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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

Question 1

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 2

What should the manager's involvement be in developing fitness programs?

Options:

A.

The manager should maintain a hands-off approach.

B.

The manager should be involved only in the budgeting and final approval.

C.

The manager should be the only person involved in program development.

D.

The manager should be active as a program developer as well as a resource,

supporter, and critic for programs developed by other staff.

Question 3

A physician's clearance

Options:

A.

Is not necessary if the client completes the medical history questionnaire.

B.

Is a communication tool with little exercise value?.

C.

Provides information about the physician's attitude regarding your club.

D.

Provides a medical opinion about a client's risk with exercise.

Question 4

What is the MET equivalent to level walking on a treadmill at 3.0 mph?

Options:

A.

5.59 MET.

B.

3.30 MET.

C.

2.30 MET.

D.

3.02 MET.

Question 5

Which of the following elements is NOT part of an emergency plan for a clinical exercise program?

Options:

A.

Annual practice sessions involving all staff.

B.

Emergency plan that constantly refers to national established guidelines (e.g., ACLS) without addressing unique features of the program.

C.

Emergency drills carried out on a regular basis and documented.

D.

Scenarios developed to increase the applicability of the emergency plan practice

sessions.

Question 6

One important aspect of staff competency is ensuring that staff members are well trained and kept up to date. Which of the following organizations has recently launched the Registry for Clinical Exercise Physiologists?

Options:

A.

AACVPR.

B.

American College of Physicians.

C.

American Heart Association.

D.

ACSM.

Question 7

If a healthy young man exercises at an intensity of 45 mL. kg-1.min -1 three times per week for 45 minutes each session, how long would it take him to lose 10 pounds of fat?

Options:

A.

4 weeks.

B.

7.14 weeks.

C.

16.5 weeks.

D.

19 weeks.

Question 8

Capital budgets

Options:

A.

Reflect the costs of implementing a program.

B.

Reflect the costs to operate a program.

C.

Are not necessary with fitness programs.

D.

Are part of the balance sheet in financial reports.

Question 9

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 10

What stepping rate should a client use if she wishes to exercise at 5 METs? The step box is 6 inches high, and the client weighs 50 kg.

Options:

A.

12 steps per minute.

B.

32 steps per minute.

C.

25 steps per minute.

D.

96 steps per minute.

Question 11

What is the relative Y02 of running on a treadmill at 5.5 mph and a 12% grade?

Options:

A.

29.48 mL . kg-1 . min-1

B.

45.4 mL . kg-1 . min-1

C.

47.2 mL . kg-1 . min-1

D.

48.9 mL . kg-1 . min-1

Question 12

Why should a fitness operator be concerned with state practice laws?

Options:

A.

State laws help to identify illegal aliens who may apply for a job in your club.

B.

State laws may control the number of minority employees working at your club.

C.

State laws may affect how much can be charged for a membership.

D.

Many states have practice acts that control the behavior and actions of fitness instructors.

Question 13

Examples of program records include

Options:

A.

Client progress and outcomes.

B.

Member needs.

C.

Performance of clients on selected exercises.

D.

Member suggestions and any actions taken regarding them.

Question 14

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 15

What is the relative Y02 of walking on a treadmill at 3.5 mph and a 0% grade?

Options:

A.

9.38 mL. kg-1 . min-1

B.

12.88 mL . kg-1l . min-1

C.

18.76 mL . kg-1 . min-1

D.

22.26 mL . kg-1 . min-1

Question 16

The manager's role in staff education is

Options:

A.

Valuable, because it looks good to the owners.

B.

To create many opportunities for educating the staff.

C.

To let the staff handle their own education but also to encourage it.

D.

Not very valuable, because member retention and sales are the key to any program.

Question 17

Myocardial cells can be excited in response to all of the following stimuli EXCEPT:

Options:

A.

Electrical

B.

Chemical

C.

Mechanical

D.

Emotional

Question 18

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 19

Slow conduction in the A V node is associated with

Options:

A.

Prolonged PR interval.

B.

Prolonged QRS interval.

C.

Shortened QT interval.

D.

Elevated ST segment.

Question 20

Which type of financial analysis would be appropriate for a not-for-profit program

that wishes to determine the amount of revenue from program fees needed so that no

other sources of revenue are required to meet the program's expenses?

Options:

A.

Break-down analysis.

B.

Break-even analysis.

C.

Profitability analysis.

D.

Margin analysis.

Question 21

The P wave on the ECG can be

Options:

A.

Negative

B.

Positive

C.

Isoelectric

D.

Either positive or negative

Question 22

Which of the following is an example of participant interaction as part of the supportive role of a manager?

Options:

A.

Offering a shoulder on which to cry.

B.

Conducting surveys, and responding to client needs.

C.

Encouraging members to "let go" in exercise classes.

D.

Having members teach classes.

Question 23

Continuous quality improvement (CQI) is a systematic process of program

evaluation that involves all of the following steps EXCEPT

Options:

A.

Data analysis.

B.

Goals assessment.

C.

Outcomes assessment.

D.

Budget assessment.

Question 24

Why would a fitness facility be interested in public relations?

Options:

A.

To increase exposure for the facility and sell its services.

B.

To become involved in local politics.

C.

To improve staff morale.

D.

To make the staff work harder.

Question 25

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 26

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 27

What is the optimal approach for long-term management of body weight?

Options:

A.

Hypocaloric diet.

B.

Daily aerobic exercise.

C.

Resistance training.

D.

A low-fat, high-fiber diet and daily physical activity.

Question 28

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 29

Which of the following statements about confidentiality is NOT true?

Options:

A.

All records must be kept by the program director/manager under lock and key.

B.

Data must be available to all individuals who need to see it.

C.

Data should be kept on file for at least 1 year before being discarded.

D.

Sensitive information (e.g., participant's name) needs to be protected.

Question 30

The recommended cardiorespiratory exercise training goal for apparently healthy individuals should be

Options:

A.

15 minutes, six times per week, at 90% of HRR.

B.

30 minutes, three times per week, at 85% of HRR.

C.

60 minutes, three times per week, at 85% of HRR.

D.

30 minutes of weight training, three times per week, at 60% of HRR.

Question 31

To lose one pound (=0.5 kg) of body fat, how much of an energy deficit must be created

by diet and or physical activity?

Options:

A.

2,000 kcal.

B.

2,500 kcal.

C.

3,000 kcal.

D.

3,500 kcal.

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

The eating habits of an athlete involved in long distance running should differ from those of a sedentary individual of the same body weight in what way?

Options:

A.

The athlete should reduce fat intake to 10% of total calories.

B.

The athlete should increase protein intake to threefold the RDA.

C.

The athlete should have a greater intake of grains, fruits, vegetables, and lean sources of protein.

D.

There should be no change in calories.

Question 34

The recommended cardiorespiratory endurance exercise training program for older individuals should be

Options:

A.

40% to 60% of maximum HR, 20 to 30 minutes continuously, 3 days per week.

B.

50% to 70% of HRR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

C.

40% to 60% of maximum HR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

D.

50% to 70% of HRR, 20 to 30 minutes continuously, 3 days per week

Question 35

Which of the following medical conditions is NOT part of the female athlete triad?

Options:

A.

Disordered eating.

B.

Osteoporosis.

C.

Amenorrhea.

D.

Anemia.

Question 36

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 37

All of the following are examples of aerobic exercise modalities EXCEPT

Options:

A.

Weight training.

B.

Walking.

C.

Bicycling.

D.

Stair climbing.

Question 38

According to the most recent National Institutes of Health's Clinical Guidelines for the

Identification, Evaluation, and Treatment of Overweight and Obesity in Adults, recommendations for practical clinical assessment include

Options:

A.

Determining total body fat through the BMI to assess obesity.

B.

Determining the degree of abdominal fat and health risk through waist circumference.

C.

Using the waist-to-hip ratio as the only definition of obesity and lean muscle mass.

D.

Both A and B.

Question 39

The process of risk stratification often is used for the criteria for clinical exercise rehabilitation program admission. Which of the following statements about risk stratification is NOT correct?

Options:

A.

Risk stratification can be modeled after the criteria published by the AACVPR.

B.

Risk stratification can be useful for participant entry criteria, exercise testing guidelines, ECG monitoring, and supervision guidelines.

C.

Risk stratification can be tied to insurance reimbursement.

D.

Risk stratification often is used to determine the intensity of prescribed exercise.

Question 40

Special precautions for clients with hypertension include all of the following EXCEPT:

Options:

A.

Avoiding muscle strengthening exercises that involve low resistance.

B.

Avoiding activities that involve the Valsalva maneuver.

C.

Monitoring a client who is taking diuretics for arrhythmias.

D.

Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.

Question 41

When the body consumes more calories than it uses, the condition is called

Options:

A.

Ketogenesis.

B.

Positive caloric balance.

C.

Positive electrolyte balance.

D.

Negative energy balance.

Question 42

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 43

Which of the following is NOT a benefit of increased flexibility?

Options:

A.

Increased muscle viscosity, allowing easier and smoother contractions.

B.

Reduced muscle tension and increased relaxation.

C.

Improved coordination by allowing greater ease of movement.

D.

Increased ROM.

Question 44

All of the following factors are important to consider when determining exercise intensity

EXCEPT

Options:

A.

An individual's level of fitness.

B.

The risk of cardiovascular or orthopedic injury.

C.

Any previous history participating in organized sports.

D.

Individual preference and exercise objectives.

Question 45

Which of the following is a resistive lung disease?

Options:

A.

Asthma.

B.

Tuberculosis.

C.

Cystic fibrosis.

D.

Emphysema.

Question 46

The recommended muscular strength and endurance training program for apparently healthy individuals should be

Options:

A.

One set of 8 to 12 reps, 8 to 10 separate exercises, 2 days per week.

B.

Two sets of six to eight reps, 8 to 10 separate exercises, 2 days per week.

C.

One set of 8 to 12 reps, 8 to 10 separate exercises, 4 to 5 days per week.

D.

Two sets of six to eight reps, 8 to 10 separate exercises, 4 days per week, and alternating days for legs and upper body.

Question 47

Diets high in saturated fat can lead to elevations in blood ______ concentration, which may increase risk of heart disease. Optimal concentrations of this blood lipoprotein are___

Options:

A.

Very LDL-C, <120 mg/dL.

B.

LDL-C, <125 mg/dL.

C.

HDL-C, >30 mg/dL.

D.

LDL-C, <100 mg/dL.

Question 48

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.

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Total 160 questions