Exercise Prescription

Chapter 162 Exercise Prescription




Clinical Case Problem 1 A 48-Year-Old Woman Wanting to Start an Exercise Program


A 48-year-old woman comes into the office with questions and concerns about starting an exercise program. Although she has been sedentary most of her life, she is determined to change. She has heard about all the benefits of exercise. Her past medical history is positive for hypertension that is well controlled with a low dose of hydrochlorothiazide, and she has a history of irregular heavy menses now controlled by low-dose oral contraceptives.


On physical examination, her blood pressure is 125/85   mm Hg and her pulse is 82 beats/minute. Her cardiovascular examination reveals regular rhythm and rate with a midsystolic click. Her lungs are clear and her abdomen is benign. The rest of the examination is normal.



Select the best answer to the following questions




1. Which of the following would be an appropriate intervention before this patient’s commencement of an exercise program?


a. echocardiography

b. complete blood count

c. ferritin level

d. exercise stress test

e. no testing is indicated

2. Exercise improves outcomes for which of the following conditions?


a. type 2 diabetes mellitus

b. depression

c. obesity

d. hypertension

e. all of the above

3. Which one of the following statements regarding exercise is true?


a. approximately 40% of adults in the United Stated exercise enough to derive health benefits from physical activity

b. previous athletic performance or exercise provides lasting protection

c. increased levels of physical activity are inversely proportional to long-term cardiovascular mortality

d. approximately 70% of physicians counsel their patients about exercise

e. there is no evidence to support exercise as a primary intervention to promote health

4. The cardiovascular benefits of exercise include which of the following?


a. reduced systolic and diastolic blood pressure

b. reduced serum triglyceride level

c. increased serum high-density lipoprotein (HDL) level

d. reduced arterial stiffness

e. all of the above

5. Which one of the following statements about exercise, heart rate, and autonomic function is (are) true?


a. regular exercise does not lower resting heart rates

b. exercise increases heart rate variability

c. endurance training results in decreased parasympathetic (vagal) tone

d. endurance training results in a less rapid decrease in heart rate after exercise

e. all of the above

6. The exercise prescription should include which of the following?


a. flexibility training

b. resistance or weight training

c. duration of exercise

d. intensity of exercise

e. all of the above

7. Which one of the following statements about the exercise prescription is true?


a. exercise should be performed 2   days every week

b. exercise should be performed continuously for 90   minutes to gain any health benefits

c. resistance training is not recommended for people older than 60   years

d. increasing the intensity of exercise does not reduce the risk of coronary heart disease

e. there is a lack of evidence for the benefit of flexibility exercises in the prevention and treatment of musculoskeletal injuries

8. Which of the following statements about exercise intensity is true?


a. high-intensity exercise is defined as 65% of an individual’s maximum heart rate

b. exercise intensity can be measured in metabolic equivalents (METs); a MET is the amount of oxygen consumed during low-intensity exercise

c. low-intensity exercise has no health benefits

d. the formula of 220 minus the age of the patient underestimates the maximum heart rate, especially in people older than 55   years

e. if a person can hold a conversation while exercising, he or she is exercising at an intensity too low to derive any health benefits

9. Approximately 50% of people stop an exercise program within 6 to 12   months. Which of the following has been shown to increase adherence to an exercise program?


a. a high-intensity exercise program

b. exercising alone

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Oct 1, 2016 | Posted by in GENERAL SURGERY | Comments Off on Exercise Prescription

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