Health Appraisal & Risk Assessment Flashcards

A 45-year-old inactive man has no signs or symptoms and no known cardiovascular, metabolic, or renal disease. He wants to begin a moderate-intensity walking program. According to the ACSM preparticipation screening algorithm, what is the appropriate recommendation?

Answer: Begin light-to-moderate intensity exercise and progress gradually without medical clearance

An asymptomatic person without known CVMR disease who plans moderate-intensity exercise does not need medical clearance under the ACSM algorithm.

A 52-year-old woman exercises moderately 4 days per week for the past 6 months. She has type 2 diabetes, no symptoms, and wants to start vigorous interval training. What does the ACSM screening algorithm recommend?

Answer: Medical clearance is recommended before progressing to vigorous intensity; she may continue moderate exercise meanwhile

For a regularly active person with known CMR disease and no symptoms, medical clearance is recommended before vigorous exercise, but moderate exercise may continue.

A regularly active 38-year-old man with no known disease reports new chest pressure that appears when he runs uphill and resolves with rest. What is the most appropriate action?

Answer: Stop exercising and obtain medical evaluation before resuming

New exertional chest discomfort is a symptom suggestive of cardiovascular disease, so exercise should stop until a medical evaluation is completed.

A client weighs 82 kg and is 1.78 m tall. What is his BMI and ACSM/WHO classification?

Answer: 25.9 kg/m2, overweight

BMI = 82 / 1.78^2 = 82 / 3.168 = 25.9 kg/m2, which is in the overweight range (25.0 to 29.9).

A client's resting blood pressure, measured correctly on two occasions, is 134/82 mm Hg. Using the ACC/AHA classification adopted by ACSM, which category applies?

Answer: Stage 1 hypertension

Systolic 130 to 139 or diastolic 80 to 89 mm Hg is stage 1 hypertension.

A client's fasting plasma glucose is 112 mg/dL on two occasions. How is this value classified?

Answer: Prediabetes (impaired fasting glucose)

A fasting glucose of 100 to 125 mg/dL indicates prediabetes (impaired fasting glucose).

Which condition is an absolute contraindication to exercise testing?

Answer: Acute pulmonary embolism

Acute pulmonary embolism is an absolute contraindication to exercise testing.

During a graded exercise test, a client's systolic blood pressure falls 15 mm Hg below the previous stage despite increased workload. What should the exercise professional do?

Answer: Terminate the test

A drop in systolic BP of more than 10 mm Hg despite increasing workload is an indication to terminate the test.

Using the Tanaka equation (HRmax = 208 - 0.7 x age), what is the predicted maximal heart rate of a 50-year-old client?

Answer: 173 beats/min

HRmax = 208 - (0.7 x 50) = 208 - 35 = 173 beats/min.