Study Guide Test 2

Chapters 5,6 & 7

* Be able to discuss/write about Fig. 7-7 or Box 7-2.  If you recall these are the stages of Readiness to Change" provided by Dr.  Prochaska.

*     Since you've chosen a career see if you can get any ideas to write about from Box 7-3.

*     Know Table 7-2 (Ex. Minimum and Maximum)  Your hold SHOULD be 15 - 30 seconds not the older recommendation of 10-30 seconds.  Since most of you will be dealing various groups of individuals you should know about High-Risk and Alternative Stretch modalities (Page 160).

*     Is Dynamic Flexibility and PNF recommended for a general population (Pg. 159).

*     Know what a MET is.

*     Know Maintenance of the Training Effect (Pg. 160).

*      An RPE of 17 on the 6-20 scale would suggest what?

*     What are your thoughts on pages 157 and 158 as they relate to weight training sets, time of muscular contractions...

*     Know the 5th bullet point on page 153.  You'll have to use the Karvonen method to determine a training rate for a normal individual.

*     Know table 7-1

*     CV exercise duration 20-60 minutes.  Are any deviations acceptable?

*    Surgeon General's Recommendation on physical activity - kcals, minutes...

*     Time duration for warm-up and cool-down.

*     The activity pyramid, analogous to the USDA's Food Guide Pyramid, has been suggested as a model to facilitate public and patient education for the adoption of a progressively more active lifestyle.  Do you like this model?  Does the general population give a darn about it?  How would you change this model?

*     Please look at the Duke Nomogram on page 127.  It's not going to be on the test but in case I show it to you in the lab I want you to know what it's saying.

*    Know box 6-3

*     Know Sensitivity in Box 6-2

*     Be able to explain the diagnostic value of exercising testing.

*    Know pages and 121 as well as Fig. 6-1.

*    Know the termination points for systolic, diastolic and the angina scale.

*    Know the first two in Box 6-1 Page 117 (Know these points and be able to identify them on an ECG strip.

*    Be able to determine heart rate and give info regarding the PQRST.

*    Pharmacologic stress testing Pg. 111.

*     Be ready to write about a postexercise scenario.  Ex. patient acting strangely, high BP, becomes nauseated...

*     Box 5-1 and 5-2

*    Know table 5-2.  You'll see that ramp protocol's, such as Bruce, asks you to monitor the ECG near the end of each stage (3 minute stages) while the HR should be monitored every minute.  In addition, the BP should be monitored near the end of the stage while RPE is taken every minute.  You can see how an individual would easily get confused trying to remember if they monitor something every minute or every three minutes.  Therefore, keep this simple rule in mind.  More monitoring is fine and will not harm the patient or results.  If you get out of sequence with the time (a blood pressure from stage 1 has taken too long and now you're in to stage II) simply record your reading and proceed the best you can.  Most importantly, review the termination points  before and during the test.

*    Know the advantages of the ramp protocol Pg. 99

*     Exercise testing after a MI Pg. 94

*    Make sure you know how to read the nomograms on pages 96 and 97.

Good luck with this test!  I'm sure you'll do fine!