Term
| Name the 10 components of medical history. |
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Definition
1. Medical diagnosis
2. Previous physical exam findings
3. History of symptoms
4. Recent illness, hospitalization, new medical diagnosis, or surgical procedures
5. Orthopedic Issues
6. Medical Information
7. Habits
8. Exercise history
9. Work history
10. Family history |
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Term
| Name the 12 components of pre-exercise test physical examination. |
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Definition
1. Body Weight
2. BMI
3. Waist Girth
4. Body composition
5. Apical pulse
6. Resting BP
7. Auscultation
8. Evaluation of abdomen
9. Palpation and inspection of LEs
10. Follow-up exam related to orthopedic issues
11. Tests of neurologic function
12. Skin inspection |
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Term
| Where can you best here pulse as well as detect a murmur or brury? |
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Definition
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Term
| Where can you best here pulse as well as detect a murmur or brury? |
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Definition
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Term
| You need to check resting BP in seated, supine, and standing. Why? |
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Definition
| You need to know how your pt reacts to changes in position |
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Term
| When you do auscultation, what 2 things are you listening to? |
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Definition
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Term
| Why do you do a serious inspection of the LEs? |
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Definition
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Term
| Why do you evaluate the abdomen? |
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Definition
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Term
| If skin is smooth and shiny what is this a sign of? |
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Definition
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Term
| What are 6 tests to do for apparently healthy (low risk) individuals or individuals at increased risk, but without known disease (moderate risk) |
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Definition
Serum total cholesterol
LDL cholesterol
HDL cholesterol
Triglycerides
Fasting plasma glucose
Thyroid function |
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Term
| Name 6 tests recommended for patients with a known or suspected CV disease (high risk) |
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Definition
CV lab tests
Carotid US studies
PV studies
Cardiac markers
Chest radiograph
CBC/blood chem panel |
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Term
| What does a chest radiograph check for? |
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Definition
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Term
| If a pt has carotid issues how might this present during exercise? |
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Definition
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Term
| What are 3 recommended tests for pts with pulmonary dz? |
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Definition
Chest radiograph
PFTs (Pulmonary function tests)
Other pulmonary studies |
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Term
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Definition
| Less than 120 / less than 80 |
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Term
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Definition
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Term
| What are stage 1 HTN levels? |
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Definition
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Term
| What are stage 2 HTN levels? |
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Definition
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Term
| What is the desirable, borderline high, and high total cholesterol levels? |
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Definition
Desirable is less than 200
Borderline high is 200-239
High is over 240 |
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Term
| What are the optimal, near optimal, borderline high, high, and very high levels of LDL cholesterol? |
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Definition
Optimal = Less than 100
Near Optimal = 100-129
Borderline High = 130-159
High = 160-189
Very High = Over 190 |
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Term
| Do you want HDL to be high or low? |
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Definition
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Term
| What is low and high HDL cholesterol? |
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Definition
Low = less than 40
High = over 60 |
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Term
| What are normal, borderline high, high and very high levels of triglycerides? |
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Definition
Normal = less than 150
Borderline high = 150-199
High = 200-499
Very High = over 500 |
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Term
| You must not exercise a pt without what? |
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Definition
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Term
| Name 10 ABSOLUTE contraindications for exercise testing. |
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Definition
1. Recent significant change in EKG
2. Unstable angina
3. Uncontrolled dysrhythmias
4. Symptomatic stenosis
5. Uncontrolled symptomatic CHF
6. Acute PE
7. Acute myocarditis or pericarditis
8. Suspected or known dissecting aneurysm
9. Acute systemic infection
10. Refusal to sign informed consent |
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Term
| What are 10 relative contraindications to exercise testing? |
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Definition
1. LMC stenosis
2. Moderal stenotic valvular dz
3. Electrolyte abnormalities (mainly potassium)
4. Severe HTN
5. Tachy or bradydysrhythmia
6. Cardiomyopathy
7. High degree AV block
8. Uncontrolled metabolic dz (usually diabetes mellitus)
9. Chronic infectious dz
10. Compensated CHF |
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