COKO Clinical Procedures and Protocols 2 — Questions and Answers
Question 1: A kinesiologist performing a submaximal VO2 assessment notices the client's RPE reaches 17 at a low workload. What is the most appropriate response?
- Continue the test to the predetermined endpoint
- Immediately terminate the test
- Reduce workload and reassess readiness to continue (Correct answer)
- Record the result and proceed with the next stage
Correct answer: Reduce workload and reassess readiness to continue
An unexpectedly high RPE at low workload suggests the client may not be tolerating the test well, warranting workload reduction and reassessment before continuing.
Question 2: During a functional movement screen, which finding most directly indicates the need for referral to a physician before exercise programming?
- Asymmetrical hip mobility
- Pain during any movement pattern (Correct answer)
- Score of 14/21 on the composite
- Inability to perform a deep squat
Correct answer: Pain during any movement pattern
Pain during any FMS movement pattern is an absolute indicator for medical referral, as it may signal underlying pathology requiring diagnosis.
Question 3: When documenting a client's treatment session in a SOAP note, where should objective goniometry measurements be recorded?
- Subjective section
- Objective section (Correct answer)
- Assessment section
- Plan section
Correct answer: Objective section
Goniometry measurements are observable, quantifiable data and belong in the Objective section of a SOAP note.
Question 4: A kinesiologist is programming resistance training for a client post-ACL reconstruction at 16 weeks post-surgery. Which exercise is most appropriate?
- Heavy barbell back squat at 80% 1RM
- Closed-chain leg press at low resistance (Correct answer)
- Open-chain knee extension with full ROM
- Plyometric drop jumps
Correct answer: Closed-chain leg press at low resistance
At 16 weeks post-ACL reconstruction, closed-chain exercises at low resistance support graft healing while minimizing tibial shear forces.
Question 5: Which blood pressure response during graded exercise testing is considered an absolute contraindication to continuing the test?
- Systolic BP rises above 160 mmHg
- Diastolic BP rises above 115 mmHg
- Systolic BP drops 10 mmHg below resting with increasing workload (Correct answer)
- Pulse pressure widens beyond 60 mmHg
Correct answer: Systolic BP drops 10 mmHg below resting with increasing workload
A systolic BP drop of ≥10 mmHg below resting despite increasing workload suggests cardiac insufficiency and is an absolute indication to stop the test.
Question 6: Before applying therapeutic taping to a client, which of the following is the most critical pre-application check?
- Ensure the client has eaten within the last hour
- Assess skin integrity and check for allergies (Correct answer)
- Confirm the client's fitness level
- Measure the client's blood pressure
Correct answer: Assess skin integrity and check for allergies
Checking skin integrity and allergy history prevents adverse reactions such as contact dermatitis or skin breakdown under the tape.
Question 7: A kinesiologist suspects a client has developed exercise-induced hypoglycemia. Which immediate action is most appropriate?
- Administer insulin as per protocol
- Stop exercise and provide 15–20 g of fast-acting carbohydrate (Correct answer)
- Continue exercise at a reduced intensity
- Have the client rest supine and monitor heart rate
Correct answer: Stop exercise and provide 15–20 g of fast-acting carbohydrate
The standard treatment for hypoglycemia is immediate cessation of activity and consumption of 15–20 g of fast-acting carbohydrates to restore blood glucose.
COKO Clinical Procedures and Protocols 2
A kinesiologist performing a submaximal VO2 assessment notices the client's RPE reaches 17 at a low workload.
What is the most appropriate response?