Exercise Physiologist Certification
which of the following is the preferred method of prescribing exercise intensity -% age-predicted HRmax -% heart rate reserve (measured) -rating of perceived exertion (RPE) -talk test
% heart rate reserve (measured)
At what interval should blood pressure be monitored during a graded exercise test -during the last 5s of each stage -during the last 45s of each stage -at any time during a stage -at the beginning of each stage
-during the last 45s of each stage
What is the minimum number of calories (kcal) to be burned per week in exercise and physical activity that evidence demonstrates results in health/fitness benefits -500kcal -3500kcal -1000kcal -2000kcal
1000kcal
what resistance (kp/kg) would you need to set a cycle ergometer at for an 80 kg client who needs to train at 6 METs using a pedal rate of 50 rpm? Hint: you need to solve for x with resistance
3.11 kg
One MET is equivalent to: -1.6mph -10ml/kg/min -3.5ml/kg/min -75kg
3.5ml/kg/min
older adults can confer greater benefit by holding a stretch for -30-60sec -120sec -10sec -20sec
30-60sec
In order to be ADA compliant, doorways at exercise facilities must be at least _____ wide -30 in. or 76 cm -36 in. or 91 cm -40 in. or 102 cm -42 in. or 107 cm
36 in. or 91 cm
An appropriate mechanism to gauge intensity of exercise for older adults as "moderate" is -60%-80% HRR -14-16 on an RPE scale of 6-20 -HRR of 120-130bpm -5-6 on and RPE scale of 0-10
5-6 on and RPE scale of 0-10
which of the following heart rates represents bradycardia on the ECG -54bpm -62bpm -81bpm -101bpm
54bpm
If "moderate intensity," aerobic exercise is prescribed, what are the minimum recommendations for how often a healthy adult should engage in exercise to achieve health/fitness benefits -3days/week -2days/week -5days/week -4days/week
5days/week
What running speed would you set a level treadmill (0% grade) for relative VO2 of 40 ml/kg/min? Hint: solve for x with speed. Convert back to mph from m/min
6.81mph
The amount of continuing education credits required over three years for the Certified Exercise Physiologist (EP) to maintain certification is: -30 hours -45 hours -60 hours -100 hours
60 hours
In a cardiac emergency, once the scene is safe, the next thing to do is: -Activate EMS -Use the defibrillator (AED) -Give rescue breathing -Start CPR
Activate EMS
Outpatient supervised cardiac rehab usually takes place: -At the hospital or medical office -Inpatient hospital -At a community facility such as a gym or YMCA -All of the above
At the hospital or medical office
a person who complains of a "smoker's cough", wheezing, and lots of phlegm and mucous likely has: -heart failure -COPD -hypertension -type 2 diabetes
COPD
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) indicates: -Client information cannot be shared without written permission -You can discuss your clients' health data with other trainers -it is never required for personal training use -You may freely discuss client information with only health care providers without written permission
Client information cannot be shared without written permission
What is one thing that can lower/improve hs-C reactive protein (hs-CRP) level -exercise -excess body fat -smoke cigarettes -estrogen
Exercise
Which of the following is considered a positive ACSM risk factor for coronary artery disease -nonsmoker -HDL cholesterol <40 mg/dl -HDL cholesterol >60 mg/dl -father had heart attack at age 66yrs
HDL cholesterol < 40mg/dl
A trainer who works for himself/herself but is not an employee of a facility that is used for training is considered: -Sole proprietor -Limited liability company (LLC) -Independent contractor -Non-profit
Independent contractor
Failure to refer a client to a medical provider: -Within the scope of practice -Violation of the Code of Ethics -Negligence -None of the above
Negligence
Which of the following is an example of a self-guided screening for physical activity
PAR-Q
Which of the following could be considered working outside the ACSM Scope of Practice or Code of Ethics -Developing an exercise program for a person considered moderate risk by ACSM classification -Recommending a supplement regimen for a client with known chronic disease -Developing a sport-specific training program for someone who wants to run a 5K race -Performing therapeutic massage when the trainer is also a licensed massage therapist
Recommending a supplement regimen for a client with known chronic disease
Motivational interviewing can best be described as -counseling approach that uses client/patient-centered strategies to help motivate change -a counseling approach that uses only closed-ended questions to help motivate change -a client/patient performs an action needing improvement while a counselor verbally encourages them to successfully complete that action -a strategy used to convince a client/patient to make a lifestyle change
a counseling approach that uses only closed-ended questions to help motivate change
Which of the statements below is true regarding inpatient rehabilitation programs -before beginning formal physical activity in the inpatient setting, no assessment is necessary -patients should be risk stratified just prior to leaving the hospital -activity is dependent on the size of the myocardial infarction and the occurrence of any complications -None of the above; the patient should remain on bed rest
activity is dependent on the size of the myocardial infarction and the occurrence of any complications
which of the following arrhythmias is represented on the ECG photo -atrial flutter -premature ventricular contraction (PVC's) -ventricular tachycardia -acute heart attack/myocardial infarction (MI)
acute heart attack/myocardial infarction (MI)
The ACSM Certified Health Fitness Specialist must have _________ prior to taking the certification exam -knowledge of oxygen administration -adult CPR with AED -EMT certification -advanced cardiac life support (ACLS)
adult CPR with AED
What may be one of the single best prognostic markers in all individuals regardless of health status -aerobic capacity -body mass index -muscular endurance -muscular strength
aerobic capacity
which item is a non-modifiable risk factor for heart disease -physical activity -age -socioeconomic status (SEC) -cigarette smoking
age
Which of the following is FALSE regarding the YMCA cycle test protocol -aim for submax heart rates between 120 and 200bpm -everyone starts the test at 0.5 kp/kg or 150 kgm/min -next stage selection depends only on first stage HR -once a "branch" of the protocol is chosen after the first stage, it should not be changed
aim for submax heart rates between 120 and 200bpm
A business plan for personal training can include: -Mission statement -Vision statement -Budget plan -All of the above
all of the above
Which of the following are professional networking and continuing education opportunities for the Certified Exercise Physiologist (EP) -ACSM Annual Meeting -ACSM Regional Chapter meetings like Southeast ACSM (SEACSM) -ACSM Health & Fitness Summit -All of the Above
all of the above
Which of the following side effects of cancer make the modification of the exercise prescription necessary -cancer-related fatigue due to chemotherapy and radiation -cachexia -immune deficiencies secondary to bone marrow transplants -metastasis to other organ systems, particularly bone -all of the above
all of the above
complications from type 2 diabetes include: -peripheral neuropathy -autonomic neuropathy -kidney disease -all of the above -none of the above
all of the above
components of a medical history may include
all of the above
dyspnea can be defined as
an abnormally uncomfortable awareness of breathing
medical clearance is defined as
approval from a health care professional to engage in exercise
Which pulmonary disease can actually be reversible -asthma in children -emphysema -chronic bronchitis -asthma in adults
asthma in children
Which of the following arrhythmias is represented in the photo -atrial flutter -atrial fibrillation -premature ventricular contraction (PVC's) -acute heart attack/myocardial infarction (MI)
atrial flutter
During an acute flare-up of rheumatoid arthritis, an individual should -expect higher levels of delayed-onset muscle soreness -hold static stretches for only 5-10ses -exercise 2 times per day -avoid strenuous exercise
avoid strenuous exercise
which of the following is considered to be an "anthropometric" method of determining body composition -body mass index -dual-energy X-ray absorptiometry -bioelectrical impedance analysis -hydrodensitometry
body mass index
Which of the following is normally used as a maximal protocol for exercise testing in a hospital/clinical setting -rockport 1-mile walk test -ramp protocol -YMCA cycle test -bruce protocol
bruce protocol
The ability to perform large-muscle, dynamic, moderate- to high-intensity exercise for prolonged periods is known as -muscular fitness -maximal oxygen consumption -muscular endurance -cardiorespiratory fitness
cardiorespiratory fitness
It is well established that excess body fat, particularly when located _______________, is associated with hypertension, the metabolic syndrome, type 2 diabetes, stroke, cardiovascular disease, and dyslipidemia. -around the hips in women -centrally around the abdomen -on the hips and in the abdomen for men only -around the hips and buttocks
centrally around the abdomen
Which of the following best describes the waist-to-hip ratio? -circumference of the hips divided by the circumference of the waist -skinfold measurement of the hip added to the circumference of the waist -circumference for the waist divided by the circumference of the hips -skinfold measurement of the hip subtracted by the circumference of the waist
circumference for the waist divided by the circumference of the hips
muscular fitness refers to the -combination of glycolytic and nonglycolytic enzymes working together -ability to lift heavy objects -combination of muscular strength, endurance, and power -ability to run long distances with very little muscle fatigue
combination of muscular strength, endurance, and power
Exercise equipment should be cleaned: -daily -3times/week -weekly -monthly
daily
Which of these strategies would be BEST used for the common exercise barrier "I'm just not motivated" -evaluate exercise opportunities in the environment -develop social support structures -discuss modifications to FITT -determine stage of change and provide stage-tailored counseling
determine stage of change and provide stage-tailored counseling
glycosylated hemoglobin (HbA1C) is used as in indicator for long-term management of a person with:
diabetes
In the outpatient cardiac rehabilitation program, before each session begins, which of the following parameters is NOT routinely assessed -heart rate -medication compliance -dietary analysis -blood pressure
dietary analysis
An individual who participates in regular vigorous-intensity aerobic exercise feels discomfort in their chest and neck. That person should
discontinue exercise and seek medical clearance
Which of these strategies would be BEST used for the common exercise barrier "I don't have enough time" -discuss maintenance/relapse prevention -discuss modification to FITT principles -discuss attitudes and outcome expectations -discuss potentially effective reinforcements
discuss modification to FITT principles
Antiretroviral therapy (ART), commonly used to reduce the viral load in people with HIV, is associated with which of the following health conditions -pancreatic cancer and muscle wasting -dyslipidemia and insulin resistance -hypertension and abnormal distribution of body fat -hypertension and muscle wasting
dyslipidemia and insulin resistance
The information obtained from health-related physical fitness testing, in combination with the individual's health and medical information, is used by the health and fitness professional to -diagnose specific cardiovascular disease -enable an individual to achieve specific health/fitness goals -prepare a patient for surgery -uncover otherwise unknown disease processes that may hinder the exercise program
enable an individual to achieve specific health/fitness goals
muscular strength refers to the ability of the muscle to -fatigue later than before training -perform for successive exertions or many repetitions -exert force -fatigue earlier than before training
exert force
which of the following is a life-threatening heat-related medical emergency -exertional heatstroke -heat exhaustion -heat syncope -heat cramps
exertional heatstroke
scientific evidence indicates neuromuscular exercise in older adults -improves range of motion -promotes cardiovascular benefits -facilitates muscular strength, endurance, power -facilitates balance and agility
facilitates balance and agility
Although exercise is recommended for children with cerebral palsy, adults with cerebral palsy should not exercise due to increasing levels of fatigue associated with aging -true -false
false
Although resistance training is important across the lifespan, it becomes less important with increasing age -true -false
false
An exercise program should be progressed by adjusting each of the components of the FITT principle upward on a weekly basis -true -false
false
Individuals are more likely to adhere to an exercise program if they are doing the activity for extrinsic reasons -true -false
false
Most adolescents (13-18 yr old) participate in adequate amounts of physical activity -true -false
false
Patients with cardiac disease should be discouraged from exercising at home postdischarge and encouraged to exercise only while monitored in outpatient cardiac rehabilitation programs -true -false
false
Patients with cardiac disease should not perform resistance training because of the extreme effects of those activities on heart rate and blood pressure responses -true -false
false
Persons with spinal cord injuries tend to endure higher core temperatures and higher sweat rates during endurance exercise compared to their able-bodied counterparts -true -false
false
True/false: an individual who has type 2 diabetes and does not participate in regular exercise does not need medical clearance prior to engaging in moderate intensity aerobic exercise
false
Privacy of college student educational records falls under: -Copyright laws -Family Educational Rights and Privacy Act (FERPA) -Health Insurance Portability and Accountability Act (HIPAA) -None of the above
family Educational Rights and Privacy Act (FERPA)
the pulmonary function term for the maximal inspiration to maximal expiration is: -tidal volume -forced expiratory volume in 1 second (FEV1) -forced vital capacity (FVC) -minute ventilation (VE)
forced vital capacity (FVC)
An individual's beliefs about whether or not she or he is susceptible to disease, and her or his perceptions of the benefits of trying to avoid it, influence her or his readiness to act describes which theory/model -social cognitive theory -health belief model -transtheoretical model -self-determination theory
health belief model
Which of the following physiologic responses to acute exercise is higher in children as compared to adults -stroke volume -cardiac output -heart rate -systolic blood pressure
heart rate
Some individuals with multiple sclerosis are sensitive to -cold temperatures -hot temperatures -high altitude -low altitude
hot temperatures
The 1-RM is contraindicated in people with kidney disease because -it may result in spontaneous bone fractures -it may cause a decrease in glomerular filtration rate -power is more important than strength -individuals with kidney disease should not participate in strength training
it may result in spontaneous bone fractures
an anti-lipemic used to treat high cholesterol: -lipitor -lasix -inderal -nitro-bid
lipitor
the metabolic syndrome is characterized by a constellation of metabolic risk factors in one individual. these metabolic risk factors include all of the following except
low LDL cholesterol
What would be an expected exercise-related side effect of calcium channel blocker use -lower BP response -increased HR response -increased ischemia on ECG -decreased exercise tolerance in persons with angina
lower BP response
Which of the following testing modalities are relatively inexpensive, are easily transportable, and allow blood pressure and the electrocardiogram to be measured easily -step testing -mechanically braked cycle ergometers -motor-driven treadmills -field tests
mechanically braked cycle ergometers
which is a drug used in diabetes, especially type 2 diabetes, to help persons with their glucose control -lasix -metformin/glucophage -lipitor -warfarin/coumadin
metformin/glucophage
android obesity is characterized by -more fat on the trunk (abdominal fat) -the fact that it only occurs in females -fatty deposits under the skin known as xanthomas -large subcutaneous fat deposits around the hips and buttocks
more fat on the trunk (abdominal fat)
Cachexia is prevalent in individuals with advanced gastrointestinal cancers. Cachexia is -an immune suppresses state -muscle wasting -nutritional deficit or imbalance -cancer-related fatigue
muscle wasting
What principle of training states exercise below a minimum intensity, or threshold, will not challenge the body sufficiently to result in changes in physiologic parameters -overload -specificity -adaptation -regression
overload
which of the following is a risk factor for type 2 diabetes -age 30 years or younger -high levels of physical activity -HDL cholesterol >60 -parent or sibling have type 2 diabetes
parent or sibling have type 2 diabetes
which of the following is not an arthritis-related disease -parkinson disease -osteoarthritis disease -gout -fibromyalgia
parkinson disease
Which of these statements is NOT true regarding individuals with low back pain -people with chronic low back pain are encouraged to be physically active -part of the management of low back pain includes frequent bed rest -It is good to avoid exercise immediately in the immediate aftermath of an acute and severe episode of low back pain -People with subacute low back pain are encouraged to be physically active
part of the management of low back pain includes frequent bed rest
which of the following arrhythmias is represented in the photo below -atrial flutter -premature ventricular contraction (PVC's) -ventricular tachycardia -acute heart attack/myocardial infarction (MI)
premature ventricular contraction (PVC's)
Warfarin (Coumadin) is used in rat poison, but its main function in humans is: -increase blood clot formation -prevent blood clot formation -decrease angina -decrease blood pressure
prevent blood clot formation
what is the best maximal aerobic fitness test for an athlete such as a cross-country runner -bruce protocol -YMCA cycle test -one mile walk test (Rockport) -ramp protocol
ramp protocol
which of the following is not a purpose of the preparticipation health screening
recognition of persons with clinically significant disease or conditions who should participate in a community-based exercise program
A person in the contemplation phase of the Transtheoretical Model: -has no cognition of the need to increase physical activity -recognizes he/she wants to participate in physical activity -is doing some physical activity but not enough to meet guidelines -is actively engaging in meeting exercise guidelines
recognizes he/she wants to participate in physical activity
Bradykinesia, a common movement disorder associated with Parkinson Disease, is defined as -reduced movement speed and amplitude -muscular stiffness -sudden inability to move during the execution of a movement sequence -difficult initiating movement
reduced movement speed and amplitude
Which of the following is the normal pacemaker of the heart -sinoatrial (SA) node -purkinje fibers -bundle of his atrioventricular (AV) node
sinoatrial (SA) node
which of the following types of exercises should healthy pregnant women avoid -stair climbing -soccer -jogging -cycle ergometry
soccer
Which of these theories/models recognize the reciprocal relations between an individual, his/her behaviors, and her or his physical environment -theory of planned behavior -transtheoretical model -social cognitive theory -socio ecological model
social cognitive theory
Family, spouse, peers, schools, and workplaces are all components of what social ecological level -social environment -physical environment -intrapersonal -policy
social environment
An assumption during submax tests such as the YMCA cycle test is that ________ is consistent and can be obtained -ventilatory threshold -homeostasis -lactate threshold -steady state HR
steady state HR
Which of the following aerobic activities will not be as beneficial for preservation of bone mass or prevention of bone loss -stair climbing/descending -tennis -swimming -walking
swimming
an evidence-based benefit of stretching is: -stretching is widely recommended to prevent injury -the ROM around a joint is improved acutely and chronically -sport performance is significantly better after stretching -stretching will reduce muscle soreness
the ROM around a joint is improved acutely and chronically
The principle behind body composition assessment by using skinfold measurements is that -it is simple to use and can be administered by anyone -it correlates well with height and weight measurements but not hydrodensitometry -it is quick, can be administered by a trained technician, and has a very high correlation to other methods -the amount of subcutaneous fat is proportional to the total amount of body fat
the amount of subcutaneous fat is proportional to the total amount of body fat
which of the following statements is true regarding the informed consent
the consent form should be verbally explained and include a statement indicating that the patient has been given an opportunity to ask questions about the procedure and has sufficient information to give informed consent
flexibility is the ability to move a joint -unilaterally -through one range of motion only -through its complete range of motion -bidrectionally
through its complete range of motion
Which of these theories/models stems from the intuitive appeal that individuals are at different stages of readiness to make behavioral changes -theory of planned behavior -self-determination theory -social cognitive theory -transtheoretical model
transtheoretical model
what is the most common exercise testing mode in the US -elliptical -treadmill -cycle ergometer -arm ergometer
treadmill
A college course can be used for continuing education credits only if it matches the Certified Exercise Physiologist (EP) Job Task Analyses -true -false
true
Background noise level in an exercise facility should be less than 50 decibels -true -false
true
Children and adolescents (6-17 yr old) are more physically active than their adult counterparts -true -false
true
Continuing education credits (CEC's) can be obtained online through the ACSM website -true -false
true
Current CPR with AED is required to certify as an ACSM Certified Exercise Physiologist (EP) -true -false
true
For outpatient cardiac rehabilitation, intensity of exercise can be recommended based on an RPE of 11-16 (based on a 6-20 scale) -true -false
true
Intellectual disability is the most common developmental disability that occurs before age 18 yr in the United States -true -false
true
Negative environmental conditions that may limit client continuation could include use of scented products by training staff or for cleaning -true -false
true
Pregnant women should avoid exercising in the supine position after 16 wk of pregnancy -true -false
true
RPE should be monitored as an indicator of exercise intensity for an individual undergoing hemodialysis because heart rate is not always a reliable indicator of intensity -true -false
true
Recommendations for exercise testing and prescription for those with low back pain are similar to those for healthy individuals when low back pain is not associated with another serious pathology -true -false
true
The Certified Exercise Physiologist (EP) should be able to handle first aid emergencies such as musculoskeletal injuries such as strains or sprains -true -falsew
true
The visual numeric pain scale is an appropriate way to monitor pain levels during exercise testing in an individual with osteoarthritis -true -false
true
a cup of coffee at breakfast may result in PVC's on your ECG that morning -true -false
true
fibromyalgia is primarily diagnosed in women -true -false
true
tobacco smoke causes direct damage to the endothelium to start the atherosclerotic process -true -false
true
According to the ACSM Guidelines for Exercise Testing and Prescription 10th Edition, emergency action plans should be practiced at least: -yearly -twice a year -4 times per year (quarterly) -monthly
twice a year
an ideal health-related physical fitness test it -valid and reliable -inexpensive to the point of not costing anything to the client or patient -complicated to administer -developed especially for the individual without regard to comparative norms
valid and reliable
which of these two have been added to the FITT principle of Ex Rx -volume and regression -volume and progression -progression and frequency -volume and intensity
volume and progression
In order to comply with copyright laws, to use of others' written words or images in your documents: -No type of permission is required -written permission is required -written permission is not required -verbal permission is allowed
written permission is required
The intention to perform a behavior is the primary determinant of behavior describes which theory/model -Social Cognitive Theory -Transtheoretical Model -Self-determination Theory -Theory of Planned Behavior
Theory of Planned Behavior
What is the relative VO2 (ml/kg/min) for a person walking on a treadmill at 3.4 mph and a 5% grade
Total VO2- 20.81ml/kg/min METS-5.95
110-lb. woman pedals a Monark cycle ergometer at 50 rpm at t resistance of 2.5 kp. Calculate her VO2 in L/min.
Total VO2- 34.03ml/kg/min L/min- 1.69L/min METS- 9.7
