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A set of multiple-choice questions and answers related to the acsm ep 2024/2025 exam 392. It covers various topics relevant to exercise physiology, including cardiovascular disease, training adaptations, musculoskeletal injuries, and exercise prescription for specific populations. The document aims to assist students in preparing for the exam by providing practice questions and verified answers.
Typology: Exams
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A manifestation of coronary artery disease is: a. Tightness of the muscles between both scapulae during overhead activities. b. Jaw discomfort that occurs first thing in the morning. c. A dull ache in the low back that occurs with movement. d. Pain that occurs with exertion or exercise. - CORRECT ANSWERS d. Pain that occurs with exertion or exercise. Dyspnea is defined as: a. Abnormally low breathing rate. b. Complete breathlessness. c. Exercise-induced shortness of breath. d. Abnormally uncomfortable awareness of breathing. - CORRECT ANSWERS d. Abnormally uncomfortable awareness of breathing. Which of the following medications have no primary effect on heart rate, but can lower blood pressure? a. Diuretics b. Bronchodilators c. ACE inhibitors d. Calcium channel blockers - CORRECT ANSWERS c. ACE inhibitors Which of the following types of training consists of quick, powerful movements that involve a rapid stretch of a muscle immediately followed by a rapid shortening of the same muscle? a. Eccentric b. Concentric c. Plyometric d. Powerlifting - CORRECT ANSWERS c. Plyometric When performing plyometric training, training adaptations can be maximized by keeping the amortization phase: a. As short as possible. b. Between one to two seconds. c. Between two to five seconds.
d. Between five to ten seconds. - CORRECT ANSWERS a. As short as possible. A myofibril consists of many and groups of these make up a single. a. Sarcomeres; muscle fiber b. Fascicles; perimysium c. Muscle fibers; sarcomere d. Endomysiums; epimysium - CORRECT ANSWERS a. Sarcomeres; muscle fiber The decision to include resistance training with an individual with diabetes may hinge upon the presence of: a. Retinopathy. b. Intermittent claudication. c. Mild dyspnea. d. Elevated blood pressure. - CORRECT ANSWERS a. Retinopathy. Which of the following is the recommended aerobic exercise intensity for an individual with chronic kidney disease? a. 40%-59% VO2 reserve b. 50%-80% heart rate reserve c. 40%-59% heart rate reserve d. 60%-89% heart rate reserve - CORRECT ANSWERS a. 40%-59% VO2 reserve The posture of the spine, in which the overall internal stresses in the spinal column and muscular effort to hold the posture are minimal, is known as: a. Neutral position. b. Lordosis. c. Kyphosis. d. Anterior pelvic tilt. - CORRECT ANSWERS a. Neutral position. The class of prescription drugs used to treat angina that requires minimal concern for exercise response is: a. Beta-blockers.
b. Calcium channel blockers. c. NSAIDs. d. Diuretics. - CORRECT ANSWERS b. Calcium channel blockers. The acronym PRICE stands for: a. Prevent, rest, induce compression, elevate. b. Present, raise injury, cease exercise. c. Provide, raise injury, call emergency. d. Protect, rest, ice, compression, elevation. - CORRECT ANSWERS d. Protect, rest, ice, compression, elevation. A client sprains her ankle during a training session and is noticeably limping. You should: a. Apply ice and bandage the ankle before continuing with the exercise. b. Contact the client's physician, apply ice, and give the client an anti-inflammatory agent. c. Protect the injured area, rest the ankle, apply ice and compression, then elevate the ankle. d. Rest the ankle, then apply alternate heat and ice treatment before elevating it. - CORRECT ANSWERS c. Protect the injured area, rest the ankle, apply ice and compression, then elevate the ankle. Your client twists her ankle during an exercise session using a platform for lunges. You should: a. Contact 911 immediately and refrain from touching or moving the client. b. Provide traction, wrap in an elastic bandage, and then apply ice and compression. c. Encourage the client to "walk it off" but terminate the exercise session. Be sure the client calls you within 24 hours to report the outcome. d. Support and maintain the joint in a comfortable position via protection, rest, ice, compression, and elevation. - CORRECT ANSWERS d. Support and maintain the joint in a comfortable position via protection, rest, ice, compression, and elevation. A first degree strain can be described as: a. One with a few torn fibers. b. One with almost one-half of fibers torn. c. One with all fibers torn. d. One with complete dislocation. - CORRECT ANSWERS a. One with a few torn fibers.
Your client states that she is sore and experiencing some minor swelling in her joints following a weekend squash tournament. You should: a. Recommend the use of over-the-counter anti-inflammatory medications. b. Provide deep tissue massage to help relieve the soreness. c. Recommend the use of a creatine supplement prior to her next tournament. d. Discuss the proper technique for icing affected areas. - CORRECT ANSWERS d. Discuss the proper technique for icing affected areas. For individuals with arthritis, a training session may have been too intense and may need to be modified if the client: a. Experiences tightness in the lower extremities. b. Experiences decreased range of motion in the trunk. c. Reports more soreness than usual. d. Reports greater joint pain following the training session. - CORRECT ANSWERS d. Reports greater joint pain following the training session. Which skill-related exercises would be MOST beneficial for older adults? a. Balance and coordination b. Speed and agility c. Power and balance d. Strength and coordination - CORRECT ANSWERS a. Balance and coordination Individuals with arthritis should ideally stretch when: a. They have the greatest range of hip motion. b. They are able to complete their regular physical activity first. c. They are not taking any anti-inflammatory medications. d. Joint pain is minimal. - CORRECT ANSWERS d. Joint pain is minimal. Which of the following activities may individuals with rheumatoid arthritis perform? a. Vigorous-intensity activities and strengthening with low resistance and high repetition b. Moderate-intensity activities and strengthening using free weights c. Vigorous-intensity activities and stretching unstable joints as tolerated
d. Moderate-intensity activities with daily stretching - CORRECT ANSWERS d. Moderate-intensity activities with daily stretching For most individuals with low back pain, which of the following modes of exercise may help alleviate symptoms? a. Improving muscular endurance of the core b. Maintaining a retracted scapular position during movement c. Improving the amount of weight that can be deadlifted d. Improving the amount of weight that can be squatted - CORRECT ANSWERS a. Improving muscular endurance of the core Your client has an acute hamstring strain. You should AVOID: a. Recommending that the client see a physician if pain persists. b. Educating the client about RICE principles as an early intervention strategy. c. Modifying the workout, focusing on the noninjured parts of the body. d. Stretching the hamstring for up to 60 seconds per stretch. - CORRECT ANSWERS d. Stretching the hamstring for up to 60 seconds per stretch. A third-degree ligament sprain is characterized by: a. Few torn ligamentous fibers. b. Almost half of ligamentous fibers torn. c. All ligamentous fibers torn. d. Mild instability. - CORRECT ANSWERS c. All ligamentous fibers torn. An ideal exercise to improve the activities of daily living for a client who has back pain would be: a. The leg extension machine. b. A BOSU ball squat holding dumbbells at chest level. c. A squat against the wall with a stability ball behind the back. d. The supine leg press. - CORRECT ANSWERS c. A squat against the wall with a stability ball behind the back.
Which of the following is the BEST way to minimize the risk of musculoskeletal injury as a client begins an exercise program? a. Set realistic exercise goals for the program b. Use programs that are effective with other clients c. Avoid the use of free weights for strength training d. Utilize lower-intensity, longer-duration cardio exercise - CORRECT ANSWERS a. Set realistic exercise goals for the program The skill-related components of physical fitness include: a. Speed, flexibility, coordination, balance, power, and strength. b. Agility, speed, coordination, balance, reaction time, and endurance. c. Speed, agility, coordination, balance, power, and reaction time. d. Agility, flexibility, coordination, balance, power, and endurance. - CORRECT ANSWERS c. Speed, agility, coordination, balance, power, and reaction time. Cardiovascular disease incidence and mortality are inversely related to both physical activity and: a. Strength. b. Physical Fitness. c. Weight. d. Age. - CORRECT ANSWERS b. Physical Fitness. For high school and college athletes, preparticipation screening primarily functions to: a. Detect potential cardiac issues. b. Assess joint integrity. c. Detect muscle weakness and imbalance. d. Assess functional capacity. - CORRECT ANSWERS a. Detect potential cardiac issues. Numerous epidemiological research efforts have demonstrated an inverse relationship between physical activity and: a. Morbidity. b. Cardiovascular disease.
c. Health. d. Cancer. - CORRECT ANSWERS b. Cardiovascular disease. An update from a 2007 ACSM/CDC joint statement indicates that physical activity bouts of at least how many minutes can be accumulated toward the recommended total amount of daily physical activity? a. 5 minutes b. 10 minutes c. 15 minutes d. 30 minutes - CORRECT ANSWERS b. 10 minutes Over the past five decades, it has been estimated that occupational energy expenditure has declined by approximately how many calories per day? a. 50 b. 100 c. 250 d. 500 - CORRECT ANSWERS b. 100 Which of the following is a criterion used to determine if an individual could be classifed as sedentary/physically inactive? a. The performance of at least 30 minutes of moderate-intensity physical activity, on at least five days per week, performed for at least three months. b. The performance of at least 30 minutes of vigorous-intensity physical activity, on at least two days per week, performed for at least three months. c. The performance of at least 30 minutes of moderate-intensity physical activity, on at least five days per week, performed for at least one month. d. The performance of at least 30 minutes of vigorous-intensity physical activity, on at least three days per week, performed for at least one month. - CORRECT ANSWERS a. The performance of at least 30 minutes of moderate-intensity physical activity, on at least five days per week, performed for at least three months. The Aerobics Center Longitudinal Study has demonstrated that more physically fit individuals have reduced risk of cardiovascular disease and: a. Cancer. b. Stroke.
c. Mortality. d. Heart disease. - CORRECT ANSWERS c. Mortality. To minimize musculoskeletal injury from the outset, which of the following should be prioritized? a. Beginning the client's program with a balanced circuit training regimen b. Making the client aware of early signs of potential injury c. Advising the client to "work through" pain d. Starting with high intensity during strength training - CORRECT ANSWERS b. Making the client aware of early signs of potential injury You notice a member of your fitness facility on the elliptical trainer who is shaking her left arm and rubbing her chest. She states that she is okay and tells you her chest is feeling tight. You should: a. Explain and demonstrate how she can later stretch her chest after her cool-down. b. Suggest that she switch to a nonweight-bearing mode such as cycling. c. Stop the exercise, have her immediately cool down by walking around, and monitor for additional signs or symptoms. d. Let her know that you were concerned, and encourage her to keep exercising. - CORRECT ANSWERS c. Stop the exercise, have her immediately cool down by walking around, and monitor for additional signs or symptoms. A 57-year-old female completes the PAR-Q+, answers "YES" to questions #3 and #6 on page 1. She then completes pages 2 and 3, answering "YES" to multiple follow-up questions on those pages. What is the recommended course of action for this individual? a. She may begin independent physical activity immediately b. She should seek physician consent prior to beginning physical activity c. She may begin supervised physical activity only d. She should wait one year and fill out the PAR-Q+ again at that time - CORRECT ANSWERS b. She should seek physician consent prior to beginning physical activity The primary purpose of the informed consent is to: a. Inform the participant of any personal and confidential information that will be collected. b. Inform of any risks involved with exercise testing and/or exercise training. c. Inform of the purpose of all exercise tests that will be performed.
d. Inform how the data collected will be stored. e. All of the answers are correct. - CORRECT ANSWERS e. All of the answers are correct. Which of the following allows for a self-guided screening prior to physical activity? a. Physical Activity Readiness Questionnaire-Plus b. Global Physical Activity Questionnaire c. Minnesota Leisure Time Activity Survey d. Jenkins Activity Survey - CORRECT ANSWERS a. Physical Activity Readiness Questionnaire-Plus The risk factor for obesity is a BMI at or greater than: a. 45 kg/m2. b. 30 kg/m2. c. 15 kg/m2. d. 60 kg/m2 - CORRECT ANSWERS b. 30 kg/m2. Initial interviews with clients should include health history, exercise readiness forms, and inquiries about: a. Work schedule and hobbies that may interfere with training schedules. b. Client goals and expectations for working with an ACSM-EP. c. Social support networks that can help or hinder the training routine. d. Previous work with other ACSM-EPs. - CORRECT ANSWERS b. Client goals and expectations for working with an ACSM-EP. Which of the following indicates you should not let your client exercise that day and should refer them to a physician? a. Feelings of depression b. A resting blood pressure of 130/84 mm Hg c. Abnormally uncomfortable awareness of breathing d. A resting heart rate of 72 bpm - CORRECT ANSWERS c. Abnormally uncomfortable awareness of breathing
Which of the following blood pressure readings indicates hypertension? a. 142/91 mm Hg b. 134/80 mm Hg c. 120/67 mm Hg d. 130/88 mm Hg - CORRECT ANSWERS a. 142/91 mm Hg A client with a history of heart disease is experiencing symptoms of severe calf pain, which occurs consistently around 10 minutes into walking. This condition MOST likely is: a. Tibial nerve entrapment. b. Piriformis syndrome. c. Sciatica. d. Intermittent claudication. - CORRECT ANSWERS d. Intermittent claudication. Vigorous exercise, per the ACSM risk classification, is activity at what MET level? a. Six b. Five c. Three to five d. Three to less than six - CORRECT ANSWERS a. Six A heart murmur that is clinically significant may be indicative of: a. Anemia. b. Hypertension. c. Shortness of breath. d. Valvular heart disease. - CORRECT ANSWERS d. Valvular heart disease. Palpitations are BEST defined as: a. A sudden increase of heart rate during exertion. b. A heart rate that exceeds 100 beats per minute. c. A slowing down of heart rate that occurs during cool-down.
d. An uncomfortable rhythm of heartbeats or forceful heartbeats. - CORRECT ANSWERS d. An uncomfortable rhythm of heartbeats or forceful heartbeats. Which of the following is considered a risk factor for atherosclerotic cardiovascular disease? a. Sedentary lifestyle b. Woman, age 45 c. BMI of 27 d. HDL = 70 - CORRECT ANSWERS a. Sedentary lifestyle At the minimum, the health history questionnaire should assess a client's: a. History of various diseases and illnesses. b. Diet and supplement intake. c. Current activity patterns. d. Elective surgery history. - CORRECT ANSWERS a. History of various diseases and illnesses. Which of the following is considered a risk factor for atherosclerotic cardiovascular disease? a. Sedentary lifestyle b. BMI of 27 c. HDL of 70 mg/dL d. Woman, age 45 - CORRECT ANSWERS a. Sedentary lifestyle Which of the following MUST be included as part of every client's screening? a. Postural assessment b. Body composition assessment c. Movement screen d. Health risk appraisal - CORRECT ANSWERS d. Health risk appraisal
ACSM-EPs should always confirm with clients that their risk classification and health information are accurate and up to date before: a. Beginning exercise testing and/or training. b. Contacting the client's physician. c. Agreeing to take on the client. d. Discussing health history. - CORRECT ANSWERS a. Beginning exercise testing and/or training. The risk factor for smoking no longer applies for which of the following? a. Quit smoking for four months b. Quit smoking for two months c. Quit smoking for nine months d. Quit smoking for one month - CORRECT ANSWERS c. Quit smoking for nine months Which of the following forms may be used if a health/medical history evaluation form is not readily available? a. Health fitness assessment b. PAR-Q+ c. Personal Trainer-Client Agreement d. Informed consent - CORRECT ANSWERS b. PAR-Q+ Which of the following profiles is considered a risk factor with respect to obesity? a. BMI greater than 25 for males b. BMI of 28 for females c. Waist of 32 inches for females d. Waist of 40 inches for males - CORRECT ANSWERS d. Waist of 40 inches for males An immediate referral to a physician is indicated with a client exhibits signs or symptoms of which of the following? a. Intermittent tightening of the calf muscles when standing
b. Syncope during mild exertion c. Discomfort in the hips during walking d. Labored breathing during vigorous exercise - CORRECT ANSWERS b. Syncope during mild exertion Intermittent claudication refers to: a. Fluid buildup around the ankle joints while bearing weight. b. Pedal pulse pressures that vacillate between strong and weak. c. A constant pain that is felt in the anterior compartment of the lower leg. d. Pain that occurs in the lower extremities during walking and disappears after stopping. - CORRECT ANSWERS d. Pain that occurs in the lower extremities during walking and disappears after stopping. A 30-year-old potential client states she just had a physical and was informed by her physician that her total cholesterol and blood pressure looked great. You review her medical history and note she is taking vitamins and antihypertensive medication. Based on this profile, she would be considered as having how many risk factors? a. Two b. Three c. One d. Zero - CORRECT ANSWERS c. One When meeting with a client for the initial consultation, the client reports not being physically active (fails to meet minimum requirements). The client does not possess any diagnosed CMR diseases, nor does the client present with any signs/symptoms of CMR disease. What is the recommended course of action according to the ACSM preparticipation screening algorithm? a. The client may begin a light/moderate-intensity exercise program b. The client may begin a vigorous-intensity exercise program c. The client should discontinue and seek medical clearance d. The client should participate in an ACSM-EP supervised diagnostic exercise test - CORRECT ANSWERS a. The client may begin a light/moderate-intensity exercise program
Syncope is defined as: a. Shortness of breath that occurs during rest. b. Loss of consciousness/fainting. c. Shortness of breath during exercise. d. An unpleasant sensation of forceful or rapid heart beats. - CORRECT ANSWERS b. Loss of consciousness/fainting. A characteristic sign of heart failure or bilateral chronic venous insufficiency is: a. Bilateral ankle edema. b. Unilateral limb edema. c. Generalized edema. d. Anasarca. - CORRECT ANSWERS a. Bilateral ankle edema. The negative risk factor for cardiovascular disease is: a. Sedentary lifestyle. b. Body mass index. c. High-density lipoprotein cholesterol. d. Family history. - CORRECT ANSWERS c. High-density lipoprotein cholesterol. Which organizations publish formal screening guidelines for those who plan to participate in physical activity? a. ACSM and American Heart Association b. American Heart Association and President's Council on Physical Fitness c. ACSM and American Medical Association d. American Medical Association and PAR-Q+ - CORRECT ANSWERS a. ACSM and American Heart Association Dyspnea that occurs at rest in a recumbent position and is relieved upon sitting upright or standing is called: a. Obstructive pulmonary disease.
b. Syncope. c. Orthopnea. d. Edema. - CORRECT ANSWERS c. Orthopnea. Which of the following is considered a risk factor? a. Body mass index of 28 kg/m b. Serum cholesterol of 195 mg/dL c. HDL cholesterol of 66 mg/dL d. Systolic blood pressure of 143 mm Hg - CORRECT ANSWERS d. Systolic blood pressure of 143 mm Hg Using the ACSM risk factor thresholds to determine physical activity readiness for a client, the tenth edition of Guidelines for Exercise Testing and Prescription suggests focusing on physical activity history, the presence of diagnosed CMR disease, and: a. Signs/symptoms suggestive of CMR disease. b. Client age. c. Risk factor number. d. Body weight. - CORRECT ANSWERS a. Signs/symptoms suggestive of CMR disease. An individual has two positive risk factors and one negative risk factor. Based on ACSM risk stratification and this profile, this person is considered to be: a. Moderate risk. b. Low risk. c. In a disease state. d. High risk. - CORRECT ANSWERS b. Low risk. Defining criteria for the hypertension risk factor for cardiovascular disease is: a. BP 140/90 mm Hg or higher. b. BP 130/85 mm Hg or higher. c. BP 150/95 mm Hg or higher.
d. BP 120/80 mm Hg or higher. - CORRECT ANSWERS a. BP 140/90 mm Hg or higher. Which of the following would be considered a negative risk factor for ACSM risk classification? a. Brisk walking for 20 minutes, three times per week b. VLDL of 65 mg · dL− c. Walking to and from work for 30 minutes d. HDL-C of 60 mg · dL−1 - CORRECT ANSWERS d. HDL-C of 60 mg · dL− The Physical Activity Readiness Questionnaire-Plus (PAR-Q+) is more effective in identifying: a. Those at high risk. b. Those with poor activity tolerance. c. Those at low risk. d. Those with high activity tolerance. - CORRECT ANSWERS a. Those at high risk. The pain that occurs in muscles with inadequate blood supply because they are stressed by exercise is referred to as: a. Intermittent claudication. b. Lymphatic blockage. c. Bradycardia. d. Venous insufficiency. - CORRECT ANSWERS a. Intermittent claudication. Ischemia is caused by: a. Decreased stroke volume. b. Left ventricular dysfunction. c. Chest pain. d. A lack of oxygenated blood flow to the tissue. - CORRECT ANSWERS d. A lack of oxygenated blood flow to the tissue. Obesity is defined as:
a. Waist circumference of 40 inches in men. b. BMI of 29. c. Waist circumference of 34 inches in women. d. BMI of 25. - CORRECT ANSWERS a. Waist circumference of 40 inches in men. Which of the following is a sign or symptom of pulmonary disease? a. Intermittent claudication or severe calf pain b. Ankle edema or swelling c. Feelings of anxiety and/or distress d. Shortness of breath at mild exertion - CORRECT ANSWERS d. Shortness of breath at mild exertion Which of the following would be a risk factor threshold for hypertension? a. Currently taking antihypertensive medication b. 138/88 mm Hg c. Currently taking folic acid d. 130/85 mm Hg - CORRECT ANSWERS a. Currently taking antihypertensive medication The benefits of physical activity would outweigh the risk for which of the following? a. Controlled Type 1 diabetes b. Acute myocardial infaction one day prior c. Unstable angina d. Acute systemic infection - CORRECT ANSWERS a. Controlled Type 1 diabetes Which of the following is a negative risk factor? a. Women ≥45 years b. Blood pressure 135/80 mm Hg c. Body mass index >
d. High-density lipoprotein 60 mg · dL−1 - CORRECT ANSWERS d. High-density lipoprotein 60 mg · dL− During a treadmill workout at 2.5 mph, your 45 - year-old male client who exercises on a regular basis starts to have abnormally uncomfortable awareness of breathing. You should: a. Continue to increase the speed as this is a normal response to exercise. b. Reduce the speed to 1 mph, and have him continue walking. c. Stop the exercise session, and refer him to his physician. d. Check his pulse and blood pressure, and resume the workout if rates are normal. - CORRECT ANSWERS c. Stop the exercise session, and refer him to his physician. Your client is a 57-year-old male with a history of low back issues. His blood pressure is under control with antihypertensive medication, and he walks daily for 30 minutes. Based on this data, he has risk factors. a. One b. Three c. Two d. Four - CORRECT ANSWERS c. Two During an initial meeting with a new client, the client reports meeting the minimal physical activity requirements, being a diagnosed Type I diabetic, but not having any signs or symptoms of CMR disease. Using the ACSM preparticipation screening algorithm, what is the recommended course of action? a. The client should seek medical clearance b. The client may participate in moderate-intensity physical activity c. The client may participate in vigorous-intensity physical activity d. The client should participate in a maximal, graded exercise test - CORRECT ANSWERS b. The client may participate in moderate-intensity physical activity Which of the following is a self-guided screening questionnaire that focuses on symptoms of heart disease and possible musculoskeletal problems needing evaluation before beginning an exercise program?
a. Health history evaluation b. Exercise readiness inventory c. Physical Activity Readiness Questionnaire (PAR-Q+) d. AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire - CORRECT ANSWERS c. Physical Activity Readiness Questionnaire (PAR-Q+) Professionally supervised screening, under the guidance of an ACSM-EP, should include which of the following? a. Informed consent process b. Diagnostic exercise test c. Collection of a blood sample d. A physical examination - CORRECT ANSWERS a. Informed consent process Which of the following is a positive risk factor? a. High-density lipoprotein 55 mg/dL b. Men ≥40 years c. Women ≥50 years d. Regular exposure to tobacco smoke - CORRECT ANSWERS d. Regular exposure to tobacco smoke Which of the following is a sign or symptom of cardiovascular disease? a. Tachycardia response to walking across the room b. Increased respiratory rate when climbing the stairs c. Diaphoresis due to lifting objects overhead d. Pain or discomfort in the neck, jaw, or arms while standing - CORRECT ANSWERS d. Pain or discomfort in the neck, jaw, or arms while standing Bilateral ankle edema is a characteristic sign of: a. Improper footwear during exercise. b. Heart failure or bilateral chronic venous insufficiency.
c. A slight ankle sprain in both ankles. d. Venous thrombosis or lymphatic blockage in the limb. - CORRECT ANSWERS b. Heart failure or bilateral chronic venous insufficiency. Ankle edema may be indicative of which of the following? a. Anterior compartment syndrome b. Claudication c. Congestive heart failure d. Posterior compartment syndrome - CORRECT ANSWERS c. Congestive heart failure ACSM defines moderate exercise as: a. 50% to less than 70% VO2R. b. 50% to less than 80% VO2R. c. 40% to less than 70% VO2R. d. 40% to less than 60% VO2R. - CORRECT ANSWERS d. 40% to less than 60% VO2R. Which of the following is a risk factor for cardiovascular disease? a. An individual whose high-density lipoprotein cholesterol is 40 mg/dL b. An individual whose blood glucose is 125 mg · dL−1 following an oral glucose tolerance test c. An individual who smokes cigars twice a year on special occasions d. An individual who quit smoking four months ago - CORRECT ANSWERS d. An individual who quit smoking four months ago Which of the following is TRUE for a client who wishes to participate in moderate physical activity? a. A medical exam is not necessary to get started b. A diagnostic exercise test is required c. A physician should supervise the exercise test d. A medical exam is recommended - CORRECT ANSWERS a. A medical exam is not necessary to get started
Which of the following is a sign or symptom suggestive of cardiovascular disease? a. Discomfort in the neck and jaw after carrying a heavy suitcase for several minutes b. Dizziness after quickly moving from a lying to standing position c. Dull pain in the low back while touching the toes d. Shortness of breath after climbing several flights of stairs - CORRECT ANSWERS a. Discomfort in the neck and jaw after carrying a heavy suitcase for several minutes When meeting with a client for the intial consulation, the client reports meeting the minimum physical activity requirements, does not report having an active disease diagnosis, but does report experiencing slight chest pain when recently moving large volumes of dirt in the garden. Based on the ACSM preparticipation screening algorithm, what is the recommended course of action? a. The client may begin a moderate-intensity exercise program b. The client may begin a vigorous-intensity exercise program c. The client should discontinue physical activity and seek medical clearance d. The client should participate in a graded exercise test monitored by the ACSM-EP - CORRECT ANSWERS c. The client should discontinue physical activity and seek medical clearance A 66-year-old male completes the PAR-Q+. He answers "YES" to question #1 on page 1. He then completes pages 2 and 3 as directed, answering "NO" to all questions on pages 2 and 3. What is the recommended course of action for this individual? a. He may begin participating in physical activity, starting at a low/moderate intensity and volume and progressing slowly b. He may begin vigorous exercise immediately c. He should seek medical clearance prior to initiation of physical activity d. He should participate in a diagnostic exercise test - CORRECT ANSWERS a. He may begin participating in physical activity, starting at a low/moderate intensity and volume and progressing slowly Your client is a cardiac patient and has been cleared by his physician to exercise. During a five- minute warm-up on the treadmill, he tells you that he feels out of breath. You should:
a. Reduce the treadmill speed. b. Stop the exercise and monitor for additional signs or symptoms. c. Stop the exercise and urge him to see his physician immediately d. Reduce the treadmill grade. - CORRECT ANSWERS b. Stop the exercise and monitor for additional signs or symptoms. Which of the following profiles is considered a risk factor with respect to obesity? a. Waist of 38 inches for males b. Body fat percent of 25% for males c. Body fat percent of 25% for females d. Waist of 36 inches for females - CORRECT ANSWERS d. Waist of 36 inches for females Given the following complete health and medical history, which client has one risk factor? a. A 46-year-old male with cholesterol of 208 mg/dL who desires to begin training for his first marathon b. A 21 - year-old female who has slight scoliosis with tightness on left hip abductors c. A 32 - year-old male with family history of heart disease and prediabetes d. A physically active 55 - year-old female - CORRECT ANSWERS d. A physically active 55 - year-old female Which of the following common characteristics is reported by those experiencing symptoms consistent with coronary artery disease? a. "Pounding" b. "Beating" c. "Heaviness" d. "Light-headed" - CORRECT ANSWERS c. "Heaviness" In reviewing your client's medical history, you note that she is on lipid-lowering medication and her high-density lipoprotein cholesterol is 62 mg · dL−1. Based on her profile, how many total risk factors does she have?
a. 2 b. 0 c. −1 d. 1 - CORRECT ANSWERS b. 0 When a client takes the PAR-Q+ test, she should be referred to her doctor if she answers: a. Yes to any of the follow-up questions on pages 2 and 3 b. Yes to two or more questions on page 1. c. No to any questions. d. Yes to three or more questions on page 1. - CORRECT ANSWERS a. Yes to any of the follow-up questions on pages 2 and 3 Which of the following requires a more thorough medical history or examination? a. Dizziness b. Shortness of breath during exercise c. Unusual fatigue d. Heart murmur - CORRECT ANSWERS d. Heart murmur An exercise test is recommended prior to exercise training but a physician is not available to supervise the test. Who among the following would also supervise an exercise test? a. A Certified Personal Trainer b. A licensed physical therapist c. A qualified health care professional certified in ACLS d. An occupational therapist - CORRECT ANSWERS c. A qualified health care professional certified in ACLS Which of the following indicates a client has diabetes? a. Family history of neuropathy in the feet. b. Fasting blood glucose of 115 mg/dL on at least two separate occasions
c. Oral glucose tolerance test of 250 mg/dL on at least two separate occasions d. Family history of early-onset diabetes - CORRECT ANSWERS c. Oral glucose tolerance test of 250 mg/dL on at least two separate occasions A female client is 55 years old and has high-density lipoprotein of 70 mg · dL−1. Based on this profile, how many total risk factors does she have? a. - 1 b. 1 c. 2 d. 0 - CORRECT ANSWERS d. 0 A feature of cardiac disease symptoms that are ischemic in origin is: a. Squeezing burning pain. b. Dull aching pain. c. Sharp stabbing pain. d. Pain aggravated by respiration. - CORRECT ANSWERS a. Squeezing burning pain. When using the ACSM preparticipation screening algorithm, the ACSM-EP must determine is the client has a diagnosed CMR disease. Which of the following would NOT classify as a diagnosed CMR disease? a. Presence of a pacemaker b. Renal failure c. Emphysema