Quiz 2: Physical Activity Preparticipation and Screening Guidelines
Risk stratification of cardiac patients (patients with known disease) includes lowest risk,
moderate risk, and high risk according to the AACVPR. Which of the following places a patient
into the moderate-risk category?
A. Mild to moderate level of silent ischemia during exercise testing or recovery (ST-segment
depression <2 mm from baseline)
B. Rest ejection fraction <40%
C. Presence of complex ventricular dysrhythmias during exercise testing or recovery
D. Functional capacity ≥7 METs Correct Answer: A. Mild to moderate level of silent ischemia
during exercise testing or recovery (ST-segment depression <2 mm from baseline)
The process of risk classification is meant to assist with determining:
A. When a client should have a medical exam prior to exercise
B. When an exercise test is recommended prior to initiating exercise training
C. When an exercise test needs to be supervised
D. All of the above are appropriate uses of risk classifying. Correct Answer: D. All of the above
are appropriate uses of risk classifying.
Which of the following individuals has a cardiovascular disease risk factor?
A. A client with a blood pressure of 138/82 mm Hg
B. A client with a BMI of 24
C. Cigarette smoker who quit 3 mo ago
D. Someone who began a regular exercise program a year ago Correct Answer: C. Cigarette
smoker who quit 3 mo ago
Dyspnea can be defined as
A. an abnormally uncomfortable awareness of breathing
B. substernal chest pain
C. syncope
D. orthopnea Correct Answer: A. an abnormally uncomfortable awareness of breathing
At minimum, a Health History Questionnaire should assess:
A. Client's family history of disease
B. Client's surgical history
C. Client's current use of medications
D. All of the above. Correct Answer: D. All of the above.
According to the risk classification criteria, a patient in the moderate risk category should have
A. a medical examination prior to engaging in a vigorous exercise program
, B. his or her medical insurance coverage examined closely before giving him or her a graded
exercise test
C. a medical examination prior to engaging in an exercise program of any exercise intensity
D. a medical examination and a graded exercise test prior to engaging in any form of exercise
Correct Answer: A. a medical examination prior to engaging in a vigorous exercise program
Which of the following is a NEGATIVE risk factor for cardiovascular disease?
A. BMI of 32 kg · m-2
B. Waist girth of 103 cm
C. Total cholesterol of 200 mg · dL-1 (5.18 mmol · L-1)
D. HDL cholesterol of 62 mg · dL-1 (1.57 mmol · L-1) Correct Answer: D. HDL cholesterol of
62 mg · dL-1 (1.57 mmol · L-1)
Compared to previous editions of the Guidelines, this version (the ninth edition) regarding the
preparticipation health screening process
A. uses the term risk stratification only for patients with musculoskeletal disease
B. emphasizes identifying those without disease because they are at greatest risk for an exercise-
related cardiac event
C. supports the public health message of sedentary behavior for all
D. reduces the emphasis on the need for a medical examination Correct Answer: D. reduces the
emphasis on the need for a medical examination
According to the AACVPR risk stratification criteria for patients with known CVD, individuals
at high risk for exercise participation may exhibit any one or a combination of the following
except
A. presence of normal hemodynamics with exercise testing or during recovery
B. presence of angina or other significant symptoms at low levels of exertion or during recovery
C. presence of complex ventricular dysrhythmias during exercise testing or recovery
D. high level of silent ischemia during exercise testing or recovery Correct Answer: A. presence
of normal hemodynamics with exercise testing or during recovery
The only "negative" risk factor that can be identified during preparticipation screening is:
A. High HDL cholesterol (> 60 mg dL?1)
B. High resting blood pressure
C. Low LDL cholesterol (<100 mg dL?1)
D. Low resting blood pressure Correct Answer: A. High HDL cholesterol (> 60 mg dL?1)
True or false? An elevated BMI and an excessive waist circumference count as two separate risk
factors. Correct Answer: False
According to ACSM Risk Factor Thresholds, which is not considered a positive risk factor
toward exercise participation?
Risk stratification of cardiac patients (patients with known disease) includes lowest risk,
moderate risk, and high risk according to the AACVPR. Which of the following places a patient
into the moderate-risk category?
A. Mild to moderate level of silent ischemia during exercise testing or recovery (ST-segment
depression <2 mm from baseline)
B. Rest ejection fraction <40%
C. Presence of complex ventricular dysrhythmias during exercise testing or recovery
D. Functional capacity ≥7 METs Correct Answer: A. Mild to moderate level of silent ischemia
during exercise testing or recovery (ST-segment depression <2 mm from baseline)
The process of risk classification is meant to assist with determining:
A. When a client should have a medical exam prior to exercise
B. When an exercise test is recommended prior to initiating exercise training
C. When an exercise test needs to be supervised
D. All of the above are appropriate uses of risk classifying. Correct Answer: D. All of the above
are appropriate uses of risk classifying.
Which of the following individuals has a cardiovascular disease risk factor?
A. A client with a blood pressure of 138/82 mm Hg
B. A client with a BMI of 24
C. Cigarette smoker who quit 3 mo ago
D. Someone who began a regular exercise program a year ago Correct Answer: C. Cigarette
smoker who quit 3 mo ago
Dyspnea can be defined as
A. an abnormally uncomfortable awareness of breathing
B. substernal chest pain
C. syncope
D. orthopnea Correct Answer: A. an abnormally uncomfortable awareness of breathing
At minimum, a Health History Questionnaire should assess:
A. Client's family history of disease
B. Client's surgical history
C. Client's current use of medications
D. All of the above. Correct Answer: D. All of the above.
According to the risk classification criteria, a patient in the moderate risk category should have
A. a medical examination prior to engaging in a vigorous exercise program
, B. his or her medical insurance coverage examined closely before giving him or her a graded
exercise test
C. a medical examination prior to engaging in an exercise program of any exercise intensity
D. a medical examination and a graded exercise test prior to engaging in any form of exercise
Correct Answer: A. a medical examination prior to engaging in a vigorous exercise program
Which of the following is a NEGATIVE risk factor for cardiovascular disease?
A. BMI of 32 kg · m-2
B. Waist girth of 103 cm
C. Total cholesterol of 200 mg · dL-1 (5.18 mmol · L-1)
D. HDL cholesterol of 62 mg · dL-1 (1.57 mmol · L-1) Correct Answer: D. HDL cholesterol of
62 mg · dL-1 (1.57 mmol · L-1)
Compared to previous editions of the Guidelines, this version (the ninth edition) regarding the
preparticipation health screening process
A. uses the term risk stratification only for patients with musculoskeletal disease
B. emphasizes identifying those without disease because they are at greatest risk for an exercise-
related cardiac event
C. supports the public health message of sedentary behavior for all
D. reduces the emphasis on the need for a medical examination Correct Answer: D. reduces the
emphasis on the need for a medical examination
According to the AACVPR risk stratification criteria for patients with known CVD, individuals
at high risk for exercise participation may exhibit any one or a combination of the following
except
A. presence of normal hemodynamics with exercise testing or during recovery
B. presence of angina or other significant symptoms at low levels of exertion or during recovery
C. presence of complex ventricular dysrhythmias during exercise testing or recovery
D. high level of silent ischemia during exercise testing or recovery Correct Answer: A. presence
of normal hemodynamics with exercise testing or during recovery
The only "negative" risk factor that can be identified during preparticipation screening is:
A. High HDL cholesterol (> 60 mg dL?1)
B. High resting blood pressure
C. Low LDL cholesterol (<100 mg dL?1)
D. Low resting blood pressure Correct Answer: A. High HDL cholesterol (> 60 mg dL?1)
True or false? An elevated BMI and an excessive waist circumference count as two separate risk
factors. Correct Answer: False
According to ACSM Risk Factor Thresholds, which is not considered a positive risk factor
toward exercise participation?
