030-444 Questions and Answers

Clients after atherectomy.

Clients with angina.

Clients with osteoporosis.

Clients with arthritis.

80.

70.

90.

75.

The number of repetitions to volitional fatigue will vary inversely with resistance.

It is necessary to determine the 1- RM to establish training intensity.

Exercise to volitional fatigue is not dangerous from a musculoskeletal standpoint provided that good exercise form is maintained.

Exercise intensity should be similar for males and females.

A referred pain from a herniated lumbar disk.

Rotator cuff strain or impingement.

angina.

Advanced stages of multiple sclerosis.

The athlete should reduce fat intake to 10% of total calories.

The athlete should increase protein intake to threefold the RDA.

The athlete should have a greater intake of grains, fruits, vegetables, and lean sources of protein.

There should be no change in calories.

Consume 16 to 24 fluid ounces of water for every pound of weight lost.

Drink nothing but alcoholic beverages after engaging in exercise.

Avoid drinking water after exercise because of the danger of cramps.

Eat salt tablets with every meal during the hot summer months.

Office supplies.

Salaries.

Utilities (e.g., telephone).

Laboratory charge backs for blood work.

Negative

Positive

Isoelectric

Either positive or negative

Hyperkalemia.

Acute pericarditis.

Acute MI.

Hypokalemia.

300 mL . min-1

750 mL . min-1

1.25 L . min-1

1.7 L. min-1

1.5 kg.

2.07 kg.

0.25 pounds.

0.45 pounds.

They create problems with staff egos.

They reduce memberships.

They create successful programs and reduce problems.

They create more work for the staff and reduce feedback.

The needs and/or program assessment is a useful tool for gathering data and

support for program implementation.

The needs and/or program assessment often must be a creative tool developed inhouse

to meet the program's specific needs.

Given that the needs assessment may be developed in-house without the benefit

of external validity, generalizing the results may be difficult.

Program planning is an essential step before needs assessment can be performed.

Acute pericarditis.

Right atrial enlargement.

Chronic obstructive pulmonary disease.

Cardiomyopathy.

Make management happy.

Determine if a program is viable.

Save money.

Teach managers about cost analysis.

Polarization.

Repolarization.

Automaticity.

Depolarization.

Premature ventricular contractions.

Ventricular tachycardia.

Ventricular trigeminy.

Ventricular bigeminy.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. 51.

Louis, Mosby, 1999, p 167.)

6.78 kcal . min-1

11.58 kcal· min-1

20.85 kcal. min-1

25.47 kcal· min-1

Goal setting.

Rewards.

Contracts.

Knowledge testing.

Is not necessary if the client completes the medical history questionnaire.

Is a communication tool with little exercise value?.

Provides information about the physician's attitude regarding your club.

Provides a medical opinion about a client's risk with exercise.

50W.

100W.

200W.

300W.

1.36 L . min-1

2.47 L . min-1

3.62 L . min-1

3600 mL . min-1

Negligence is breaking a tort law and can ruin an instructor's career.

State taxes often are related to profit, which is governed by tort laws.

Tort laws are related to worker's compensation regulations.

They relate to the Americans with Disabilities Act (ADA)

Client progress and outcomes.

Member needs.

Performance of clients on selected exercises.

Member suggestions and any actions taken regarding them.

A legal form.

A process that is backed up by a form.

Something that only a lawyer can provide to an exercise program.

Being an informed consumer to ensure that one undertakes the proper exercise program.

36.57 METs.

10.45 METs.

12.25 METs.

Not enough information to answer the question.

They tend to consume less overall energy than men.

They tend to consume less dairy products.

They tend to consume less protein from meat sources.

All of the above.

Limit activities as tolerated to the development of self-care activities, ROM for extremities, and low-resistance activities.

Limit upper body activities to biceps curls, horizontal arm adduction, and overhead press using 5-pound weights while sitting on the side of the bed.

Progress all activities performed from supine to sitting to standing.

Measure vital signs, symptoms, RPE, fatigue, and skin color and perform electrocardiography before, during, and after treatments to assess activity tolerance.

Fruits, beans, and oats.

Meat and dairy foods.

Wheat bran and whole wheat products.

All of the above.

β2-Agonists.

β-Blockers.

Diuretics.

Aspirin.

Persons with WI pacemakers may be chronotropically (HR) competent with exercise but require longer warm-up and gradual increase in intensity during the initial exercise portion of their session.

Persons who are chronotropically competent are tachycardic at rest and should not exercise at low intensities.

BP response is not a good marker of intensity effort in those with WI pacemakers and need not be evaluated during an exercise session.

Persons with WI pacemakers must avoid exercise on the bicycle ergometer because of the location of the ventricular lead wire and potential for displacement.

The client exhibits mild cardiac symptoms of angina, occurring intermittently during exercise and sometimes at home while reading.

The client has a functional capacity of greater than 8 MET with hemodynamic responses appropriate to this level of exercise.

The client is noncompliant with smoking cessation and weight loss intervention programs.

The client is unable to palpate HR, deliver RPEs, or maintain steady workload intensity during activity.

Determining total body fat through the BMI to assess obesity.

Determining the degree of abdominal fat and health risk through waist circumference.

Using the waist-to-hip ratio as the only definition of obesity and lean muscle mass.

Both A and B.

Sweat as much as possible.

Exercise at 85% of HRR.

Perform resistance exercise three to five times per week.

Expend 300 to 500 calories per exercise session.

Improved ischemic threshold at which angina symptoms occur.

Increased myocardial oxygen demand at the same submaximallevels.

Eradication of all symptoms.

Elevation of BP.

Weight training.

Walking.

Bicycling.

Stair climbing.

Dyslipidemia (low HDL-C, elevated triglycerides).

Osteoporosis.

Insulin resistance.

Elevated blood pressure.

Is required by federal law.

Provides a "road map" for interventions.

Is a requirement for insurance reimbursement.

Provides raw data for analysis in CQI or outcomes assessment.

Individuals on -blockers.

Aerobic classes that involve excessive arm movement.

Individuals older than 65 years.

Individuals involved in high-intensity exercise.

AACVPR.

American College of Physicians.

American Heart Association.

ACSM.

Atrial flutter.

Atrial fibrillation.

Premature atrial contractions.

Atrial tachycardia.

The manager should maintain a hands-off approach.

The manager should be involved only in the budgeting and final approval.

The manager should be the only person involved in program development.

The manager should be active as a program developer as well as a resource,

supporter, and critic for programs developed by other staff.

34.84 mL . kg-1. min-1

34.48 mL . kg-1. min-1

38.34 mL . kg-1. min-1

43.83 mL . kg-1. min-1