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ACSM

010-111 · Question #99

What is the difference between absolute and relative contraindication?

The correct answer is D. Absolute contraindications prevent the individual from any/all exercise testing and prescription. Absolute contraindications prohibit all exercise testing and prescription, while relative contraindications require individualized risk-benefit analysis to determine if modified participation is safe.

Initial Client Consultation and Assessment

Question

What is the difference between absolute and relative contraindication?

Options

  • ARelative contraindications are acute where absolute contraindications are chronic.
  • BAbsolute contraindications consist of risk/benefit analysis whereas relative contraindications do
  • CAbsolute contraindications prevent the individual from participating in some testing and
  • DAbsolute contraindications prevent the individual from any/all exercise testing and prescription

How the community answered

(22 responses)
  • A
    5% (1)
  • B
    9% (2)
  • C
    14% (3)
  • D
    73% (16)

Why each option

Absolute contraindications prohibit all exercise testing and prescription, while relative contraindications require individualized risk-benefit analysis to determine if modified participation is safe.

ARelative contraindications are acute where absolute contraindications are chronic.

Classifying absolute as acute and relative as chronic is incorrect; the distinction is based on severity and allowance for participation, not on the acute or chronic nature of the condition.

BAbsolute contraindications consist of risk/benefit analysis whereas relative contraindications do

Risk-benefit analysis applies to relative contraindications, not absolute ones; absolute contraindications do not permit a risk-benefit analysis because the risk is categorically too high.

CAbsolute contraindications prevent the individual from participating in some testing and

Restricting participation in only 'some' testing describes the relative contraindication category, not absolute contraindications, which prohibit all exercise testing and prescription.

DAbsolute contraindications prevent the individual from any/all exercise testing and prescriptionCorrect

Absolute contraindications represent conditions so severe - such as unstable angina or uncontrolled arrhythmias - that no exercise testing or prescription is permitted until the condition is resolved or stabilized. This is distinct from relative contraindications, where the clinician weighs the risks and benefits to decide if carefully modified exercise is acceptable. The key distinction is that absolute means no participation under any circumstances.

Concept tested: Absolute vs. relative contraindications to exercise testing

Source: https://www.acsm.org/education-resources/books/acsms-guidelines-exercise-testing-prescription

Topics

#contraindications#exercise testing#risk assessment#medical clearance

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