Domain I - Health & Fitness Assessment

Musculoskeletal Risk Factors or Conditions that may require consultation with medical personnel:

- Chapters: 10, 11.

Cardiovascular Risk Factors or Conditions that may require consultation with medical personnel:

- Chapters: 3, 5, 10. - Table 3.1

Lordosis is defined as:

Convexity of the spinal curve that is anterior.

Kyphosis is defined as:

Convexity of the spinal curve that is posterior.

Ischemia is caused by a:

Lack of oxygen.

_________________________ is NOT considered a true joint.

Scapulothoracic

Pulmonary Risk Factors or Conditions that may require consultation with medical personnel:

- Chapter 5.

ACSM Pre-exercise Readiness Assessment & the implications for Medical Clearance before administration of an exercise test or participation in an exercise program:

- Be aware of conditions that may require exercise testing in asymptomatic participants prior to the commencement of an exercise program. - Chapter 3.

Metabolic Risk Factors or Conditions that may require consultation with medical personnel:

- Chapter 10.

Exercise Readiness Assessment - Consider positive & negative risk factors:

- Chapter 3

Major Signs/Symptoms suggestive of Cardiovascular, Pulmonary, Renal, & Metabolic Disease:

- Consider 9 major signs/symptoms. - Be aware of clarifications & significance. - Table 3.1

Key components included in an Informed Consent & Health/Medical History: - The content & extent may vary. - Participant should be familiar with the purpose & the risks of the procedure. - The form should be explained verbally.

- Figures: 3.1

- ACSM Exercise Preparticipation Health Screening Questionnaire for Exercise Professionals, Physical Activity Readiness Questionnaire (PAR-Q), Informed Consent, & Waiver: - Components of Health History Questionnaire (Fig. 2.3).

- Tables: 2.1, 3.1 - Figures: 2.1, 2.2, 2.3

A weight loss of what percent is associated with a reduction in health risks?

10%

An activity that requires anaerobic glycolysis as an energy source is the:

200 meter sprint.

The Queens College Step Test (also known as McArdle Step Test) is performed for how long?

3 min

A sedentary lifestyle is defined as NOT participating in at least:

30 minutes of moderate-intensity activity, at least 3 days per week, for at least 3 months.

What is the suggested work rate for a deconditioned, female individual performing the Astrand-Rhyming cycle ergometer protocol?

300 or 450 kg/m/min (50 or 75 W)

All of the following are among the ACSM guidelines to determine "maximal" effort during a graded exercise test (GXT) EXCEPT: A) Achievement of age predicted HRmax B) A postexercise venous lactate concentration greater than 8 mmol*L C) A rating of perceived exertion (RPE) at peak exercise greater than 17 on the 6-20 scale or greater than 7 on the 0-10 scale D) A peak respiratory exchange ratio (RER) greater than or equal to 1.10

A) Achievement of age predicted HRmax

For every 1 MET increase in exercise intensity during submaximal exercise, SBP should increase: A) Approximately 10 mm Hg B) 15-20 mm Hg C) 25-30 mm Hg D) 30-35 mm Hg

A) Approximately 10 mm Hg

The benefits of physical activity would outweigh the risk for which of the following? A) Controlled Type I Diabetes. B) Hypokalemia. C) Unstable angina. D) Acute systemic infection.

A) Controlled Type I Diabetes.

Which of the following is considered the "gold standard" to objectively measure exercise capacity? A) Maximal exercise test using indirect calorimetry B) Submaximal exercise test using hemodynamic responses C) Physician exam D) Walk/run field test

A) Maximal exercise test using indirect calorimetry

Which of the following changes takes place in arteriosvenous oxygen difference in response to exercise? A) There is an increase in a-VO2 difference with increasing exercise intensity. B) Oxygen in venous blood increases by 5 ml · dL−1. C) There in a decrease in a-VO2 difference with increasing exercise intensity. D) Oxygen in arterial blood increases by 5 ml · dL−1.

A) There is an increase in a-VO2 difference with increasing exercise intensity.

The MOST important thing before the EP-C conducts submaximal graded exercise testing:

Awareness of normal and abnormal responses to exercise.

Which of the following would be considered a positive risk factor for dyslipidemia? A) LDL 125 mg · dL−1. B) HDL 35 mg/dL. C) Triglycerides 200 mg. D) Total cholesterol 180 mg/dL.

B) HDL 35 mg/dL.

Which of the following is NOT a general category for clinical exercise testing? A) Prognosis B) Implementation C) Evaluation D) Diagnosis

B) Implementation

_________________ pertains to the ability to correctly identify patients who do not have a given condition. A) Sensitivity B) Specificity C) Positive Percent Value D) Negative Percent Value

B) Specificity

Which of the following is NOT a valid test for muscular strength? A) Grip strength test B) YMCA bench press test C) 3-repetition maximum (RM) bench press test D) 10-RM shoulder press test

B) YMCA bench press test

HR, blood pressure (BP), and electrocardiogram (ECG) should be recorded regularly during the clinical exercise test and through at least ________ of recovery. A) 90 s B) 3 min C) 6 min D) 10 min

C) 6 min

Which of the following would not terminate a maximal or submaximal exercise test in a low-risk adult? A) Subject requests to stop B) Shortness of breath C) A slight decrease in diastolic pressure D) Failure of HR to increase with increased intensity

C) A slight decrease in diastolic pressure

An exercise test is recommended prior to exercise training but a physician is not available to supervise the test. Who among the following would also supervise an exercise test? A) A Certified Exercise Physiologist. B) A licensed physical therapist. C) An allied health care professional certified in ACLS. D) An occupational therapist.

C) An allied health care professional certified in ACLS.

A joint is the most stable when it is in which of the following positions?

Closed pack

Shoulder impingement can be defined as:

Compression of the tendons in the subacromial space with shoulder joint motion.

A source of intimal injury thought to initiate the process of atherogenesis is: A) Dyslipidemia B) Hypertension C) Turbulence of blood flow within the vessel D) All of the above

D) All of the above

A 53-year-old female has family history of a heart attack (father at age 72). If she wishes to participate in moderate-intensity exercise, you should:

Design an exercise program that progresses gradually in intensity and duration.

Before you design an abdominal exercise program for a client you should FIRST:

Determine and establish neutral pelvic position.

The ulna bone is ________ to the humerus bone.

Distal

Medications that affect heart rate and/or blood pressure response during exercise include:

Diuretics.

The ankle's most stable position is in __________ due to the overall shape of the __________.

Dorsiflexion; Talus

Limitations of Informed Consent & Health/Medical History:

Example/Explanation: The participant is playing a major role in the informed consent process. He/She must be liable and responsible for informing the EP-C of any problems experienced (past, present, & during the assessment) that may increase the risk of the test or prohibit participation.

Before any health and fitness assessment is administered, the MOST important first course of action is to:

Explain and demonstrate each assessment before the client is tested.

Concentric contraction of the triceps brachii muscle causes ____________ in the _____________plane.

Extension; Sagittal

A lateral lunge is performed in which plane of movement?

Frontal

Hip joint abduction occurs in which plane of motion?

Frontal

Which of the following joints favors mobility over stability?

Glenohumeral

What joint action of the shoulder is performed during a reverse cable fly or a reverse dumbbell fly?

Horizontal Abduction

Movement toward the midline in the transverse plane describes which term?

Horizontal Adduction

Before fitness testing and training, initial client assessment should include health issues, exercise history, and:

Intended time frame for achieving desired goals.

Which of the following muscles is superior to the latissimus dorsi?

Levator scapulae

Most commercial exercise equipment has a "caution" that is MOST crucial for:

Men ≥45 years old.

One of the key health concerns of having a high stress level, which exercise can positively impact, is:

Negative blood lipid levels.

During pregnancy, resistance and flexibility exercises in the supine position should be avoided to prevent:

Orthostatic Hypotension.

Which energy system is primarily responsible for resynthesizing ATP during submaximal exercise lasting longer than 3 minutes?

Oxidative Phosphorylation

A manifestation of coronary artery disease is:

Pain that occurs with exertion or exercise.

What is produced when carbohydrates are broken down during anaerobic glycolysis?

Pyruvate

If difficulties are encountered in calculating a percentage VO2max for prescribing exercise intensity in cases of cardiac disease, the EP-C should instead consider:

Rating of Perceived Exertion.

Where does blood flow immediately after passing through the tricuspid valve?

Right ventricle

Deviations in which plane are referred to as hyperlordosis?

Sagittal

The facet joints of the lumbar spine are oriented in the _______________________ which primarily allows _______________________ motions.

Sagittal plane; Flexion/Extension

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.

A primary disadvantage of utilizing field tests to predict VO2max is that:

They are dependent on client effort.

While supine, your client performs range of motion on the shoulder joint. She displays tightness in the infraspinatus and teres minor. You were led to this conclusion because the client was:

Unable to externally rotate the shoulder joint past 60°.