ACSM EP Exam (Everything)

Which of the following is the MOST important exercise variable in preventing injuries?

a. High intensity

b. Longer bouts of duration

c. Consecutive days of training

d. Slow and gradual progression

d. Slow and gradual progression

The Framingham Heart Study started as a large cohort study in 1948 with the purpose of identifying and examining the effects of various risk factors for the development of which disease process?

a. Cardiovascular disease

b. Neuromotor disease

c. Pulmonary disease

d. Metabolic disease

a. Cardiovascular disease

To lessen the chance of injury, the ACSM-EP should:

a. Assess the client's goal and rewrite it to be more realistic based on exercise testing results.

b. Be diligent in choosing exercise modes and prescribing exercises that are based on an individual's current fitness level and desires.

c. Determine the client's intensity threshold and work 10% of the time above that threshold for adaptation purposes.

d. Start at a moderate to high level of intensity, frequency, and duration and progress slowly.

b. Be diligent in choosing exercise modes and prescribing exercises that are based on an individual's current fitness level and desires.

Which of the following is a skill-related parameter that might be addressed in a client's exercise program?

a. Balance

b. Flexibility

c. Aerobic capacity

d. Body composition

a. Balance

Which of the following is MOST accurate regarding submaximal exercise testing?

a. It is generally considered safe for most individuals

b. It requires medical supervision from a physician or other trained professional

c. It requires medical clearance from the client's primary health care provider

d. It is indicated for individuals under 45 years of age

a. It is generally considered safe for most individuals

For individuals younger than 30 years of age, the most common cause(s) of sudden cardiac death is/are:

a. Head and cervical spine trauma.

b. Congenital and hereditary abnormalities.

c. Chronic obstructive pulmonary disease.

d. Coronary artery disease.

b. Congenital and hereditary abnormalities.

Which of the following activities has the lowest risk of musculoskeletal injury?

a. Weightlifting

b. Jogging

c. Basketball

d. Walking

d. Walking

A 1995 joint position statement of the ACSM and CDC recommended that every adult accumulate how many minutes of activity per day?

a. 60 minutes

b. 10 minutes

c. 30 minutes

d. 15 minutes

c. 30 minutes

Which of the following is a skill-related aspect of physical activity?

a. Strength

b. Ability

c. Coordination

d. Endurance

c. Coordination

Which of the following is the most common risk factor that is associated with exercise?

a. Sprain of the shoulder joint

b. Injuries at the lumbar spine

c. Injuries at the knee or foot

d. Strain of the rotator cuff

c. Injuries at the knee or foot

Which of the following BEST describes the mechanism for the cause of sudden cardiac death?

a. An erratic atrial rhythm during diastole

b. A drop in blood pressure below 90/60 mm Hg

c. Hypertensive response at rest or during exercise

d. Plaque buildup that dislodges from an artery and causes a blood clot

d. Plaque buildup that dislodges from an artery and causes a blood clot

To minimize any emergent event during exercise testing or training, it is critical that the ACSM-EP:

a. Assess the client's exercise intensity threshold and maintain intensity below it.

b. Post highly visible emergency procedures and phone numbers in prominent areas.

c. Conduct appropriate screening on each client as a first step.

d. Obtain a signed informed consent to minimize liability.

c. Conduct appropriate screening on each client as a first step.

How can the total amount of energy expenditure associated with physical activity be determined?

a. By considering the intensity of the activity

b. By considering the duration of the activity

c. By considering the frequency of the muscular contractions involved in the activity

d. By determining the amount of muscle mass producing bodilty movements and the intensity, duration, and frequency of muscular contractions

d. By determining the amount of muscle mass producing bodilty movements and the intensity, duration, and frequency of muscular contractions

The relationship between physical activity and risk of developing cardiovascular disease can best be described as:

a. Scientifically proven.

b. Questionable pending further research.

c. Dependent on CVD risk profile.

d. A dose-response relationship.

d. A dose-response relationship.

The 2007 update to an ACSM/CDC recommendation for activity focused on the frequency recommendation; instead of "most, preferably all, days of the week," the update was changed to:

a. Five days each week.

b. Seven days a week.

c. Most days of the week.

d. All days of the week.

a. Five days each week.

Which of the following is the BEST way to minimize the risk of musculoskeletal injury as a client begins an exercise program?

a. Set realistic exercise goals for the program

b. Use programs that are effective with other clients

c. Avoid the use of free weights for strength training

d. Utilize lower-intensity, longer-duration cardio exercise

a. Set realistic exercise goals for the program

The skill-related components of physical fitness include:

a. Speed, flexibility, coordination, balance, power, and strength.

b. Agility, speed, coordination, balance, reaction time, and endurance.

c. Speed, agility, coordination, balance, power, and reaction time.

d. Agility, flexibility, coordination, balance, power, and endurance.

c. Speed, agility, coordination, balance, power, and reaction time.

Cardiovascular disease incidence and mortality are inversely related to both physical activity and:

a. Strength.

b. Physical Fitness.

c. Weight.

d. Age.

b. Physical Fitness.

For high school and college athletes, preparticipation screening primarily functions to:

a. Detect potential cardiac issues.

b. Assess joint integrity.

c. Detect muscle weakness and imbalance.

d. Assess functional capacity.

a. Detect potential cardiac issues.

Numerous epidemiological research efforts have demonstrated an inverse relationship between physical activity and:

a. Morbidity.

b. Cardiovascular disease.

c. Health.

d. Cancer.

b. Cardiovascular disease.

An update from a 2007 ACSM/CDC joint statement indicates that physical activity bouts of at least how many minutes can be accumulated toward the recommended total amount of daily physical activity?

a. 5 minutes

b. 10 minutes

c. 15 minutes

d. 30 minutes

b. 10 minutes

Over the past five decades, it has been estimated that occupational energy expenditure has declined by approximately how many calories per day?

a. 50

b. 100

c. 250

d. 500

b. 100

Which of the following is a criterion used to determine if an individual could be classifed as sedentary/physically inactive?

a. The performance of at least 30 minutes of moderate-intensity physical activity, on at least five days per week, performed for at least three months.

b. The performance of at least 30 minutes of vigorous-intensity physical activity, on at least two days per week, performed for at least three months.

c. The performance of at least 30 minutes of moderate-intensity physical activity, on at least five days per week, performed for at least one month.

d. The performance of at least 30 minutes of vigorous-intensity physical activity, on at least three days per week, performed for at least one month.

a. The performance of at least 30 minutes of moderate-intensity physical activity, on at least five days per week, performed for at least three months.

The Aerobics Center Longitudinal Study has demonstrated that more physically fit individuals have reduced risk of cardiovascular disease and:

a. Cancer.

b. Stroke.

c. Mortality.

d. Heart disease.

c. Mortality.

To minimize musculoskeletal injury from the outset, which of the following should be prioritized?

a. Beginning the client's program with a balanced circuit training regimen

b. Making the client aware of early signs of potential injury

c. Advising the client to "work through" pain

d. Starting with high intensity during strength training

b. Making the client aware of early signs of potential injury

You notice a member of your fitness facility on the elliptical trainer who is shaking her left arm and rubbing her chest. She states that she is okay and tells you her chest is feeling tight. You should:

a. Explain and demonstrate how she can later stretch her chest after her cool-down.

b. Suggest that she switch to a nonweight-bearing mode such as cycling.

c. Stop the exercise, have her immediately cool down by walking around, and monitor for additional signs or symptoms.

d. Let her know that you were concerned, and encourage her to keep exercising.

c. Stop the exercise, have her immediately cool down by walking around, and monitor for additional signs or symptoms.

A 57-year-old female completes the PAR-Q+, answers "YES" to questions #3 and #6 on page 1. She then completes pages 2 and 3, answering "YES" to multiple follow-up questions on those pages. What is the recommended course of action for this individual?

a. She may begin independent physical activity immediately

b. She should seek physician consent prior to beginning physical activity

c. She may begin supervised physical activity only

d. She should wait one year and fill out the PAR-Q+ again at that time

b. She should seek physician consent prior to beginning physical activity

The primary purpose of the informed consent is to:

a. Inform the participant of any personal and confidential information that will be collected.

b. Inform of any risks involved with exercise testing and/or exercise training.

c. Inform of the purpose of all exercise tests that will be performed.

d. Inform how the data collected will be stored.

e. All of the answers are correct.

e. All of the answers are correct.

Which of the following allows for a self-guided screening prior to physical activity?

a. Physical Activity Readiness Questionnaire-Plus

b. Global Physical Activity Questionnaire

c. Minnesota Leisure Time Activity Survey

d. Jenkins Activity Survey

a. Physical Activity Readiness Questionnaire-Plus

The risk factor for obesity is a BMI at or greater than:

a. 45 kg/m2.

b. 30 kg/m2.

c. 15 kg/m2.

d. 60 kg/m2

b. 30 kg/m2.

Initial interviews with clients should include health history, exercise readiness forms, and inquiries about:

a. Work schedule and hobbies that may interfere with training schedules.

b. Client goals and expectations for working with an ACSM-EP.

c. Social support networks that can help or hinder the training routine.

d. Previous work with other ACSM-EPs.

b. Client goals and expectations for working with an ACSM-EP.

Which of the following indicates you should not let your client exercise that day and should refer them to a physician?

a. Feelings of depression

b. A resting blood pressure of 130/84 mm Hg

c. Abnormally uncomfortable awareness of breathing

d. A resting heart rate of 72 bpm

c. Abnormally uncomfortable awareness of breathing

Which of the following blood pressure readings indicates hypertension?

a. 142/91 mm Hg

b. 134/80 mm Hg

c. 120/67 mm Hg

d. 130/88 mm Hg

a. 142/91 mm Hg

A client with a history of heart disease is experiencing symptoms of severe calf pain, which occurs consistently around 10 minutes into walking. This condition MOST likely is:

a. Tibial nerve entrapment.

b. Piriformis syndrome.

c. Sciatica.

d. Intermittent claudication.

d. Intermittent claudication.

Vigorous exercise, per the ACSM risk classification, is activity at what MET level?

a. Six

b. Five

c. Three to five

d. Three to less than six

a. Six

A heart murmur that is clinically significant may be indicative of:

a. Anemia.

b. Hypertension.

c. Shortness of breath.

d. Valvular heart disease.

d. Valvular heart disease.

Palpitations are BEST defined as:

a. A sudden increase of heart rate during exertion.

b. A heart rate that exceeds 100 beats per minute.

c. A slowing down of heart rate that occurs during cool-down.

d. An uncomfortable rhythm of heartbeats or forceful heartbeats.

d. An uncomfortable rhythm of heartbeats or forceful heartbeats.

Which of the following is considered a risk factor for atherosclerotic cardiovascular disease?

a. Sedentary lifestyle

b. Woman, age 45

c. BMI of 27

d. HDL = 70

a. Sedentary lifestyle

At the minimum, the health history questionnaire should assess a client's:

a. History of various diseases and illnesses.

b. Diet and supplement intake.

c. Current activity patterns.

d. Elective surgery history.

a. History of various diseases and illnesses.

Which of the following is considered a risk factor for atherosclerotic cardiovascular disease?

a. Sedentary lifestyle

b. BMI of 27

c. HDL of 70 mg/dL

d. Woman, age 45

a. Sedentary lifestyle

Which of the following MUST be included as part of every client's screening?

a. Postural assessment

b. Body composition assessment

c. Movement screen

d. Health risk appraisal

d. Health risk appraisal

ACSM-EPs should always confirm with clients that their risk classification and health information are accurate and up to date before:

a. Beginning exercise testing and/or training.

b. Contacting the client's physician.

c. Agreeing to take on the client.

d. Discussing health history.

a. Beginning exercise testing and/or training.

The risk factor for smoking no longer applies for which of the following?

a. Quit smoking for four months

b. Quit smoking for two months

c. Quit smoking for nine months

d. Quit smoking for one month

c. Quit smoking for nine months

Which of the following forms may be used if a health/medical history evaluation form is not readily available?

a. Health fitness assessment

b. PAR-Q+

c. Personal Trainer-Client Agreement

d. Informed consent

b. PAR-Q+

Which of the following profiles is considered a risk factor with respect to obesity?

a. BMI greater than 25 for males

b. BMI of 28 for females

c. Waist of 32 inches for females

d. Waist of 40 inches for males

d. Waist of 40 inches for males

An immediate referral to a physician is indicated with a client exhibits signs or symptoms of which of the following?

a. Intermittent tightening of the calf muscles when standing

b. Syncope during mild exertion

c. Discomfort in the hips during walking

d. Labored breathing during vigorous exercise

b. Syncope during mild exertion

Intermittent claudication refers to:

a. Fluid buildup around the ankle joints while bearing weight.

b. Pedal pulse pressures that vacillate between strong and weak.

c. A constant pain that is felt in the anterior compartment of the lower leg.

d. Pain that occurs in the lower extremities during walking and disappears after stopping.

d. Pain that occurs in the lower extremities during walking and disappears after stopping.

A 30-year-old potential client states she just had a physical and was informed by her physician that her total cholesterol and blood pressure looked great. You review her medical history and note she is taking vitamins and antihypertensive medication. Based on this profile, she would be considered as having how many risk factors?

a. Two

b. Three

c. One

d. Zero

c. One

When meeting with a client for the initial consultation, the client reports not being physically active (fails to meet minimum requirements). The client does not possess any diagnosed CMR diseases, nor does the client present with any signs/symptoms of CMR disease. What is the recommended course of action according to the ACSM preparticipation screening algorithm?

a. The client may begin a light/moderate-intensity exercise program

b. The client may begin a vigorous-intensity exercise program

c. The client should discontinue and seek medical clearance

d. The client should participate in an ACSM-EP supervised diagnostic exercise test

a. The client may begin a light/moderate-intensity exercise program

Syncope is defined as:

a. Shortness of breath that occurs during rest.

b. Loss of consciousness/fainting.

c. Shortness of breath during exercise.

d. An unpleasant sensation of forceful or rapid heart beats.

b. Loss of consciousness/fainting.

A characteristic sign of heart failure or bilateral chronic venous insufficiency is:

a. Bilateral ankle edema.

b. Unilateral limb edema.

c. Generalized edema.

d. Anasarca.

a. Bilateral ankle edema.

The negative risk factor for cardiovascular disease is:

a. Sedentary lifestyle.

b. Body mass index.

c. High-density lipoprotein cholesterol.

d. Family history.

c. High-density lipoprotein cholesterol.

Which organizations publish formal screening guidelines for those who plan to participate in physical activity?

a. ACSM and American Heart Association

b. American Heart Association and President's Council on Physical Fitness

c. ACSM and American Medical Association

d. American Medical Association and PAR-Q+

a. ACSM and American Heart Association

Dyspnea that occurs at rest in a recumbent position and is relieved upon sitting upright or standing is called:

a. Obstructive pulmonary disease.

b. Syncope.

c. Orthopnea.

d. Edema.

c. Orthopnea.

Which of the following is considered a risk factor?

a. Body mass index of 28 kg/m2

b. Serum cholesterol of 195 mg/dL

c. HDL cholesterol of 66 mg/dL

d. Systolic blood pressure of 143 mm Hg

d. Systolic blood pressure of 143 mm Hg

Using the ACSM risk factor thresholds to determine physical activity readiness for a client, the tenth edition of Guidelines for Exercise Testing and Prescription suggests focusing on physical activity history, the presence of diagnosed CMR disease, and:

a. Signs/symptoms suggestive of CMR disease.

b. Client age.

c. Risk factor number.

d. Body weight.

a. Signs/symptoms suggestive of CMR disease.

An individual has two positive risk factors and one negative risk factor. Based on ACSM risk stratification and this profile, this person is considered to be:

a. Moderate risk.

b. Low risk.

c. In a disease state.

d. High risk.

b. Low risk.

Defining criteria for the hypertension risk factor for cardiovascular disease is:

a. BP 140/90 mm Hg or higher.

b. BP 130/85 mm Hg or higher.

c. BP 150/95 mm Hg or higher.

d. BP 120/80 mm Hg or higher.

a. BP 140/90 mm Hg or higher.

Which of the following would be considered a negative risk factor for ACSM risk classification?

a. Brisk walking for 20 minutes, three times per week

b. VLDL of 65 mg · dL−1

c. Walking to and from work for 30 minutes

d. HDL-C of 60 mg · dL−1

d. HDL-C of 60 mg · dL−1

The Physical Activity Readiness Questionnaire-Plus (PAR-Q+) is more effective in identifying:

a. Those at high risk.

b. Those with poor activity tolerance.

c. Those at low risk.

d. Those with high activity tolerance.

a. Those at high risk.

The pain that occurs in muscles with inadequate blood supply because they are stressed by exercise is referred to as:

a. Intermittent claudication.

b. Lymphatic blockage.

c. Bradycardia.

d. Venous insufficiency.

a. Intermittent claudication.

Ischemia is caused by:

a. Decreased stroke volume.

b. Left ventricular dysfunction.

c. Chest pain.

d. A lack of oxygenated blood flow to the tissue.

d. A lack of oxygenated blood flow to the tissue.

Obesity is defined as:

a. Waist circumference of 40 inches in men.

b. BMI of 29.

c. Waist circumference of 34 inches in women.

d. BMI of 25.

a. Waist circumference of 40 inches in men.

Which of the following is a sign or symptom of pulmonary disease?

a. Intermittent claudication or severe calf pain

b. Ankle edema or swelling

c. Feelings of anxiety and/or distress

d. Shortness of breath at mild exertion

d. Shortness of breath at mild exertion

Which of the following would be a risk factor threshold for hypertension?

a. Currently taking antihypertensive medication

b. 138/88 mm Hg

c. Currently taking folic acid

d. 130/85 mm Hg

a. Currently taking antihypertensive medication

The benefits of physical activity would outweigh the risk for which of the following?

a. Controlled Type 1 diabetes

b. Acute myocardial infaction one day prior

c. Unstable angina

d. Acute systemic infection

a. Controlled Type 1 diabetes

Which of the following is a negative risk factor?

a. Women ≥45 years

b. Blood pressure 135/80 mm Hg

c. Body mass index >30

d. High-density lipoprotein 60 mg · dL−1

d. High-density lipoprotein 60 mg · dL−1

During a treadmill workout at 2.5 mph, your 45-year-old male client who exercises on a regular basis starts to have abnormally uncomfortable awareness of breathing. You should:

a. Continue to increase the speed as this is a normal response to exercise.

b. Reduce the speed to 1 mph, and have him continue walking.

c. Stop the exercise session, and refer him to his physician.

d. Check his pulse and blood pressure, and resume the workout if rates are normal.

c. Stop the exercise session, and refer him to his physician.

Your client is a 57-year-old male with a history of low back issues. His blood pressure is under control with antihypertensive medication, and he walks daily for 30 minutes. Based on this data, he has________ risk factors.

a. One

b. Three

c. Two

d. Four

c. Two

During an initial meeting with a new client, the client reports meeting the minimal physical activity requirements, being a diagnosed Type I diabetic, but not having any signs or symptoms of CMR disease. Using the ACSM preparticipation screening algorithm, what is the recommended course of action?

a. The client should seek medical clearance

b. The client may participate in moderate-intensity physical activity

c. The client may participate in vigorous-intensity physical activity

d. The client should participate in a maximal, graded exercise test

b. The client may participate in moderate-intensity physical activity

Which of the following is a self-guided screening questionnaire that focuses on symptoms of heart disease and possible musculoskeletal problems needing evaluation before beginning an exercise program?

a. Health history evaluation

b. Exercise readiness inventory

c. Physical Activity Readiness Questionnaire (PAR-Q+)

d. AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire

c. Physical Activity Readiness Questionnaire (PAR-Q+)

Professionally supervised screening, under the guidance of an ACSM-EP, should include which of the following?

a. Informed consent process

b. Diagnostic exercise test

c. Collection of a blood sample

d. A physical examination

a. Informed consent process

Which of the following is a positive risk factor?

a. High-density lipoprotein 55 mg/dL

b. Men ≥40 years

c. Women ≥50 years

d. Regular exposure to tobacco smoke

d. Regular exposure to tobacco smoke

Which of the following is a sign or symptom of cardiovascular disease?

a. Tachycardia response to walking across the room

b. Increased respiratory rate when climbing the stairs

c. Diaphoresis due to lifting objects overhead

d. Pain or discomfort in the neck, jaw, or arms while standing

d. Pain or discomfort in the neck, jaw, or arms while standing

Bilateral ankle edema is a characteristic sign of:

a. Improper footwear during exercise.

b. Heart failure or bilateral chronic venous insufficiency.

c. A slight ankle sprain in both ankles.

d. Venous thrombosis or lymphatic blockage in the limb.

b. Heart failure or bilateral chronic venous insufficiency.

Ankle edema may be indicative of which of the following?

a. Anterior compartment syndrome

b. Claudication

c. Congestive heart failure

d. Posterior compartment syndrome

c. Congestive heart failure

ACSM defines moderate exercise as:

a. 50% to less than 70% VO2R.

b. 50% to less than 80% VO2R.

c. 40% to less than 70% VO2R.

d. 40% to less than 60% VO2R.

d. 40% to less than 60% VO2R.

Which of the following is a risk factor for cardiovascular disease?

a. An individual whose high-density lipoprotein cholesterol is 40 mg/dL

b. An individual whose blood glucose is 125 mg · dL−1 following an oral glucose tolerance test

c. An individual who smokes cigars twice a year on special occasions

d. An individual who quit smoking four months ago

d. An individual who quit smoking four months ago

Which of the following is TRUE for a client who wishes to participate in moderate physical activity?

a. A medical exam is not necessary to get started

b. A diagnostic exercise test is required

c. A physician should supervise the exercise test

d. A medical exam is recommended

a. A medical exam is not necessary to get started

Which of the following is a sign or symptom suggestive of cardiovascular disease?

a. Discomfort in the neck and jaw after carrying a heavy suitcase for several minutes

b. Dizziness after quickly moving from a lying to standing position

c. Dull pain in the low back while touching the toes

d. Shortness of breath after climbing several flights of stairs

a. Discomfort in the neck and jaw after carrying a heavy suitcase for several minutes

When meeting with a client for the intial consulation, the client reports meeting the minimum physical activity requirements, does not report having an active disease diagnosis, but does report experiencing slight chest pain when recently moving large volumes of dirt in the garden. Based on the ACSM preparticipation screening algorithm, what is the recommended course of action?

a. The client may begin a moderate-intensity exercise program

b. The client may begin a vigorous-intensity exercise program

c. The client should discontinue physical activity and seek medical clearance

d. The client should participate in a graded exercise test monitored by the ACSM-EP

c. The client should discontinue physical activity and seek medical clearance

A 66-year-old male completes the PAR-Q+. He answers "YES" to question #1 on page 1. He then completes pages 2 and 3 as directed, answering "NO" to all questions on pages 2 and 3. What is the recommended course of action for this individual?

a. He may begin participating in physical activity, starting at a low/moderate intensity and volume and progressing slowly

b. He may begin vigorous exercise immediately

c. He should seek medical clearance prior to initiation of physical activity

d. He should participate in a diagnostic exercise test

a. He may begin participating in physical activity, starting at a low/moderate intensity and volume and progressing slowly

Your client is a cardiac patient and has been cleared by his physician to exercise. During a five-minute warm-up on the treadmill, he tells you that he feels out of breath. You should:

a. Reduce the treadmill speed.

b. Stop the exercise and monitor for additional signs or symptoms.

c. Stop the exercise and urge him to see his physician immediately

d. Reduce the treadmill grade.

b. Stop the exercise and monitor for additional signs or symptoms.

Which of the following profiles is considered a risk factor with respect to obesity?

a. Waist of 38 inches for males

b. Body fat percent of 25% for males

c. Body fat percent of 25% for females

d. Waist of 36 inches for females

d. Waist of 36 inches for females

Given the following complete health and medical history, which client has one risk factor?

a. A 46-year-old male with cholesterol of 208 mg/dL who desires to begin training for his first marathon

b. A 21-year-old female who has slight scoliosis with tightness on left hip abductors

c. A 32-year-old male with family history of heart disease and prediabetes

d. A physically active 55-year-old female

d. A physically active 55-year-old female

Which of the following common characteristics is reported by those experiencing symptoms consistent with coronary artery disease?

a. "Pounding"

b. "Beating"

c. "Heaviness"

d. "Light-headed"

c. "Heaviness"

In reviewing your client's medical history, you note that she is on lipid-lowering medication and her high-density lipoprotein cholesterol is 62 mg · dL−1. Based on her profile, how many total risk factors does she have?

a. 2

b. 0

c. −1

d. 1

b. 0

When a client takes the PAR-Q+ test, she should be referred to her doctor if she answers:

a. Yes to any of the follow-up questions on pages 2 and 3

b. Yes to two or more questions on page 1.

c. No to any questions.

d. Yes to three or more questions on page 1.

a. Yes to any of the follow-up questions on pages 2 and 3

Which of the following requires a more thorough medical history or examination?

a. Dizziness

b. Shortness of breath during exercise

c. Unusual fatigue

d. Heart murmur

d. Heart murmur

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 Personal Trainer

b. A licensed physical therapist

c. A qualified health care professional certified in ACLS

d. An occupational therapist

c. A qualified health care professional certified in ACLS

Which of the following indicates a client has diabetes?

a. Family history of neuropathy in the feet.

b. Fasting blood glucose of 115 mg/dL on at least two separate occasions

c. Oral glucose tolerance test of 250 mg/dL on at least two separate occasions

d. Family history of early-onset diabetes

c. Oral glucose tolerance test of 250 mg/dL on at least two separate occasions

A manifestation of coronary artery disease is:

a. Tightness of the muscles between both scapulae during overhead activities.

b. Jaw discomfort that occurs first thing in the morning.

c. A dull ache in the low back that occurs with movement.

d. Pain that occurs with exertion or exercise.

d. Pain that occurs with exertion or exercise.

A female client is 55 years old and has high-density lipoprotein of 70 mg · dL−1. Based on this profile, how many total risk factors does she have?

a. -1

b. 1

c. 2

d. 0

d. 0

A feature of cardiac disease symptoms that are ischemic in origin is:

a. Squeezing burning pain.

b. Dull aching pain.

c. Sharp stabbing pain.

d. Pain aggravated by respiration.

a. Squeezing burning pain.

When using the ACSM preparticipation screening algorithm, the ACSM-EP must determine is the client has a diagnosed CMR disease. Which of the following would NOT classify as a diagnosed CMR disease?

a. Presence of a pacemaker

b. Renal failure

c. Emphysema

d. Type 2 diabetes

c. Emphysema

You discover the following information about Rosalyn, your new 54-year-old female client:BMI = 24.3 (68 inches, 160 pounds)Total cholesterol: 190 mg · dL−1HDL cholesterol: 62 mg · dL−1Blood pressure: 128/84 mm Hg with antihypertensive medicationFormer smoker: quit two months agoFamily history: father had a heart attack at age 54Walks to work eight minutes each way

How many positive and negative risk factors does she have?

a. One positive and zero negative risk factors

b. Three positive and one negative risk factors

c. Three positive and two negative risk factors

d. Two positive and one negative risk factors

b. Three positive and one negative risk factors

Which of the following is considered a cardiovascular disease risk factor?

a. Fasting glucose ≥126 mg/dL

b. BMI ≥25

c. LDL cholesterol <40 mg/dL

d. Systolic blood pressure ≥130 mm Hg

a. Fasting glucose ≥126 mg/dL

Dyspnea is defined as:

a. Abnormally low breathing rate.

b. Complete breathlessness.

c. Exercise-induced shortness of breath.

d. Abnormally uncomfortable awareness of breathing.

d. Abnormally uncomfortable awareness of breathing.

Which of the following is a positive risk factor?

a. Low-density lipoprotein 120 mg/dL

b. Sudden death of mother at 70 years of age

c. Fasting plasma glucose 80 mg · dL−1

d. Walking to and from work three days a week, for 20 minutes, for the past two months

d. Walking to and from work three days a week, for 20 minutes, for the past two months

Which of the following would be considered a positive risk factor for dyslipidemia?

a. Total cholesterol 180 mg/dL

b. HDL 35 mg/dL

c. Triglycerides 200 mg · dL−1

d. LDL 125 mg · dL−1

b. HDL 35 mg/dL