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ACSM 030-444 ACSM Certified Clinical Exercise Physiologist Exam Practice Test

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Total 160 questions

ACSM Certified Clinical Exercise Physiologist Questions and Answers

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Question 1

If a 70-kg man runs on a treadmill at 8 mph and a 0% grade for 45 minutes, what is his caloric expenditure?

Options:

A.

1,067.07 calories.

B.

392.18 calories.

C.

730.48 calories.

D.

Not enough information to answer the question

Question 2

Which of the following conditions can prolong the QT interval?

Options:

A.

Hypokalemia and hypercalcemia.

B.

Hyperkalemia and hypercalcemia.

C.

Hypocalcemia and hypokalemia.

D.

Hypocalcemia and hyperkalemia.

Question 3

A 110-pound female pedals a Monark cycle ergometer at 50 rpm against a resistance of 2.5 kiloponds. Calculate her absolute Yo2.

Options:

A.

300 mL . min-1

B.

750 mL . min-1

C.

1.25 L . min-1

D.

1.7 L. min-1

Question 4

The P wave on the ECG can be

Options:

A.

Negative

B.

Positive

C.

Isoelectric

D.

Either positive or negative

Question 5

Informed consent is best described as

Options:

A.

A legal form.

B.

A process that is backed up by a form.

C.

Something that only a lawyer can provide to an exercise program.

D.

Being an informed consumer to ensure that one undertakes the proper exercise program.

Question 6

Subendocardial ischemia usually produces

Options:

A.

ST-segment elevation.

B.

ST -segment depression.

C.

Q waves.

D.

U waves.

Question 7

Outcome assessment evaluates a program's effectiveness. Which of the following

statements about outcome assessment is NOT true?

Options:

A.

The client care plan for each individual participant is not used in this process.

B.

Data that are subjective or anecdotal in nature can be used in the assessment.

C.

Periodic progress reports are valuable and should stimulate the need to collect

objective data to support any subjective findings.

D.

Standardized tools should be used for outcome assessment.

Question 8

A client is walking on a treadmill at 3.4 mph and a 5% grade. What is her Y02 in relative terms?

Options:

A.

9.11 mL . kg-1 . min-1

B.

11.9 mL . kg-1 . min-1

C.

24 mL . kg-1 . min-1

D.

20.81 mL . kg-1 . min-1

Question 9

In the ECG strip shown below, what disorder is indicated?

Options:

A.

Subendocardial ischemia.

B.

Transmural ischemia.

C.

Acute inferior MI.

D.

Posterior MI

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St.

Louis, Mosby, 1999,p91.)

Question 10

Right-axis deviation may be caused by

Options:

A.

Acute pericarditis.

B.

Right atrial enlargement.

C.

Chronic obstructive pulmonary disease.

D.

Cardiomyopathy.

Question 11

A 143-pound woman regularly exercises on a treadmill at a speed of 5.5 mph and a 2% elevation. How much weight will she lose weekly if she exercises for a duration of 45 minutes per session, with a frequency of three sessions per week?

Options:

A.

1.5 kg.

B.

2.07 kg.

C.

0.25 pounds.

D.

0.45 pounds.

Question 12

Do fitness instructors need management skills?

Options:

A.

Only if they wish to become floor supervisors or program managers.

B.

Yes, because of the natural progression of advancement into management.

C.

Yes, because as instructors, they manage client programs and manage the floor

with the clients.

D.

No, because they will be trained in management if they become managers.

Question 13

In the ECG shown on the following page, which of the following conduction abnormalities is indicated?

Options:

A.

RBBB.

B.

Third-degree AV block.

C.

First-degree AV block.

D.

Mobitz I.

Question 14

In response to various stimuli, movements of ions occur, causing the rapid loss of the internal negative potential. This process is known as

Options:

A.

Polarization.

B.

Repolarization.

C.

Automaticity.

D.

Depolarization.

Question 15

What resistance would you set a cycle ergometer at if your 80-kg client needs to train at 6 METs? Assume a 50 rpm cycling cadence.

Options:

A.

1.5 kg.

B.

2.07 kg.

C.

0.25 pounds.

D.

0.45 pounds.

Question 16

According to the AACVPR, elements of successful adult education include all of the

following EXCEPT

Options:

A.

Goal setting.

B.

Rewards.

C.

Contracts.

D.

Knowledge testing.

Question 17

In the ECG strip shown below, which arrhythmia is indicated?

Options:

A.

Atrial flutter.

B.

Atrial fibrillation.

C.

Premature atrial contractions.

D.

Atrial tachycardia.

Question 18

Examine the six extremity leads shown in the figure below. What is the appropriate mean QRS axis?

Options:

A.

-30°.

B.

60°.

C.

90°.

D.

120°.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St

Louis, Mosby, 1999, p 55.)

Question 19

At what running speed would you set a level treadmill at to elicit an Vo2 of 40 mL .

kg-1 . min-1?

Options:

A.

5.0 mph

B.

6.8 mph

C.

18.25 m . min-1

D.

18.25 mph

Question 20

A 55-kilogram woman trains on a cycle ergometer by pedaling at 60 rpm against a resistance of 1.5 kiloponds. What is her absolute Yo2?

Options:

A.

1.36 L . min-1

B.

2.47 L . min-1

C.

3.62 L . min-1

D.

3600 mL . min-1

Question 21

A fitness newsletter, fitness library, and bulletin boards

Options:

A.

Are part of staff news.

B.

Are part of client and staff education.

C.

Are part of the facility marketing.

D.

Require considerable money and must be budgeted carefully.

Question 22

Why would a fitness instructor have an interest in tort laws?

Options:

A.

Negligence is breaking a tort law and can ruin an instructor's career.

B.

State taxes often are related to profit, which is governed by tort laws.

C.

Tort laws are related to worker's compensation regulations.

D.

They relate to the Americans with Disabilities Act (ADA)

Question 23

Staff certification is

Options:

A.

Not important, because members do not care.

B.

Important, primarily because it adds spice to marketing materials.

C.

Not a good idea, because certified staff will increase your payroll.

D.

Important, primarily because it adds a standard of knowledge and credibility to your facility.

Question 24

Tall, positive T waves may be caused to all of the following EXCEPT

Options:

A.

Hyperacute phase of MI.

B.

LVH.

C.

Acute pericarditis.

D.

Hypocalcemia.

Question 25

Which of the following statements regarding exercise for the elderly is FALSE?

Options:

A.

A decrease in maximal HR is responsible for reductions in the maximal oxygen consumption as we age.

B.

A loss of fat-free mass is responsible for the decrease in muscular strength as we age.

C.

The ACSM recommends a cardiorespiratory training intensity of 50% to 70% of HRR for older adults.

D.

Resistance exercise training is not recommended for older adults.

Question 26

Which energy source represents the largest potential energy store in the body?

Options:

A.

Fat.

B.

Blood glucose.

C.

Muscle glycogen.

D.

Protein.

Question 27

Initial training sessions for a person with severe chronic obstructive pulmonary disease most likely would NOT include

Options:

A.

Continuous cycling activity at 70% of Vo2 max for 30 minutes.

B.

Use of dyspnea scales, RPE scales, and pursed-lip breathing instruction.

C.

Intermittent bouts of activity on a variety of modalities (exercise followed by short rest).

D.

Encouraging the client to achieve an intensity either at or above the anaerobic threshold.

Question 28

When counseling a patient with metabolic syndrome, your emphasis should be on addressing underlying causes of the syndrome, such as

Options:

A.

Obesity and physical inactivity.

B.

Excessive carbohydrate intake.

C.

Elevated LDL-C concentration.

D.

Lack of muscular strength.

Question 29

Transitional care exercise and rehabilitation programs are NOT appropriate for

Options:

A.

Clients with functionally limiting chronicdisease.

B.

Clients with comorbid disease states.

C.

Asymptomatic clients with a functional capacity of 10 MET.

D.

Clients at 1 week after CABG surgery.

Question 30

Which of the following diseases is NOT typically associated with obesity?

Options:

A.

Diabetes.

B.

Skin cancer.

C.

Coronary artery disease.

D.

Colon cancer.

Question 31

Symptoms of claudication include

Options:

A.

Cramping, burning, and tightness in the calf muscle, usually triggered by activity and relieved with rest.

B.

Acute, sharp pain in the foot on palpation at rest.

C.

Crepitus in the knee during cycling.

D.

Pitting ankle edema at a rating of 3 +

Question 32

A specific benefit of regular exercise for patients with angina is

Options:

A.

Improved ischemic threshold at which angina symptoms occur.

B.

Increased myocardial oxygen demand at the same submaximallevels.

C.

Eradication of all symptoms.

D.

Elevation of BP.

Question 33

A common measure to assist in the evaluation of body fat distribution is

Options:

A.

Height/weight charts.

B.

Total body weight.

C.

WHR.

D.

Total body water.

Question 34

Which of the following situations indicates progression to independent and unsupervised exercise for a client after CABG surgery in an outpatient program?

Options:

A.

The client exhibits mild cardiac symptoms of angina, occurring intermittently during exercise and sometimes at home while reading.

B.

The client has a functional capacity of greater than 8 MET with hemodynamic responses appropriate to this level of exercise.

C.

The client is noncompliant with smoking cessation and weight loss intervention programs.

D.

The client is unable to palpate HR, deliver RPEs, or maintain steady workload intensity during activity.

Question 35

A client with type 1 diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result of 253 mgldL (14 mmol/L). A urine test is positive for ketones before her exercise session. What action should you take?

Options:

A.

Allow her to exercise as long as her glucose is not greater than 300 mgldL (17 mmol/L).

B.

Not allow her to exercise this session, and notify her physician of the findings.

C.

Give her an extra carbohydrate snack, and wait 5 minutes before beginning exercise.

D.

Readjust her insulin regimen for the remainder of the day to compensate for the high morning glucose level.

Question 36

The appropriate exercise HR for an individual on -blocking medication would generally

be

Options:

A.

75% of HRR.

B.

30 bpm above the standing resting HR.

C.

40% of HRR.

D.

(220 - age) X 0.85.

Question 37

Osteoporosis is more prevalent in

Options:

A.

Women who have never been pregnant.

B.

African-American women.

C.

Women who are involved in activities that place stress on the wrists, hips, or lum bosacral region.

D.

Postmenopausal women.

Question 38

All of the following are special considerations inprescribing exercise for the client with arthritis EXCEPT

Options:

A.

The possible need to splint painful joints forprotection.

B.

Periods of acute inflammation result in decreased pain and joint stiffness.

C.

The possibility of gait abnormalities as compensation for pain or stiffness.

D.

The need to avoid exercise of warm, swollenjoints.

Question 39

Which of the following is not a feature of the metabolic syndrome?

Options:

A.

Dyslipidemia (low HDL-C, elevated triglycerides).

B.

Osteoporosis.

C.

Insulin resistance.

D.

Elevated blood pressure.

Question 40

Normal values for fasting blood sugar are

Options:

A.

Greater than 140 mg/dL.

B.

Between 60 and 140 mg/dL.

C.

Less than 60 mg/dL.

D.

Between 200 and 400 mg/dL.

Question 41

A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on evaluation, decreased ROM and strength are noted. You also notice that he is beginning to use accessory muscles to substitute movements and to compensate. These symptoms may indicate

Options:

A.

A referred pain from a herniated lumbar disk.

B.

Rotator cuff strain or impingement.

C.

angina.

D.

Advanced stages of multiple sclerosis.

Question 42

Women are likely to be deficient in both calcium and iron, because

Options:

A.

They tend to consume less overall energy than men.

B.

They tend to consume less dairy products.

C.

They tend to consume less protein from meat sources.

D.

All of the above.

Question 43

Treatment for claudication during exercise includes all of the following EXCEPT

Options:

A.

Daily exercise sessions.

B.

Intensity of activity to maximal tolerable pain, with intermittent rest periods.

C.

Cardiorespiratory building activities that are nonweight bearing if the plan is to work on longer duration and higher intensity to elicit a cardiorespiratory training effect.

D.

Stopping activity at the onset of claudication discomfort to avoid further vascular damage from ischemia.

Question 44

A target HR equivalent to 85% of HRR for a 25year-old male with a resting HR of 75

bpm would be equal to

Options:

A.

195 bpm.

B.

166 bpm.

C.

177 bpm.

D.

102 bpm.

Question 45

An ideal weight-loss program should set a goal of _ pounds per week, with an energy intake of not less than _ kcal/day.

Options:

A.

10, 1,600.

B.

3-5, 1,500.

C.

1-2, 1,200.

D.

None of the above.

Question 46

Which fat-soluble vitamin is important for bone formation?

Options:

A.

Vitamin A.

B.

Vitamin D.

C.

Vitamin E.

D.

Vitamin K.

Question 47

In a budget for a clinical exercise rehabilitation program, all of the following are examples of variable expenses EXCEPT

Options:

A.

ECG electrodes.

B.

Temporary wages.

C.

Rental fees for the facility space.

D.

Consultant fees.

Question 48

An appropriate exercise for improving the strength of the low back muscles are

Options:

A.

Straight leg lifts.

B.

Parallel squats.

C.

Spinal extension exercises.

D.

Sit-ups with feet anchored.

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Total 160 questions