5/18/09

Final Exam 2008-2009

Option 1
Case study:
A 23 year old female living in Alaska seeks your advice for the proper way to become healthier overall and also to train for a 5k (3.5 miles) road race in Denver, Colorado this August (3 months away). You do not know anything about her fitness level1. During a conversation with her you find out that she is on the Atkins diet and is convinced that carbohydrates do nothing for her, especially if she is training2.
She has begun training and has run only once and ran as fast as she could for 2 minutes3 and explained to you the discomfort she felt the following day due to the build up of “evil” lactic acid4,5. She also quickly developed a pain just below her knee cap6 and claims that she pulled her hamstring muscle7.
She has already ordered an oxygen tank to be use during her race, knowing that there will be less oxygen at the high peaks where it takes place8.
When discussing her family history, she is happy to tell you her mother was an Olympic swimmer (sprinter) and her father was a Football pro (lineman)9. She is excited to know that those traits were passed on to her and will help her with the 5k race. You also learn, however, that both of her grandparents died of cardiovascular disease10.
Following the meeting, you quickly learn that she is very clumsy as she trips over the chair and stumbles out of your office11.

Specific Objectives (explain in physiological detail each):
1How to figure out previous fitness level
2Proper diet while training including role carbohydrates, proteins, and fats have on her energy metabolism
3Proper training plan for a oxidative/aerobic sport, how much of what to do during the week? (periodization, progression, etc.)
4How your body clears away LA, benefits of LA
5What is really causing the soreness?
6What injury does she have, what are the treatment
7Did she really pull it, or is it just a strain and what is the treatment?
8Is this true (less oxygen), do you recommend using a tank (RBC saturation)?
9Fast twitch vs. slow twitch muscle fibers, what are they and will her parents genes really help her?
10Explain clogged arteries, how they are clogged, why is this bad.
11Proprioception, muscle memory

Option 2
Task:
What changes occur to the body at the onset of exercise?

Specific Objectives (include each of the following):
Energy metabolic pathways
Lactic Acid
Carbs./protein/lipids role in #1
Neurological
Muscular
Pulmonary
Cardiovascular
Environmental influences (high temperature and high elevation)
Physiological conditions influences (cardiovascular disease)
Example of proper training to improve
Improvements with proper training

Final Product:
Your choice of: movie,graphics,animation, etc. or may be combination of them. You may work with a partner only if you are creating a full-length movie.

5/15/09

Injury: case study

Turn in: 1)copy of case study w/out name on it and no diagnosis/treatment2)copy of case study with name on it & proper treatment
Diagnosis: you will be given a case study and will hand in: 1) diagnosis 2)how/why you arrived at it(if xrays/MRI explain what you're looking at 3)proper treatment (what would you tell the patient)
Create a case study on an injury:
•Choose an injury and create a description of some symptoms and if applicable (highly encouraged), a copy(ies) of an x-ray/MRI image.
•Use appropriate & vocabulary
•The case studies will be distributed to classmates where they will “solve” the case and write up an explanation to the patient what the injury is and what they should do about it (treatment including rehab.)
Case Study Example (x-rays,diagrams excluded,make yours similar):
1)A 42 year old female postal worker has been referred to the occupational medicine clinic for evaluation. She says that for the past five months she has had intermittent bilateral hand and wrist pain (right greater than left), associated with right hand weakness. She also reports numbness and tingling in bilateral fifth digits intermittent over the past two months, and mild right elbow pain. For the past eight years, the patient has worked full time as a Letter Sorting Machine (LSM) operator for the U.S. Postal Service.
-LSM keying requires repetitious flexion and extension of digits, hands, and wrists, at a fixed speed. A 60 speed refers to keying in the zip codes for 60 letters in one minute, one letter per second. Employees key for 30 minutes at a time, preceded by 15 minutes to load the LSM ("feeding") and followed by 15 minutes to remove letters from the machine ("sweeping").
-The work environment is dusty. It is noisy when all machines are running, especially on the night shift which has the heaviest mail volume. The patient complains of some cross-cultural conflicts with her supervisor, and fears harassment if she goes on limited duty. She has no hobbies or other non-work activities that involve repetitive motion.

5/4/09

Training

Baseball 1 2
Hockey 1
Boxing 1 2
Gain weight 1