemic attack (vision/speech disturbance)
-Recent fall
-Low leg pain at rest
-Severe headache
-Pain in bone area
, -Unexplained tachycardia/bradycardia
-Active wheezing
-SBP: >200 or <86, DBP >110
-New shortness of breath
-Recent syncope - Red flag indicators that warrant a discussion w/ a physician before
exercise?
Determines diagnosis and guides subsequent testing and treatment - What is the
importance of a thorough history?
-Class I: no marked limitations
-Class II: slight limitations of PA (comfortable at rest)
-Class III: marked limitations of PA (2-5 METS) → fatigue palpitations, dyspnea occurs w/ less
than ordinary PA
-Class IV: no PA w/o discomfort (>2 METS) → symptoms at rest, PA worsens symptoms - New
York Heart Association functional classifications?
-Decrease in SBP >10 mmHG below baseline
-ST or QRS changes: ST depression, or marked axis shift
-Arrhythmias
-Fatigue
-SOB
-Wheezing
-Leg cramps
-Claudication
-Chest pain
-BBB or intraventricular conduction delay
Review with question and answer 100% correct
OPQRST and A
O= onset
P= provocation and palliation
Q= quality
R= region and radiation
S= severity
T= timing
A= associated signs and symptoms - History of present illness information gathered during
the interview portion of the clinical evaluation?
-Abnormal findings based on patient complaints
-Symptoms and info from prior examinations performed by others - What is the focus of the
physical examination?
Dorsi pedal and radial
Graded:
3= bounding
2= normal
1= reduced/diminished
0= absent/nonpalpable - Examination of a peripheral artery pulse?
,-Normal
-Antalgic
-Slow
-Hemiplegic
-Shuffling
-Wide base
-Foot drop or slapping - Various gait abnormalities?
normal gait - Narrow based, steady, deliberate
antalgic gait - Limping because of unilateral pain and compensation for that pain
slow gait - Tipoff for back disease, hip arthritis, or underlying neurological problems
hemiplegic gait - Attributable to weakness or paralysis
shuffling gait - Parkinsons
wide base gait - Cerebellar ataxia or loss of position info
-Suggestive/Transient ischemic attack (vision/speech disturbance)
-Recent fall
-Low leg pain at rest
-Severe headache
-Pain in bone area
, -Unexplained tachycardia/bradycardia
-Active wheezing
-SBP: >200 or <86, DBP >110
-New shortness of breath
-Recent syncope - Red flag indicators that warrant a discussion w/ a physician before
exercise?
Determines diagnosis and guides subsequent testing and treatment - What is the
importance of a thorough history?
-Class I: no marked limitations
-Class II: slight limitations of PA (comfortable at rest)
-Class III: marked limitations of PA (2-5 METS) → fatigue palpitations, dyspnea occurs w/ less
than ordinary PA
-Class IV: no PA w/o discomfort (>2 METS) → symptoms at rest, PA worsens symptoms - New
York Heart Association functional classifications?
-Decrease in SBP >10 mmHG below baseline
-ST or QRS changes: ST depression, or marked axis shift
-Arrhythmias
-Fatigue
-SOB
-Wheezing
-Leg cramps
-Claudication
-Chest pain
-BBB or intraventricular conduction delay
