ACSM ???
Sending an e-mail to your client concerning strategies to keep active while at work and traveling is an example of:
informational support
Which document acknowledges as "assumption of risk" with regard to participation in physical activity?
informed consent
Which of the following forms discusses the risks and benefits of performing assessments and exercise?
informed consent
In the self determination theory of behavior change, intrinsic motivation refers to:
inherent willingness to engage in physical activity
Most commercial exercise equipment has a "caution" that is MOST crucial for:
men >45 years old
USDA dietary guidelines recommend no more than 10% calories from:
saturated fats
Which of the following is considered a risk factor for atherosclerotic cardiovascular disease?
sedentary lifestyle
One of the most important components of physical activity behavior change in social cognitive theory is:
self efficacy
The right and left atria act to provide support to their respective ventricles by:
serving as a reservoir of blood that eventually moves into the ventricles
Which of the following is a form of discrimination in the workplace:
sexual harassment
The thumb is classified as a _______ joint.
saddle
A client tells the EP-C about a new diet he is considering. He has friends that are following the diet with great weight loss results. Which of the following recommendations is most appropriate?
"Consider what your optimal dietary needs are and work to adopt permanent dietary changes"
Which of the following cues is ideal during a training session?
"be sure to keep your shoulders down and back"
Which of the following statements is ideal for cueing a client as she performs a squat?
"be sure to push through your heels"
A female client is 55 years old and has high density lipoprotein of 70 mg/dl. Based on this profile how many total risk factors does she have?
0
Which of the following BEST assess lower-body muscular strength?
1 RM squat
A weight loss of what percent is associated with a reduction in health risks?
10%
What is the recommended repetition range for a healthy older adult?
10-15
Health and fitness benefits occur with at least _________ minutes a week of moderate intensity physical activity.
150
If a 210 lb man has a 1 RM bench press of 150 lbs, what would his bench press weight ration be?
150 / 210 - .71
A female client who is 150 lbs and 5 feet, 8 inches tall would have a BMI of:
22.8 150 lbs >> 68.1818 5 ft 8 in >> 1.7272 m 68.1818 / 2.98 = 22.87
How many risk factors are present for this 54 year old female? Family Hx: mother had myocardial infarction at the age of 60; Nonsmoker; BP 134/85 mmHg; TC 230 mg/dL; HDL 46 mg/dL; Fasting blood glucose 82 mg/dL; BMI 27.3; Sedentary lifestyle
3
Athletes exercising at high altitude need an estimated _______ of fluid daily to maintain normal hydration.
3 to 4 L
A 1995 joint position statement of the ACSM and CDC recommended that every adult accumulate how many minutes of activity per day?
30 minutes
A sedentary lifestyle is defined as NOT participating in at least:
30 minutes of moderate-intesnity activity, at least 3 days per week, for at least 3 months
Dietary cholesterol should be limited to no more than _________ per day, based on USDA dietary guidelines?
300 mg
Which of the following is the BEST rationale for strengthening the core musculature?
A strong core facilitates efficient energy transfer between upper and lower extremities
Which of the following identifies clients who are moderate to high risk for cardiovascular disease?
ACSM risk factor thresholds
Which of the following components make up total energy expenditure EXCEPT:
Adiabatic transfer
Myocardial ischemia is defined as:
An imbalance between myocardial oxygen demand and supply
Which of the following individuals are often at risk for other chronic diseases and may need additional medical screening?
BMI rating of 35
Lordosis is defined as:
Convexity of the spinal curve that is anterior.
self-administered questionnaires are less useful for the EP-C because
EP-Cs typically desire a more extensive health profile for their clients
Which of the following is considered a hinge joint?
Elbow
Which of the following would be considered a negative risk factor for ACSM risk classification?
HDL >60 mg/dl
Which of the following is WITHIN the scope of practice for Certified Exercise Physiologists?
Helping clients gain a better understanding of portion sizes and healthful foods so they can make better choices
Resistance training in cardiac patients improves:
Muscular strength and endurance while decreasing the cardiovascular demands of a given task.
Your client is convinced that a particular ingredient in a supplement will help his training goals. Which of the following is the MOST accurate statement regarding this?
Neither registered dietitians nor physicians are certain about the ingredients in many supplements.
Which of the following prescription drugs have little effect on HR and no direct impact on exercise capacity or exercise prescription?
Niacin
You are working with an older adult who is on high blood pressure medication. What is the BEST way to monitor his cardiovascular intensity?
RPE scale of 6-20
Which of the following is an accurate statement regarding risk classification?
Recommended reflects that notation that a medical examination, exercise test, and a physician supervision is recommended in the pre participation health screening process.
Which of the following is a positive risk factor?
Regular exposure to tobacco smoke
Interview questions are considered fair only when:
They specifically relate to an individual's ability to perform the stated job duties.
For which of the following conditions are a medical release or a physician-supervised exercise test unnecessary prior to beginning an exercise program?
Well controlled exercise induced asthma
To maximise work, resistance exercises should be executed utilizing ____________ in order to maximize _______________.
a constant repetition speed; muscle tension throughout the exercise
Which of the following is an example of emotional support?
a friend periodically calling to encourage sticking with a workout program
Ischemia ia cased by:
a lack of oxygen
Which of the following is considered a perceived barrier to exercise?
a lack of time
What would be an appropriate warm up for a brisk walk?
a light walk
Which of is TRUE for a client who wishes to participate in moderate physical activity?
a medical exam is not necessary to get started
Which of the following is an example of appraisal support?
a spouse who praises your client on the progress that has been made
A preceding event or circumstance that prompts a behavior such as exercise is called"
an antecedent
To enhance training and reduce injury risk, appropriate exercise clothing should allow movement, be comfortable and
breathable
To increase accuracy of submaximal graded exercise testing, the EP-C should:
achieve a steady state heart rate within 3-4 minutes at each workload
According the the Transtheoretical Model, a client who has made specific and measurable changes in her activity in the past 6 months is in which stage of change?
action
As the EP-C is conducting the initial interview, she identifies one of the client's statements that can be used for teaching and learning opportunities. In doing so, she is demonstrating:
active listening
While play-based strengthening activities are best for very young children, older children and adolescents can do well in structured programs. One important note for adolescents to consider in designing strength programs is:
adolescents at the same chronological age may have different biological ages
Which of the following dose NOT require an exercise test or medically supervised test?
an individual with two risk factors wishing to participate in moderate-intesnity exercise
Palpitations are BEST defined as:
an uncomfortable rhythm of heart beats or forceful heart beats
The most commonly reported knee injury involves damage to the _____________.
anterior cruciate ligament
To demonstrate outstanding customer service during your initial client contact, you should:
arrive to the appointment on time
Joints between bones, along with bones and ligaments, collectively make up what systems?
articular systems
When comparing strength between two individuals, you should:
assess strength by comparing relative strength
Your client consistently repeats your exercise instructions several times to make sure he can remember the proper position and movement. This indicates that he is what type of learner.
auditory
AED stands for:
automated external debfibrilator
Sending a reminder of a training session via an email to your client may help with:
avoiding relapse
ACSM and most EP-C certifications require which of the following training?
cardiopulmonary resuscitation
Which of the following must be handled in accordance with the guidelines of the US Occupational Safety and Health Administration (OSHA)
bodily fluids
OSHA requires employers to provide which of the following for employees who may come in contact with potential hazards?
cautions and warnings through written and posted notices
Anatomical position of the human body is when the body is in which of the following positions?
body is erect, feet together, upper limbs positioned at the side of the body, palms of the hands facing forwards, thumbs facing away from the body, fingers extended
Which of the following is most commonly used to measure blood pressure?
brachial pulse
Both theories and models of behavior change deal with cognitive concepts and:
behavioral strategies
Which of the following is the MOST important principle for individuals with Type 2 Diabetes?
being physically active and exercising 5 to 7 days per week
Preparticiation health screening during initial client consultation help the EP-C to maximize _________ and minimize __________.
benefit / risk
A characteristic sign of heart failure or bilateral chronic venous insufficiency is:
bilateral ankle edema
Repeated exposure to stress and elevated cortisol levels results in:
increased vulnerability to infections
Which of the following conditions is characterized by limited gas exchange in the lungs?
chronic restrictive pulmonary disease
Which type of resistance training program would be best for a client with diabetes?
circuit training at a low intensity
Which of the following is a recommended procedure for administering a 1 RM strength test?
conduct a familiarization period of 3-4 practice sessions.
For individuals younger than 30 years of age, the most common cause/s of sudden cardiac death is/are:
congenital and hereditary abnormalities
Which of the following would be a risk factor threshold for hypertension?
currently taking antihypertensive medication
For individuals who are borderline hypertensive, the recommended intervention is:
endurance exercise
Eating small but frequent meals has all of the following benefits EXCEPT:
decreased muscle mass
Psychological conditions that can be influenced by chronic stress include anxiety, insomnia, fatigue, and
depression
Which of the following physiological variables is stable or slightly decreases during graded exercise?
diastolic blood pressure
Which of the following is a sign or symptom suggestive of cardiovascular disease?
discomfort in the neck and jaw after carrying a heavy suitcase for a several minutes
A 66-year old female client has very tight gastrocnemius muscles. To increase her flexibility, what is the recommended foot position and stretch duration.
dorsiflexed for 60 seconds
Which of the following is among the things responsible for the "fight" or "flight" response?
epinephrine
Which of the following muscles exerts an upward pull on the posterior surfaces of the pelvis resulting in a neutral pelvic position?
erector spinae
Proper breathing technique during strength exercises includes an ________ during the concentric contraction, and ________ during the eccentric phase.
exhale / inhale
Movements resulting in an increase of the joint angle, usually moving posteriorly in the sagittal plane is called ______________.
extension
During the concentric phase of a hamstring curl, the hamstrings are _________.
flexed
In social cognitive theory, the most effective way to improve self-efficacy toward physical activity is to:
focus interventions on ways to achieve the desired behavior
Which of the following is MOST accurate regarding submaximal exercise testing?
generally considered safe for most individuals
Which of the following joints favors mobility over stability?
glenohumeral
Which of the following movements occurs in the transverse plane of motion?
glenohumeral rotation
Which of the following MUST be included as part of every client's screening?
health risk appraisal
During an outdoor training session on a warm day, your client begins to exhibit a weak rapid pulse, thirst, general weakness, reduced rate of sweating, and headache. He is MOST likely experiencing:
heat exhaustion
Your potential client has a history of swollen ankles and reports shortness of breath when walking up the stairs. You would classify this as:
high risk and require that the client obtain a physician's clearance
At the minimum, the health history questionnaire should assess a client's:
history of various diseases and illnesses
What joint action of the shoulder is performed during a reverse cable fly or a reverse dumbbell fly?
horizontal abduction
To reinforce what was done well by the client, you should:
immediately recognize when the client performs well or reaches significant milestones
For most individuals with low back pain, which of the following modes of exercise may help alleviate symptoms?
improving muscular endurance of the core
Which of the following cardiorespiratory variables requires the most attention during the early stages of an exercise program?
intensity
A muscle maintains constant force without any change in joint angle. This is known as which type of action?
isometric
Which of the following is MOST appropriate for a novice athlete starting plyometric training?
jumps in place
Providing a client physical adjustment during a stretch supports what learning mode?
kinestetic
You observe an exaggerated outward curve of the thoracic spine. This postural deviation is known as:
kyphosis
Syncope is defined as
loss of consciousness
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?
low risk
Which of the following is a physiological adaption of heat acclimation?
lower core body temperature
What is a potential outcome of maintaining a professional presence and disposition when training clients?
maintaining a professional presence may also help generate clients, as this is also a form of advertising
Demonstrating standard of care can BEST be accomplished by:
maintaining professional certifications and continuing education
Relaxation therapies include hypnosis, meditations, and
massage
Which of the following activities may individuals with rheumatoid arthritis perform?
moderate intensity activities with daily stretching
Which of the following is TRUE for a client is determined to have four risk factors. This is considered to be:
moderate risk
An informal way to continually reevaluate the health status of clients would be:
observation
Which of the following indicates a client has diabetes?
oral glucose tolerance test (OGTT) of 250 mg/dl on at least two separate occasions
Which energy system is primarily responsible for resynthesising ATP during submaximal exercise lasting longer than 3 minutes?
oxidative phosphorylation
Which of the following is a sign or symptom of cardiovascular disease?
pain or discomfort in the neck, jaw, or arms while standing
The most common way to assess the perception of chronic stress level is by use of the:
perceived stress scale
Which of the following strategies can enhance strength training when no further progress is being made?
periodically varying the exercises
The gastrocnemius, soleus, and plantaris are located in which lower leg area/
posterior tibial compartment
The purpose of our cells breaking down food that we consume is to:
produce ATP
A distinct advantage of using free weights versus machines is that they:
promote kinesthetic awareness
Which of the following is a rationale for an initial screening?
provide baseline data as a motivational tool for progress
During the concentric phase of extension at the knee joint, the _________ work as an agonist and the _________ work as the antagonist.
quads / hamstrings
The risk factor for smoking no longer applied for which of the following?
quit smoking for 9 months
When performing pulse palpitation during and after exercise, the BEST location to utilize is the:
radial pulse
Your client forgets to bring the service introduction packet but is dressed appropriately for exercise. You should:
reschedule the appointment, and underscore the importance of having all forms completed and signed
Which of the following is MOST accurate as it relates to total energy expenditure?
resting energy expenditure makes up the majority of calories expended regardless of activity levels
Following the initial client contact, what are the next steps after the client has completed and returned all forms to you?
review paperwork and clarify goals
Which of the following is a sign or symptom suggestive of pulmonary disease?
shortness of breath after quickly crossing the street in a residential area
A client is exercising once a week and slowly increases to twice a week over the course of a month
small changes model
Leaders tend to focus on preventing problems or conflict. Managers focus on:
solving existing problems or conflicts
Individuals who are short in stature may not be good candidates for which type of testing?
step tests
Your client has an acute hamstring strain. You should AVOID:
stretching the hamstring for up to 60 seconds per stretch
Which of the following utilizes a diagonal fold when assessing body composition via skinfold calipers?
suprailiac
___________ is the pressure exerted on the arterial wall during the ventricular contraction phase.
systolic blood pressure
Lateral epicondylitis is commonly known as
tennis elbow
You are performing a submaximal treadmill test for your client in which you are gradually increasing the speed and grade. You observe a normal response to heart rate and blood pressure during the first several stages. During the next increase in speed and grade, you observe that SBP drops about 12 mm Hg. You should:
terminate the assessment
When giving a client advice, the EP-C risks liability for acting outside his scope of practice if:
the advice could be interpreted as unauthorized practice of a licensed professional, and results in client injury
When performing a stability ball crunch, which of the following movements indicates poor form?
the ball moves back and forth
Which of the following indicated that a client-centered approach is being used?
the client is talking more than the certified exercise physiologist
Which of the following is the mechanism of injury that leads to coronary artery disease?
the formation of the plaque in the elastic and smooth lining of the arteries
Which of the following activites requires the CP system to be utilized?
the long jump
Once the primary goal of a resistance program has been established, the next step is to determine:
the specific joints, ROM, and types of muscle actions required
Which of the following is a similar site for both a male and a female when performing a three site skinfold test?
thigh
The Physical Activity Readiness Questionnaire-Plus (PAR q+) is more effective in identifying:
those at high risk
During graded exercise, which of the following occurs due to large muscle vasodilation?
total peripheral resistance may drop slightly
During a lat pull down, the bar should be pulled to the _________.
upper chest
After assessing blood pressure in both arms, you notice the reading is much higher in one arm. You should:
use the higher pressure
To ensure client safety, exercise equipment should be in good working order and be:
used for intended purposes
___________ is performed by moderately forceful attempted exhalation against a closed airway, usually done by closing one's mouth and pinching one's nose shut while pressing out as if blowing up a balloon.
valsalva maneuver
A potential client meets you with a notebook in hand. He doesn't talk a lot but asks lots of questions and takes detailed notes during the initial consultation. What type of learner is he most likely to be?
visual
The EP-C needs to be adept at exercise demonstration since a majority of clients will be ________ learners
visual learners
The majority of people are _____ learners
visual learners
Obesity is defined as
waist circumference for 40 inches in men
Which of the following profiles is considered a risk factor with respect to obesity?
waist of 36 inches for women
Which of the following activities has the lowest risk of musculoskeletal injury?
walking
