ACSM Certified Exercise Physiologist Exam. 472
Questions and Correct Answers With Complete
Solution. Updated 2024/2025.
Def. of Physical Activity
Any bodily movement produced by the contraction of skeletal muscles that results in a substantial
increase in caloric requirements over resting energy expenditure
Def. of Exercise
Type of PA consisting of planned, structured and repetitive bodliy movement done to improve and/or
maintain one or more components of physical fitness
Def. of Physical Fitness
Set of attributes or characteristics individuals have or achieve that relates to their ability to perform PA
usually separated into health-related and skill-related components of PF
Health-related physical fitness components (5)
Cardiorespiratory endurance
Body composition
muscular strength
muscular endurance
flexibility
The ability of the circulatory and respiratory system to supply oxygen during sustained PA
cardiorespiratory endurance
the relative amounts of muscle, fat, bone, and other vital parts of the body
body composition
the ability of a muscle to exert force
muscular strength
the ROM available at a joint
flexibility
skill-related components of physical fitness (6)
agility
coordination
balance
power
,speed
reaction time
the ability or rate at which one can perform work
power
the time elapsed between stimulation and the beginning of the reaction to it
reaction time
the ability to perform a movement within a short period of time
speed
the maintenance of equilibrium while stationary or moving
balance
the ability to use the senses such as sight and hearing, together with body parts performing tasks
smoothly and accurately
coordination
Metabolic equivalent def & resting level
the energy cost of PA at a certain level; amount of oxygen being used to perform a particular activity
3.5 ml/kg/min
Light PA in METs
< 3 METs
Moderate PA in METs
3-5 METs
Vigorous PA in METs
6 + METs
ACSM & AHA's exercising recommendations
- Moderate intensity aerobic PA for 30 mins/ 5 days a week OR
-Vigorous intensity aerobic PA for 20 mins/ 3 days a week
-Activities that maintain/ increase muscular strength and endurance 2 days a week
Surgeon Generals PA recommendations
-150 min of aerobic MI/week
-75 min of aerobic VI/week
or
-Equivalent of both that meets either regimen
,*addit. benefits seen with 150 mins/week of VI
*addit. benefits seen with 300 min/week MI
recommended to break down in increments; reduces injury chances
An inverse relationship between regular PA and..... (15)
-Premature mortality
-CVD/CAD
-HTN
-Stroke
-Osteoperoisis
-T2DM
-Metabolic Syndrome
-Obesity
-Colon Cancer
-Breast cancer
-Depression
-Functional health
-Falls
-Cognitive function
Order in which to determine risk stratification
-Any known CV, pulmonary or metabolic diseases?
-Signs or symptoms?
-Risk factors
CV diseases (3)
-Cardiac
-Peripheral vascular
-Cerebrovascular
Pulmonary diseases (4)
-COPD
-Asthma
-Interstitial lung disease
-Cystic fibrosis
Metabolic diseases (3)
-T1DM
-T2DM
-Renal disease
Major signs and symptoms (9)
, -Pain, discomfort, angina equivalent
-Dizziness or syncope
-Intermittent claudication
-Known heart murmur
-ankle edema
-SOB at rest or DOE
-Orthopnea or paroxysmal
nocturnal dyspnea
-Palpitations or tachycardia
-Unusual fatigue or SOB w/ usual activities
Where can pain, discomfort, or anginal equivalent be located?
Chest, neck, jaws, arms, other areas resulting from ischemia
What characteristics favor ischemic origin?
*Cardinal sign of CVD*
-Constricting, squeezing, burning, heaviness feeling
-Substernal, across midthorax, anteriorly; in one or both arms or shoulders; in neck, cheeks, teeth,
forewarms, in fingers interscapular region
-Brought on by exercise or exertion, excitement, stress, cold weather, after meals
Def. of dyspnea
abnormally uncomfortable awareness of breathing; principal symptom of CVD and pulmonary disease
When does dyspnea commonly occur and when should it be considered abnormal?
During strenuous exertion in well trained individual; moderate exertion in untrained individuals
Abnormal when abnormal to patient at type of exercise
what is syncope and what commonly causes it?
loss of consciousness, typically causes by reduced perfusion to the brain
what is orthopnea? what is it a symptom of?
Questions and Correct Answers With Complete
Solution. Updated 2024/2025.
Def. of Physical Activity
Any bodily movement produced by the contraction of skeletal muscles that results in a substantial
increase in caloric requirements over resting energy expenditure
Def. of Exercise
Type of PA consisting of planned, structured and repetitive bodliy movement done to improve and/or
maintain one or more components of physical fitness
Def. of Physical Fitness
Set of attributes or characteristics individuals have or achieve that relates to their ability to perform PA
usually separated into health-related and skill-related components of PF
Health-related physical fitness components (5)
Cardiorespiratory endurance
Body composition
muscular strength
muscular endurance
flexibility
The ability of the circulatory and respiratory system to supply oxygen during sustained PA
cardiorespiratory endurance
the relative amounts of muscle, fat, bone, and other vital parts of the body
body composition
the ability of a muscle to exert force
muscular strength
the ROM available at a joint
flexibility
skill-related components of physical fitness (6)
agility
coordination
balance
power
,speed
reaction time
the ability or rate at which one can perform work
power
the time elapsed between stimulation and the beginning of the reaction to it
reaction time
the ability to perform a movement within a short period of time
speed
the maintenance of equilibrium while stationary or moving
balance
the ability to use the senses such as sight and hearing, together with body parts performing tasks
smoothly and accurately
coordination
Metabolic equivalent def & resting level
the energy cost of PA at a certain level; amount of oxygen being used to perform a particular activity
3.5 ml/kg/min
Light PA in METs
< 3 METs
Moderate PA in METs
3-5 METs
Vigorous PA in METs
6 + METs
ACSM & AHA's exercising recommendations
- Moderate intensity aerobic PA for 30 mins/ 5 days a week OR
-Vigorous intensity aerobic PA for 20 mins/ 3 days a week
-Activities that maintain/ increase muscular strength and endurance 2 days a week
Surgeon Generals PA recommendations
-150 min of aerobic MI/week
-75 min of aerobic VI/week
or
-Equivalent of both that meets either regimen
,*addit. benefits seen with 150 mins/week of VI
*addit. benefits seen with 300 min/week MI
recommended to break down in increments; reduces injury chances
An inverse relationship between regular PA and..... (15)
-Premature mortality
-CVD/CAD
-HTN
-Stroke
-Osteoperoisis
-T2DM
-Metabolic Syndrome
-Obesity
-Colon Cancer
-Breast cancer
-Depression
-Functional health
-Falls
-Cognitive function
Order in which to determine risk stratification
-Any known CV, pulmonary or metabolic diseases?
-Signs or symptoms?
-Risk factors
CV diseases (3)
-Cardiac
-Peripheral vascular
-Cerebrovascular
Pulmonary diseases (4)
-COPD
-Asthma
-Interstitial lung disease
-Cystic fibrosis
Metabolic diseases (3)
-T1DM
-T2DM
-Renal disease
Major signs and symptoms (9)
, -Pain, discomfort, angina equivalent
-Dizziness or syncope
-Intermittent claudication
-Known heart murmur
-ankle edema
-SOB at rest or DOE
-Orthopnea or paroxysmal
nocturnal dyspnea
-Palpitations or tachycardia
-Unusual fatigue or SOB w/ usual activities
Where can pain, discomfort, or anginal equivalent be located?
Chest, neck, jaws, arms, other areas resulting from ischemia
What characteristics favor ischemic origin?
*Cardinal sign of CVD*
-Constricting, squeezing, burning, heaviness feeling
-Substernal, across midthorax, anteriorly; in one or both arms or shoulders; in neck, cheeks, teeth,
forewarms, in fingers interscapular region
-Brought on by exercise or exertion, excitement, stress, cold weather, after meals
Def. of dyspnea
abnormally uncomfortable awareness of breathing; principal symptom of CVD and pulmonary disease
When does dyspnea commonly occur and when should it be considered abnormal?
During strenuous exertion in well trained individual; moderate exertion in untrained individuals
Abnormal when abnormal to patient at type of exercise
what is syncope and what commonly causes it?
loss of consciousness, typically causes by reduced perfusion to the brain
what is orthopnea? what is it a symptom of?
