PET 4552 Study Guide:

Approximately what percentage of individuals in the United States have at least one chronic health condition?

50%

Which of the following is an appropriate test for cardiovascular endurance?

YCMA STEP TEST

Does Bert report any CMR?

YES

Does Betty need medical clearance before beginning light to moderate exercise?

YES

Does Betty report a CMR?

YES

Does Betty report any signs and/or symptoms of CVD?

YES

Does Carl report any signs and/or symptoms of CVD?

YES

Does Carl require medical clearance before beginning light to moderate exercise?

YES

All of the following are considered societal causes of inactivity. Mark all that apply.

TECHNOLOGICAL ADVANCES MORE SEDENTARY CAREERS OR JOBS

Which of the following describes a violation of the requirements in the ADA Standards for Accessible Design?

THE CARDIOVASCULAR EQUIPMENT IN A TRAINING FACILITY CONSISTS OF 10 TREADMILLS, 6 ELLIPTICAL MACHINES, AND 3 RECUMBENT BIKES

Which of the following is an appropriate procedure for obtaining an accurate sit-and-reach flexibility measurement?

THE CLIENT SHOULD WARM UP FOR 3 TO 5 MINUTES WITH LIGHT EXERCISE

Which of the following is TRUE regarding changes to the population of the USA from 1990-2100?

THE PERCENTAGE OF OLDER ADULTS WILL BE GREATER IN 2100 THAN IT WAS IN 1990

During graded exercise testing, why are RAMP protocols preferred to standard protocols such as the Bruce protocol for the measurement of cardiovascular endurance in individuals with chronic disease?

THEY INCLUDE SMALLER CHANGES IN INTENSITY

All of the following are considered individual causes of inactivity, EXCEPT:

TOO MUCH FREE TIME

Which of the following activities is within the scope of practice of an exercise professional?

TRAINING TO INCREASE CARDIOVASCULAR HEALTH

Which of the following activities is within the scope of practice of an exercise professional?

TRAINING TO REDUCE A STRENGTH DEFICIT IN LOWER BACK MUSCLES

An individual that is currently physically active, free of CMR disease and free of signs and symptoms of CVD, does not need medical clearance to continue to exercise at a moderate or vigorous level of PA

TRUE

Analysis of the performance, physical ability, health, and fitness needs of the individual is termed a Needs Analysis.

TRUE

Chronic diseases account for 7 out of 10 deaths each year in the United States

TRUE

Exercise adherence is achieved when clients are motivated. Motivation is achieved when clients feel competence, autonomy and relatedness.

TRUE

Physically inactive clients without disease or signs of disease may start exercise training with light to moderate intensity without medical clearance, progressing intensity as tolerated

TRUE

The ACSM pre participation screening algorithm is a new instrument designed to identify participants at risk for CV complications during or immediately after aerobic exercise

TRUE

The National Strength and Conditioning Association(NSCA), offers certification as a certified special population specialist.

TRUE

The term special population, refers to groups of people with conditions and needs different from the general population, that may require special considerations for exercise to ensure that exercise is safe and effective.

TRUE

Which of the following is true about the obesity rate in the United States?

1/3 OF THE AMERICAN POPULATION HAS OBESITY

What percentage of adults older than 18y exercise regularly?

15-20%

Which of the following best describes ACSM recommendations for neuromotor training?

2-3 DAYS PER WEEK 20-30 MINUTES PER DAY USING BALANCE, AGILITY, & COORDINATION

Which of the following best describes ACSM recommendations for Resistance Exercise?

2-3 DAYS PER WEEK TRAIN EACH MAJOR MUSCLE GROUP 2-4 SETS

Which of the following best describes ACSM recommendations for flexibility exercise?

2-3 TIMES PER WEEK HOLD STRETCHES FOR 10-30 SEC 2-4 REPS

Lebron is 6 ft 8 in tall and weighs 260 pounds. Which of the following indicates his correct BMI?

28.6

Which of the following are considered major signs and symptoms suggestive of CVD?

ALL OF THE ANSWERS

Which of these special populations is incorrectly matched with an appropriate accommodation?

AUTISTIC CHILDREN: BRIGHTLY COLORED OR PATTERNED WALLS

For an individual with abnormally high or low heart rates, which cardiovascular endurance test might provide the most accurate results?

BALKE-WARE TREADMILL TEST

Which of the following statements about body mass index (BMI) is FALSE?

BMI IS A DIRECT MEASURE OF BODY FATNESS

Which of the following diseases is considered the number one cause of death of Americans in the United States?

CARDIOVASCULAR DISEASE (CVD)

Which of the following is TRUE when comparing medical professionals to exercise professionals?

EXERCISE PROFESSIONALS ARE NOT LICENSED

Which of the following is true when comparing licensed medical professionals and exercise professionals?

EXERCISE PROFESSIONALS ARE NOT REQUIRED TO BE LICENSED BUT MAY BE CERTIFIED

A review of your client's history reveals that her mother died of heart attack at age 72. This is considered a family history risk factor for your client?

FALSE

Breast cancer is the leading cause of death for American women.

FALSE

CV complications during resistance training appear to be higher than aerobic exercise.

FALSE

It is predicted that the population of the U.S.A, will have fewer individuals living to 100 years of age.

FALSE

Physical activity is least safe when the individual is currently very active, has no CMR disease and has no symptoms of CV

FALSE

The ACSM Postion Stand (2011) is the recommendations of the ACSM panel of experts based on their professional opinion.

FALSE

The current exercise guidelines for the general healthy population should not be modified for special populations

FALSE

The medical clearance procedure allows the exercise professional to diagnose any conditions that may worsened with increased physical activity and exercise

FALSE

The term special populations is used to refer to clients that have a learning disability and need special assistance for exercise.

FALSE

To determine lung function, a spirometer can be used to test forced expired ventilation (FEV). To do this, you pinch the client's nose with your fingers while they breath out as forcibly as they can into the device

FALSE

You have designed an exercise program for Mary that has helped her increase her strength. This program can now be used for any other female that wants to increase her strength without the need of further assessment.

FALSE

When monitoring blood pressure which sound is read as the Systolic blood pressure?

FIRST INITIAL SOUND OR ONSET OF SOUND

Which of the following are included in the current ACSM guidelines for exercise for healthy adults?

FLEXIBILITY TRAINING RESISTANCE EXERCISE CV TRAINING NEUROMOTOR TRAINING

For physically active clients who have a known disease but who are asymptomatic, which of the following is true regarding the guidelines for exercise participation?

IF THEY HAVE RECEIVED MEDICAL CLEARANCE W/IN THE LAST 12 MONTHS, THEY CAN BEGIN LIGHT-TO MODERATE- INTENSITY EXERCISE IMMEDIATELY

Which of the following factors is most likely to have contributed to the decrease in physical activity in the last 50 years?

INCREASED RELIANCE ON JOBS USING MECHANIZED EQUIPMENT

What is Bert's risk for CVD?

INCREASED RISK

What is Betty's risk for CVD?

INCREASED RISK

What is Carl's risk for CVD?

INCREASED RISK

What is Ralph's risk for CVD?

INCREASED RISK

After a discussion with a new client, previously sedentary, who has recently been diagnosed with obesity, the exercise professional sets a goal of completing four 30-minute sessions per week at an intensity of 70% within the first three weeks of exercise. Which of the guidelines for goal setting does this plan violate?

IT IS NOT REALISTIC

Which of the following is part of the recommended procedure for measuring accurate skin folds?

KEEP THE SKIN PINCHED WHILE PLACING AND READING THE CALIPER

Which of the following contributors to the trend of reduced physical activity is an individual issue rather than a societal issue?

LACK OF MOTIVATION OR INTEREST IN EXERCISE

Which of the following is true of life span since 1950?

LIFE SPAN CHANGES ARE NOT RELATED TO INCREASES IN PHYSICAL ACTIVITY

What is Doris' risk for CVD?

LOW RISK

What process may the exercise professional have to recommend that provides professional authorization for exercise testing and exercise participation?

MEDICAL CLEARANCE

Which of the following best describes the ACSM recommendations for cardiovascular exercise?

MORE THAN 30 MINS. MOD. INTENSITY ON MORE THAN 5 DAYS PER WEEK

Does Bert report any signs and/or symptoms of CVD?

NO

Does Bert require medical clearance before beginning light to moderate exercise?

NO

Does Carl report CMR?

NO

Does Doris report any CMR?

NO

Does Doris report any signs and/or symptoms of CVD?

NO

Does Doris require medical clearance before beginning light to moderate exercise?

NO

Does Ralph have a CMR?

NO

Does Ralph need medical clearance before beginning light to moderate exercise?

NO

Does Ralph report any signs and/or symptoms of CVD ?

NO

Is Carl considered active based on ACSM guidelines? · 63 yr old male security guard · 5' 7", 190 lbs · Total cholesterol = 300 · BP = 155/90 · HR = 75 · Chronic television viewer who has never been athletic · Has asthma controlled by medication · Avoids walking because of mild arthritis in his left knee and lately he has been suffering from chest pain while going upstairs to his room. · Smoked for 20 yrs but quit 2 yrs ago Drinks 2-3 glasses of scotch two nights per week

NO

Is Doris considered active based on ACSM guidelines? · 40yr old female engineer · Mother of two children · Suffers from chronic fatigue syndrome · 5'3" 125lbs · Recovering from childbirth c-section 5 mths ago · Does not smoke or drink alcohol · BP = 100/70 · HR = 60 · Cholesterol is 180mg/dl · She use to exercise before her children were born but has not since

NO

Is Ralph currently considered active based on ACSM guidelines? · Ralph is a 38-year old male sales representative · 5'3", weight 185 lbs · Blood pressure = 150/80 mmHg · Cholesterol = 245. · Smokes recreationally · Drinks at least two to three beers per day · Suffers chronic low back pain for the past 2 years. This low back pain occasionally necessitates his missing work. · His father had a double bypass at age 62, and his sister has type II diabetes · No current exercise program reported

NO

Which of the following indicates the optimal test order for general fitness assessments?

NON-FATIGUING TESTS MUSCULAR STRENGTH TESTS MUSCULAR ENDURANCE TESTS CARDIOVASCULAR TESTS

Other considerations or needs other than exercise training to discuss with clients may be: mark all that apply

NUTRITION CURRENT MEDS SLEEP SUPPLEMENTS

Which of these special populations is incorrectly matched with an appropriate accommodation?

OBESE INDIVIDUALS; REGULAR CYCLING BIKES

Which of the following indicates the correct location and method for palpating a client's resting heart rate?

PLACE INDEX AND MIDDLE FINGER ON RADIAL ARTERY

All of the following are considered part of the scope of practice of an exercise professional, EXCEPT:

PRESCRIBING DIET PLANS

Which of the following are considered CMR diseases most relevant to screening?

PREVIOUS HEART ATTACK

Which of the following provides the most direct measurement of percent body fat?

SKINFOLD TESTING

Mary used to smoke 3 packs of cigarettes per day. She tells you she quit smoking last month. What is her current risk factor for CVD and smoking?

SMOKING REMAINS A RISK B/C IT HAS BEEN LESS THAN 6 MONTHS

Which of the following are excluded and are not part of the scope of practice for exercise professionals? Mark all that apply

SOFT TISSUE MOBILIZATION GAIT TRAINING DIAGNOSIS OF CONDITIONS

Lola is an older adult and has a blood pressure reading of 155/89. What is the classification for this level? check table 2.1

STAGE 1 HYPERTENSIVE

Which of the following correctly identifies the standard 7 sites for skinfold locations?

SUBSCAPULARIS MIDAXILLARY TRICEP CHEST ABDOMEN SUPARILLIAC THIGH

Which of the following appropriately describes the requirements in the ADA standards for accessible design?

USABLE DOORWAY LEVERS OR AUTOMATED DOORS

Is Bert considered active based on ACSM guidelines? · Bert is a 69 yr old male retired from the Police force · 5'9" 210 lbs · BP = 140/80 · Cholesterol = 260mg/dL · Had an heart attack 6yrs ago · Mother died of MI @ 70 · Father developed hypertension @ 70 · He smokes a pack of cigarettes per day · Drinks vodka daily · lifts weights at home irregularly · walks the dog in the morning for 20 minutes and at night for 10 minutes at a moderate pace. He has been doing this since he has the dog 3 years ago

YES

Is Betty considered active based on ACSM guidelines? · Betty is a 59 yrs old secretary · Insulin dependent for last 4 yrs · Health is controlled through diet, insulin and walking · 5'2" 105 lbs · Cholesterol is over 220 · She has been a secretary for over 25 yrs · Resting HR is 82 bpm · Blood pressure = 110/88 · Father died at 60 of MI · Mother is an active insulin dependent diabetic @ 81 · She had been walking for 45 minutes 3 to 4 times per week (for more than six months) but has not done it this week because she felt lightheaded and dizzy on her last walks. This is one reason she has come to seek your help

YES

Rosa exercises 2 to 3 days a week for 15 minutes at a vigorous intensity. She has been doing this for the last 6 weeks. Is physical inactivity a risk factor for Rosa for CVD?

YES

Your new male client has a BMI of 32 and a waist circumference of 41 inches. Is obesity a risk factor for this client?

YES