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

Demo: 48 questions
Total 160 questions
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ACSM Certified Clinical Exercise Physiologist Questions and Answers

Question 1

Digitalis effect refers to

Options:

A.

Scooped-out depression of the ST segment produced by digitalis.

B.

Elevation of the PR interval produced by digitalis.

C.

Shortening of the QT interval produced by digitalis.

D.

Prolongation of the QRS complex produced by digitalis.

Question 2

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 3

A 143-pound woman regularly exercises on a treadmill at a speed of 5.5 mph and a 2% elevation. What is her caloric expenditure?

Options:

A.

6.78 kcal . min-1

B.

11.58 kcal· min-1

C.

20.85 kcal. min-1

D.

25.47 kcal· min-1

Question 4

Differentiation between supraventricular and ventricular rhythm is made on the basis of the

Options:

A.

Duration (width) of the QRS complex and the presence or absence of P waves.

B.

Appearance of the ST segment.

C.

Amplitude of the U wave.

D.

Duration of the PR interval.

Question 5

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 6

Which one of the following statements concerning a needs assessment is NOT true?

Options:

A.

The needs and/or program assessment is a useful tool for gathering data and

support for program implementation.

B.

The needs and/or program assessment often must be a creative tool developed inhouse

to meet the program's specific needs.

C.

Given that the needs assessment may be developed in-house without the benefit

of external validity, generalizing the results may be difficult.

D.

Program planning is an essential step before needs assessment can be performed.

Question 7

What is the primary reason why a manager or director should conduct a needs assessment?

Options:

A.

To determine the specific needs and interests of the target market.

B.

To determine the quality of potential fitness instructor who could be hired in the area.

C.

To determine the needs of management before developing the budget.

D.

To determine the need for new or different exercise equipment.

Question 8

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 9

Some of the duties in supervising a fitness staff include scheduling, implementing the

policies and procedures, and

Options:

A.

Cleaning the equipment.

B.

Emergency procedures and evaluations.

C.

Marketing and promotions.

D.

Managing the fitness billing.

Question 10

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 11

In the ECG strip sho'ATI1 below, what abnormalities are indicated?

Options:

A.

Left atrial enlargement and LVH.

B.

Right atrial enlargement and right ventricular hypertrophy.

C.

Left anterior fascicular block and left posterior h,scicular block.

D.

Subendocardial ischemia and infarction

Avr V1 V4

Avl V2 V5

Avf V3 V6

Question 12

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 13

A 150-pound male sets the treadmill speed at 5.0 mph and a 5.2% grade. Calculate his MET value.

Options:

A.

36.57 METs.

B.

10.45 METs.

C.

12.25 METs.

D.

Not enough information to answer the question.

Question 14

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 15

What is a subject's work rate in watts if he pedals on a Monark cycle ergometer at 50 rpm at a resistance of 2.0 kiloponds?

Options:

A.

50W.

B.

100W.

C.

200W.

D.

300W.

Question 16

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 17

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 18

Which of the following is one cause of a wide QRS complex?

Options:

A.

Hypokalemia.

B.

Defective intraventricular conduction.

C.

Right atrial enlargement.

D.

Abnormal ST segment

Question 19

What is the relative Yo2 of walking on a treadmill at 3.5 mph and a 10% grade?

Options:

A.

181.72 mL . kg-1 . min-1

B.

18.17 mL. kg-1 . min-1

C.

29.76 mL . kg-1 . min-1

D.

27.96 mL . kg-1 . min-1

Question 20

Why are records valuable to a fitness program?

Options:

A.

They help in evaluation of a program.

B.

They offer music not found on tapes or CDs.

C.

They help to provide facts in any legal issues.

D.

They help the front desk to monitor paid and unpaid clients.

Question 21

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 22

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 23

How much weight will the woman (from question 22) lose in 26 weeks if she integrates a 1-mile walk, taken three times per week, into her weight loss program?

Options:

A.

3 pounds.

B.

6 pounds.

C.

11 pounds.

D.

15 pounds.

Question 24

A comprehensive clinical exercise rehabilitation program

Options:

A.

Is based on historical features of program administration.

B.

Adapts to trends in program services.

C.

Is limited in scope and practice.

D.

Is the same for the entire client population served.

Question 25

A program's policy and procedures manual should NOT

Options:

A.

Be stored away for safekeeping.

B.

Be revised as the program's policies and/or procedures are modified.

C.

Be viewed as a document in progress.

D.

Contain program information ranging from the organizational structure to the

facility's maintenance schedule.

Question 26

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 27

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 28

The BMI is calculated using which of the following formulas?

Options:

A.

Weight/hip circumference.

B.

Weight/height2.

C.

Height/weight2.

D.

Hip circumference/height.

Question 29

A client taking a calcium-channel blocker most likely will exhibit which of the following responses during exercise?

Options:

A.

Hypertensive response.

B.

Increased ischemia.

C.

Improved anginal thresholds.

D.

Severe hypotension.

Question 30

When determining the intensity level, the RPE is a better indicator than percentage of maximal HR for all of the following groups EXCEPT

Options:

A.

Individuals on -blockers.

B.

Aerobic classes that involve excessive arm movement.

C.

Individuals older than 65 years.

D.

Individuals involved in high-intensity exercise.

Question 31

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 32

Which of the following is an appropriate exercise for clients with diabetes and loss of protective sention in the extremities?

Options:

A.

Prolonged walking.

B.

Jogging.

C.

Step-class exercise.

D.

Swimming.

Question 33

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 34

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 35

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 36

Which fat-soluble vitamin is important for bone formation?

Options:

A.

Vitamin A.

B.

Vitamin D.

C.

Vitamin E.

D.

Vitamin K.

Question 37

A comprehensive patient care plan is necessary for effective program management, because it

Options:

A.

Is required by federal law.

B.

Provides a "road map" for interventions.

C.

Is a requirement for insurance reimbursement.

D.

Provides raw data for analysis in CQI or outcomes assessment.

Question 38

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 39

Carbohydrate, protein, and fat provide which of the following amounts of energy (kcal/g)?

Options:

A.

2, 4, and 6, respectively.

B.

4, 6, and 8, respectively.

C.

6, 8, and 9, respectively.

D.

4, 4, and 9, respectively.

Question 40

Muscular endurance training is best accomplished by

Options:

A.

Performing four to six repetitions per set.

B.

Using high resistance.

C.

Incorporating high repetitions.

D.

Performing isometric exercises only.

Question 41

Which of the following medications have been shown to be most effective in preventing or reversing exercise-induced asthma?

Options:

A.

β2-Agonists.

B.

β-Blockers.

C.

Diuretics.

D.

Aspirin.

Question 42

What common medication taken by clients with end-stage renal disease requires careful management for those undergoing hemodialysis?

Options:

A.

Antihypertensive medication.

B.

Lithium.

C.

Cholestyramine.

D.

Cromolyn sodium.

Question 43

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.

Question 44

In an effort to improve flexibility, the ACSM recommends

Options:

A.

Proprioceptive neuromuscular facilitation.

B.

Ballistic stretching.

C.

The plough and hurdler's stretches.

D.

Static stretches held for 10 to 30 seconds per repetition.

Question 45

Which of the following is a resistive lung disease?

Options:

A.

Asthma.

B.

Tuberculosis.

C.

Cystic fibrosis.

D.

Emphysema.

Question 46

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 47

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 48

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.

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