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NMS Q&A Family Medicine

NMS Q&A Family Medicine

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chapter 40Exercise and HealthExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 An obese 45-year-old male wishes to inaugurate anexercise program and asks for advice as to what precautionshe should observe. Each of the following is acontraindication for prescribed exercise except forwhich one?(A) Compensated congestive heart failure(B) Complex ventricular dysrhythmias(C) Unstable angina(D) Significant aortic stenosis(E) Significant aortic aneurysm2 Each of the following statements is correct regardingprinciples in the language of exercise physiologyexcept for which one?(A) Isometric exercise involves exertion against afixed load without moving it.(B) Isotonic exercise involves exertion against aconstant load through movement in space.(C) In eccentric exercise, muscle tension is increasedalong with its lengthening.(D) In concentric exercise, objects of graduatedweights are moved toward the body.(E) Power lifting by children should not occur untilthe child has attained Tanner stage V.3 Which of the following is the definition of basalenergy expenditure (BEE)?(A) The amount of energy expended per unit timeby a person at rest, who has not eaten for2 hours(B) The amount of energy expended per unit timeby a person at rest, who has not eaten for12 hours(C) The amount of energy expended by a persondoing normal wakeful activity, not involvingpulse-raising exercise(D) The amount of energy expended per unit timeby a person during sleep(E) The amount of energy expended by a person inperforming basic activities of daily living4 A 45-year-old man weighs 240 lb (109 kg) at a heightof 5 ft 10 in. (1.77 m) and is now seriously contemplatingweight loss. You feel you can exploit this teachingmoment. How much time for exercise can you tellthe patient is recommended for American adults bythe Center for Disease Control and Prevention?(A) 15 minutes of mild-intensity physical activity3 days a week(B) 15 minutes of moderate-intensity physicalactivity 3 days a week(C) 15 minutes of moderate-intensity physicalactivity 5 to 7 days a week(D) 30 minutes of moderate-intensity physicalactivity 3 days a week(E) 30 minutes of moderate-intensity physicalactivity 5 to 7 days a week5 In helping the patient to recognize moderate exercisein his individual case, what pulse rate would this45-year-old patient need to achieve to be reaching atleast moderate physical activity?(A) 70 beats per minute(B) 104 beats per minute(C) 122 beats per minute(D) 154 beats per minute(E) 170 beats per minute6 Regarding the patient who is inaugurating a weightloss program, you tell the patient that each of the followingbenefits accrue to a person who exercisesexcept for which one?(A) Prevention and control of type II diabetes areimproved in regular exercise, even controllingfor weight.(B) Osteoporosis of aged individuals is retarded orprevented by regular exercise.(C) Risk of colon cancer is lessened by regularexercise.(D) Blood pressure control in hypertension isfacilitated by regular exercise.(E) Risk of rectal cancer is reduced by regularexercise.245

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