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99 Cards in this Set
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- 3rd side (hint)
Risk factor - age |
Men : greater than Or equal to 45 Y°Women: greater than or = to 55 yo |
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Risk Factor - FHX |
MI, cardio Revascularisation, or sudden death before 55 yo In a father or male of the 1st °Be for 65yo In a mother or female of the 1st ° |
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Risk Factor- smoking |
Current Smoker or those who have quit in the last 6 months or are exposed to 2nd hand smoke |
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Risk Factor- Sedentary lifestyle |
< 30 min of moderate Intensity exercise (40-60% VO2R) on at least 3 days of the WK for at least 3 mo |
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Risk factor- obesity |
BMI of 30 or higher OR waist girth> 102 cM for men and > 88cm for women |
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Risk Factor- HTN |
Systolic > or = 140mm and / or diastolic > or= 90 mm (2 occations) or on anti HTN medication |
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Risk Factor -Dyslipidemia |
LDL > or = 130mg OR HDL <40mg OR on medication OR total is > or = 200mg |
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Risk Factor- pre diabetes |
Impaired Fasting glucose > or = 100mg and or = 140mg an < or = 199mg ( 2 occurrences) |
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Negative Risk Factors |
HDL> or = 60mg |
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AACVPR- lowest Risk |
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Aacvpr- Moderate Risk |
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AACVPR - Highest Risk |
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Classification and management of BP of adults |
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A Recent Significant change to the resting ECG suggesting ischemia, recent Ml (within 2 d) or other acute cardiac event |
Absolute Contraindication to Exercise testing |
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Unstable angina |
Absolute contraindication to Exercise testing |
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Uncontrolled cardiac dysrhythmias causing Symptoms or Hemodynamic Compromise |
Absolute Contraindication to exercise testing |
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Symptomatic Severe aortic stenosis |
Absolute Contraindication to exercise testing |
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Uncontrolled symptomatic Heart Failure |
Absolute contraindication for exercise testing |
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Acute pulmonary embolus or pulmonary Infarction |
Absolute Contraindication to exercise testing |
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Acute myocarditis or pericarditis |
Absolute Contraindication to Exercise testing |
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Suspected Or known dissecting aneurysm |
Absolute Contraindication for Exercise testing |
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Acute systemic infection, accompanied by fever, body aches, or swollen Lymph glands |
Absolute Contraindication for exercise |
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Left main coronary Stenosis |
Relative Contraindication to Exercise testing |
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Moderate Stenotic Valvular heart disease |
Relative Contraindication to Exercise testing |
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Electrolyte abnormalities ( Ex: Hypokalemia) |
Relative Contraindication for exercise testing |
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Severe arterial HTN ( Systolic > 200 and/ or diastolic > 110) |
Relative contraindication for exercise testing |
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hypertrophic Cardiomyopathy and other forms of outflow tract obstruction |
Relative contraindication for Exercise testing |
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Neuromuscular, Musculoskeletal, or rheumatoid disorders that are exacerbated by exercise |
Relative contraindication for exercise testing |
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High-degree atrioentricular |
Relative Contraindication for exercise testing |
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Ventricular aneurysm |
Relative Contraindication for Exercise testing |
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Uncontrolled Metabolic disease ( Ex: diabetes, thyrotoxicosis, or myxedema) |
Relative contraindication for exercise testing |
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Mental or physical impairment leading to the inability to exercise adequately |
Relative contraindication for Exercise testing |
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Participant Instructions for exercise testing |
-No food, alcohol, caffeine or using tobacco within 3 hrs -Should be rested, avoid sig exercise/exertion -Wear comfortable clothing -the test may be fatiguing, the pt may want transportation -for DX the pt may be requested to discontinue some cadiovascular meds by their physician prior to testing ( B-blockers, this is due to hemo Changes during testing, pt also to taper due to withdrawl) - for functional or Rx testing pt should continue meds - list of meds with time taken - Drink ample fluids for 24 hrs prior to testing |
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Purpose for health-related physical fitness testing |
-Education on current heath status - provide data that aids in the development of an ExRx that promotes health/fitness - motivation for participants |
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organization for the test |
1. documents are together and in the clients file/ during test 2. Calibrate equipment 3. organize equipment for test(s) order to prevent fatigue or decreased performance 4. Informed consent 5. Room temp between 68°F-72°F ( 20-22°C) and humidity <60% |
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Disease Risk based on BMI |
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Disease Risk based on BMI |
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Circumference sites for fat % |
- abdomen ( iliac crest @the umbilicus - Arm (midway between acromion and olecranon processes) -Bultocks/hips ( Maximal Cirwmference of the buttocks) - Calf ( max b/T knee and ankle) - Forearm (max circum ) - Hips/thigh ( Max just under gluteal fold ) - mid-thigh ( midway B/T patella and inguinal creasewaist Waist - narrow point b/T bellybutton and Xyphoid Process |
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define FITT - VP |
Frequency Intensity Time / duration Type / Mode Volume Progression |
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Components of the Medical Hx |
Diagnosis Prior physical Exams Hxof S/s Recent illnesses? orthopedic problems? Meds Recreational habits (cigs, alcohol, weed? Exercise Hx Work HX FHX |
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Symptom- Limited Exercise test Physical Examination components |
-Body wt -pulse rate and rhythm -Resting BP -Auscultation of lungs -Palpation of cardiac apical impulse and point of Max impulse -Auscultation of heart -palp and Auscultation of cartoid abd and femoral arteries -Eval of Abd -palp and Examine Lower extremities -Note tendon Xanthoma and Skin xanthelasma -follow up exam for orthopedic or other medical conditions limiting exercise -tests for neurological function -inspection of skin (expecially those with DM
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With circumference measures for fat %, within how many mm should a second measure be? |
5mm |
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Risk criterion for waist circumference |
Very low Low High Very high *no moderate |
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Skin fold sites |
-Abd - vertical fold, 2 cm from umbilicus -Triceps - vertical, mid b/T acromion and olecranon processes -Biceps - vertical, over the belly of the Biceps -chest/pectoral - diaganal, half way b/T anterior axillary line and nipple, for women one third -medial Calf - vertical, max circum -Midaxilliary - vertical, Midaxilliary level with the Xyphoid subscapular - diagonal, 1-2 cm below inferior angle of the scapula - subscapular - diagonal, 1-2 cm below inferior angle of the scapula-suprailiac - diagonal, taken at the natural line-thigh- vertical, mid b/T patella and inguinal crease -suprailiac - diagonal, taken at the natural line -thigh- vertical, mid b/T patella and inguinal crease |
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all skin folds are on what side of the body |
Right |
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The caliper measurements should be b/T how many mm |
1 to 2 mm |
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Ways to measure body Comp |
Circumference Skin fold Densitometry Hydrodensitometry Plethysmography Conversion of body density to body composition |
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Most accurate estimate for VO2max from HR response in submax testing |
-steady state heart rate for each work rate -linear relationship between HR and work rate -difference b/T actual and predicted is minimal -mechanical efficiency is the same for everyone at a particular work rate -subject is not on meds |
Sally Likes Dark M&Ms |
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Modes of testing |
Field test Treadmills Cycle ergometers Step test |
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Per stage of a sub max test what range should the two HRs be within? |
5 bpm |
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Onset of angina or angina-like symptoms |
Indication for stopping an exercise test |
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Drop in SBP of g |
Indication for stopping an exercise test |
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Excessive rise in BP : Systolic > 250 MM and/or diastolic > 115 mm |
Indication for stopping an exercise test |
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SOBwheezing leg cramp or claudication |
Indication for stopping an exercise test |
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Signs of poor perfusion: light headedness, confusion, ataxia, pallor, cyanosis, nausea, or cold and Clammy skin |
Indication for stopping an exercise test |
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Tachydysrhythmia or bradydysrythmia |
Relative contraindication for exercise testing |
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Chronic infectious disease |
Relative contraindication for exercise testing |
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1kg= ? lbs |
2.2 lbs |
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1 mph = ? meters per min |
26.8 m / min |
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Convert 7 mph to min / mile |
8.6 min/mile |
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1 L of O2 = ? Kcal |
5 kcal |
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1 MET = ? ml / kg / min |
3.5 mL/kg/min |
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1 MET = ? Kcal / kg / hr |
1 kcal /kg/hr *remember hour NOT min |
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1 watt = ? kgm / Min |
6 kgm/min |
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3.5 mL/kg/min = ? METS |
1 MET |
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kg×m / min = ? (Equation) |
Kg × 6 × rpm (monark cycle) |
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Absolute VO2 |
rate of O2 uptake in L/ min |
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Relative VO2 |
Rate of 02 Uptake in ML / Kg / min. used to compare VO2 between people of different body size |
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Gross V02 |
total Consumption of 02 Under any circumstances |
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Net V02 |
02 consumption Above resting 02 Consumption. Used to describe Caloric cost of exercise |
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Calculate energy expenditure of a 62 kg woman cycling at a work rate of 450 kgm/min
VO2 = ( 1.8 × kgm / min ) / M (wt. in kg) + (7) VO2 = (10.8 × watts) / M (wt in kg) + (7) |
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What are these components? |
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Calculate VO2 for a70 kg subject who is walking on the treadmill at 3.5 mph and 10% grade |
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Calculate VO2 for someone running 7.5 mph and 5% grade? |
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1 mile per hr = ? km/hr? |
1.609 km/hr |
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how many calories are in one pound of fat? |
3500 kcal |
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what is the purpose for metabolic calculations? |
estimate energy expenditure during steady state exercise |
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monark cycle work rate calculation |
resistance * (revolutions/min) * 6m/revolution *note: 6m/rev is only for leg monark (arm is 2.4) |
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kcal/ minute = (equation) |
(METS*3.5*kg)/ 200 "the 200 equation" |
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What range of speed is the walking calculation most accurate? |
1.3-3.7 mph |
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What range of speed is the running calculation most accurate? |
>5 mph (so anything in the 4 mph range you are just weird, stop that) |
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If your patient is not at steady state your estimation of VO2 will (blank) estimated. |
over |
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at steady state (submax exercise), O2 cost ? O2 uptake |
Equals |
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at maximal exercise, O2 cost ? O2 uptake |
greater than (>) |
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all metabolic equations give (blank) VO2 values |
gross |
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NET VO2 = (equation) |
Gross VO2 - resting value (3.5 ml/kg/min or 1 MET) |
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VO2 for walking @ 3.0 mph at 5% grade (answer in VO2 and METS) |
18.7 VO2 and 5.4 METS |
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VO2 for running at 6.0 mph at a 5% grade |
42.9 VO2 and 12.26 METS |
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What is the VO2 for a 90 kg subjectpedaling at 2.0 kg at 60 rpms |
6.1 METS |
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What is the VO2 of a 100kg person who uses a Monark arm ergometer at 3 kg at 50 rpms.
Hint: arm is 2.4 m/rev |
14.3 ml/kg/min |
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what unit is used to represent step height? |
meters (1 inch = .0254 m) |
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What is the VO2 fora 55 kg woman who is stepping on a 12”bench at 30 steps per minute What is the kcalexpenditure (kcal.min-1) for this 55 kg person exercising at the above VO2or METS?
This person exercises at this rate 3 times per week for 30 minuteseach session. How long will it take this person to lose 10 pounds exercising at thisrate? |
9.1 METS
(remember weight loss...so this is gross VO2 you need net for the 200 equation)
49.9 Weeks |
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1 KPM = ? Newtons (if asked to calculate joules) |
9.79 newtons |
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1 KPM = ? Ml/kg/min |
1 ml/kg/min (same thing written different) |
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Power conversions |
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Power conversions |
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Work is measured in ? |
Joules and kpm |
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