ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM
PAPER WITH UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS, GRADED A+
◉ 1 large box. Answer: 5mm or 0.2 seconds
◉ 1 small box. Answer: 1mm or 0.04 sec
◉ 1 Rep Max (1RM) Procedure. Answer: 1.) warm up with sub max
reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then estimated max attempt
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
◉ Intraventricular conduction delay. Answer: - wide QRS = >0.1
- refers to disturbances in the intraventricular propagation of
supraventricular impulses resulting in changes in the QRS complex
either in morphology or duration, or both
- abnormal activation the ventricle cause by conduction delay
,◉ Indicators of an old MI. Answer: - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
◉ Absolute Contraindications to Exercise Testing. Answer: 1. recent
change in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
***Risk of testing outweigh the benefits***
◉ Absolute indications to Terminate Exercise Testing. Answer: 1. Drop
in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
,7. ST elevation (+1mm) in leads w/o Q waves
◉ Blood Glucose Management with exercise. Answer: - Requires
balance between hepatic glucose production, peripheral glucose uptake,
combined with effective insulin response
- Continuous monitoring
- Regular PA
◉ Dangers of BS of 250-300 mg/dl. Answer: - Urinary Ketones form as
a result of ineffective fat metabolism that contribute to diabetic
ketoacidosis
◉ Ideal blood glucose post Exercise. Answer: > 80 mg/dl
◉ Ideal Blood Glucose before exercise. Answer: > 100 mg/dl
◉ Normal BP response to Exercise. Answer: - Progressive increase in
SBP with workload until plateau in peak exercise
- No change or slight decrease in SP
◉ Bi-ventricular pacemaker. Answer: Deliver innovative therapy-
cardiac resynchronization
Used for CHF to decrease symptoms and increase function
, ◉ Benefits of PA as motivation. Answer: - decrease mortality
- decrease risk of metabolic disease
- weight control
- decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
◉ Bradychardia. Answer: HR < 50 BPM
◉ Bundle Branch Block. Answer: - Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug
use, or electrolyte imbalance
◉ Chronotropic Incompetence. Answer: - HR fails to increase with
increased workload
- achieving <85 % age predicted max HR
- achieving <62% of age predicted max HR on beta blockers
- Predictive of CAD and increased risk of mortality
◉ EKG Changes from metabolic diseases. Answer: - Hypothyroidism:
Decreased sinus rate
- Hyperthyroidsm: Increased sinus rate
PAPER WITH UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS, GRADED A+
◉ 1 large box. Answer: 5mm or 0.2 seconds
◉ 1 small box. Answer: 1mm or 0.04 sec
◉ 1 Rep Max (1RM) Procedure. Answer: 1.) warm up with sub max
reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then estimated max attempt
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
◉ Intraventricular conduction delay. Answer: - wide QRS = >0.1
- refers to disturbances in the intraventricular propagation of
supraventricular impulses resulting in changes in the QRS complex
either in morphology or duration, or both
- abnormal activation the ventricle cause by conduction delay
,◉ Indicators of an old MI. Answer: - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
◉ Absolute Contraindications to Exercise Testing. Answer: 1. recent
change in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
***Risk of testing outweigh the benefits***
◉ Absolute indications to Terminate Exercise Testing. Answer: 1. Drop
in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
,7. ST elevation (+1mm) in leads w/o Q waves
◉ Blood Glucose Management with exercise. Answer: - Requires
balance between hepatic glucose production, peripheral glucose uptake,
combined with effective insulin response
- Continuous monitoring
- Regular PA
◉ Dangers of BS of 250-300 mg/dl. Answer: - Urinary Ketones form as
a result of ineffective fat metabolism that contribute to diabetic
ketoacidosis
◉ Ideal blood glucose post Exercise. Answer: > 80 mg/dl
◉ Ideal Blood Glucose before exercise. Answer: > 100 mg/dl
◉ Normal BP response to Exercise. Answer: - Progressive increase in
SBP with workload until plateau in peak exercise
- No change or slight decrease in SP
◉ Bi-ventricular pacemaker. Answer: Deliver innovative therapy-
cardiac resynchronization
Used for CHF to decrease symptoms and increase function
, ◉ Benefits of PA as motivation. Answer: - decrease mortality
- decrease risk of metabolic disease
- weight control
- decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
◉ Bradychardia. Answer: HR < 50 BPM
◉ Bundle Branch Block. Answer: - Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug
use, or electrolyte imbalance
◉ Chronotropic Incompetence. Answer: - HR fails to increase with
increased workload
- achieving <85 % age predicted max HR
- achieving <62% of age predicted max HR on beta blockers
- Predictive of CAD and increased risk of mortality
◉ EKG Changes from metabolic diseases. Answer: - Hypothyroidism:
Decreased sinus rate
- Hyperthyroidsm: Increased sinus rate
