ACSM EP-C Certification Review
In terms of chronological age, early childhood is usually described as
1 to 6 years
Using the original Borg scale, for healthy populations it is recommended that the exercise intensity elicit an RPE within the range of
12-16
Increased afterload associated with increased peripheral resistance as a result of aging causes
Left Ventricular Hypertrophy
Identify the appropriate self-directed evaluation tool used as a quick health screening before beginning any exercise program
Physical Activity Readiness Questionnaire
Which of the following describes a normal post-exercise blood pressure (BP) response?
Progressive decline in systolic BP.
Identify the example of motivational interviewing in the options below.
Use of open-ended questioning to encourage exploration of thoughts and feelings regarding exercise.
What resistance should you set a Monark cycle ergometer at to elicit an oxygen consumption value of 2376 ml/min while cycling at 50 RPM? The subject is 65 inches tall and weighs 110 pounds.
2.0 kp ????
Part of your patient's exercise prescription calls for bench stepping. What is the relative oxygen cost of bench stepping if he steps at a rate of 24 steps per minute up a 10-inch stepping box? Your patient weighs 140 pounds.
?
Programs that are delivered to individuals through means other than face-to-face format such as print, telephone, and internet.
?
The recommended competency criteria for a group exercise director in the health and fitness industry according to the ACSM include:
?
What is the proper orientation and location for obtaining the suprailiac skinfold measurement?
a diagonal fold at the anterior axillary line along the natural line of the iliac crest
Environments and spaces that are developed and/or modified by humans including homes, buildings, neighborhoods, cities, green spaces, sidewalks, trails, and roads.
Built enviornment
Body fat appears to be most dangerous when
Central (android) obesity is present
Which of the following diseases is NOT typically associated with obesity?
skin cancer
the cuff level is above heart level and should be at heart level
True
AEDs within a facility should be within a ____ minute walk to any place an AED could be potentially needed.
1.5 minute walk one-way
ACSM recommends that healthy elderly adults begin resistance training with > or = 1 set of _______ reps.
10-15
ACSM recommends static stretches should be held for
10-30 seconds each, and completed 2-4 times
What is a subject's power output in Watts if she pedals on a Monark cycle ergometer at 50 rpm at a resistance of 2 kp? Assume that 1 revolution of the cycle ergometer flywheel is 6 m long.
100 Watts
What is the generally accepted calorie deficit needed to promote a 1 lb/week weight loss?
3,500 kcals
What is the MET equivalent to level walking on a treadmill at 3.0 mph?
3.29 METS
A 176-lb patient set the treadmill at 3.0 mph and 2% grade. While exercising, his heart rate was 140 bpm and his blood pressure was 160/80 mmHg. What was his estimated oxygen consumption in relative terms?
55.0 ml/kg/min
What running speed would you set a level (0% grade) treadmill at to elicit an oxygen consumption of 40 ml/kg.min?
6.8 mph
A 35-year-old client reduced her caloric intake by 1200 kcals per week. How much weight will she lose in 26 weeks?
8.9 pounds
How much energy is contained in 1 gram of fat?
9 kcals
What is normal hip flexion range of motion?
90-135
Any physical activity with a performance time of approximately 30 seconds or less relies on which of the following energy systems?
ATP-PCr
Which is the eating disorder marked by an overwhelming fear of becoming fat, a distorted body image, and the inability to eat?
Anorexia nervosa
What are the 5 A's in the Five A's Model applied to physical activity promotion in clinical settings?
Assess, Advise, Ask, Assist, Arrange
A group of pulmonary disorders characterized by expiratory airflow obstruction, dyspnea (shortness of breath), and some degree of airway reversal is known as
COPD
The process of strategic planning includes all of the following facets with the exception of
Choosing a leader
An fitness center member tripped and fell over dumbbell that had been left in the middle of the fitness center floor by a personal trainer. The member broke his ankle and sued the fitness center and trainer for his medical expenses. This risk by the personal trainer is an example of
Gross Negligence
HIPAA stands for _________.
Health Insurance Portability and Accountability Act
__________ is a term used to describe the process of visualizing oneself engaging in a specific behavior or set of behaviors en route to achieving a desired outcome.
Imagery
Which of the following statements about underwater weighing is true?
It is a test that assumes standard densities for bone, muscle, and fat.
You have been hired as the fitness director at a midsize (35,000 ft2) health and fitness facility. The grand opening for the facility is scheduled in one month. The general manager has asked you to hire all the positions necessary for the operation of a successful and profitable fitness department. As fitness director, you will be the direct supervisor for all of the employees you hire and will be responsible for their payroll, schedules, and productivity. In addition, you have been asked to set up the fitness evaluation policies and procedures for your employees to follow. Which position will you most likely compensate with commission rather than hourly wage?
Massage Therapists and Personal Trainers- not weight floor personnel
In the organization of skeletal muscle, the muscle cell contains the contractile proteins. Which of the following is a contractile protein?
Myosin
Which of the following is a FALSE statement regarding an informed consent?
Negligence, improper test administration, inadequate personnel qualifications, and insufficient safety procedures are all items that are expressly covered by the informed consent.
________________ refers to what individuals expect to attain as a result of exercise and how much they value that outcome.
Outcome expectancy
Which of the following is not an effective strategy to enhance fitness facility member retention?
Oversell memberships
Emergency procedures should be written, outlining specific actions, and practiced
Quarterly
Which of the following is a fixed expense?
Salaries
Two individuals have the same body weight, gender, ethnic background, and skinfold measurement results. One is 25 years old; the other is 45. Given the scenario, which of the following statements is true?
The 45-year old has a higher percentage of body fat.
Identify the mechanical error in this blood pressure measurement.
The cuff level is higher than heart level.
Behavioral intention is most closely associated with behavior in which of the following theories of behavior change?
Theory of Planned Behavior
What is the purpose of agreements, releases, and consent forms?
To inform clints of participation risks, as well as the rights of the client and the facility.
What ECG lead is considered both part of the anterior and lateral views.
V6
Which of the following statements regarding arm versus leg exercise is correct?
VO2max (VO2peak) may be lower in leg and arm cycle ergometry compared to testing on a treadmill
Which of the following conditions can cause a wide QRS complex?
WPW, RBBB, IVCD
An individual you have met previously through a mutual friend, joins your exercise program at the bariatric clinic. The next day, you see the mutual friend and casually discuss the individual's participation in the clinic with the mutual friend. Which answer below best describes the action and accountability by law.
You have breached confidentiality and are accountable by law via HIPAA.
A sedentary lifestyle
has a risk similar to that of hypertension, high cholesterol, and cigarette smoking
__________ is money the business owes to another individual or business.
accounts payable
Which group is the fastest growing segment of the US population?
adults aged 65 to 85 years
If planning a 60-minute walk, when is the most important time to stretch in relation to the walk?
after the cool-down
The use of active listening
allows the listener to make sure that he or she has accurately interpreted what the patient or participant has said
You are a manager of a fitness facility and you are developing a form used to evaluate the performance of all of your personal trainers. All of the following should be included in the evaluation with the exception of
amount of vacation time accrued
Setting several short-term goals to attain a long-term goal to increase self-efficacy is an example of
an application of cognitive-behavioral principles
When using motivational interviewing, which of the following is not considered a method to "roll with resistance"
argue for change
A decisional balance sheet is used to
assess barriers and benefits for physical activity or exercise
A program's policy and procedures manual should not
be stored away for safekeeping
Symptoms of hyperglycemia include all of the following except
bradycardia
Which of the following are byproducts of aerobic metabolism?
carbon dioxide and water
The chest press exercise is an example of a ________ exercise, targeting the _____ and _____ muscles.
compound, pectoralis and triceps
What action should you take for a 55-year-old participant who has three risk factors for heart disease and complains of fatigue on exertion?
conduct a maximal diagnostic stress test in the presence of a physician
Which of the following techniques are often used in the process of relapse prevention?
goal setting, self-monitoring, and rewards
When creating a budget, the four main steps to following include
determining budget expectations, forecast revenue, forecast expenses, project profits and losses
Which of the following manifestations would be an indication for stopping an exercise test?
diastolic blood pressure > 115 mmHg
When counseling a participant with an LDL cholesterol level of 142 mg/dl, your emphasis would be on
diet
Which of the following instructions is appropriate for a client with diabetes?
eat carbohydrate snacks before a long exercise session
The Exercise Imagery Questionairre yields which 3 functions of exercise imagery?
energy, appearance and technique
As a result of exercise training, cardiac output becomes
essentially unchanged at any given submaximal workload.
Persons with hypertension are at risk for which of the following during exercise?
exaggerated systolic blood pressure elevation
A primary goal for the obese exercise participant should be to
expend 300 to 500 calories per exercise session
Which of the following in NOT a muscle type?
generic
Limited flexibility of which of the following muscle groups increases the risk of low back pain?
hamstrings
Palpation of the brachial artery is possible
in the medial side of the upper arm in the groove between the biceps brachii and triceps brachii
During aerobic exercise, which of the following responses would NOT be considered normal?
increased diastolic blood pressure
The arm is capable of performing all of the following motions, EXCEPT
inversion
A program participant with history of coronary artery disease with a functional capacity of 5 METS, ejection fraction of 35%, and 1 mm ST depression on exertion
is considered high risk for having a heart event during exercise
The deficiency of blood flow to the myocardium that results when oxygen demand exceeds oxygen supply is known as
ischemia
Which of the following statements about static exercise is accurate?
it results in increased heart rate and systolic blood pressure
The prescribed exercise regimen for an obese client typically includes
low-impact aerobic activity
Implementing emergency procedures must include the fitness center's _____.
management and staff
Which of the following personnel is responsible for program design as well as implementation of that program?
manager or director
When setting business related goals, a ___________ goal is goal that must be stated with either quantitative or qualitative assessment.
measurable
Rotation of the anterior surface of a bone toward the midline of the body is called ______.
medial rotation
The anaerobic threshold occurs at the onset of
metabolic acidosis
Conceptual considerations from social marketing for application in campaign development include all of the following, EXCEPT:
models of professional behavior adapted from psychological and communications literature
Modifiable primary risk factors for CAD include
obesity, diabetes, tobacco smoking, and sedentary lifestyle
In a 12-lead ECG, where are precordial leads V5 and V6 positioned?
on the left anterior and midaxillary lines at the level of the V4 electrode.
The ________ model of leadership centers on a collective vision of he group as a team.
organic
Which of the following conditions is characterized by a decrease in bone mass and density, producing bone porosity and fragility?
osteoporosis
Chronic soreness and fatigue are symptoms of
overuse injury
All of the following are special considerations for prescribing exercise for the client with arthritis, EXCEPT
periods of acute inflammation result in decreased pain and joint stiffness
In commercial settings, clients should be more extensively screened for potential health risks. The information solicited should include which of the following?
personal medical history, present medical status, medication
When using photographs for marketing your exercise program, what document is required?
photo release form
In which stage of motivational readiness is a person always taking steps to become a regular exerciser?
preparation
For adults with arthritis, which of the following apply?
progression in duration of activity should be emphasized over increased intensity
Slow conduction in the AV node is associated with
prolonged PR interval
A resistance training program that starts with light weights and high reps for the first set and then gradually moves to heavier weights and fewer reps for each successive set would be an example of which of the following training style?
pyramids
Myocardial oxygen consumption is best estimated from
rate pressure product
The extent to which a message or program is delivered to the target population.
reach
During the cooldown phase of an exercise session, clients should be encouraged to
rehydrate
Use of buddy groups to encourage participation and adherence helps to increase ______ by __________________.
self-efficacy, social persuasion
While assessing the behavioral changes associated with an exercise program, which of the following would be categorized under the cognitive processes of the Transtheoretical Model?
self-reevaluation
Which of the following is NOT true regarding the psychological benefits of regular exercise in the elderly?
stimulate appetite
What planning tool addresses the organization's short- and long-term goals, identifies the steps needed to achieve the goals, and gives the time line, priority, and allocation of resources to each goal?
strategic plan
Evaluation of progress with a business is typically done with a SWOT analysis, which stands for
strengths, weaknesses, opportunities and threats
During exercise, stroke volume increases as a result of
the Frank-Starling mechanism
Identify the error in skinfold technique in the following image of a subscapular skinfold.
the calipers is not 1 cm away from the thumb and finger
The term "decisional balance" refers to
the process that patients or participants engage in when weighing the costs versus the benefits of adopting a health behavior
When taking circumference measurements, the abdomen and the waist are
the same only if the narrowest part of the torso is at the level of the umbilicus
The Health Belief Model assumes that people will engage in a behavior such as exercise when ________.
there is a percieved threat of disease
During mild to moderate exercise, pulmonary ventilation increases primarily as a result of increased
tidal volume
A ______ is a breach of legal duty amounting to a civil wrong or injury for which a court of law will provide compensation/damages.
tort
Through which valve in the heart does blood flow when moving from the right atrium to the right ventricle?
tricuspid valve
Which fat-soluable vitamin is important for bone formation?
vitamin D
For any athlete, the primary nutrient requiring replacement before, during, and after exercise is
water
The BMI is calculated using which of the following formulas?
weight/height squared
