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Mr Smith Wishes to Enroll in Your Exercise Program

question 41

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Mr. Smith wishes to enroll in your exercise program.  Preliminary evaluation revealed the following information: Age = 50 years                             Resting heart rate = 78 beats/min                   Weight = 198 lb (90 kg)                Resting blood pressure = 162/94 mm Hg Height = 70 inches (178 cm)        Body fat = 30%              Blood chemistry:       Total cholesterol = 240 mg/dl (6.21 mmol/L)       HDL cholesterol = 34 mg/dl (0.88 mmol/L)       Triglycerides = 180 mg/dl (2.03 mmol/L)       Glucose = 98 mg/dl (5.55 mmol/L) Family history and current habits:       Father died of heart attack at 90 years of age       Hypertensive mother died at age 84       Smokes a pipe after dinner each evening       Smokes cigarettes (25-30 per day)       Reports too much work and is struggling to meet deadlines       Currently doing moderate exercise       No medications at present According to ACSM stratification guidelines, Mr. Smith has which of the following coronary artery disease risk factors?

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Definitions:

Sanitation Systems

Infrastructure and practices aimed at the safe and efficient collection, treatment, and disposal or reuse of human excreta and wastewater.

Skin Cancer

A type of cancer that develops in the cells of the skin, often due to overexposure to ultraviolet radiation from the sun or other sources.

Carbon Dioxide

A transparent, fragrance-free gas produced by the combustion of carbon compounds and through respiratory processes. It is a component that naturally permeates the air, and is instrumental for the photosynthesis conducted by plants.

Human Activities

Refers to actions or tasks performed by humans that affect the environment, society, and economy.

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