EXER 4286 Exam 1
Which of the following are non-modifiable risk factors for the development of cardiovascular disease. Select all that apply! A: age B: obesity C: COPD D: family history E: Pre-diabetes F: Sex
Age, family history, sex
The new ACSM Pre-Screening Algorithm addresses low intensity, moderate intensity, vigorous intensity, and very high intensity interval training. True or False
False
Jackson is 68 years old and has a resting HR of 70bpm. Calculate 60% of his Heart Rate Reserve.
119 bpm
What is the new threshold criterion for hypertension?
130/80 mm hg
Jane is a 38 year old triathlete. She performs long distance, steady state training on her bike and in the pool at least 4 times per week. Jane has been training for the past 6 months. She is 5'3" tall, weighs 170lbs, and feels as though her weight is slowing her down in competition. She has come to you for a weight loss program involving high intensity intervals and circuit training. Jane's blood pressure is 140/70 and her cholesterol and blood sugar are normal. She has never smoked and has no family history of heart disease. Jane mentions that her knees are often achy after very long runs. Based on the updated CVD risk factor criteria, how many risk factors does Jane have?
2
Pat, a 58 year old man, has not exercised since college. He was diagnosed with arthritis. He quit smoking cigarettes over 5 years ago. Pat has a 2-hour round trip commute to his seated desk job. He has come to you for a comprehensive exercise prescription designed for a beginner. The following are results from your pre-activity questionnaire: BMI: 29kg/m2 Resting BP: 118/72 Total cholesterol: 170mg/dL, HDL: 48mg/dL Family history: none Prediabetes: no Medications: Aleve for arthritis pain According to the updated ACSM risk factor criteria, how many CVD risk factors does Pat have?
2
Christine is 37 years old. She is 5 feet 3 inches tall and weighs 155lbs. What is her BMI? Is she underweight, normal, overweight, or obese?
27.5, overweight
Which of the following variables are measured during the six minute walk test? Select ALL the right answers. A: Heart Rate B: vo2 max C: Distance travelled D: BP E: O2 Sat
A, C, D, E
Which of the following represent CVD risk factor criteria for smoking? Select ALL the right answers. A: quit smoking within last year B: currently smokes C: quit smoking within last 6 months D: Exposure to environmental second hand smoke
B,C,D
Josh wants to start a cardiovascular exercise program. What 3 pieces of information do you need from him to determine whether or not he needs General Medical Clearance based on the ACSM pre-screening algorithm. A: CVD risk factor stratification, 2. Presence of signs or symptoms of disease or diagnosis of CV, metabolic, or renal disease, 3. Desired level of physical activity B: Current level of physical activity, 2. Presence of signs or symptoms of disease or diagnosis of CV, metabolic, or renal disease, 3. Desired level of physical activity C: Current level of physical activity, 2- Presence of signs or symptoms of CV, metabolic or renal disease, 3. Presence of CV, metabolic, renal disease D: Current level of physical activity, 2. Presence of signs or symptoms of disease or diagnosis of CV, pulmonary or renal disease, 3. Desired level of physical activity
B: Current level of physical activity, 2. Presence of signs or symptoms of disease or diagnosis of CV, metabolic, or renal disease, 3. Desired level of physical activity
The CVD risk factor criteria for obesity is defined as which of the following? Select ALL the right answers. A: Body fat percentage greater than 20% for men and 25% for women B: Waist to hip ratio greater than 1.2 C: Female waist circumference greater than 35 inches D: Male waist circumference greater than 40 inches E: BMI equal to or greater than 30 kg/m2
C,D,E
Which of the following BEST describes one BENEFIT of asking participants to obtain "general medical clearance" instead of a complete medical exam prior to initiating an exercise program? A: General medical clearance prevents the exercise physiologist from being negligent. B: A medical exam eliminates the risk of exercise related injury. C: General medical clearance is less of a barrier to participation than a medical exam D: General medical clearance results in more physician referrals and stress tests.
C: General medical clearance is less of a barrier to participation than a medical exam
Brenda's relative VO2max is 33ml/kg/min. She weighs 184lbs. What her is absolute VO2max? A: 2.48 L B: 3.1 L C: 3.76 L D: 2.76 L
D: 2.76 L
Sarah's predicted VO2 max from the Cooper walking test is 47ml/kg/min. Calculate a moderate intensity training zone using VO2 reserve method. A: 6-9 METS B: 120-140 bpm C: 29-36 ml/kg/min D: 21-30 ml/kg/min
D: 21-30 ml/kg/min
1 MET is equal to all of the following EXCEPT A: 1 metabolic equivalent B: 3.5 ml/kg/min C: energy cost at rest D: 3.5 L/min
D: 3.5 L/min
The three minute step test is ideal for which of the following scenarios? A: Submaximal exercise testing in people with overweight or obesity B: Submaximal exercise testing in people with lower body orthopedic issues C: Maximal testing in healthy young participants D: Testing a number of participants at one time with minimal equipment and expertise needed
D: Testing a number of participants at one time with minimal equipment and expertise needed
Which of the following INCORRECTLY identifies one of the ACSM cardiovascular risk factors? A: current smoker or someone who has quit within the last 6 months B: Waist circumference greater than 35 inches for women C: waist circumference greater than 40 inches for men D: hypertension defined as resting blood pressure greater than 140/90 mmHg
D: hypertension defined as resting blood pressure greater than 140/90 mmHg
Which of the following is NOT a method of quantifying intensity? A: % of Vo2 max B: RPE C: METS D: % of HRR E: Oxygen saturation
E: Oxygen saturation
As exercise intensity increases, our reliance on fat versus carbohydrates as a fuel for energy production also increases. True or False
False
Exercise at intensities between the first and second ventilatory thresholds relies primarily on aerobic energy metabolism.
False
Mandy has COPD. According to the ACSM pre-screening algorithm, she is considered at high risk of developing cardiovascular disease and should have a stress test and physical exam before she starts an exercise program. True or False? True or false
False
Jane is a 38 year old triathlete. She performs long distance, steady state training on her bike and in the pool at least 4 times per week. Jane has been training for the past 6 months. She is 5'3" tall, weighs 170lbs, and feels as though her weight is slowing her down in competition. She has come to you for a weight loss program involving high intensity intervals and circuit training. Jane's blood pressure is 140/70 and her cholesterol and blood sugar are normal. She has never smoked and has no family history of heart disease. Jane mentions that her knees are often achy after very long runs. Apply the new ACSM pre-screening algorithm to determine the need for general medical clearance. Does Jane need general medical clearance before participating in MODERATE intensity exercise?
No
Jane is a 38 year old triathlete. She performs long distance, steady state training on her bike and in the pool at least 4 times per week. Jane has been training for the past 6 months. She is 5'3" tall, weighs 170lbs, and feels as though her weight is slowing her down in competition. She has come to you for a weight loss program involving high intensity intervals and circuit training. Jane's blood pressure is 140/70 and her cholesterol and blood sugar are normal. She has never smoked and has no family history of heart disease. Jane mentions that her knees are often achy after very long runs. Does Jane need general medical clearance before participating in VIGOROUS intensity exercise?
No
Pat, a 58 year old man, has not exercised since college. He was diagnosed with arthritis. He quit smoking cigarettes over 5 years ago. Pat has a 2-hour round trip commute to his seated desk job. He has come to you for a comprehensive exercise prescription designed for a beginner. The following are results from your pre-activity questionnaire: BMI: 29kg/m2 Resting BP: 118/72 Total cholesterol: 170mg/dL, HDL: 48mg/dL Family history: none Prediabetes: no Medications: Aleve for arthritis pain Based on the new ASCSM pre-screening algorithm, is it recommended that you ask Pat to obtain a medical exam before starting his light intensity program?
No
Joe has Type II Diabetes. He saw his endocrinologist 3 months ago for a routine follow-up visit. He plays tennis, bicycles, and walks daily. Joe comes to you to develop a moderate intensity resistance training program. Does Joe need to seek general medical clearance before he begins? What should you recommend to Joe if he reports dizziness and weakness when he starts his resistance training program?
No; stop exercise immediately and seek general medical clearance
According to the reading, one of the primary reasons why some fitness facilities do not require new participants to complete a screening tool is that they find the screening process to be too time-consuming for staff members. True or False
True
As exercise intensity increases, our reliance on carbohydrates versus fat as a fuel for energy production also increases. True or false
True
The new ACSM Pre-Screening Algorithm was developed because the old method of risk stratification was too conservative. The old method failed to recognize that the prevalence of risk factors among American adults is very high, but the relationship between the presence of risk factors and cardiac events during exercise is weak. True or False
True
The 3 questions one must ask as part of the new ACSM pre-screening algorithm are
are you currently physically active? do you have any signs or symptoms of disease or do you have a diagnosis? what is your desired intensity of physical activity?
