ACSM's chapter 2 edition 9

Which of the following is NOT a purpose of the preparticipation health screening? a. Recognition of persons with clinically significant disease(s) or conditions who should participate in a community-based exercise program b. Detection of individuals at increased risk for disease because of age, symptoms, and/or risk factors who should undergo a medical evaluation and exercise testing before initiating an exercise program or increasing the frequency and intensity of their current program c. Identification of individuals with medical contraindications for exclusion from exercise programs until those conditions have been abated or are under control d. Recognition of persons with clinically significant disease(s) or conditions who should participate in a medically supervised exercise program

a. Recognition of persons with clinically significant disease(s) or conditions who should participate in a community-based exercise program

Exercise or health/fitness professionals should have a thorough knowledge of all but which of the following when doing a risk classification? a. The pathologic sequencing of the disease b. The descriptions of signs and symptoms for cardiovascular, pulmonary, and metabolic diseases c. The specific criteria that determine the CVD risk factor schemes d. The criteria for known cardiovascular, pulmonary, and metabolic diseases

a. The pathologic sequencing of the disease

The process by which individuals are assigned a risk category is called risk classification, which is based on the presence or absence of all but which of the following? a. The potential for developing risk factors b. Known cardiovascular, pulmonary, and/or metabolic disease c. Signs or symptoms suggestive of cardiovascular, pulmonary, and/or metabolic disease d. CVD risk factors

a. The potential for developing risk factors

Orthopnea refers to a. dyspnea occurring at rest in the recumbent position b. an unpleasant awareness of the forceful or rapid beating of the heart c. dull ache or "knifelike," sharp, stabbing pain in the chest d. shortness of breath

a. dyspnea occurring at rest in the recumbent position

The American College of Sports Medicine recognizes the risk stratification procedures of which other organization? a. NSCA b. AACVPR c. YMCA d. ACE

b. AACVPR

Which of the following individuals has a cardiovascular disease risk factor? a. A client with a blood pressure of 138/82 mm Hg b. Cigarette smoker who quit 3 months ago c. A client with a BMI of 24 d. Someone who began a regular exercise program a year ago

b. Cigarette smoker who quit 3 months ago

Which of the following is a NEGATIVE risk factor for cardiovascular disease? a. Waist girth of 103 cm b. HDL cholesterol of 62 mg · dL-1 (1.57 mmol · L-1) c. BMI of 32 kg · m-2 d. Total cholesterol of 200 mg · dL-1 (5.18 mmol · L-1)

b. HDL cholesterol of 62 mg · dL-1 (1.57 mmol · L-1)

Which of the following is a definition of low risk? a. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, but have two or more (i.e., ≥2) risk CVD factors b. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e.,<2) CVD risk factors c. Individuals with more than three risk factors and who also exhibit symptoms of cardiovascular disease d. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, and/or metabolic disease

b. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e.,<2) CVD risk factors

Which of the following is a definition of moderate risk? a. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e., <2) CVD risk factors b. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, but have two or more (i.e., ≥2) risk CVD factors c. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, and/or metabolic disease d. Individuals with more than three risk factors and who also exhibit symptoms of cardiovascular disease

b. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, but have two or more (i.e., ≥2) risk CVD factors

An individual has known cardiovascular, pulmonary, and/or metabolic disease if a physician has diagnosed all but which of the following conditions? a. Cardiovascular disease (CVD): cardiac disease, peripheral artery disease (PAD), or cerebrovascular disease b. Meningococcal disease c. Pulmonary disease: chronic obstructive pulmonary disease (COPD), asthma, interstitial lung disease, or cystic fibrosis d. Metabolic disease: diabetes mellitus (type 1 or type 2), and renal or liver disease

b. Meningococcal disease

Risk stratification of cardiac patients (patients with known disease) includes lowest risk, moderate risk, and high risk according to the AACVPR. Which of the following places a patient into the moderate-risk category? a. Functional capacity ≥7 METs b. Rest ejection fraction <40% c. Mild to moderate level of silent ischemia during exercise testing or recovery (ST-segment depression <2 mm from baseline) d. Presence of complex ventricular dysrhythmias during exercise testing or recovery

b. Rest ejection fraction <40%

Which of the following is defined as a loss of consciousness? a. Paroxysmal nocturnal dyspnea b. Syncope c. Orthopnea d. Angina

b. Syncope

According to the risk classification criteria, a patient in the moderate risk category should have a. his or her medical insurance coverage examined closely before giving him or her a graded exercise test b. a medical examination prior to engaging in a vigorous exercise program c. a medical examination and a graded exercise test prior to engaging in any form of exercise d. a medical examination prior to engaging in an exercise program of any exercise intensity

b. a medical examination prior to engaging in a vigorous exercise program

Self-guided screening for physical activity can be best described as a. one that is often conducted within the confines of a physician's office because of secrecy and patient confidentiality b. a self-report medical history or health risk appraisal that should be done by all people wishing to initiate a physical activity program and is completed with little or no input or supervision from an exercise or health/fitness professional c. often misunderstood by exercise professionals because it is inherently misunderstood by the client and is subject to the client not being truthful d. one whereby the health fitness/clinical assessment is conducted by and the exercise program is designed and supervised by appropriately trained personnel that possess academic training and practical/clinical knowledge, skills, and abilities

b. a self-report medical history or health risk appraisal that should be done by all people wishing to initiate a physical activity program and is completed with little or no input or supervision from an exercise or health/fitness professional

What should happen to undisclosed or unavailable CVD risk factor information? a. Do not count it against the person. b. Consider it only in the presence of other risk factors. c. Count it as a risk factor except for prediabetes. d. Forget that it exists.

c. Count it as a risk factor except for prediabetes.

Which of the following is a definition of high risk? a. Individuals with no factors and who also exhibit no symptoms of cardiovascular disease b. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, and have less than two (i.e., <2) CVD risk factors c. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, renal and/or metabolic disease d. Individuals who do not have signs/symptoms of or diagnosed cardiovascular, pulmonary, and/or metabolic disease, but have two or more (i.e., ≥2) risk CVD factors

c. Individuals who have one or more signs/symptoms of or have diagnosed cardiovascular, pulmonary, renal and/or metabolic disease

Which of the following is a NOT symptom of coronary artery disease? a. Dizziness or syncope b. Shortness of breath at rest or with mild exertion c. Swollen hands d. Pain or discomfort (or other anginal equivalent) in the chest, neck, jaw, arms, or other areas that may result from ischemia

c. Swollen hands

Which of the following is NOT considered an ACSM risk classification level? a. Low b. Moderate c. Very low d. High

c. Very low

Potential exercise program participants should be screened for the presence, signs, symptoms, and/or risk factors of various cardiovascular, pulmonary, and metabolic diseases as well as other conditions (e.g., pregnancy, orthopedic injury) that require special attention to a. develop additional cost centers for your program b. increase the likelihood that participants will drop out c. optimize safety during exercise testing d. increase revenue generation

c. optimize safety during exercise testing

Compared to previous editions of the Guidelines, this version (the ninth edition) regarding the preparticipation health screening process a. supports the public health message of sedentary behavior for all b. uses the term risk stratification only for patients with musculoskeletal disease c. reduces the emphasis on the need for a medical examination d. emphasizes identifying those without disease because they are at greatest risk for an exercise-related cardiac event

c. reduces the emphasis on the need for a medical examination

After completing self-guided preparticipation health screening methods as the PAR-Q or AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire, the number of positive CVD risk factors should be a. divided by negative risk factors b. subtracted from the number of negative risk factors c. summed d. multiplied by negative risk factors

c. summed

Intermittent claudication is defined as a. chronic pain in the chest that is often described as a dull ache b. shortness of breath brought on by physical exertion c. the pain that occurs in a muscle with inadequate blood supply d. shortness of breath occurring only in the recumbent position

c. the pain that occurs in a muscle with inadequate blood supply

Which of the following is an example of a self-guided screening for physical activity? a. CVD risk factor assessment and classification qualified health/fitness, clinical exercise, or health care professionals b. Stress test conducted by a qualified health care provider c. Physician's medical release form (i.e., HIPAA requirements) d. PAR-Q

d. PAR-Q

Dyspnea can be defined as a. orthopnea b. syncope c. substernal chest pain d. an abnormally uncomfortable awareness of breathing

d. an abnormally uncomfortable awareness of breathing

According to the AACVPR risk stratification criteria for patients with known CVD, individuals at high risk for exercise participation may exhibit any one or a combination of the following except a. presence of angina or other significant symptoms at low levels of exertion or during recovery b. high level of silent ischemia during exercise testing or recovery c. presence of complex ventricular dysrhythmias during exercise testing or recovery d. presence of normal hemodynamics with exercise testing or during recovery

d. presence of normal hemodynamics with exercise testing or during recovery