What is used as a preparticipation health screening tool by a professional for the general
(non-clinical) population? - ANSWER The ACSM algorithm
Sedentary
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is recommended
Light-moderate, progress as tolerated
Sedentary
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is not necessary
Light to moderate, progress to vig
Sedentary
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is recommended
Light-moderate, progress as tolerated
1
,Active
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is not necessary
Light to vigorous
Active
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is not necessary for light to moderate,
but necessary before vigorous
Active
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? - ANSWER Discontinue exercise and seek clearance before
continuation
Definition for active vs sedentary - ANSWER Exercised for at least 30 min/day, 3 days/wk
for last 3 months
Light intensity VO2R and HRR - ANSWER 30-39% HRR or VO2R
Light intensity METs - ANSWER 2-2.9 METs
2
,Light intensity RPE - ANSWER RPE 9-11
Moderate intensity HRR or VO2R - ANSWER 40-59% HRR or VO2R
Moderate intensity METs - ANSWER 3-5.9 METs
Moderate intensity RPE - ANSWER RPE 12-13
Vigorous intensity VO2R or HRR - ANSWER ≥ 60% HRR or VO2R
Vigorous intensity METs - ANSWER ≥ 6 METs
Vigorous intensity RPE - ANSWER RPE ≥ 14
CV disease - ANSWER cardiac, peripherovascular, or cerebrovascular disease
Metabolic disease - ANSWER Any 3 out of 5 of the following:
-increased waist circumference (M ≥ 40in, W ≥ 35in)
-increased triglycerides ≥ 150 mg/dL
-decreased HDL (M < 40mg/dL, W < 50)
-increased BP (SBP ≥ 130 or DBP ≥ 85)
-increased fasting glucose ≥ 100mg/dL
Signs and symptoms suggestive of CV, renal, and metabolic disease - ANSWER -
pain/discomfort in neck, chest, jaw, arms
-SOB at rest or w/mild exertion
-dizziness or syncope
3
, -orthopnea or paroxysmal nocturnal dyspnea
-ankle edema
-palpitations or tachycardia
-intermittent claudication
-known heart murmur
-unusual fatigue or SOB w/usual activities
What is used as a preparticipation health screen in absence of a professionals help? -
ANSWER The 2014 PAR-Q+
What is used as a pre-participation screening tool by a professional for cardiac rehab and
other medical fitness facilities? - ANSWER AACVPR risk stratification
AACVRP lowest risk components during exercise test and recovery - ANSWER -no
complex ventricular dysrhythmias
-no angina or other sig sx
-normal hemodynamics
-functional capacity ≥ 7 METs
PT case:
Normal ECG and asymptomatic
resting HR 60
resting BP 130/60
peak HR 90
peak BP 150/65
fxnal capacity = 8 METs
what risk category according to AACVRP? - ANSWER Lowest
4
(non-clinical) population? - ANSWER The ACSM algorithm
Sedentary
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is recommended
Light-moderate, progress as tolerated
Sedentary
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is not necessary
Light to moderate, progress to vig
Sedentary
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is recommended
Light-moderate, progress as tolerated
1
,Active
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is not necessary
Light to vigorous
Active
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? - ANSWER Medical clearance is not necessary for light to moderate,
but necessary before vigorous
Active
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? - ANSWER Discontinue exercise and seek clearance before
continuation
Definition for active vs sedentary - ANSWER Exercised for at least 30 min/day, 3 days/wk
for last 3 months
Light intensity VO2R and HRR - ANSWER 30-39% HRR or VO2R
Light intensity METs - ANSWER 2-2.9 METs
2
,Light intensity RPE - ANSWER RPE 9-11
Moderate intensity HRR or VO2R - ANSWER 40-59% HRR or VO2R
Moderate intensity METs - ANSWER 3-5.9 METs
Moderate intensity RPE - ANSWER RPE 12-13
Vigorous intensity VO2R or HRR - ANSWER ≥ 60% HRR or VO2R
Vigorous intensity METs - ANSWER ≥ 6 METs
Vigorous intensity RPE - ANSWER RPE ≥ 14
CV disease - ANSWER cardiac, peripherovascular, or cerebrovascular disease
Metabolic disease - ANSWER Any 3 out of 5 of the following:
-increased waist circumference (M ≥ 40in, W ≥ 35in)
-increased triglycerides ≥ 150 mg/dL
-decreased HDL (M < 40mg/dL, W < 50)
-increased BP (SBP ≥ 130 or DBP ≥ 85)
-increased fasting glucose ≥ 100mg/dL
Signs and symptoms suggestive of CV, renal, and metabolic disease - ANSWER -
pain/discomfort in neck, chest, jaw, arms
-SOB at rest or w/mild exertion
-dizziness or syncope
3
, -orthopnea or paroxysmal nocturnal dyspnea
-ankle edema
-palpitations or tachycardia
-intermittent claudication
-known heart murmur
-unusual fatigue or SOB w/usual activities
What is used as a preparticipation health screen in absence of a professionals help? -
ANSWER The 2014 PAR-Q+
What is used as a pre-participation screening tool by a professional for cardiac rehab and
other medical fitness facilities? - ANSWER AACVPR risk stratification
AACVRP lowest risk components during exercise test and recovery - ANSWER -no
complex ventricular dysrhythmias
-no angina or other sig sx
-normal hemodynamics
-functional capacity ≥ 7 METs
PT case:
Normal ECG and asymptomatic
resting HR 60
resting BP 130/60
peak HR 90
peak BP 150/65
fxnal capacity = 8 METs
what risk category according to AACVRP? - ANSWER Lowest
4
