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ACSM CPT
Study Materials for CPT test
177
Health Care
Undergraduate 3
02/03/2014

Additional Health Care Flashcards

 


 

Cards

Term
Appendicular Skeleton
Definition
bones within the limbs of the body
Term
Axial Skeleton
Definition
bones making up the core of the body
Term
AV valves
Definition
right has 3 leaflets (tricuspid) left has 2 (bicuspid)
Term
Layers of the Heart
Definition
Superficial to Deep: Fibrous Layer, Parietal Pericardium, Pericardial Cavity, Visceral Pericardium, Myocardium (muscle), Endocardium
Term
Conduction of the Heart
Definition
SA node (atria contract/P wave), AV node (PR interval), Bundle of His (Ventricles Contract), Perkinje Fibers (QRS complex), Repolarization of Ventricles
Term
Interventricular Septum
Definition
Separates the left and right sides of the heart.
Term
Layers of Vein
Definition
Tunica Adventita (Externa), Tunica Media, Connective Tissue, Tunica Intima (Interna)
Term
Layers of Arteries
Definition
Tunica Adventita (Externa), External Elastic Lamina, Tunica Media,Internal Elastic Lamina, Tunica Intima (Interna)
Term
Layers of Arterioles
Definition
Tunica Adventita (Externa), Tunica Media, Circular Internal Elastic Fibers, Basement Membrane, Endothelium
Term
Layers of Capillaries
Definition
Basement Membrane, Endothelium
Term
Carotid Pulse Location
Definition
Anterior neck in groove between larynx and sternocleidomastoid muscles
Term
Radial Pulse Location
Definition
Lateral forearm near distal head of radius
Term
Blood Pressure Location
Definition
Brachial Artery
Term
Upper Respiratory Tract
Definition
Nasal Cavity, Pharynx, Larynx
Term
Lower Respiratory Tract
Definition
Trachea, Bronchi, Bronchioles, Alveoli
Term
Conducting Zone
Definition
Trachea, Bronchi, Bronchioles, Terminal Bronchioles
Term
Transitional/Respiratory Zone
Definition
Respiratory Bronchioles, Alveolar Ducts, Alveolar Sacs
Term
Inspiration Muscles
Definition
External Intercostals, Diaphragm
Term
Expiration Muscles
Definition
Internal Intercostals, (forced=rectus abdominus, external/internal obliques, transverse abdominus
Term
Lung Layers
Definition
Parietal Pleura, Pleural space, Visceral Pleura
Term
Fibrous Joints
Definition
Suture (Skull), Syndesmosis (membrane between bone), Gomphosis (Tooth socket)
Term
Characteristics of Muscle
Definition
Irritablity (responds to hormones/nervous system), contractility, extensibility, elasticity
Term
Skeletal muscle layers
Definition
Epimysium, perimysium (around each fascicle), endomysium (around muscle fibers)
Term
Three Muscle Contractions
Definition
Twitch (single breif muscle contraction), Summation (add'l twitch: increase in force), Tetanus (Max force motor unit can develop)
Term
Motor Unit
Definition
A single somatic motor neuron and the group of muscle fibers innervated by it.
Term
Type I muscle characteristics
Definition
More mitochondria than Type II, low glycogen stores, Small motor neuron, slow conduction, small fiber, high energy efficiency, low elasticity
Term
Health related components of Fitness
Definition
Cardiorespiratory Endurance, body composition, muscluar strength, muscular endurance, flexibility
Term
Skill related components
Definition
Agility, coordination, balance, power, speed
Term
Exercise Related Cardiac Events
Definition
Raised cardiac contractions, cracking of atherosclerosis plaque, platelets and thrombosis in exercising individuals
Term
Beneficial METS
Definition
3-6
Term
Risk of Martality during Max Test
Definition
1/10,000 Tests
Term
Minimizing Risk of Cardiac Events during Testing
Definition
Men over 45 or Women over 55= med clearance, med supervision on site, emergency plan=CPR, crash cart, EMT
Term
Provisions for minimizing risk during testing
Definition
reasonable ex. duration/intensity/wu/cd, minimize personal competition, be viligant during post-exercise when cardiac risk is high, dont exercise in extreme cold/heat w/o proper clothing
Term
Kinetics
Definition
Study of force/torque; causes of motion
Term
Kinematics
Definition
description of motion; why? prevent injury, assess normal gait pattern, technique of athletes etc.
Term
Biomechanics
Definition
study of motion and causes of motion of living things and the application of mechanical principles
Term
Forces
Definition
Magnitude, Direction, line of action and point of application
Term
Torque
Definition
rotating effect of force (N*m) force x distance
Term
Stress
Definition
Force per unit area of mass
Term
Strain
Definition
change in length
Term
elastic
Definition
stiff material with high force and little deformation
Term
Plastic
Definition
material with low force and high deformation
Term
Dynamometer
Definition
Measures force and torque
Term
Inertia
Definition
Body's resistance to change
Term
Friction force
Definition
normal reaction force x coefficient of static friction
Term
Athrokinematic force
Definition
between two joints (sliding/rolling etc)
Term
Force/velocity relationship
Definition
magnitude of force = rate of length change/ muscle velocity
Term
Center of Gravity
Definition
location of theoretical point that can be used ot prepresent the totl weight(mass) of an object
Term
Base of Support
Definition
The area of the supporting surface of an object
Term
Stride
Definition
time between ground contact of right heel
Term
Walking Speed
Definition
1.5 m/s
Term
Foot Supination
Definition
plantar flexion, inversion, adduction
Term
Pronation
Definition
eversion, dorsiflexion, abduction
Term
Hemodynamics
Definition
mechanics of bloodflow
Term
Cardiac output increase
Definition
Increases 4x with exercise
Term
Metabolism: fat usage
Definition
Fat usage is more prevalent at 60% and above of maximal aerobic capacity
Term
Creatine Phosphate
Definition
ADP + CP = ATP + C (creatine Kinase enzyme used) less than 5 sec.; anaerobic
Term
Glycolysis
Definition
Glycogen-> Pyruvate/lactate -> 2-3 ATP (glucose or glycogen respectively) 5-30 sec ; anaerobic
Term
Oxidative Phosphorylation
Definition
Krebs cylce-> ETC (acetyl CoA-> citric acid->Krebs cycle (H+-> energy)-> 38/39 ATP (glucose or glycogen respectively) 30+ seconds; Aerobic
Term
Fat Metabolism
Definition
fatty acids-> beta-oxidation-> acetyl CoA (16 C fatty acid= 129 ATP)
Term
Lactate threshold
Definition
sudden rise in blood lactate = recruitment of Type II muscle fiers
Term
1 MET
Definition
3.5 mL/kg*min OR 1.2 kcal/min for 70 kg person
Term
HR and diastole
Definition
raised HR = raised diastole (filling time)
Term
Stroke Volume
Definition
Volume of blood ejected/heart beat; greater during eccentric than concentric; EDV-ESV
Term
Cardiac Output
Definition
SV * HR @ rest= 5 L/min; max- 20 L/min
At rest, 15-20% CO= skeletal Muscle; exercise=85-90% skeletal muscle
Term
Blood Pressure
Definition
systolic/diastolic (120/80 normal) systolic raises 8-12 mmHg/MET; Diastolic stays same
Term
VO2Max
Definition
highest rate of O2 use during max physical exertion; HR * SV * (a-v O2)
Term
DOMS
Definition
may be due to damage to z-disks
Term
Central v Peripheral Fatigue
Definition
caused by neurons v independent of neurons
Term
Thermoregulation
Definition
Heat lost through conduction (metal chair), convection (mvmt of air over skin), radiation (sun), evaporation. convection is the main avenue of heat loss
Term
Heat Exhaustion
Definition
Fatigue, weakness, blurred vision, dizziness, headache, high pulse, sweating, low BP, insecure gait, pale, collapse; Treatment: lie flat, drink water, loosen clothing
Term
Heat Stroke
Definition
Chills, restlessness, irritability, red, euphoria, shivering, disorientation, erratic, collapse, unconsciousness Treatment: immediate aggressive cooling, transport to hospital
Term
Anaerobic Threshold
Definition
when lactate levels rapidly rise
Term
Haldane Transformation
Definition
calculation to determine VO2 based on inhaling/exhaling air
Term
Cardiorespiratory Response
Definition
affected by SV, CO, Peak HR
Term
Ventilation
Definition
6 L/min at rest, raises 15-25x at peak exercise
Term
Cardiovascular Drift
Definition
progressive raise in HR with lowering SV and MAP during exercise
Term
O2 consumption
Definition
HR, contractility, systolic pressure, ventricular volume, wall thickness
Term
O2 supply
Definition
a-v difference(hematocrit, arterial O2, saturation), coronary blood flow (arterial pressure/resistance).
Term
symptoms of acclimation
Definition
raised sweat rate, onset time, less sodium loss, less cv strain, lower core temp as you acclimate
Term
Risk Factors
Definition
family MI/sudden death male 55- or female 65-; cigs; hypertension (greater than 140/90); hypercholesterolemia (total over 200, HDL under 40 or LDL above 130); impaired fasting glucose (greater than 100); obesity (waist over 35inW or 40inM); sedentary life
Term
Heart Disease S/S
Definition
chest/neck pain, shortness of reath at mild exertion, dizziness, black out, orthopnea (discomfort breathing while lying down, ankle edema, palpitations, intermittent claudication (lack of circulation in limbs), known heart murmer
Term
Epidemiology
Definition
study of distribution/determinants of disease/injury
Term
Legecy of effect
Definition
people who exercise more better than people who stop; though ppl who stop are still better than ppl who never did.
Term
subjective assessment of phys. activity
Definition
inexpensive, easy, many data, few questions, inaccurate, fails to capture all types of activity
Term
Objective assessment of phys. activity
Definition
no recall error, small, unobtrusive, specific activity not assessed, more expensive
Term
Assessment level one
Definition
total time per week
Term
assessment level two
Definition
total time * intensity (METS)= energy expended (MET hr/wk)
Term
assessment level three
Definition
energy expended * body mass= energy expended (kcal/wk)
Term
how to lower LDL
Definition
decrease fat intake, increase fruits/ veggies/whole grains
Term
Order of Events First Meeting
Definition
assess; exchange contact info; provide intro packet/schedule meeting
Term
Client Screening
Definition
Risk classification; health history eval; med clearance
Term
Client Fitness assessment
Definition
HR, BP, Body Comp, Muscle fitness, flexibility, cardiovascular (1 mile test), BMI (weight/height^2), waist to hip ratio (bad= higher than .95M or .86W)
Term
Negligence
Definition
Not doing what you should; can cause liability issues, even with consent form
Term
procedural Order for New Client
Definition
PAR-Q, waiver of liability, cardiovascular risk assessment, resting measures (HR, BP), body comp, cardiorespiratory tests, muscular tests, flexibility tests
Term
Principles of Learning
Definition
Recency, appropriateness, motivation, primary, 2-way communication, feedback, active learning, multiple sense learning, exercise
Term
Principles of Teaching
Definition
Acheivable goals, intelligent plan, client learning style, effective assessment
Term
Appreciative Inquiry
Definition
Define, Discover, Dream, Design, Deliver
Term
Motivational Interviewing
Definition
Let client identify for herself what she wants to change; no confrontation
Term
the 5 A's Behavior Change Model
Definition
Assess, Advise, Agree, Assist, Arrange
Term
Self Esteem
Definition
view of oneself as a person
Term
Self Concept
Definition
view of worthiness/percieved capabilities
Term
Self Efficacy
Definition
percieved ability to achieve goals, effectiveness
Term
Behavioral processes to change
Definition
committment, reminders, social support
Term
Cognitive processes to change
Definition
aware of risk, gain knowledge, comprehend benefits
Term
Decision Making Theory
Definition
Based on percieved cost v. benefit ratio
Term
Reciprocal determinism
Definition
Personal: family history, current fitness level, past experience; Behavioral: enjoyment, intensity, attainment of benefits; Environmental: safe, partner, scenery
Term
Social cognitive theory
Definition
behavior inflenuced by reciprocal determninsm; outcome expectations; self regulatory strategies-how to mobilize in face of barriers
Term
Health Beleif Model
Definition
actions of health determined by perception of threat; percieves risk, knows its serious enough to warrant action, benefits to action, not insurrmountale barriers
Term
Social Ecology Theory
Definition
Intrapersonal: demographics, personal barriers, cognitive perception; Intrapersonal: living area, friends; Physical Environment:+ and - (hills, sidewalk, traffic etc)
Term
Theory of Planned Behavior
Definition
Attitude, Subjective Norm, Percieved bahavior control->intention->change
Term
Prevent Relapse
Definition
Prevent boredom, injury, burnout, create social network, plan for relapse
Term
Tort
Definition
civil wrong
Term
negligence
Definition
failure to perform expected duties
Term
malpractice
Definition
breach of professional duty
Term
release statement
Definition
relieves responsibility from trainer
Term
standards of practice
Definition
how job will be acheived, how to refer patients
Term
Indirect body comp
Definition
body volume, hydrodensitometry, ct, MRI, electrical resistance
Term
Doubly indirect
Definition
skinfolds, bioelectrical impedance
Term
anthropemtry
Definition
measuring body with physical techniques
Term
BMI error
Definition
+- 5%; not accurate in muscular individuals
Term
Skinfold
Definition
assumes subcutaneous fat is equal to total body fat; abs, triceps, biceps, chest, medial calf, midaxillary, subscapular, suprailliac, thigh (know how and where)
Term
Function of pleural space
Definition
negative pressure, airtight, prevents lungs from collapse
Term
Five levels of body comp
Definition
atomic, molecular, cellular, tissue, whole body
Term
property based method of body comp
Definition
body volume/water
Term
component based methods of body comp
Definition
skinfold, BMI, waist to hip ratio, hydrodensitometry, bioelectrical impedance, near infrared interactance, air displacement, magnetic resonance imaging, ultrasound, isotopic dilution, dual xray absorpitometry
Term
Fat percentages-Women
Definition
10-22%=good, 12-22%-athletic, recommended for age less than 34-20-35%, 35-55=23-38%, 56 older = 25-38%
Term
Fat percentages-Men
Definition
minimal=5%, athletic=5-13%, age less than 34=8-22%, 35-55=10-25%, 55 older=10-25%
Term
Coronary Heart Disease deaths
Definition
1 in every 5
Term
Angina Pectoris
Definition
lack of blood flow to the heart; s/s-chest pain, lack of breath, burning
Term
Heart Failure
Definition
one or both ventricles cannot fully fill or eject blood; s/s-dyspnea, fatigue, exercise intolerance, fluid retention
Term
Stroke
Definition
caused by hemmorhage or obstruction; s/s-hemiplegia (loss of sensation in one side), vertigo, memory loss, problems with speech; 87% are ischemic (shortage of blood supply to tissues)
Term
transient ischemic attack
Definition
signs and symptoms of a stroke for less than 24 hrs. 'phantom stroke'
Term
Peripheral Artery Disease
Definition
inhibited blood flow to noncoronary arterial beds
Term
Intermittent Claudication
Definition
leg pain predictably following exercise and is relieved by rest
Term
Obstructive Pulmonary
Definition
high airway resistance; chronic, dynamic (stimuli allergies)
Term
Chronic Obstructive Pulmonary Disease
Definition
any obstruct of airflow, not modifiable
Term
Chronic Bronchitis
Definition
cough with spitum for over 3 months, in 2 consecutive years
Term
Asthma
Definition
inflammatory cells activated (mast cells) and release chemical mediators (leukotrienes); better in moist/warm environments
Term
Absolute Contraindications
Definition
recent significant ECG changes, unstable angina, aortic stenosis, uncontrolled heart failure, acute plmonary infarction, acute systemic infection
Term
Relative Contraindication
Definition
tachy/bradycardia, electrolight abnormalities, left coronary stenosis, BP above 200/110, A/V block, neuromuscular, musculoskeletal, rheumatoid disorder, ventricular aneurism, uncontrolled metabolic disease, mental/physical impairment
Term
Order of workout machines
Definition
Treadmill>Bike>Arm Ergometer>Seated Step
Term
Bruce Protocol
Definition
VO2max test with increasing incline, most common in the US, time efficient, good for patient with high cardiovascular capacity
Term
Indications to terminate exercise test
Definition
low systolic bp by 10, moderate to severe angina, dizziness or syncope, technical difficulties, patient wants to stop
Term
Relative indications
Definition
low systolic a little, arhythmia, fatigue, leg cramps, wheezing, chest pain, hypertensive response
Term
Bayes Thereom
Definition
Exercise tests must have sensitivity (how often will test identify sickness~70%) and specificity (how often will test identify health~80%)
Term
False Negative tests
Definition
didnt reach ischemic threshold, insufficient leads, technical error, failure to recognize non EKG symptoms
Term
False Positive tests
Definition
certain drugs, Cardiac hypertrophy, hypokalmia, mitral valve prolapse, coronary spasm
Term
Predictive Value
Definition
how accurately does a test identify disease
Term
Positive Graded Exercise Test
Definition
Peak exercise HR less than 85% age predicted max, abnormal HR/recovery, BP-greater than 250 or less than 140/greater than 115, angina (1-4 scale, 3 or 4)
Term
Order of Workout Events
Definition
WU (less than 40% max), conditioning 20-60 mins (77-90%), CD (less than 40% max), Flexibility
Term
Cardiorespiratory Endurance
Definition
Ability to perform large muscle, repetitive, moderate to high intensity exercise for extended time
Term
Benefits of WU
Definition
improve joint ROM and function, decrease injury, prevent ischemia, raise muscle performance
Term
Karnoven formula
Definition
Heart Rate Reserve= (MaxHR-RestHR).6+RestHR=TargetHR @ 60%
Term
Resistance Training Principles
Definition
Specificity, overload, progression
Term
Calories formula
Definition
MET * 3.5 * body weight (kg) = calorie/min
Term
CD benefits
Definition
Avoid Hypotension, dizziness, dissipate body heat, promote lactate removal
Term
Intensity recommended Cardio
Definition
55-90% MHR or about 40-85% VO2max
Term
Inches to Meters
Definition
* .0254
Term
kg/m/min to Watts
Definition
divide by 6
Term
mph to meters per minute
Definition
* 26.8
Term
revolutions per min-> meters per minute
Definition
arm erg (*2.4) leg erg (*6) erg (*3)
Term
METS->Relative VO2->absolute VO2->absolute VO2 (L/min)->kcal/min->lb of fat
Definition
*3.5; * BW kg; / 1000; * 5; /3500
Term
Fastest growing age category
Definition
65-85
Term
VO2 max decrease
Definition
after age 25, decreases 5-155 every decade
Term
Adolescent Males muscle
Definition
rapid hypertrophy
Term
Strenuous exercise in children
Definition
predisposes them to epiphysitis
Term
Aging effects
Definition
decreases ROM, flexibilty and balance but not muscle hypertrophy
Term
Adults v children sweat
Definition
same amount of sweat glands, but children produce less than adults
Term
Older v Younger adults walking
Definition
older adults walk 20% slower than younger adults would prefer
Term
Consent document
Definition
assures that there is a good-faith effort to educate those using the facility
Term
Hydrodensity error
Definition
Lean tissue mass, residual volume in lungs, estimates of air in GI tract
Term
Hyperglycemia
Definition
Excess glucose; symptoms include increased thirst/need to urinate
Term
Hypoglycemia
Definition
low blood sugar; symptoms include confusion, dizziness, shakiness, Hunger, irritability, pale skin, sweating, anxiety
Term
Hypotension
Definition
Low blood pressure; dizziness, blurry vision, confusion, weakness, fatigue, nausea
Term
Category 1 medications
Definition
common: epinephrine, oxygen, lidocaine, amiodarone, atropine
Term
Congestive Heart Failure
Definition
dyspnea (shortness of breath), chest pain, angina
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