of legal age
not mentally incapacitated - ANS what is the criteria for obtaining a valid informed consent?
pulse palpation, auscultation, and HR monitor - ANS what are the three methods of taking heart rate within a fitness setting?
30 seconds or 60 seconds - ANS time...
of legal age
not mentally incapacitated - ANS what is the criteria for obtaining a valid informed consent?
pulse palpation, auscultation, and HR monitor - ANS what are the three methods of taking
heart rate within a fitness setting?
30 seconds or 60 seconds - ANS time interval for recording a resting heart rate
10, 15, or 30 seconds - ANS time interval for recording an exercise heart rate
two heart rate measurements within 5 beats of each other - ANS what constitutes a steady
state heart rate
after 5 minutes, the EP should retake the measurements in the correct position
-higher than normal values could be explained by caffeine, stress, an anticipatory response
(whitecoat hypertension), or a high temp environment
-yes the test can be continued, there is no exercise contraindications, hypertension in this case
is only a risk factor
-JNC criteria indicates a medical el=valuation or medically supervised test when the patient is
experiencing stage II hypertension or a related target organ disease (kidney disease) - ANS
CASE STUDY 1
An apparently healthy 47-year old male reports to a local university-based wellness center for a
submaximal fitness test (YMCA submaximal cycle test).
During the preexercise evaluation, the following vitals are recorded:RHR is 90 bpmRBP is
144/90 mm HgThe client indicates that these values seem high.-Based on the resting vitals
recorded, what should the EP do next?
what might explain these higher than normal values?
based on ACSM guidelines, can the test be continued?
based on JNC criteria, when is a medical evaluation and a medically supervised test
reccommended prior to exercise?
EDNOS: eating disorder not otherwise specified(most prevalent)
, -hypkalemia is a condition where blood potassium levels are too low
-no, you should not continue with the test-hypokalemia is a relative contraindication and the test
should be rescheduled.
-consider that she is young, physically active. her PA would effect dietary eating habits and
fluctuate potassium levels - ANS CASE STUDY 2
A young female student athlete volunteers as a subject for a maximal, graded exercise test at a
university-based exercise physiology lab.
During the preexercise evaluation, the graduate student notes that she iscurrently on a
medication for hypokalemia (oral potassium supplement) with a diagnosis of EDNOS.
-What does EDNOS stand for?
-What is hypokalemia?
-Based on ACSM guidelines, can you continue with the test or not? Explain.
-What factors should you consider in your decision to continue with the exercise test or not? Be
complete.
8-12 - ANS the optimum protocol for any CRF test should last how many minutes?
field tests are inexpensive, don't require extensive equipment or training
however, they are indirect uncontrolled, lack of ability to pace client, and they can be influenced
by environmental factors
-they are inappropriate for sedentary individuals or those at an increased risk for CV or MSI
complications - ANS pros and cons of field tests
they are conducted in controlled environments with calibrated equipment, monitored tests by
trained staff
however, they are costly, require equipment and trained technicians to administer - ANS
pros and cons of submaximal laboratory tests
have balance and gait issues, morbidly obese individuals, or those with respiratory issues.
-used for trained cyclists (specificity) - ANS cycle ergometers are better for individuals
who?
they most resemble ADL's - ANS why are treadmill tests the preferred type or ergometer?
if a patient suffers from stroke, brain injury, or lower extremity loss of function - ANS when
is an erm ergometer the most appropriate test?
5-20% - ANS VO2 peak difference between cycle ergometers vs treadmills
20-30% - ANS VO2 peak difference between arm ergometers vs treadmills
standard stepwise protocol - ANS continuous test that increases in intensity every few
minutes and can vary in length. not beneficial for those with low exercise tolerance
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