Quiz 3

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School

The University of Oklahoma *

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Course

3873

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Medicine

Date

Dec 6, 2023

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docx

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Uploaded by kairae02

Risk Assessment Practice Read thru the following scenarios. Using the information covered in class, assess the number of risk factors, risk stratification (low, moderate, high risk), recommendation for medical exam and graded exercise test. Scenario 1: Martha is a 56-year-old secretary. Her father died of an MI (myocardial infarction) at the age of 45. Martha reports that her LDL-cholesterol has been recorded at 125 mg/dl. Her BMI is 25. She reports that she has an active lifestyle that includes golf, tennis, and a daily workout routine. Number of risk factors: __2__ Risk Stratification: __Moderate__ Recommendation : Medical exam and graded exercise test before exercise? Mod Ex: __Not Rec__ Vig Ex: __Rec__ MD supervision of exercise test? Submax testing: __Not Nec__ Max testing: __Rec__ Scenario 2: Kathleen is a 47-year-old sedentary female. Kathleen reports total cholesterol of 210 mg/dl with an HDL cholesterol reading of 68 mg/dl. She stands five feet two inches (157 cm) tall, and her body weight is 110 pounds (50 kg) with a BMI of 20. Her blood pressure taken on two separate occasions is recorded as 120/80 mmHg. She reports that she was diagnosed with type 1 diabetes in early childhood. Number of risk factors: __3__ Risk Stratification: __High__ Recommendation: Medical exam and graded exercise test before exercise? Mod Ex: __Rec__ Vig Ex: __Rec__ MD supervision of exercise test? Submax testing: __Rec__ Max testing: __Rec__

Scenario 3: Alex is a 20-year-old active male. He enjoys cycling, snow skiing, hiking, and running. On two separate occasions, Alex’s blood pressure has been recorded as 145/85 mmHg. He stands six feet one inch (185cm) tall, and his body weight is 176 pounds (80kg) with a BMI of 23. He reports that his uncle died suddenly of an unidentified heart condition at the age of 34. Alex’s grandfather also died suddenly of unknown causes at the aged of 47. Number of risk factors: __1__ Risk Stratification: __Low__ Recommendation: Medical exam and graded exercise test before exercise? Mod Ex: __Not Nec__ Vig Ex: __Not Nec__ MD supervision of exercise test? Submax testing: __Not Nec__ Max testing: __Not Nec__ Scenario 4: Vanessa is a 35-year-old female who loves puppies and long walks on the beach. She lives an active lifestyle and is always certain to make it to spin class at least 5 times a week (intensity greater than 40-60% VO2). Vanessa used to smoke but quit about a year ago. Vanessa is obsessed with her self-image, frequently skips meals, and has a BMI below 18.5. Both parents are alive and well with no major health problems. Number of risk factors: __0__ Risk Stratification: __Low__ Recommendation: Medical exam and graded exercise test before exercise? Mod Ex: __Not Nec__ Vig Ex: __Not Nec__ MD supervision of exercise test? Submax testing: __Not Nec__ Max testing: __Not Nec__ Scenario 5: Vinny is a recently active 26-year-old male. Topping out at 300lbs six months ago, Vinny decided to make drastic changes to his lifestyle and has since lost 60 lbs. His current BMI is 33.5. He has done well up to this point but has noticed that his results have started to plateau. While at 300 lbs, Vinny’s SBP was at 160mmHg prompting his doctor to put him on blood pressure lowering medication. His SBP has since dropped to 140mmHg, but his doctor has insisted on

him maintaining his medication. All other tests for dyslipidemia and prediabetes have come back normal. Number of risk factors: __2__ Risk Stratification: __Moderate__ Recommendation: Medical exam and graded exercise test before exercise? Mod Ex: __Not Rec__ Vig Ex: __Rec__ MD supervision of exercise test? Submax testing: __Not Nec__ Max testing: __Rec__

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Quiz 3

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