NMS Q&A Family Medicine

248 NMS Q&A Family Medicineintensity, type of activity, and time invested in the activity.The aerobic phase applies to the activity phase of theworkout, not the cooldown period.10. The answer is C. Persistent headache during exercisemay be indicative of a metabolic abnormality or anemia;in any event, it is not a desirable concomitant of exercise.Doubling the heart rate is within normal limits for stresstesting. Rising systolic and falling diastolic pressure duringexercise is a physiological response. A rising diastolicpressure may be a sign of a pathological cardiovascularresponse to exercise.ReferencesColeman MT . Exercise and health . In: Rudy DR , Kurowski K , eds.Family Medicine, House Officer Series . Williams and Wilkins;1997:657–667 .Family Medicine Board Review 2009 . Kansas City, MO ; May3–10, 2009 .Hay WW , Levin MJ , Sondheimer JM , Deterding RR , eds. CurrentDiagnosis & Treatment Pediatrics . New York, Chicago :McGraw-Hill/Lange ; 2009 .McPhee SJ , Papadakis MA . Current Medical Diagnosis and Treatment, 49th ed . New York, Chicago : Lange, McGraw-Hill ;2010 .