ACSM CEP Certification Exam Example Questions/ ACSM-CEP Study Guide. Questions & Answers, 100% Accurate.

ACSM CEP Certification Exam Example Questions/ ACSM-CEP Study Guide. Questions & Answers, 100% Accurate. Which exercise testing protocol is preferable for a deconditioned patient with chronic disease? A. Naughton B. Astrand-Rhyming C. Ellestad D. Bruce - -A. Naughton A 55-year-old man with a height of 69 inches (180cm) undergoes exercise testing. He achieves a peak oxygen consumption of 1.7 L/min and 5.2 METs. Which of the following best describes the client? A. underweight B. normal weight C. overweight D. obese - -C. overweight Phase II cardiac rehab patient with history of MI/PCI experiences chest discomfort and shortness of breath during exercise. The single lead ECG is indeterminate for ST changes. Vitals are as follows - SaO2: 96% HR: 112 bpm BP: 132/88 mmHg Symptoms do not improve with seated rest ad sublingual nitroglycerin. What step is the most appropriate to perform next? A. Check blood glucose B. Obtain a 12-lead ECG C. Give supplemental oxygen D. Have patient perform Valsalva maneuver - -B. Obtain a 12-lead ECG Underweight is classified as a BMI of - -<18.5 kg/m^2 When measuring regional body circumferences, an average of duplicate measures is used provided that those measurements do not differ by more than - -5 mm Which of the following represents the demarcation point of a very high health risk for young women when using WHR? - ->0.86 Which of the following is accepted as the criterion measure of cardiorespiratory fitness? A. Field test performance B. Maximal Volume of oxygen consumed per unite time (VO2max) C. Body fat percentage D. Maximal heart rate (HRmax) - -B. VO2max When estimating VO2max using the YMCA cycle ergometer protocol, which of the following best describes the relationship between HR >110 bpm and 85% APMHR or 70% HRR? A. Logarithmic B. Inverse C. Curvilinear D. Linear - -D. Linear Which of the following variables is unique to the Rockport One-Mile Walking Test's regression equation to estimate VO2max? A. Age B. HR C. Gender D. Body mass - -C. Gender What is the suggested work rate for a deconditioned female individual performing the Astrand-Rhyming cycle ergometer protocol? - -300-450 kgm/min (50-75 watts) The Queens College Step Test (aka McArdle Step Test) is performed for how long? - -3 minutes Which of the following is not a general category for clinical exercise testing? A. Prognosis B. Implementation C. Evaluation D. Diagnosis - -B. Implementation Which of the following is NOT considered the "gold standard" to objectively measure exercise capacity? A. Maximal exercise testing using indirect calorimetry B. Submaximal exercise testing using hemodynamic responses C. Physician exam D. Walk/run field test - -A. Maximal exercise testing using indirect calorimetry Whose legal responsibility is it to supervise the clinical exercise laboratory and interpret clinical exercise testing in a diagnostic setting? - -The supervising physician Which of the following graded exercise protocols is most widely used in the US in a clinical setting? - -Bruce treadmill protocol HR, BP, and ECG should be recorded regularly during the clinical exercise test and through at least _________ of recovery - -6 minutes The normal HR response to incremental exercise is to increase workloads at a HR of _______ per 1 MET. - -10 bpm The purpose of the cool-down period following an exercise session includes all of the following except ___________. A. Gradual recovery of HR B. Gradual recovery of BP C. Improvement in ROM D. Removal of metabolic end products - -A. Gradual recovery of HR What is the frequency of combined aerobic exercise recommended for most adults? - -3-5 d/w Which of the following percentages of HRR would easily classify as Moderate aerobic exercise intensity? A. 34% B. 52% C. 65% D. 91% - -B. 52% Which of the following methods is not recommended for estimating exercise intensity for ExRx? A. HRR B. VO2R C. VT D. % of HRmax - -D. % of HRmax What is the minimum recommended target volume for energy expenditure to promote overall health and well-being in an ExRx? - -500-1000 Met/min/wk What is the minimum recovery time recommended for a muscle group following a resistance training bout? - -48 hours Which of the following is NOT a purpose of physical fitness testing? A. To bring in extra income to pay off other major expenses of the testing company B. To educate participants about their present health and fitness status relative to health related standards and age/sex matches norms C. To motivate participants by establishing reasonable and attainable health/fitness goals D. To allow evaluation of progress following an exercise program and long-term monitoring of patients. - -A. To bring in extra income to pay off other major expenses of the testing company When performing a battery of tests in a single testing session, which of the following orders is most optimal for testing multiple health related components of fitness? Tests: Sit and Reach Test HRrest Queens College Step Test ACSM Push-Up Test - -HRrest, Queens College Step Test, ACSM Push-Up Test, Sit and Reach Test The degenerative loss of muscle mass and strength dur to reduced physical activity and aging is known as _________. - -Sarcopenia Which of the following is NOT a valid test for muscular strength? A. Hand Grip Strength Test B. YMCA Bench Press Test C. 3 RM Bench Press Test D. 10 RM Shoulder Press Test - -B. YMCA Bench Press Test The ____________ skinfold site is performed using a diagonal fold method. - -Suprailiac _________ is NOT a contraindication of maximal exercise testing in the clinical setting. - -Resting SBP between 125 and 140 mmHg or DBP between 60 and 75 mmHg. Clinical exercise testing among adult patients with chronic HF should observe the following recommendation EXCEPT: A. Max exercise testing is reasonable to help determine whether HF is the cause of exercise limitation when the contribution of HF is uncertain. B. Max exercise testing is not a realistic way to identify candidates for cardiac transplantation or other advanced treatments due to inherent risk of heart stress. C. Exercise testing should be considered to detect irreversible myocardial ischemia. D. Exercise testing should be considered to aid in ExRx. - -B. Max exercise testing is not a realistic way to identify candidates for cardiac transplantation or other advanced treatments due to inherent risk of heart stress. _________ pertains to the ability to correctly identify patients who do not have a given condition. - - Specificity ACSM criteria for maximal GXT - -RER >1.10 HR and VO2 plateau (<5 bpm or <150 mL) Blood lacate of >8 mmol/L Borg RPE of 17 or greater Which of the following BP readings would be characteried as hypertension in an adult? A. 100/60 mmHg B. 110/70 mmHg C. 140/90 mmHg D. 120/80 mmHg - -C. 140/90 mmHg The informed consent document __________. - -Provides an explanation of the test to the client. At minimum, professionals performing fitness assessments on others should posses which combination of the following? A. CPR and ACSM EP-C B. ACLS and ACSM EP-C C. ACLS and ACSM CEP D. Only physicians can perform fitness assessments - -A. CPR and ACSM EP-C The optimal ExRx should address which of the following? A. Cardiorespiratory (aerobic) fitness B. Body composition C. Neuromotor D. All of the above - -D. All of the above _______________ involves holding the stretched position using the strength of the agonist muscle as is common in many forms of yoga. - -B. Active static stretching The ACSM recommends a frequency of at least ____ days of moderate exercise or at least ___ days of vigorous exercise per week for aerobic exercise training. - -5;3 If a 175 lb man jogged for 30 minutes at an intensity of 26 ml/kg/min, what would his approximate caloric expenditure be for the entire session? - -310.5 kcal ____________ is not recommended because of the significant chance of injury, severe muscle soreness, and serious complications such as rhabdomyolysis that can ensue. - -Resistance training composed of exclusively of eccentric contractions at very high intensities. Which of the following is NOT true regarding the psychological benefits of regular exercise in the elderly? A. Self-concept B. Life satisfaction C. Stimulate appetite D. Self-efficacy - -C. Stimulate appetite Which statement is true regarding physical activity for children? A. Children should participate in several bouts of physical activity lasting more than 120 minutes each day. B. Children should perform 30 minutes of both moderate and vigorous intensity physical activity on most days of the week. C. Children should focus on just one or two modes of physical activity to develop exceptional skills in those areas. D. Children need to have several periods of 2 hours of more of inactivity during the day in order to have adequate rest. - -B. Children should perform 30 minutes of both moderate and vigorous intensity physical activity on most days of the week. What does the acronym FITT-VP stand for? - -Frequency, Intensity, Time, Type, Volume, Progression Optimal ExRx should contain which of the following? A. Cardiorespiratoy fitness, muscular strength, muscular endurance, flexibility, body composition, and neuromotor fitness. B. Cardiorespiratory fitness, muscular power, muscular force, flexibility, body comp, neuromotor fitness. C. Cardiorespiratory fitness, muscular strength, muscular force, body comp, and neuromotor fitness. D. Cardiorespiratory fitness, muscular power, muscular endurance, flexibility, and body comp. - -A. Cardiorespiratoy fitness, muscular strength, muscular endurance, flexibility, body composition, and neuromotor fitness. According to most ACSM guidelines, in order to gain health benefits, it is recommended that moderate physical activity should be performed how many d/w? - -5 d/w For health benefits, it is recommended that vigorous PA should be performed how many d/w? - -3 d/w Moderate exercise is considered to be _________. - -40-49% HRR or VO2R Vigorous exercise is considered to be ___________. - -60-89% HRR or VO2R The recommended exercise duration for moderate exercise is ________. - -30-60 min/d When using a pedometer, how many steps should most individuals achieve? - -7,000 steps/d Muscular fitness refers to _______. - -Muscular endurance, muscular power, and muscular strength. Ideal resistance training volume for most adults should be ______. - -2-4 sets w/8-12 reps Which of the following meds is designed to modify blood cholesterol levels? A. Nitrates B. Beta-Blockers C. Antihyperlipidemics D. Aspirin - -C. Antihyperlipidemics Which of the following represents more than 90% of the fat stored in the body and is composed of a glycerol molecule connected to three fatty acids? A. Phospholipids B. Cholesterol C. Triglycerides D. Free fatty acids - -C. Triglycerides Which of the following BP readings represents the prehypertension category in adults? A. 100/60 mmHg B. 110/70 mmHg C. 160/90 mmHg D. 118/84 mmHg - -D. 118/84 mmHg For every 1 MET increase in exercise intensity during submaximal exercise, SBP should increase by ______. - -Approximately 10 mmHg Which of the following would NOT terminate a maximal or submaximal exercise test in a low-risk adult? A. Subject requests to stop B. SOB C. A slight decrease in diastolic pressure D. Failure to raise HR w/intensity - -C. A slight decrease in diastolic pressure ACSM recommends how many reps of each exercise for muscular endurance? - -15-25 reps ACSM recommends that, in apparently health individuals, aerobic exercise intensity prescribed is _______. - -60-90% HRR or VO2R For higher intensity activities _______ - -the risk of orthopedic and cardiovascular complications are increased What is the recommended rep range when resistance training adults for general muscular fitness? - -8-12 reps Feeling good about being able to perform an activity or skill, such as finally being able to run a mile or to increase the speed of walking a mile is an example of _________. - -Intrinsic reward In the dietary guidelines for Americans, it is recommended that adults need at least ____ minutes of moderate-intensity exercise and should perform muscle strengthening exercise on _____ or more d/w. - -150;2 The health belief model assumes that people will engage in a behavior, such as exercise, when ______. - -There is a perceived threat of disease. If a client exercise too much w/o rest days or develops a minor injury and does not allow time to heal the injury, what can occur? - -An overuse injury Which of the following is a FALSE statement regarding an informed consent? A. Informed consent is not a legal document. B. The informed consent does not provide legal immunity to a facility or individual in the even of injury to an individual. C. Negligence, improper test administration, inadequate personnel qualification, and insufficient safety procedures are all items that are expressly covered by the informed consent. D. The consent form does not relieve the facility or individual of the responsibility to do everything possible to ensure the safety of the individual. - -C. Neglig