COKO Clinical Procedures and Protocols 2

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?

Accepted Answer

Reduce workload and reassess readiness to continue

Answer

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?

Accepted Answer

Pain during any movement pattern

Answer

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?

Accepted Answer

Objective section

Answer

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?

Accepted Answer

Closed-chain leg press at low resistance

Answer

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?

Accepted Answer

Systolic BP drops 10 mmHg below resting with increasing workload

Answer

A systolic BP drop of ≥10 mmHg below resting despite increasing workload suggests cardiac insufficiency and is an absolute indication to stop the test.

(COKO) College of Kinesiologists of Ontario Practice Test

(COKO) College of Kinesiologists of Ontario Practice Test

COKO Clinical Procedures and Protocols 2