Screening for Medical Clearance
Assignment A2:
Screening Questions
Screening Questions
Instructions:
Get familiar with the screening questions and color-coded instructions for each response. Then complete the quiz below.
Get familiar with the screening questions and color-coded instructions for each response. Then complete the quiz below.
Question 1: SYMPTOMS - Do you ever experience:
___ Chest discomfort with exertion (angina)?
___ Unreasonable breathlessness?
___ Dizziness, fainting, or blackouts?
___ Ankle swelling?
___ Forceful, rapid, or irregular heart beats?
___ Burning or cramping in your calves when walking?
If the individual has experienced any symptom listed above, STOP: Medical Clearance is required.
If the individual has NOT experienced any symptom listed above, continue to Question 2.
Question 2: EXERCISE - Have you been exercising regularly over the past 3 months?
Have the individual describe his/her pattern of exercise and determine their answer as Yes or No:
Yes > 90 minutes of moderate-intensity physical activity per week
Example: 30 minutes of brisk walking/jogging at least 3 days per week for the past 3 months
No < 90 minutes of moderate-intensity physical activity per week
Example: A 60 minute walk every Sunday for the past 3 months
If Yes, you may STOP: Medical Clearance is NOT required.
If No, continue to Question 3.
Question 3: MEDICAL HISTORY - Have you had:
___ Heart attack?
___ Cardiac catheterization or angioplasty?
___ Heart transplant?
___ Pacemaker, defibrillator, or dysrhythmia?
___ Heart valve disease?
___ Heart failure?
___ Congenital heart condition?
___ End-stage Renal Disease?
If the individual has not been exercising and has a medical history of any of the conditions listed above, STOP, Medical Clearance is required.
Whether the individual has been exercising or not, as long as the individual does NOT have a medical history of any of the conditions listed above, Medical Clearance is NOT required.
___ Chest discomfort with exertion (angina)?
___ Unreasonable breathlessness?
___ Dizziness, fainting, or blackouts?
___ Ankle swelling?
___ Forceful, rapid, or irregular heart beats?
___ Burning or cramping in your calves when walking?
If the individual has experienced any symptom listed above, STOP: Medical Clearance is required.
If the individual has NOT experienced any symptom listed above, continue to Question 2.
Question 2: EXERCISE - Have you been exercising regularly over the past 3 months?
Have the individual describe his/her pattern of exercise and determine their answer as Yes or No:
Yes > 90 minutes of moderate-intensity physical activity per week
Example: 30 minutes of brisk walking/jogging at least 3 days per week for the past 3 months
No < 90 minutes of moderate-intensity physical activity per week
Example: A 60 minute walk every Sunday for the past 3 months
If Yes, you may STOP: Medical Clearance is NOT required.
If No, continue to Question 3.
Question 3: MEDICAL HISTORY - Have you had:
___ Heart attack?
___ Cardiac catheterization or angioplasty?
___ Heart transplant?
___ Pacemaker, defibrillator, or dysrhythmia?
___ Heart valve disease?
___ Heart failure?
___ Congenital heart condition?
___ End-stage Renal Disease?
If the individual has not been exercising and has a medical history of any of the conditions listed above, STOP, Medical Clearance is required.
Whether the individual has been exercising or not, as long as the individual does NOT have a medical history of any of the conditions listed above, Medical Clearance is NOT required.
QUIZ A2