What was the PAR-Q designed for? - ✔✔The PAR-Q was designed to screen out those clients from not
participating in physical activity that may be too strenuous for them
What is the PAR-Q the minimal standard for? - ✔✔Entry into moderate-intensity exercise programs
When is the e-PARmed-X+ used? - ✔✔The e-PARmed-X+ is used in those coases when one of the seven
questions in the PAR-Q+ needs further medical clearance using the self-guided method
What is the format of the PAR-Q+? - ✔✔7 general health questions to establish if it is necessary for
someone to seek out further advice from a doctor or qualified exercise professional before starting PA
What happens if someone answers no to all seven questions on the PAR-Q+? - ✔✔If you answer no to
all the general health questions, you are cleared for PA
What happens if someone answers yes to one or more questions on the PAR-Q+? - ✔✔Answer follow up
questions about your medical conditions on page 2 and 3, and the the individual is advised to seek more
information and complete the ePARmed-X
What is the order of the process for screening prior to participation in a PA program? - ✔✔1. Consider
individual's past PA history
2. Evaluate for presence of CMR disease
3. Assessment of individual's presence of signs and symptoms that can be suggestive of CMR disease
What is the Health History Questionnaire (HHQ)? - ✔✔A form used to establish a client's medical/health
risks for participation in a PA program
What does the Health History Questionnaire minimally assess? - ✔✔-Family history of CMR disease
-Personal history of various diseases and illnesses including CMR disease
-Surgical history
,-Past and present health behavior/habits
-Current use of drugs/medications
-Specific history of signs and symptoms suggested of CMR disease
If a client has no history of physical activity, no presence of CMR disease, and no signs/symptoms, can
they start PA? - ✔✔Yes, they can start at light/moderate PA
If a client has no history of physical activity, no presence of CMR disease, but shows signs and symptoms
of CMR disease, can they start PA? - ✔✔Medical clearance first, then light/moderate PA
If a client has no history of physical activity, has CMR disease, and shows no signs and symptoms, can
they start PA? - ✔✔Medical clearance first, then light/moderate PA
If a client has no history of physical activity, has CMR disease, and shows signs and symptoms, can they
start PA? - ✔✔Medical clearance first, then light/moderate PA
If a client has a history of physical activity, has no CMR disease, and has no signs and symptoms, can
they start PA? - ✔✔Yes, and continue to moderate/vigorous PA
If a client has a history of physical activity, has no CMR disease, but shows signs and symptoms, can they
start PA? - ✔✔No, stop for medical clearance
If a client has a history of physical activity, CMR disease, and shows no signs and symptoms, can they
start PA? - ✔✔Medical clearance for vigorous intensity but no medical clearance needed for moderate
intensity PA
If a client has a history of physical activity, CMR disease, and shows signs and symptoms, can they start
physical activity? - ✔✔No, stop for medical clearance
What is CMR disease? - ✔✔Cardiovascular, metabolic, or renal disease
, For the physical activity history, what is current physical activity defined as? - ✔✔Within the last 3
months
What is the threshold dose of physical activity necessary to lower one's risk? - ✔✔30 minutes or more of
at least moderate-intensity exercise on at least 3 days/wk
What is moderate intensity exercise defined as? - ✔✔-40-60% HRR or max oxygen reserve
-3-6 METs
-12-13 RPE
What are the signs and symptoms of CMR disease? - ✔✔-Pain or discomfort in the chest, neck, jaw,
arms or other areas
-Dyspnea: shortness of breath
-Syncope and dizziness during exercise
-Orthopnea
-Ankle edema
-Palpitations and tachycardia
-Intermittent claudication
-Heart murmurs
-Unusual fatigue or shortness of breath
What is vigorous physical activity defined as? - ✔✔-60% of your client's functional capacity
- >6 METs
- >14 RPE scale
What would the characteristics be for a patient at the lowest risk for exercise participation? - ✔✔-
Absence of complex ventricular dysrhythmias during exercise testing
-Absence of angina or other significant symptoms
-Presence of normal hemodynamics
-Functional capacity > 7 METs
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