Final Exam Studyguide*

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50 Terms

1
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Per the Bruce Treadmill test a 35-year-old female patient's estimated VO2 max is 33 ml/kg x min (75th%). Her resting heart rate and blood pressure are 75 bpm and 125/78 mmG, respectively. Her medications include Lipitor. Which is the BEST aerobic exercise intensity for the patient?

141 to 173 beats per min

3 multiple choice options

2
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Per the Single Stage Treadmill Test a 55-year-old male patients VO max is 34 ml/kg x min (55th%). The patient's resting heart rate and blood pressure are 80 bpm and 130/80 mmg, respectively. The patient's medications include Lipitor and Propranolol. Which is the BEST aerobic exercise intensity for the patient?

RPE = 12 to 13

3 multiple choice options

3
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Per the Six Minute Walk Test an 82-year-old male patient's score is 465 yards (30th%). The patient's resting heart rate and blood pressure are 85 bpm and 140/85 mmHg, respectively. The patient's medications are Lipitor, Metoprolol, and Metformin.

Vhich is the best initial aerobic exercise prescription to improve the patient's cardiovascular fitness

Three 10-minute sessions of walking, at RPE = 9-11, five days per week

3 multiple choice options

4
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Per the Six Minute Walk Test an 82-year-old male patient's score is 465 yards (30th%). The patient's resting heart rate and blood pressure are 85 bpm and 140/85 mmHg, respectively. The patient's medications are Lipitor, Metoprolol, and Metformin. While walking at 2.5 miles per hour (3 METS) the patient's blood pressure is 164/85 bpm. The patient's blood pressure during walking is

normal

3 multiple choice options

5
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Per the Single Stage Treadmill Test a 55-year-old male patients VO2 max is 28 ml/kg x min (30th%). The patient's resting heart rate and blood pressure are 80 bpm and 135/80 mmHg, respectively. Which is the BEST goal for the patient?

The patient's VOmax will increase from 28 to 33 ml/kgxmin in 12 weeks enabling the patient to perform manual labor activities without shortness of air.

3 multiple choice options

6
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A 75-year-old deconditioned patient exhibits poor strength of the knee and hip extensors. Per the FIT principle, which of the following prescriptions is most appropriate for this patient to improve strength.

Load = 8-15 RM, 8-15 repetitions, 1-6 sets, 1-1.5 min rest between sets

3 multiple choice options

7
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Per the FIT principle for improving muscle hypertrophy

a wide range of loads, even low loads, will result in muscle hypertrophy if the exercise is performed to the point of fatigue

3 multiple choice options

8
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Your patient fell, sustained an ankle lateral malleolus fracture, and wore a cast for eight weeks. The patient's cast has been removed; he has completed phase one of rehabilitation and is ready to progress to phase two. Which of the following statements regarding the second phase of rehabilitation for this patient is correct?

muscle endurance resistance exercise is recommended, due to loss of Type 1 muscle fibers that occurs with prolonged casting.

3 multiple choice options

9
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Your patient fell, sustained an ankle lateral malleolus fracture, and wore a cast for eight weeks. The patient's cast has been removed; he has completed phase one of rehabilitation and is ready to progress to phase two. Which of the following is the BEST resistance exercise prescription for phase two of rehabilitation.

2-3 sets, 16-25 repetitions, load = 16RM, speed =moderate, rest =30 sec -1 min between sets

3 multiple choice options

10
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Per the FIT principle for improving muscle power in people with experience doing resistance training

the load = 4-1 ORM; number of repetitions = 1-5; number of sets sets = 3-5; rest period between sets = 2-5 min

3 multiple choice options

11
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Per the specificity of training (SAID) principle, isometric resistance training will

increase peak static (isometric) force production at joint angles within 30 degrees of the angle exercised

3 multiple choice options

12
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Which of the following should be included in resistance training programs for adults with sarcopenia due to sedentary lifestyles and with impaired balance?

resistance training focused on improving muscle strength and power

3 multiple choice options

13
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Per the FIT guidelines, balance training should be performed

at an intensity that will cause a loss of balance

3 multiple choice options

14
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A 80-year-old patient scores 16 seconds on the Timed Up and Go (TUG) Test. Which of the following is an appropriate follow-up to the patient's test performance?

Per the TUG, the patient is at risk for falling; to reduce risk perform dynamic balance exercise such as walking and turning

3 multiple choice options

15
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Active static stretching

involves holding the stretched position using the strength of the muscle opposite the ones being stretched as is common in yoga poses.

3 multiple choice options

16
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A stretching technique in which you stretch to the point of discomfort and hold the stretch for 10-30 seconds is called

Static Stretching

3 multiple choice options

17
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Per the FIT principle for improving flexibility, for older adults static stretching exercise should be

Held 30-60 seconds, repeated 4-6 times, performed 2-3 days/week

3 multiple choice options

18
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A person who is in the Action Stage of Readiness for Change has been

regularly meeting public health recommendations for exercise for 3-6 months.

3 multiple choice options

19
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The primary construct of Transtheoretical Model of Health Behavior is

Stages of Readiness for Change

3 multiple choice options

20
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Which one of the following physical activity promotion interventions is recommended for a patient whose stage of readiness for change is the preparation phase?

Assess and Assist: assess roadblocks and facilitators for behavior change and assist in developing strategies to minimize roadblocks.

3 multiple choice options

21
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Which of the following is an example of tertiary prevention?

A community-based exercise program for people with arthritis

3 multiple choice options

22
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A physical therapist is working with a patient who has been inconsistent with their home exercise program (HEP). Using the OARS technique, how should the therapist respond to the patient's statement,"I know I need to exercise, but I just don't have the time"?

"Thats great that you understand the benefits of exercise, know you need too, and want too. Tell me more about your challenging schedule and lets think about how you might find time for exercise."

3 multiple choice options

23
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A patient is in the "Contemplation" stage of Readiness for Change and expresses ambivalence about starting a physical activity program. Which Motivational Interviewing technique would be most appropriate to use?

Engaging the patient in a Decision Balance Analysis to explore the pros and cons of changing.

3 multiple choice options

24
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In the context of health behavior change, self-efficacy refers to:

An individual's belief in their ability to execute behaviors necessary to acheive specfic goals.

3 multiple choice options

25
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Which of these is most likely to promote better sleep?

reading or listening to music at bedtime

3 multiple choice options

26
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Sleep apnea is a disorder characterized by

an interruption of breathing during sleeping, loud snoring and gasping for air

3 multiple choice options

27
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Which of the following statements about the stages of sleep is TRUE

both the Slow Wave Sleep and REM stages are important for consolidating memory.

3 multiple choice options

28
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A patient with sleep apnea who is overweight and has enlarged tonsils is seeking advice on lifestyle changes. Which combination of interventions would be most apporpriate for a physcial therapist to recommend?

Education on positioning during sleep, a multipdiciplinary program approach to weight loss, and consultation with physician specializing in sleep

3 multiple choice options

29
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Which of the following medications is known to fragment sleep and reduce deep sleep?

Opioids

3 multiple choice options

30
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A 55-year-old patient with chronic shoulder pain and difficulty sleeping reports sleeping less than seven hours, difficulty falling asleep, poor sleep quality, and feeling groggy during the day. The patient reports difficutly sleeping prior to experiencing shoulder pain and does not think current difficulty sleeping is due to pain. The patient does not have symptoms related to sleep apena or restless leg syndrome. As a physical therapist, what is the next best action?

Administer the Insomnia Severity Index as an additional screening tool for sleep

2 multiple choice options

31
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All the following interventions for nutrition can be utilized by physical therapists except:

diet prescriptions

3 multiple choice options

32
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Micronutrients include:

vitamins and minerals

3 multiple choice options

33
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According to the accepted macronutrient distribution range (AMDR), for adults, the recommended percentage of total daily calories for macronutrients is?

45-65% carbohydrate, 20-35% fat, and 10-35% protein

3 multiple choice options

34
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Which of the following vitamins contribute to the antioxidant defense system?

vitamin E

3 multiple choice options

35
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A deficiency in iron can cause

d. a and b are correct

3 multiple choice options

36
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Vitamin C is essential in the synthesis of

collagen

3 multiple choice options

37
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How does regular aerobic exercise impact the resting heart rate and why is this beneficial for patients in physical therapy?

It decreases resting heart rate, enhancing cardiovascular efficiency and reducing cardiac workload.

3 multiple choice options

38
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How does the body primarily adapt to regular endurance training in terms of energy metabolism?

Enhanced ability to utilize fats for energy

3 multiple choice options

39
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How does understanding oxygen deficit inform the design of exercise intervention programs?

It emphasizes the importance of a gradual increase in intensity to allow the aerobic energy system to catch up with the demands of exercise.

3 multiple choice options

40
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Which energy system primarily fuels short, high-intensity activities such as sprinting and weightlifting?

ATP-Creatine Phosphate System

2 multiple choice options

41
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Which musculoskeletal sign is commonly associated with endocrine disorders?

Weakness of bilateral proximal muscles

3 multiple choice options

42
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Which of the following best describes the difference in muscle fiber type loss between physical inactivity and casting (immobility), and the implications for physical therapy?

Physical inactivity leads to a greater loss of Type Il fibers, whereas casting causes a greater loss of Type I fibers; physical therapy should prioritize muscle strength and power training after physical inactivity.

3 multiple choice options

43
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Which of the following muscle fiber types is most resistant to fatigue and is primarily used during endurance activities?

Type I (slow-twitch)

2 multiple choice options

44
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Why does blood flow redistribute to skeletal muscles during exercise, and what is the primary physiological reason for this change?

Blood flow to skeletal muscles increases to meet the higher oxygen and nutrient demands required for sustained muscle activity.

3 multiple choice options

45
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During prolonged, moderate-intensity exercise, which macronutrient becomes the primary source of energy?

Carbohydrates

3 multiple choice options

46
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Which chamber of the heart receives oxygenated blood from the lungs?

Left atrium

3 multiple choice options

47
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Exercise guidelines indicate vigorous intensity physical activity should be performed at least____ min/week, while moderate intensity PA should be performed at least ____ min/week.

75, 150

3 multiple choice options

48
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Which of the following is a guideline for progressing aerobic exercise training

progress time (duration) first at a rate of ≤ 20% per week until target duration is achieved.

3 multiple choice options

49
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Which of the following statements is TRUE regarding balance training?

The intensity level of exercises to improve balance should cause the patient to experience unsteadiness

3 multiple choice options

50
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The patient is 68 years old and is receiving PT for supraspinatus tendonitis. During the initial visit, the patient agreed to perform a home exercise program (HEP) three times per week.During the first week, the patient attended PT twice, did the HEP three times and reported decreased shoulder pain.During the second week the patient attended the first scheduled PT visit, had performed the HEP twice, and reported continued improvement. The patient cancelled the second visit that week to care for their spouse who was in the hospital for two days due to cardiac arrhythmia. In the first scheduled visit of week three the patient reports they were only able to do the HEP twice in week two; have only done it once in week three and concerned about their ability to commit to doing it three times per week while caring for their spouse.Which of the following phases of readiness to change health behavior describes this patient?

Preparation

3 multiple choice options