Analytical Test 3
For strength athletes, what would be the upper limit recommended protein intake?
1.7 g/kg body weight
What is the initial target for body weight reduction in a 6-month time frame according to the National Institutes of Health/National Heart, Lung, and Blood Institute
10%
During an exercise test, a patient exhibits angina symptoms and a 1-mm down-sloping ST-segment depression at a HR of 129 bpm. His peak exercise target HR should be set at
109-119bpm
Using the original Borg scale, it is recommended that exercise intensity elicit an RPE within the range of
12-16
A target HR equivalent to 85% of HRR for a 25-year- old man with a resting HR of 75 bpm would be equal to
177 bpm
How much of a weekly energy deficit must be created by dietary changes or physical activity for a PERSON to lose 1 lb (~0.5kg) of body fat
3,500 kcal
The recommended cardiorespiratory exercise training goal for apparently healthy individuals should be
30 minutes, 3 times per week, at 85% HRR
Starting at which BMI level is an adult considered obese?
30.0
What are the correct of amounts of energy in carbohydrates, proteins, and fats, respectively, on a per gram basis (kcal/g)
4,4,9
The recommended cardiorespiratory endurance exercise training program for older individuals should be
50%-70% of HRR, 20-30 minutes (multiple sessions of 5-10 minutes), 3 days/week
If you use the Harris-Benedict equation to estimate an individuals total daily energy requirements at 2,000 kcal, approximately how many fat grams should he or she consume using the recommended percentage of 30% of total daily energy from fat?
67 g
The appropriate exercise HR for an individual with beta-blocking medication would generally be
75% of HRR
Which of the following pairs of waist circumference measurements in men and women are indicators of abdominal obesity?
>40 inches (101.6 cm) for men 35 inches (88.9 cm) for women
An equipment maintenance plan should include
A document that records maintenance and repair history
What is OSHA?
A federal agency that sets standards for staff and patient safety
The metabolic syndrome includes dyslipidemia, insulin resistance, elevated BP, and what other component?
Abdominal obesity
Which of the following is a major symptom associated with the Female Athlete Triad
Amenorrhea
Which of the following statements regarding exercise for persons with controlled cardiovascular disease is TRUE
Anginal pain is normal during exercise, and participants should be pushed through the pain
What common medication taken by patients with end-stage renal disease requires careful management for those undergoing hemodialysis?
Antihypertensive medication
Identifying a patient's risk of complications is important. Which of the following is NOT considered to be a common aspect of the risk identification process?
Assessment of work history
Transitional care exercise and rehabilitation programs are NOT appropriate for
Asymptomatic persons with a functional capacity of 10 METS
Special precautions for patients with hypertension include all of the following EXCEPT
Avoiding muscle strengthening exercises that involve low resistance
How can exercise equipment add to the risk of participation?
Because it is hard to move
Which of the following medications have been shown to be most efficient in preventing or reversing exercise-induced asthma
Beta 2 agonists
Which of the following statements regarding cool-down is FALSE?
Between 1-2 minutes are recommended for adequate cool-down
Safety procedures for clinical staff help protect them from
Bloodborne pathogens
Symptoms of hyperglycemia include all of the following EXCEPT
Bradycardia
AN athlete who needs to compete within a specific weight class, weight limit, or those participating in aesthetic sport would be at greatest risk for which eating disorder?
Bulimia
The preparation of professional staff should include training in
CPR and AED and basic life support
Deficiency of which micronutrient can affect bone development
Calcium
Which of the following could be recommended as a safe and effective ergogenic aid
Carbohydrate
Complaints of pain in the chest with associated radiation down the left arm may be signs of
Cardiac crisis
Which of the following would be recommended for a person who wishes to gain body weight
Choose energy-dense, but healthy snacks, such as dried fruit, nuts, and fruit smoothies
One of the first actions that an exercise professional should consider in preventing an injury is to
Conduct a preparticipation screening
The exercise staff's role when an injury or emergency occurs should be to
Control the situation by implementing the emergency plan and taking charge
Which of the following is NOT a principle of low back care
Controlled leg press or squat with light weights
The treatment modality RICES includes of the following EXCEPT
Covering
Symptoms of claudication include
Cramping, burning, and tightness in the calf muscle, usually triggered by activity and relieved with rest
The emergency response system (EMS) is:
Critical for the staff to be able to respond adequately to an emergency
The physician's role in an emergency plan is
Critical, because the physician must be available to handle emergency situations
Which of the following would indicate an athlete could be dehydrated
Decreased exercise performance, body weight loss > 2%, and decreased cognitive abilities (all the above)
According to the most recent National Institutes of Health's Clinical Guidelines for the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults, recommendations for practical clinical assessment include
Determining total body fat through the BMI to assess obesity and determining the degree of abdominal fat and health risk through waist circumference
An individual with type I diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result is 253 mg/dL. A urine test is positive for ketones before her exercise session. What action should you take?
Do not allow her to exercise this session and notify her physician of the findings
What is the most appropriate action in assisting a person having a seizure?
Do not restrain the person, but be sure that he or she is in a safe area
Initial training sessions for an individual with severe chronic obstructive pulmonary disease (COPD) most likely would NOT include
Encouraging the patient to achieve an intensity either at or above the aerobic threshold
The goal for the obese exercise participant should be to
Expend 300-500 calories per exercise session
What are some of the risks for muscoskeletal injury
Extrinsic factors: intensity, terrain, equipment
Which is the primary energy source for high-intensity aerobic exercise activity
Fat
Prevention strategies to reduce the risk of injury of staff and clients must include
Following the rules and policies
Women are likely to be deficient in both calcium and iron because they tend to consume less
Food than men, fiber, and protein from meat sources (all of the above)
The safety of resistance exercise is dependent on all of the following EXCEPT
Having a personal trainer
A patient who exhibits tachycardia, diaphoresis, light-headedness, and visual disturbances may be experiencing
Hypoglycemia
Which of the following are symptoms of heat exhaustion?
Hypotension
The clinical exercise physiologist shares a responsibility to
Implement preventive measures to reduce the risk of medical emergencies
A person taking a calcium-channel blocker will likely exhibit which of the following responses during exercises?
Improved angina thresholds
A specific benefit of regular exercise for patients with angina is
Improved ischemic threshold at which angina symptoms occur
Muscular endurance training is best accomplished by
Incorporating high repetitions
Which of the following is NOT a benefit of increased flexibility
Increased muscle viscosity, allowing easier and smoother contractions
All of the following factors are important to consider when determining exercise intensity EXCEPT
Individual preference and exercise objectives
When determining the intensity level, the RPE is a better indicator than percentage of maximal HR for all of the following groups EXCEPT
Individuals involved in high intensity exercise
Which of the following actions involving termination of exercise testing is correct?
Initiate the test termination process when intermittent premature ventricular contractions are detected on ECG
Emergency procedures and safety include which of the following?
Injury prevention
Which of the following manifestations is NOT an indication for stopping an exercise program?
Intermittent premature ventricular contractions
In preventing injuries, hydration is very important, because
It helps to regulate body temperature and electrolyte balance
Which of the following statements regarding intensity of resistance training is FALSE
It is necessary to determine the 1-RM to establish training intensity
Which of the following is NOT considered to be a benefit of follow-up in an emergency situation?
It provides statistics that will help to justify the emergency response program
Documentation offers important
Liability and negligence protection
Which of the following is NOT an appropriate treatment activity for inpatient rehab of a patient on the second day after a CABG surgery
Limit upper body activities to bicep curls, horizontal arm adduction, and overhead press
All of the following chronic diseases are associated with abdominal obesity EXCEPT
Lung cancer
What is the exercise professionals primary responsibility in conducting an exercise test
Maintaining a safe environment by not putting the person being tested in danger
Fire, bloodborne pathogens, and power outage should all be included in
Maintaining plans
Which of the following is NOT considered to be an absolute contraindication to exercise testing?
Moderate valvular heart disease
Which of the following fats is recommended as one of the healthy dietary fats?
Monosaturated fat
Which of the following statements regarding exercise leadership is FALSE
Most people are not bored by exercise and can easily find time to participate in an exercise program
The MINIMAL duration of exercise necessary to achieve improvements in health or deconditioned individuals is
Multiple sessions of >10 minutes in duration throughout the day
Exercise clothing
Must be safe and perform appropriately, like the exercise equipment
Which of the following issues would you include in discharge education instructions for a patient with congestive heart failure to avoid potential emergency situations related to this condition at home?
Note signs and symptoms (e.g, dyspnea, intolerance to activities, of daily living), and report them to a physician
Which of the following foods would be recommended as a whole grain food item on My Pyramid?
Oatmeal
The recommended muscular strength and endurance training program for apparently healthy individuals should be
One set of 8-12 repetitions, 8-10 separate exercises, 2d/week
Chronic soreness and fatigue are symptoms of
Overuse injury
Controlling pool water temperature (83-88 degrees F), avoiding jarring and weight-bearing activities, and avoiding movement in swollen, inflamed joints are special considerations for exercise in
Patients with arthritis
All of the following are special considerations when prescribing exercise for a person with arthritis EXCEPT
Periods of acute inflammation result in decreased pain and joint stiffness
Which of the following statements regarding warm-up is FALSE
Peripheral vasoconstriction occurs as a result of warm-up
Which of the following is TRUE regarding exercise programming with VVI-mode programmed pace-makers
Persons with VVI pacemakers may be chronotropically (HR) competent with exercise but require longer warm-up and gradual increase in intensity during the initial exercise portion of their session
Which of the following is a method of strength and power training that involves eccentric loading of muscles and tendons followed immediately by an explosive concentric contraction
Plyometrics
Emergency procedures should be
Posted under each phone
Osteoporosis is more prevalent in
Postmenopausal women
The exercise leader or health and fitness specialist should modify exercise sessions for participants with hypertension by
Prolonging the cool-down
Serious complications during an exercise session
Rarely occur
Documentation in the context of the emergency response commonly refers to
Records of all emergency situations
Which of the following would you recommend for a person wishing to lose 7kg of fat
Reduction in total energy intake, proper regular aerobic exercise, behavior modification (all of the above)
During the cool-down phase of an exercise session, participant should be encouraged to
Rehydrate
Which of the following statements regarding exercise for the elderly is FALSE
Resistance exercise training is not recommended for older adults
RICES refers to
Rest, Ice, Compression, Elevation, and Stabilization
The amount of energy required for the body's most basic vital functions is called:
Resting metabolic rate (RMR)
A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on evaluation, decreased ROM and strength. You also notice he is beginning to use accessory muscles to substitute movements and to compensate. These symptoms indicate
Rotator cuff strain or impingement
Weight room safety should include
Safe passageways and use of the buddy system
The potential benefits and risks of an exercise test should be written in what document?
Safety plan
Which of the following assessments can be used to measure body composition?
Skinfolds
Beyond the general safety parameters, such as keeping equipment in good repair, a facility must create a safe environment for any individual, especially
Special populations
An appropriate exercise for improving the strength of the low back muscles is
Spinal extension exercises
In an effort to improve flexibility, the ACSM recommends
Static stretches held for 10-30 seconds/repition
Treatment for claudication during exercise include all of the following EXCEPT
Stopping activity at the onset of claudication discomfort to avoid further vascular damage from ischemia
Which of the following is an appropriate exercise for persons with diabetes and loss of protective sensation in the extremities?
Swimming
In cleaning the facility and equipment, of what must an operator be aware?
That solutions and cleaning materials are safe for the skin and hypoallergenic
What US legislation is critical for operators of fitness facilities to understand and adhere to regarding safety?
The Americans with Disabilities Act (ADA
Which of the following is correct regarding nutrition for a person with diabetes?
The amount of carbohydrate consumed is more important than the type
Which of the following is NOT part of an emergency plan
The plan should list the schedule of each staff members so that they can all be accounted for during an emergency
How should an exercise professional advise a person with regard to progression of the exercise program?
The progression should be gradual and slow
What happens to carbohydrates when consumed in amounts greater than required for energy?
They are metabolized and then stored as body fat
Which of the following is a resistive lung disease
Tuberculosis
In developing an emergency plan, program administrators must take into account all the following factors EXCEPT
Types of exercise equipment
Which of the following statements about emergency equipment is MOST important?
Use of emergency equipment should be practiced routinely
Vegetarian diets are associated with health, and there are several different types of vegetarian diets. What is the name for the type of vegetarian diet where absolutely no animal products are consumed?
Vegan
All of the following are examples of aerobic exercise modalities EXCEPT
Weight training
Which of the following situations indicates progression of independent and unsupervised exercise after a CABG procedure
When the patient has functional capacity of 8 METS with hemodynamic response appropriate to this level of exercise
Category 1 medications include of the following except
Xylocaine
