EXSC Testing Exam

Which of the following is a general pretest instruction for CRF testing?

Strenuous exercise should not be performed for 24 hours prior to testing.

Which of the following methods may reduce the risk for musculoskeletal injury?

Stretching Warm-up Gradual progression of exercise intensity and volume

Which of the following may not be considered a benefit of regular physical activity and/or exercise?

Increased morbidity and mortality

Patients who complete less than ______ m during the 6-minute walk test demonstrate a poorer short-term survival than those surpassing that threshold.

300

Pulmonary function testing with spirometry is recommended for all smokers over the age of

45 Yrs

During the Ebbeling single-stage treadmill walking test, the warm-up period should elicit a heart rate that reaches what percentage of the subject's age-predicted maximal HR?

50%-70%

When performing the Åstrand-Ryhming cycle ergometer test, which of the following is an appropriate work rate for a conditioned female subject?

600 kgm · min-1

Which of the following is the appropriate room temperature and humidity for a health-related fitness test?

68° to 72° F (20° to 22° C) and humidity of <60%

Self-guided screening for physical activity can be best described as

a self-report medical history or health risk appraisal that should be done by all people wishing to initiate a physical activity program and is completed with little or no input or supervision from an exercise or health/fitness professional.

Which of the following is not a CVD risk factor?

race

All of the following are absolute contraindications to exercise testing except

recent stroke

A minimal recommendation for pretest instructions is the completion of

the Physical Activity Readiness Questionnaire+.

Physical fitness is defined as

the ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and meet unforeseen emergencies

Which of the following is considered stage 2 hypertension requiring immediate medical attention usually consisting of lifestyle modification and antihypertensive medication?

≥160 mm Hg systolic and/or ≥100 mm Hg diastolic

Which of the following is not a cardiovascular disease risk factor?

Blood pressure of 138/82 mm Hg

Your new patient is 34 years old. Which of the following is their correct predicted HRmax?

186

Which of the following is the estimated overall cardiac arrest and SCD incidence rates among runners?

1 per 184,000 and 1 per 256,000 runners, respectively

If a patient selects an RPE of 16 on the original Borg Scale during a CRF assessment, what heart rate should this correlate to?

160 bpm

According to a recent survey, what percentage of U.S. adults meet aerobic activity guidelines?

22%

According to a recent survey, what percentage of U.S. adults meet muscle strengthening guidelines?

29.3%

According to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, a "normal" blood pressure is

<120 mm Hg systolic and <80 mm Hg diastolic.

The Global Initiative for Chronic Obstructive Lung Disease has classified the severity of COPD into four stages based on postbronchodilator FEV1.0. Stage IV is very severe. At what point is the FEV1.0 considered this stage of disease?

<30%

Which of the following is not an assumption that must be met or achieved to ensure the accuracy of submaximal testing?

A linear relationship exists between BP and work rate.

Estimates of maximal oxygen consumption (VO2max) from the heart rate response to submaximal exercise tests are not based on which of the following assumptions?

A nonlinear relationship exists between heart rate and work rate.

Maximal oxygen consumption can be expressed in what two ways?

Absolute and relative

Which of the following is not a component of the informed consent process?

Age and race

Which of the following individuals has a cardiovascular disease risk factor?

Cigarette smoker who quit 3 mo ago

There is strong evidence today for an inverse dose-response relationship between physical activity and

All cause morality

Which of the following is not one of the five health-related components of physical fitness?

Anaerobic Power

Medical clearance

Approval from a medical doctor for a patient or client to take part in an activity

Which of the following is not a common spirometric test?

Arterial partial pressure of oxygen (PaO2)

Which of the following is considered to be an obstructive airway disease?

Asthma

Which of the following is not a strategy to prevent exercise-related cardiac events?

Athletes with known cardiac conditions should be banned from competition.

The maintenance of equilibrium while stationary or moving is known as

Balance

Which of the following is considered a skill-related component of physical fitness?

Balance

The Fick equation states that vo2=

Cardiac output, arterial-venous oxygen difference

Which of the following is considered a "field test" of cardiorespiratory fitness?

Cooper 12 min test

At what interval should blood pressure be monitored during a symptom-limited maximal exercise test?

During the last 30-60 secs of each stage

Which of the following is a purpose of health-related fitness testing?

Educating participants about their present health-related fitness status relative to health-related standards and age- and sex-matched norms

a type of physical activity consisting of planned, structured, and repetitive bodily movement done to improve and/or maintain one or more components of physical fitness.

Exercise Definition

Which of the following is diminished with obstructive airway diseases?

FEV1.0/FVC ratio

Which of the following lipids and lipoproteins is strongly and inversely associated with the risk for cardiovascular disease?

HDL cholesterol

Which of the following is a negative risk factor for cardiovascular disease?

HDL cholesterol of 62 mg · dL-1 (1.57 mmol · L-1)

Which four measurements are recommended for all CRF assessments?

HR, RPE, BP, ECG

Murmurs, clicks, and gallop rhythms come from the

Heart

Which of the following items are no longer associated with ACSM's exercise preparticipation health screening procedures?

Identify cardiovascular risk factors

Regardless of participation in regular exercise, an exercise professional should advise a participant to seek medical clearance prior to participating in an exercise program under which of the following condition(s).

If the participant is symptomatic and has no cardiovascular, metabolic, or renal disease

Based on the U.S. Surgeon General's Report of 1996, which of the following is true?

Important health benefits can be obtained by including a moderate amount of physical activity on most, if not all, days of the week.

Which of the following is not a general indication for stopping an exercise test?

Increase in systolic blood pressure of >10 mm Hg with an increase in intensity

As a result of regular physical activity, which of the following is considered an improvement in cardiovascular and respiratory function?

Increased maximal oxygen uptake resulting from both central and peripheral adaptations

Open-circuit spirometry is also known as

Indirect calorimetry

Which of the following statements is accurate concerning goal BP?

JNC 8 consider the goal BP for patients 60-79 yr old to be <150/90 mm Hg.

Which of the following statements is accurate concerning JNC 7 and JNC 8?

JNC 8 does not address the classification of prehypertension or hypertension in adults. JNC 7 provides a classification scheme for hypertension in adults. JNC 8 recommends thresholds for pharmacologic treatment.

What is the goal of ATP III when it comes to lowering the risk of cardiovascular disease?

LDL cholesterol <100

Which of the following has been identified as the target for lowering the risk of cardiovascular disease when addressing issues of lipids and lipoproteins?

Lowering LDL cholesterol

Wheezes, rales, and crackles come from the

Lungs

Which of the following is not a common mode of exercise used for CRF assessments?

Mechanically braked cycle ergometers

Which of the following testing modalities are relatively inexpensive, are easily transportable, and allow blood pressure and the electrocardiogram to be measured easily?

Mechanically braked cycle ergometers

Risk stratification of cardiac patients (patients with known disease) includes lowest risk, moderate risk, and high risk according to the AACVPR. Which of the following places a patient into the moderate-risk category?

Mild to moderate level of silent ischemia during exercise testing or recovery (ST-segment depression <2 mm from baseline)

Relative vo2 is expressed as

Milliliters per kilogram per minute

Which of the following is an example of a self-guided screening for physical activity?

Par-Q+

All of the following are factors to consider when selecting an appropriate CRF assessment except

Participants current mobility

Body weight, resting blood pressure, auscultation of the lungs, palpation of the lower extremities, tests of neurologic function, and apical pulse rate and rhythm are all components of

Physical Examation

Which of the following is considered to be a restrictive disorder?

Pulmonary Fibrosis

Appropriate components of the medical history do not include

Questions about social support mechanism

All of the following are absolute contraindications to exercise testing except

Recent Stroke

At what interval should signs and symptoms be monitored during a symptom-limited maximal exercise test?

Should always be monitored and written as observed

The rating of perceived exertion scale allows a subject to

Subjectively express his or her exertion during the test

Which of the following is NOT a symptom of coronary artery disease?

Swollen Hands

Discomfort (e.g., pressure, tingling, pain, heaviness, burning, tightness, squeezing, numbness) in the chest, jaw, neck, back, or arms is referred to as

Symptoms

Which of the following is defined as a loss of consciousness?

Syncope

Validity

The ability of a test to measure what it is intended to measure

Which of the following statements is true regarding the informed consent?

The consent form should be verbally explained and include a statement indicating that the patient has been given an opportunity to ask questions about the procedure and has sufficient information to give informed consent.

If it was determined during a preexercise test evaluation that a patient had an advanced heart block, what is recommended?

The exercise professional should do a careful review of the condition and determine if the expected benefits outweigh the associated risks.

During a submaximal CRF assessment, your subject's HR exceeds 85% of his age-predicted maximal HR. How should you proceed?

The test should be terminated.

Which of the following is false regarding the components of health-related physical fitness?

They can predict high levels of athletic performance.

Which of the following is not an indication for spirometry?

To measure maximal oxygen consumption

For which of the following is there insufficient data to determine if a relationship exists with physical activity?

Weight Maintenance

Identification of persons with cardiovascular disease and those at high risk of developing cardiovascular disease are facilitated by review of previous test results such as coronary angiography, nuclear imaging, echocardiography, or coronary artery calcium score studies. Additional testing may include

ambulatory electrocardiogram (Holter) monitoring.

Dyspnea can be defined as

an abnormally uncomfortable awareness of breathing

An adverse prognosis in the postmyocardial infarction patient includes

an ischemic ST-segment depression at a low level of exercise.

Test anxiety, emotional problems, food in the stomach, bladder distention, room temperature, and ventilation should be

considered a threat to physical fitness testing validity and reliability

Reliability

consistency of measurement

At what interval should heart rate be monitored during a symptom-limited maximal exercise test?

continuously but record during the last 5-10 sec of each stage

An individual who participates in regular vigorous intensity aerobic exercise feels discomfort in their chest and neck. That person should

discontinue exercise and seek medical clearance

Orthopnea refers to

dyspnea when lying down

All of the following are known to influence clinical exercise test data with the exception of

elevated levels of physical fitness

The information obtained from health-related physical fitness testing, in combination with the individual's health and medical information, is used by the health and fitness professional to

enable an individual to achieve specific health/fitness goals.

Although important in some patient populations, which of the following is the least likely to be measured or monitored?

expired gases

Components of a medical history may include

medication use. fasting serum total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. recent illnesses.

Potential exercise program participants should be screened for the presence and/or signs and symptoms of various cardiovascular, metabolic, and renal diseases to

optimize safety during exercise participation.

A delayed decrease in heart rate during active postexercise recovery (e.g., at least 12 beats · min-1 decrease after the first minute in recovery or 22 beats · min-1 decrease after the second minute in recovery) is a powerful predictor of

overall mortality

Although CVD risk factor analysis is no longer part of the exercise preparticipation health screening process, CVD risk factor analysis may play a role in which of the following?

patient education about CVD risk reduction The need for lifestyle modification Development of client ExRx

The exercise preparticipation health screening process is based on

physical activity level; signs and symptoms of cardiovascular, metabolic, or renal disease; presence of known cardiovascular, metabolic, or renal disease.

According to the AACVPR risk stratification criteria for patients with known CVD, individuals at high risk for exercise participation may exhibit any one or a combination of the following except

presence of normal hemodynamics with exercise testing or during recovery.

An intervention designed to prevent an initial occurrence of a disease is known as

primary prevention

VO2 max

the maximum amount of oxygen the body can take in and use during exercise

Intermittent claudication is

the pain that occurs in a muscle with inadequate blood supply.

Clinical decisions regarding blood pressure should be based on the average of

two or more properly measured, seated blood pressure readings recorded during each of two or more office visits.

An ideal health-related physical fitness test is

valid and reliable