Changes from a structured exercise program can result in many positive

1. Changes from a structured exercise program can result in many positive factors, including exercise capacity, mobility of chest wall and skeletal development.

a. True b. False

2. Exercise programming for CF clients with mild to moderate cystic fibrosis (FEV1 65% to 50% predicted) include the following: prevention of lung deterioration, optimization of chest mobility and clearance techniques, and improvement of peripheral muscle function.

a. True b. False

3. Patients with PH have a reduced stroke volume and pulmonary vascular resistance, causing the following conditions: reduced ability to increase cardiac output, reduced overall exercise capacity, reduced VO2peak, reduced peripheral oxygen uptake.

a. True b. False

4. Patients with PH can undertake an exercise program though evidence-based protocols are limited.

a. True b. False

5. Avoid exercising to the point of distressing symptoms; take particular caution if light-headedness or dizziness has occurred.

a. True b. False

6. The underlying cause of PH (lung, heart, or other disease) does not really have a significant impact on response to exercise training.

a. True b. False

7. No exercise prescription recommendations for PH with any known etiology have been developed.

a. True b. False

8. Effects of liver disease on exercise include marked reduction in exercise capacity due to diminished muscular strength as the disease progresses.

a. True b. False

9. Symptoms that can occur during exercise include: early onset of fatigue, low maximal heart rate(s), and overall reduction in physical activity.

a. True b. False

10. CKD and CLD research have shown that exercise contributes to the following improvements: more energy, less limitation in physical functioning, and improved quality of life.

a. True b. False

11. Exercise training after kidney transplants results in significant improvements in VO2peak and muscle strength.

a. True b. False

12. Exercise training is safe for individuals with HIV and AIDS who are medically stable.

a. True b. False

13. Aerobic exercise at low to moderate intensities does not increase the prevalence of additional infections, does not increase viral load, and actually increases CD4+ T-cell count.

a. True b. False

14. Exercise training demonstrates enhanced physical functioning, cardiovascular and muscular endurance, health-related quality of life, and general well-being.

a. True b. False

15. In exercise programming, the key to training is low-intensity exercise 3 days per week with slower than usual progression.

a. True b. False

16. Chronic Fatigue Syndrome is a debilitating medical condition that lasts for a minimum of 12 months.

a. True b. False

17. Post exercise malaise normally lasts up to 72 hours after session.

a. True b. False

18. The goal of exercise programming is to prevent further deconditioning and attaining 60 min/week of exercise.

a. True b. False

19. Progression should focus on increasing the duration of moderate intensity activities.

a. True b. False

20. Musculoskeletal symptoms and fatigue affect exercise response.

a. True b. False

21. Symptoms of Fibromyalgia can include: morning stiffness, exaggerated delayed-onset muscle soreness (DOMS), poor recovery from exercise, and difficulty with use of the arms in elevated positions

a. True b. False

22. For exercise, use of a standard cycle is the best form of exercise.

a. True b. False

23. It is best to avoid evening exercise sessions.

a. True b. False

24. Avoid sustained overhead activities due to rotator cuff impingement and muscle weakness.

a. True b. False

25. Exercise programs for Fibromyalgia should follow low- to moderate-intensity exercise.

a. True b. False

26. Exercise should be done fewer than 5 days per week initially, then progressing slowly to 270 min/week.

a. True b. False

27. Warm water exercise programs provide social support and lower risk of adverse musculoskeletal effects.

a. True b. False

28. Inadequate clotting (hemorrhage), thrombocytopenia, von Willebrand hemophilia lead to deficiencies in clotting factors and excessive bleeding.

a. True False

29. In exercise testing, persons with high platelet counts should not perform high-resistance strength exercises.

a. True b. False

30. When developing an exercise program in the case of coagulation factor deficiencies, it is important to minimize joint trauma and weight bearing with activities such as swimming and stationary cycling.

a. True b. False

31. Exercise in this population should be of moderate intensity, with resistance training 30 minutes, 3 times per week, for 8 to 15 repetitions with emphasis on core and lower-extremity strength.

a. True b. False

32. Spinal cord injury (SCI), traumatic brain injury (TBI), and stroke (CVA) are very similar and contribute to common neurological outcomes.

a. True b. False

33. SCI, CVA, and TBI might contribute to these: gross muscular atrophy, increased intramuscular fat, shift from oxidative to non-oxidative muscle fibers that are insulin resistant, and metabolic syndrome.

a. True b. False

34. Exercise training results in improvements in these areas: aerobic capacity and cardiovascular disease risk, glucose tolerance, brain blood flow and brain function, muscle function, mobility and bone health.

a. True b. False

35. Exercise programming in this population requires safety first: fall risk, clearance, and mobility.

a. True b. False

36. Diseases affecting peripheral nerves, muscle, and the neuromuscular junction have been well studied with regard to exercise.

a. True b. False

37. Current practice includes exercise to assist in strengthening deconditioned and weak muscles.

a. True b. False

38. Exercise supervision is important in selecting the best exercises for the individual's needs, and exercise programming should be gradual and client-centered.

a. True b. False

39. Core strength and endurance are particularly important in myopathies due to weak proximal (shoulder and arm, pelvic and thigh) musculature.

a. True b. False

40. Cerebral Palsy is a group of common childhood-onset motor disorders due to permanent disturbances in the developing fetal or infant brain.

a. True b. False

41. Response to movement and exercise is: energy required to walk is increased and the aerobic economy of walking is decreased.

a. True b. False

42. Goals for exercise include: maintain mobility, increase physical activity, counteract a sedentary lifestyle that predisposes to cardio-metabolic disease, reduce the physical and time burdens on caregivers, and improve the quality of life.

a. True b. False

43. Adaptations for aerobic activities are necessary depending on age and GMFCS level; however, in most cases, working toward a goal of 150 minutes per week is desirable.

a. True b. False

 

44. When designing an exercise program, consider upper limb strengthening with adaptations where suitable; contraindicated in level V children or adults.

a. True b. False

45. Types of MS that are currently observed include, but are not limited to, relapsing-remitting: symptoms appear and disappear with no progression of disease.

a. True b. False

46. Activity is limited in MS patients due to the nature of the disease, causing these responses to exercise: dyspnea on exertion. Weakness and easy fatigability, and low thermal stress tolerance.

a. True b. False

47. Exercise should begin at low levels using a familiar activity and be gradually increased.

a. True b. False

48. Parkinson's disease involves the extrapyramidal part of the nervous system, causing impairment in motor function.

a. True b. False

49. Symptoms do not occur until loss of these dopaminergic cells is greater than 50%, with noticeable change in movement when starting out walking.

a. True b. False

50. Testing for musculoskeletal aspects, gait, and physical functioning for ADLs include, but are not limited to: pull test and sit-to-stand.

a. True b. False

51. Muscular dystrophies are a very diverse group of myopathies that usually are apparent in youth.

a. True b. False

52. It is believed that MD is caused by a deficiency or reduced expression of the muscle protein dystrophin due to deletions or point mutations in the dystrophin gene.

a. True b. False

53. Conflicting aspects for exercise for a client with DMD or BMD may result in speeding up the decline.

a. True b. False

54. Risk that muscular activity will provoke delayed-onset muscle soreness (DOMS) and initiate the normal remodeling process of muscle in someone who has a faulty ability to rebuild muscle is also of great concern.

a. True b. False

55. Exercise programming should consist of light- to moderate-intensity activities in a warm setting.

a. True b. False

56. Frequency of exercise should be 5 or 6 days per week for 60 minutes maximum.

a. True b. False

57. Dementia is a set of symptoms that include deterioration in memory, thinking, or behavior that is severe enough to interfere with daily life.

a. True b. False

58. Alzheimer's disease is most prevalent, with Amyloid plaques and neurofibrillary tangles in the brain which are hallmarks of the disease.

a. True b. False

59. Medications used can affect balance and coordination.

a. True b. False

60. Exercise training has been shown to improve physical functioning, increase cardiorespiratory fitness, and slow or reverse disability in basic ADLs.

a. True b. False

61. Exercises that target leg strength, balance, and range of motion are important as they minimize the loss of muscle mass and reduce risk for falls.

a. True b. False

62. Exercise may be better tolerated during evening hours.

a. True b. False

63. Create an environment that is as familiar as possible.

a. True b. False

64. Familiar music can help clients relax and reduce anxiety or distress.

a. True b. False

65. Using verbal cues is preferred; exercise instructions with figures or numbers at exercise stations can help clients' memory and allow them to feel more proficient.

a. True b. False

66. Efficacy of exercise compares favorably with that of antidepressant medications for mild to moderate depression.

a. True b. False

67. Gather a thorough medical history and listing of current medications because some may reduce functional aerobic capacity, affect perception and coordination, or reduce the desire to be physically active.

a. True b. False

68. In some cases, psychomotor retardation can cause a visible slowing of motor movements and reaction times.

a. True b. False

69. Regular aerobic exercise is not effective when compared pharmacotherapy treatments in mild to moderate depression.

a. True b. False

70. Overall, achieve at least the minimum recommended levels of 60 minutes/week of moderate-intensity physical activity; above 60 min/week does not show appreciable change in depressive symptoms.

a. True b. False