ACSM EP-C Exam Questions With Correct Answers

3 Tools that provide accurate information for health and fitness assessments - Answer 1. physical activity Readiness - Questionnaire (PAR-Q) 2. CVD Risk Factor assessment and classification by qualified health/fitness, clinical exercise, or health care professionals 3. medical evaluation including a physical examination and stress test by a qualified health care provider What is the minimum requirement when getting accurate information for health and fitness assessments - Answer PAR-Q Key Components of Medical History (10 things) - Answer 1. medical diagnosis of a prior illness 2. previous physical exam findings 3. history of symptoms 4. recent illnesses/procedures, etc. 5. orthopedic problems 6. medication use 7. habits 8. exercise history 9. work history 10. family history 7 components of informed consent - Answer 1. purpose & explanation of test 2. attendant risks & discomforts 3. responsibilities of participant 4. benefits to be expected 5. inquires (Questions) 6. use of medal records 7. freedom of consent limitation of a PAR-Q? - Answer it can only be identify those who are at high risk - can't tell between low or moderate risk limitation of informed consent/health history forms? - Answer most forms don't make recommendations based on intensity of the proposed exercise program how many POSITIVE risk factors are there? - Answer 8 what are the 8? - Answer 1. age 2. family history 3. smoking 4. sedentary life 5. obesity 6. hypertension 7. dyslipidemia 8. pre-diabetes positive risk factor for AGE: men & women - Answer MEN: greater than or = 45 WOMEN: greater than or = 55 positive risk factor for FAMILY HISTORY - Answer heart attack, coronary revascularization or sudden death in family BEFORE age 55 (in dad or 1st degree relative) OR heart attack, coronary revascularization or sudden death BEFORE age 65 (in mom or 1st degree relative) positive risk factor for SMOKING - Answer current smoker OR quit in the past 6 months positive risk factor for SEDENTARY - Answer not doing 30 min of moderate intensity PA (40%-60% VO2R) on at least 3 days of the week for at least 3 months Positive Risk Factor for OBESITY - Answer BMI: greater than or = 30 kg/m2 Waist Girth for MEN: greater than 40 in/102cm Waist Girth for WOMEN: greater than 35in/88cm Positive Risk Factor for HYPERTENSION - Answer SBP: greater than or = 140mmHg DBP: greater than or = 90mmHg OR on medication Positive Risk Factor for DYSLIPIDEMIA - Answer LDL: greater than or = 130mg/dL HDL: greater than or = 40mg/dL OR on lipid-lowering meds Positive Risk Factor for PRE DIABETES - Answer Impaired Fasting Glucose (IFG): greater than or = 100mg/dL & less than or = 125mg/dL Impaired Glucose Tolerance (IGT): greater than or = 140 & less than or = 199 Negative Risk Factor - Answer HDL: greater than or = 60 If pre-diabetes criteria is missing or unknown... - Answer pre-diabetes should only be counted for those greater than or = 45yr if less than 45 yr, pre-diabetes should only be counted if BMI is... - Answer greater than or = 25 if there is no CVD risk factor mentioned... - Answer it should be counted unless they have pre-diabetes 9 major signs/symptoms that suggest cardiovascular, pulmonary and metabolic disease - Answer 1. pain in chest, neck, jaw or arms 2. shortness of breath at rest or mild exertion 3. dizziness or syncope 4. orthopnea 5. ankle edema 6. palpitations/tachycardia 7. intermittent claudication 8. known heart murmer 9. unusual fatigue/shortness of breath with usual activities Low Risk for before exercise test/program - Answer -Asymptomatic with less than 2 risk factors -No medical exam required -No exercise stress test required before mod or vig activity -No MD supervision Moderate Risk for before exercise test/program - Answer -Asymptomatic with greater than or = 2 risk factors -Med exam required for vig exercise but not mod -No exercise stress test required -No MD supervision High Risk for before exercise test/program - Answer -Symptomatic -Any known cardiovascular, pulmonary, renal or metabolic disease -Yes to everything else 6 modifiable risk factors - Answer 1. smoking 2. obesity 3. sedentary lifestyle 4. pre-diabetes 5. hyperlipidemia 6. dyslipidemia Normal BP level - Answer SBP: less than 120 DBP: less than 80 Pre-hyperensive BP level - Answer SBP: 120-139 DBP: 80-89 Hypertensive BP level - Answer SBP: greater than or = 140 DBP: greater than or = 90 optimal LDL Cholesterol - Answer less then 100 Near optimal/above optimal LDL Cholesterol - Answer 100-129 borderline high LDL Cholesterol - Answer 130-159 high LDL Cholesterol - Answer 160-189 very high LDL Cholesterol - Answer greater than or = 190 how many ABSOLUTE conditions for Exercise testing - Answer 9 what are they - Answer 1. recent significant change in the resting EKG suggesting ischemia or heart attack 2. unstable angina 3. uncontrolled rhythms 4. symptomatic severe aortic stenosis 5. uncontrolled symptomatic heart failure 6. acute pulmonary infarction 7. acute myocarditis 8. suspected dissecting aneurysmm 9. acute systemic infection w/ fever, body aches, or swollen lymph glands patients with absolute contraindications...should not or should... perform exercise tests until such conditions are stabilized/treated - Answer should NOT how many RELATIVE conditions for Exercise testing - Answer 12 what are they? - Answer • Left main coronary stenosis • Moderate stenotic valvular heart disease • Electrolyte abnormalities • Severe arterial hypertension at rest (SBP of 200 mmHg and/or a DBP of 110 mmHg) • Tachydysrhythmia or bradydysrhythmia • Hypertrophic cardiomyopathy • Neuromotor, musculoskeletal, or rheumatoid disorders that are exacerbated by exercise • High-degree AV block • Ventricular aneurysm • Uncontrolled metabolic disease (e.g., diabetes, thyrotoxicosis, or myxedema)' • Chronic infectious disease (e.g., HIV) • Mental or physical impairment leading to inability to exercise adequatel proper order or assessments for heath related physical fitness testing (7 things) - Answer 1. pre-screening/risk classification 2. take resting HR, BP, height, weight BMI and ECG (if appropriate) 3. body comp (waist and skin) 4. cardiorespiratory fitness (max or sub max test on bike or treadmill) 5. muscular strength 1 or more RM upper and lower body (bench press & leg press) lar endurance (curl up, push up, or bench press) 7. flexibility (sit and reach) take another circumference measurement if... - Answer measurements are not within 5 mm Risk Criteria for waist circumference WOMEN: very low - Answer less than 70cm (28.5in) Risk Criteria for waist circumference WOMEN: low - Answer 70-89 cm (28.5-35in) Risk Criteria for waist circumference WOMEN: high - Answer 90-110 (35.5-43) Risk Criteria for waist circumference WOMEN: very high - Answer greater than 110 (43.5in) Risk Criteria for waist circumference MEN: very low - Answer less than 80 cm (31.5 in) Risk Criteria for waist circumference MEN: low - Answer 80-99 cm (31.5-39 in) Risk Criteria for waist circumference MEN: high - Answer 100-120 cm (39.5-47 in)