Exam I-Exercise Science

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 True False

False

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

False

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

False

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

False

What is Bert's risk for CVD? 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 Low risk Increased risk

Increased risk

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

False

This program can now be used for any other female that wants to increase her strength without the need of further assessment. True False

False

Approximately what percentage of individuals in the United States have at least one chronic health condition? 50% 10% 85% 35%

50%

Which of the following provides the most direct measurement of percent body fat? body mass index waist to hip ratio body weight skinfold testing

skinfold testing

Other considerations or needs other than exercise training to discuss with clients may be: mark all that apply sleep nutrition supplements current medications

sleep nutrition supplements current medications

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? Because she quit for a month, smoking is no longer a risk smoking remains a risk because it has been less than 6 months smoking remains a risk because it has been less than 3 months smoking is no longer a risk because it has been more than 6 days.

smoking remains a risk because 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 resistance training education

soft tissue mobilization gait training diagnosis of conditions

What percentage of adults older than 18y exercise regularly? 50-60% 30-40% 15-20% 5-10%

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 tai chi or yoga exercise for 90 minutes 3 days per week 60 minutes, 7 days per week, plyometric training there are no recommendations for flexibility 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? one time per week, 15 exercises, 30 reps of each there are no recommendations for resistance exercise 7 days per week, light intensity, for 30 minutes 2-3 days per week, train each major muscle group, 2-4 sets

2-3 days per week, train each major muscle group, 2-4 sets

Which of the following best describes ACSM recommendations for flexibility exercise? 30 minutes, 5 times per week, at a high intensity. there are no recommendations for flexibility training 2-3 times per week, hold stretches for 10-30 seconds, 2-4 reps 2-3 times per week for 10-30 minutes, 8-10 repetitions

2-3 times per week, hold stretches for 10-30 seconds, 2-4 reps

Lebron is 6 ft 8 in tall and weighs 260 pounds. Which of the following indicates his correct BMI? 29.1 28.6 58.2 19.4

28.6

Which of the following statements about body mass index (BMI) is FALSE? At the same BMI, athletes tend to have less body fat than the average adult At the same BMI, women tend to have more body fat than men BMI is a direct measure of body fatness At the same BMI, younger adults have less body fat than older adults

BMI is a direct measure of body fatness

For an individual with abnormally high or low heart rates, which cardiovascular endurance test might provide the most accurate results? Balke-Ware treadmill test YMCA step test recumbent stepper test YMCA cycle ergometer test

Balke-Ware treadmill test

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. Both must adhere to standards set forth in state and national laws and both require specific education. Only licensed medical professionals have a defined scope of practice. No answer text provided.

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? True False

False

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

False

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

False

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

False

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

False

When monitoring blood pressure which sound is read as the Systolic blood pressure? First initial sound or onset of sound Loud tapping sound or murmur muffling of sound the complete absence of sound

First initial sound or onset of sound

Which of the following is part of the recommended procedure for measuring accurate skinfolds? After grasping the skinfold with the thumb and forefinger, place the calipers as close to the fingers as possible. If a measurement is not within 10% of the previous trial for that site, retest that site immediately. Keep the skin pinched while placing and reading the caliper. Record the highest measurement for each site.

If a measurement is not within 10% of the previous trial for that site, retest that site immediately.

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 within the last 12 months, they can begin light- to moderate-intensity exercise immediately. They must seek medical clearance immediately. They do not need medical clearance and can begin vigorous-intensity exercise immediately. . Medical clearance is necessary if they exhibit more than two risk factors for cardiovascular disease.

If they have received medical clearance within the last 12 months, they can begin light- to moderate-intensity exercise immediately.

What is Betty's risk for CVD? 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 Low risk Increased risk

Increased risk

What is Carl's risk for CVD? 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 Low risk Increased risk

Increased risk

What is Ralph's risk for CVD? 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 Low risk Increased risk

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 action-oriented It is not specific It is not timed It is not realistic

It is not realistic

Which of the following is true of life span since 1950? Life span changes are not related to increases in physical activity. Life span has only increased for females. Males generally live longer than females. The average life span for males in 1950 was greater than 75 years old.

Life span changes are not related to increases in physical activity.

What is Doris' risk for CVD? 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 Low risk Increased risk

Low risk

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 No

Yes

Does Bert report any signs and/or symptoms of CVD? 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 No

No

Does Bert require medical clearance before beginning light to moderate exercise? 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 No

No

Does Carl report CMR? 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 Yes No

No

Does Doris report any CMR? 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 Yes No

No

Does Doris report any signs and/or symptoms of CVD? 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 Yes No

No

Does Doris require medical clearance before beginning light to moderate exercise? 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 Yes No

No

Does Ralph have a CMR? 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 Yes No

No

Does Ralph need medical clearance before beginning light to moderate exercise? 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 Yes No

No

Does Ralph report any signs and/or symptoms of CVD ? 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 Yes No

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 Yes No

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 Yes No

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 Yes No

No

Which of the following is true about the obesity rate in the United States? two-thirds of the American population has obesity One-third of the American population has obesity 50% of the American population has obesity 90% of the American population has obesity

One third of the American population has obesity

Which of the following are included in the current ACSM guidelines for exercise for healthy adults? Resistance Exercise Flexibility training Neuromotor training No answer text provided. Cardiovascular training

Resistance Exercise Flexibility training Neuromotor training Cardiovascular training

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 Normal Prehypertensive Stage 1 Hypertensive Stage 2 Hypertensive

Stage 1 Hypertensive

Which of the following correctly identifies the standard 7 sites for skinfold locations? Subscapularis, midaxillary, tricep, chest, abdomen, suprailiac and thigh bicep, subscapularis, waist, abdomen Tricep, bicep, forearm, calves, abdomen, neck, scapula chest, tricep, subscapularis, sternum, abdomen, thighs, and calves

Subscapularis, midaxillary, tricep, chest, abdomen, suprailiac, and thigh

All of the following are considered societal causes of inactivity. Mark all that apply. Technological advances more sedentary careers or jobs self-contained communities smaller percentage of adults over 65y

Technological advances more sedentary careers or jobs

Which of the following describes a violation of the requirements in the ADA Standards for Accessible Design? There are 3 bathroom stalls per 20 persons in a facility. A facility with 10 employees has doorways that are 36 inches (91 cm) wide. The distance between exercise stations is 3.5 feet (107 cm). The cardiovascular equipment in a training facility consists of 10 treadmills, 6 elliptical machines, and 3 recumbent bikes.

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. The client must hold the stretch for 7 seconds. The client should inhale while holding the stretch. The exercise professional should use the third trial as the final score.

The client should warm up for 3 to 5 minutes with light exercise.

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. They are superior for detecting the presence of ischemic heart disease. They bring the individual to maximal exercise capacity more quickly. They allow more time for the measurement of blood pressure.

They include smaller changes in intensity.

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 False

True

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

True

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

True

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

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 False

True

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

True

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

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 False

True

Which of the following is an appropriate test for cardiovascular endurance? YMCA step test YMCA bench press test jumping rope for one minute curl-up test

YMCA step test

Does Bert report any CMR? 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 No

Yes

Does Betty need medical clearance before beginning light to moderate exercise? 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 No

Yes

Does Betty report a CMR? 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 No

Yes

Does Betty report any signs and/or symptoms of CVD? 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 No

Yes

Does Carl report any signs and/or symptoms of CVD? 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 Yes No

Yes

Does Carl require medical clearance before beginning light to moderate exercise? 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 Yes No

Yes

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 No

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 No

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 No

Yes

Which of the following are considered major signs and symptoms suggestive of CVD? shortness of breath at rest or with mild exertion known heart murmur intermittent calf pain all of the answers

all of the answers

Which of these special populations is incorrectly matched with an appropriate accommodation? obese individuals: tractor-style seat autistic children: brightly colored or patterned walls wheelchair users: torso straps on machine exercises severely deconditioned clients: seating near the training area

autistic children: brightly colored or patterned walls

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 increased cost of automobiles declined personal income increased availability of unhealthy foods

increased reliance on jobs using mechanized equipment

Which of the following contributors to the trend of reduced physical activity is an individual issue rather than a societal issue? increased percentage of the population older than 65 lack of motivation or interest in exercise reduced programming in physical education in public schools increased reliance on automobiles

lack of motivation or interest in exercise

Which of the following best describes the ACSM recommendations for cardiovascular exercise? more than 30 minutes, moderate intensity, on more than 5 days per week 20 minutes, vigorous-intensity, one time per week 90 minutes, vigorous intensity, 5 to 7 days per week there are no recommendations for cardiovascular exercise

more that 30 minutes, moderate intensity, on more than 5 days per week

Which of the following indicates the optimal test order for general fitness assessments? non-fatiguing tests, muscular strength tests, muscular endurance tests, and cardiovascular tests cardiovascular endurance, non-fatiguing tests, muscular strength tests, and muscular endurance tests resting tests, non-fatiguing, cardiovascular endurance tests, muscular endurance tests, and muscular strength test order is not relevant

non fatiguing tests, muscular strength tests, muscular endurance tests, and cardiovascular tests

Which of the following indicates the correct location and method for palpating a client's resting heart rate? place thumb in temporal artery place index finger on the brachial artery place index and middle finger on radial artery place your hand on client's carotid artery

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 conducting health appraisals conducting physical assessments designing exercise plans

prescribing diet plans

Which of the following are considered CMR diseases most relevant to screening? previous heart attack asthma COPD Over 65 years of age

previous heart attack

All of the following are considered individual causes of inactivity, EXCEPT: too much free time lack of motivation or interest limitations from disease and disability perceived lack of resources

too much free time

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 treatment of joint pain or swelling gait training diagnosis of an eating disorder

training to reduce a strength deficit in lower back muscles