MES Pharmacology & Medication Effects on Exercise 2

Question 1

A client with asthma uses a short-acting beta-2 agonist (e.g., albuterol) before exercise. The MES should understand this medication primarily:

Accepted Answer

Dilates the airways to prevent exercise-induced bronchoconstriction

Answer

Significantly increases heart rate during exercise

Answer

Causes bronchoconstriction after exercise ceases

Answer

Reduces cardiac output during exercise

Question 2

Long-term use of systemic corticosteroids (e.g., prednisone) most significantly impacts exercise programming by causing:

Accepted Answer

Muscle atrophy, bone loss, and increased infection risk

Answer

Hypoglycemia during exercise

Answer

Decreased resting heart rate

Answer

Bronchodilation and improved exercise tolerance

Question 3

A client taking warfarin (an anticoagulant) should avoid which type of activity due to the greatest risk?

Accepted Answer

High-impact or contact activities with bruising/bleeding risk

Answer

Low-intensity aerobic walking

Answer

Flexibility and stretching exercises

Answer

Water-based exercise

Question 4

Metformin, commonly used for Type 2 diabetes, carries a rare risk of lactic acidosis. Which exercise condition would most increase this risk?

Accepted Answer

High-intensity exercise causing tissue hypoxia

Answer

Low-intensity walking for 30 minutes

Answer

Flexibility training

Answer

Light resistance training with long rest intervals

Question 5

SSRIs (selective serotonin reuptake inhibitors) used for depression may create which exercise-related concern during prolonged endurance events?

Accepted Answer

Hyponatremia risk with excessive fluid intake

Answer

Significantly increased blood pressure during exercise

Answer

Blunted heart rate response to exercise

Answer

Severe hypoglycemia in non-diabetic clients

Question 6

Alpha-1 blockers (e.g., doxazosin) used for hypertension increase the risk of which exercise-related event?

Accepted Answer

Orthostatic hypotension and dizziness, especially post-exercise

Answer

Severe hypertension during peak exercise

Answer

Exercise-induced bronchospasm

Answer

Hypoglycemia during prolonged exercise

Question 7

A client's physician has prescribed sublingual nitroglycerin for angina. The most important exercise consideration is:

Accepted Answer

Monitor for severe hypotension, especially during cool-down

Answer

Monitor for exercise-induced hypoglycemia

Answer

Avoid all exercise until angina is completely resolved

Answer

Increase exercise intensity to improve coronary circulation