ACSM 2023 CPT EXAM Questions and Answers

Use new client intake form to qualify client -Assess compatibility, goals, scope, style, schedule -Exchange contact info and schedule preferences -Discuss medical considerations and limitations; assess risk and need for medical release form -Schedule initial client consultation -Provide service intro package - ANSWER Components of Initial Contact/Interview Prep -Process, preparation- what to wear, eat and expect -Day, time, length of next meeting -Remind them about returning completed forms -Allow them to contact you or ask questions - ANSWER What should be communicated to the client about the initial consultation? -AHA/ACSM Health/Fitness facility pre-participation screening questionnare, PAR-Q, informed consent, medical clearance form, waiver, trainer-client contract, HIPAA, organizational procedures and policies - ANSWER What must be completed by client prior to initial client interview? All health history, especially any heart problems or signs and symptoms of CVD -Other diseases such as diabetes, asthma, muscle issues -Recent hospitalizations, illness, diagnoses, or surgical procedures -Work history, espe physical demands -Lab findings such as plasma glucose, serum lipids and lipoproteins, or other significant abnormalities -Previous physical exam findings such as murmurs, clicks, gallops, and other unusual cardiac and vascular findings; as well as abnormal pulmonary findings, high BP and edema -If they are on prescriptions -Risk factors for CVD - ANSWER What does a health/medical history include? PAR-Q or AHA/ACSM Health/Fitness facility pre-participation screening questionnare -CVD risk factor assessment and classification by qualified health/fitness, clinical exercise, or health care professionals -Medical evaluation including a physical exam and stress test by a qualified health care provider - ANSWER What does pre-participation health screening include? -Discomfort (angina, ischemia) in chest, neck, jaw or arms that may result from ischemia -Shortness of breath and rest or with mild exertion -Dizziness or loss of consciousness (syncope) -Bilateral ankle edema -Palpitations or tachycardia -Intermittent claudication (pain in a muscle with inadequate blood supply, usually a result of atherosclerosis)-stressed by exercise -Known heart murmer -Unusual fatigue or shortness of breath with usual activities - ANSWER Signs and symptoms of cardiovascular, metabolic or pulmonary disease -Recent change in ECG suggesting significant ischemia, recent myocardial infarction within two days, or other acute cardiac event -Unstable angina -Uncontrolled cardiac dysrhythmias -Symptomatic, severe aortic stenosis -Uncontrolled, symptomatic heart failure -Acute pulmonary embolos or pulmonary infarction - ANSWER Absolute contraindications to exercise testing -Acute myocarditis or pericarditis -Suspected or known dissecting aneurysm -Acute systemic infection, accompanied by fever, body aches or swollen lymph glands - ANSWER More absolute contraindications to exercise testing -Left main coronary stenosis -Moderate stenotic valvular heart disease -Electrolyte abnormalities -Severe arterial hypotension with SBP> 200, DBP>110 at rest -Tachy/bradydysrhythmias -Hypertrophic cardiomyopthy, or other forms of outflow track obstruction - ANSWER Relative contraindications to exercise testing -Neuromotor, musculoskeletal or rheumatoid disorders that are exascerbated by exercise -High degree AV block -Ventricular aneurysm -Uncontrolled metabolic disease such as diabetes, thyrotoxicosis -Chronic infectious disease such as HIV -Mental or physical impairment leading to inability to exercise adequately - ANSWER Relative contraindications to exercise testing, continued Increase in muscle size from remodeling of proteins- increase of muscle cell size - ANSWER Hypertrophy Muscle wasting. Can occur after prolonged immobility or can be from a disease - ANSWER Atrophy