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Continuing Education Self-Test

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ACSM's Health & Fitness Journal: March 2010 - Volume 14 - Issue 2 - p 45-47
doi: 10.1249/FIT.0b013e3181d55dba
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In Brief

MARCH/APRIL 2010 | EXPIRATION DATE APRIL 30, 2011 | SELF-TEST #1: 2 CECs | SELF-TEST #2: 2 CECs

To participate in this program, you must read the designated feature articles carefully, answer the test questions, obtain a passing grade (a minimum score of 60%), and complete the credit evaluation form. After answering the questions, turn to the bottom of the Table of Contents to score your exam. To receive credit verification, fill out and sign the form on page 47, confirming that you have read the materials and obtained a minimum passing score. Select the best answer for each of the following by placing an "x" in one box for each question.

Exercise Therapy for the Failing Heart: Harmful or Helpful? page 9

Peter H. Brubaker, Ph.D., FACSM, Cemal Ozemek, B.S.

1. Diastolic heart failure also is referred to as

A. heart failure with a reduced ejection fraction (HF-REF).

B. diminished preload disease.

C. chronotropic incompetence.

D. heart failure with a normal ejection fraction (HF-NEF).

2. What best describes left ventricular function characteristics of systolic heart failure?

A. left ventricular ejection fraction of 55% to 60%

B. left ventricular ejection fraction of less than 35%

C. reduced end-diastolic volume

D. decreased end-systolic volume

3. Which abnormalities are commonly observed in HF patients?

A. reduction in oxidative (aerobic) enzymes in skeletal muscle

B. increase in nonoxidative (anaerobic) enzymes in skeletal muscle

C. normal/efficient ventilation during exercise

D. Both a and b.

4. In addition to obtaining ECG, blood pressure, RPE, signs/symptoms during an exercise test, important prognostic information also can be obtained from?

A. blood oxygen saturation levels

B. blood lactate levels

C. expired gas measures (ventilatory "anaerobic" threshold, V˙E/V˙CO2 slope)

D. skeletal muscle biopsy

5. Which statement is false regarding the benefits of aerobic exercise in HF patients?

A. Aerobic exercise is not recommended for HF patients with ejection fraction less than 35%.

B. Aerobic exercise does not usually produce structural changes in the heart.

C. Skeletal muscles become better able to extract O2 from circulating blood.

D. Peak VO2 can improve 10% to 30%.

6. Which statement(s) is (are) true regarding strength training in HF patients?

A. Normally, it produces improvement in muscular strength and endurance.

B. Patients should perform sets of heavy resistance and low repetitions.

C. Patients should perform sets of light resistance and high repetitions.

D. Both a and c.

7. What is an appropriate exercise prescription for stable HF patients?

A. endurance/aerobic/cardio-type exercise performed one to two times per week, low intensity, a duration of 10 to 20 minutes

B. endurance/aerobic/cardio-type exercise performed three to five times per week, moderate intensity, a duration of 30 to 60 minutes

C. endurance/aerobic/cardio-type exercise performed three to five times per week, vigorous intensity, a duration of 30 to 60 minutes

D. endurance/aerobic/cardio-type exercise performed seven times per week, vigorous intensity, a duration of 10 to 20 minutes

8. What can cause systolic heart failure?

A. ischemic heart disease

B. long-standing hypertension

C. diabetes

D. obesity

E. All of the above.

9. Which type of exercise training seems to be potentially beneficial for HF but needs studies to support its efficacy?

A. sprints

B. olympic weightlifting

C. high-intensity "aerobic" interval training

D. plyometrics

Health Benefits of Marine-Derived Omega-3 Fatty Acids page 22

Kristina A. Harris, B.A., Alison M. Hill, Ph.D., Penny M. Kris-Etherton, Ph.D., R.D.

1. Which of the following is NOT an omega-3 fatty acid?

A. eicosapentaenoic acid

B. docosahexaenoic acid

C. α-linolenic acid

D. arachidonic acid

2. For healthy adults, the American Heart Association recommends ___ servings per ____ of (preferably) oily fish for the prevention of CVD.

A. one, week

B. two, month

C. two, week

D. three, month

3. Which of the following is NOT a good source of long-chain omega-3 fatty acids?

A. salmon

B. mussel

C. tuna

D. lobster

4. What is the FDA action level for the cutoff of mercury in food sources, and which fish exceeds this?

A. 0.8 μg/g, shark

B. 1.0 μg/g, tilefish (Gulf of Mexico)

C. 2.0 μg/g, king mackerel

D. 1.8 mg/g, swordfish

5. An Omega-3 Index score of ___ is considered cardioprotective.

A. 4%

B. 5%

C. 6%

D. higher than 8%

6. Long-chain omega-3 fatty acids are used in clinical practice for treatment of which of the following?

A. high blood pressure

B. high triglycerides

C. high LDL

D. Both a and b.

E. All of the above.

7. Which of the following is NOT a risk factor for metabolic syndrome?

A. low fasting glucose levels

B. low HDL

C. high blood pressure

D. high triglycerides

E. increased waist circumference

8. Potential exercise and LC n-3 FA interaction include

A. lowered heart rate during submaximal exercise.

B. increased peak exercise heart rate.

C. increased exercise performance.

D. increased postexercise forced expiratory volume.

E. A and D.

F. B and C.

(Answers can be found at the bottom of the Table of Contents.)

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