CBC Exercise and Physical Activity Counseling 2 — Questions and Answers
Question 1: In the FITT principle of exercise prescription, what does the 'T' for 'Type' specifically refer to?
- The time of day exercise should occur
- The mode or modality of exercise chosen (Correct answer)
- The total calories burned per session
- The target heart rate zone
Correct answer: The mode or modality of exercise chosen
In the FITT principle, 'Type' refers to the mode of exercise selected (e.g., walking, swimming, cycling) based on patient goals, preferences, and physical limitations.
Question 2: For moderate-intensity aerobic exercise in bariatric patients, what percentage of maximum heart rate is typically targeted?
- 40-50% of maximum heart rate
- 50-70% of maximum heart rate (Correct answer)
- 75-85% of maximum heart rate
- 85-95% of maximum heart rate
Correct answer: 50-70% of maximum heart rate
Moderate-intensity exercise targets 50-70% of maximum heart rate, providing cardiovascular benefit while remaining sustainable for deconditioned bariatric patients.
Question 3: Which functional assessment is most commonly used to evaluate exercise capacity in bariatric patients prior to starting a structured program?
- DEXA scan for body composition
- 6-Minute Walk Test (Correct answer)
- Resting metabolic rate measurement
- Bioelectrical impedance analysis
Correct answer: 6-Minute Walk Test
The 6-Minute Walk Test is a simple, validated, and widely used measure of functional exercise capacity in bariatric and clinical populations.
Question 4: When progressively increasing exercise duration in a bariatric patient's program, what is the recommended maximum weekly progression rate?
- 25-30% increase per week
- 50% increase per week
- 10% increase per week (Correct answer)
- 5% increase per week
Correct answer: 10% increase per week
The '10% rule' recommends increasing exercise duration by no more than 10% per week to minimize overuse injury risk and prevent burnout.
Question 5: Which symptom during exercise in a bariatric patient warrants IMMEDIATE cessation of activity and medical evaluation?
- Mild perspiration and warmth
- Slightly elevated breathing rate
- Chest pain or pressure (Correct answer)
- Muscle fatigue in the lower extremities
Correct answer: Chest pain or pressure
Chest pain or pressure during exercise is a potential cardiac emergency sign and always requires immediate cessation of activity and urgent medical evaluation.
Question 6: For a post-bariatric patient focused on long-term weight maintenance, what is the commonly recommended daily step goal?
- 3,000-4,000 steps per day
- 10,000 steps per day (Correct answer)
- 15,000 steps per day
- 5,000 steps per day
Correct answer: 10,000 steps per day
Approximately 10,000 steps per day (roughly 5 miles) is widely supported by research as a goal for weight maintenance and general health.
Question 7: Which metabolic change following bariatric surgery most directly informs the recommendation for resistance training?
- Resting metabolic rate increases significantly after surgery
- Resting metabolic rate may decrease due to loss of lean muscle mass (Correct answer)
- Metabolic rate is entirely unaffected by bariatric surgery
- Metabolism permanently accelerates following surgery
Correct answer: Resting metabolic rate may decrease due to loss of lean muscle mass
Rapid weight loss after bariatric surgery can decrease resting metabolic rate due to concurrent loss of lean muscle mass, making resistance training critical to preserve it.
CBC Exercise and Physical Activity Counseling 2
In the FITT principle of exercise prescription, what does the 'T' for 'Type' specifically refer to?