ACE Personal Training

Low risk, medical exam not necessary

Wendy is a 50-year-old woman who has not exercised in 3 years. She has no family history of heart disease and is a non-smoker. What are the exercise testing recommendations according to risk stratification based on her cardiovascular disease risk factors?

Weight(kg)/Height(m)

What are the correct units of measurement for calculating body mass index (BMI)

140/90mmHg

What blood pressure measurement is considered to be a risk factor for cardiovascular disease?

Previous exercise including adherence experience.

What information does the Exercise History and Attitude Questionnaire collect?

Detailed medical and health information.

What information does the Health History Questionnaire collect?

Evidence of disclosure.

What information does the Informed Consent form collect?

Talk with his doctor about his readiness for exercise.

When answering the Physical Activity Readiness Questionnaire (PAR-Q), your client answers 'yes' to chest pain during physical activity as well as currently taking a prescription blood pressure medication. What is the next step in his fitness program?

Rectus Abdominis and Hamstrings

When anterior pelvic tilt is determined, which muscles should you aim to strengthen through restorative exercise?

Carotid Artery

When checking a client's heart rate, what is a commonly palpated site? One

Modify the program with cross training.

Your client has been complaining of pain in her anterior lower leg. What is the best course of action to take in continuing her exercise program?

High risk, medical exam before moderate exercise.

Bob is a 45-year-old man who quit smoking 2 months ago. He has not participated in any exercise program in 2 years. His body mass index (BMI) is 32. What are the exercise testing recommendations according to risk stratification based on his cardiovascular disease risk factors?

Rapport Stage

Dan is a new client whom you are meeting with for the first time today. He will most likely be evaluating you as a trainer through both your verbal and non-verbal communication. What stage of the client-trainer relationship are you with Dan?

Investigation Stage

In what stage of the client-trainer relationship are health-history and lifestyle questionnaires administered?

Preparation

In which stage of the Transtheoretical Model of Behavior Change is a client ready to adopt and live a healthy lifestyle?

Investigation Stage

Kristin is in her second session and you are conducting fitness assessments. While you are checking her body fat percentage you ask her about types of exercise she prefers to do. What stage of the client trainer relationship are you in with Kristin?

Physical Activity Readiness Questionnaire (PAR-Q)

This questionnaire serves as a non-invasive, minimal health-risk appraisal designed to determine contraindications to exercise.

Raised Heels

Tight plantarflexors can lead to which compensation?

All of the Above - Goals, Physical Limitations, Age

Which of the following is important to consider when choosing which assessments to utilize with a client?

Modify the program with cross training.

Your client is complaining of pain with extension of her elbow. She has a history of lateral epicondylitis (tennis elbow). What is the best course of action to take in continuing her exercise program?

Refer her to a physician prior to beginning in exercise program

Your new client informs you that she has diabetes and is taking insulin. What is the most important thing to do for this client?

Static Posture

According to the ACE Integrated Fitness Training Model, what step in the training process best follows the testing of resting measures such as heart rate and blood pressure?

Enthusiastic

After taking the Exercise-Induced Feeling Inventory 12 weeks into their program, your client appears to have the mood profile of "Positive Engagement". What might your client have answered to feeling very strongly?

Moderate risk, medical exam necessary before vigorous exercise.

Bill is a 50-year-old man with family history of heart disease. His body mass index is 20 and he has been running 3 miles 3-4 days a week for a year. What are the exercise testing recommendations according to risk stratification based on his cardiovascular disease risk factors?

Respiratory

Chronic Obstructive Pulmonary Disease (COPD) is a condition that affects mainly which system?

When the client is sitting

A client's resting heart rate should always be checked :

165 bpm

Jeanette is a 55-year-old woman who exercise regularly. What is her estimated maximum heart rate?

188 bpm

Mark is a 32-year-old man. What is his estimated maximum heart rate?

Knees moving inward

Tight hip abductors and weak gluteus medius muscles can lead to which compensation?

Chest, thigh, and abdominal

What three sites are suggested for skinfold measurement in men?

Triceps, thigh, and suprailium

What three sites are suggested for skinfold measurement in women?

Rectus Abdominis and Hamstrings

When a posterior pelvic tilt is determined, which muscles are suspected to be tight?

Hip Flexors and Erector Spinae

When an anterior pelvic tilt is determined, which muscles are suspected to be tight?

Talk with her doctor about her readiness to exercise.

When answering the Physical Activity Readiness Questionnaire (PAR-Q), your client answers "yes" to a bone or joint problem that could be made worse by a change in physical activity. What is the next step in her fitness exercise.

Give your client a form to be signed by her physician, approving the exercise program.

When beginning an exercise program with a client, you determine that he has checked "yes" to 4 risk factors on the Health Questionnaire. The next step in the training process is to:

Radial Artery

When checking a client's heart rate, what is a commonly palpated site? Two

Use Rate of Perceived Exertion (RPE) to determine the level at which he is exercising as his heart rate will not go up.

When filling out the "medications" portion of the health History Questionnaire, your client lets you know that he is taking beta-blocking medication. Once obtaining a physician's release for exercise, what is the most important difference in this client's exercise program versus a client who is not taking beta-blockers.

On the inside of the client's arm at the bend of the elbow.

When measuring a client's blood pressure, where should the stethoscope be placed?

Tilted Posteriorly

When performing a Static Postural Assessment on your client, you determine that your client has a slight posterior pelvic tilt. This means that the line of symmetry is :

Hip Flexors and Erector Spinae

When posterior pelvic tilt is determined, which muscles should you aim to strengthen through restorative exercise?

Stability and Mobility Training

Which action comes first after conducting static and dynamic analyses and determining alight postural deviations?

Bioelectrical Impedance Analysis (BIA)

Which form of body fat testing measures electrical signals as they pass through the body?

Alex with a ratio of .96

Which man has a waist to hip ratio that puts him at risk for obesity-related disease?

Skinfold Measurement

Which method of body fat measurement is not accurate when used on obese clients?

Bend and Lift Screen

Which movement screen can be utilized to test for tight plantarflexor muscles?

Hydrostatic Weighing

Which of the following assesses body fat percentage by measuring the amount of water a person displaces when completely submerged?

Body Mass Index

Which of the following assessments does NOT determine body fat percentage?

All the Above - Resting Vital Signs, Body Composition, Static Posture and Movement Screens

Which of the following assessments should be repeated after 1-3 months?

Position of the scapulae relative to the ribcage

Which of the following is NOT necessary to monitor when observing a Bend and Lift Screen?

Maximal Oxygen Uptake (VO2max)

Which of the following is administered to assess a person's level of cardiorespiratory function?

Cold Medications

Which of the following medications can affect a person's exercising heart rate?

Exercise History and Attitude Questionnaire

Which questionnaire asks the client if they have any negative feelings toward physical activity programs?

April with a ratio of .87

Which woman has a waist to hip ratio that puts her at risk for obesity-related disease?

Utilize Body Mass Index (BMI) and girth measurements

You have a client who is extremely obese, and you realize that your body fat calipers (skinfold measurement) may not be an accurate method to determine their body fat percentage. You want to have a starting measurement to determine their progress. What is the best Course of Action?

Precontemplation

Your client tells you that he understands that his family has a history of heart disease and that being overweight can increase his risk for such conditions. He is still wary of beginning any kind of exercise program and says that he has never had any weight loss success in the past. According to the Transtheoretical Model of Behavioral Change (TTM), what stage of change is your client in?