Acsm Ccep Exam Questions With Verified Solutions

physical activity - Answer body movement produced by contraction of skeletal muscles that results in caloric requirements over resting energy expenditure exercise - Answer purposeful body movement that is planned, structured, and repetitive, and that improves or maintains physical fitness informed consent - Answer includes: purpose/explanation, risks, responsibilities/expectations, benefits, further questions, HIPAA, and freedom of consent O2 and exercise - Answer increased max O2 uptake from central and peripheral adaptations ventilation adaptations - Answer decreased minute ventilation at given absolute submaximal intensity myocardial O2 adaptation - Answer decreased cost at given submax intensity capillary adaptation - Answer increased density HR and BP adaptations - Answer decreased at submax intensity SBP and DBP decrease lactate threshold adaptation - Answer increased threshold exercise threshold adaptations - Answer increased exercise threshold for onset of signs and symptoms cholesterol adaptations - Answer increased HDL decreased serum triglycerides body fat adaptations - Answer decreased total body fat and intra-abdominal fat insulin adaptations - Answer reduced insulin needs and improved glucose tolerance blood adapatations - Answer decreased blood platelet adhesiveness and aggregation inflammation adaptation - Answer decreased inflammation decreased morbidity and mortality - Answer primary and secondary prevention lower death rates from CAD lower incidence of disease (higher activity) CV and all cause mortality reduced in MI patients other benefits of exercise - Answer decreased anxiety and depression improved cognitive function increased well-being and QOL improved sleep quality and efficiency enhanced work performance reduced risk of falls prevention and mitigation improved physical function and independence does not engage in regular exercise medical clearance not necessary - Answer no metabolic, CV, or renal disease no S&S of CV, metabolic or renal disease does not engage in regular exercise medical clearance recommended - Answer known disease AND asymptomatic any S&S of disease regardless of disease status participates in regular PA medical clearance not necessary - Answer no disease or S&S of disease medical clearance for vigorous but not moderate PA - Answer known disease and asymptomatic discontinue and seek medical clearance - Answer any S&S of disease regardless of status high risk stratification - Answer LVEF 40% survivor of cardiac arrest or sudden death complex vent. dysrhythmias (v-tach, multiform pvc's) at rest or with exercise MI, cardiac surgery complicated by cardiogenic shock, CHF, S&S of post procedure ischemia abnormal hemodynamics significant silent ischemia S&S at low levels of exercise (5.0 mets) max functional capacity 5.0 mets clinically significant depression or depressive symptoms moderate risk stratification - Answer LVEF= 40-50% S&S including angina at moderate levels of exercise or in recovery mild to moderate silent ischemia low risk stratification - Answer LVEF 50% no resting or exercise-induced complex dysrhythmias uncomplicated MI, CABG, angioplasty, cath, or stent (absence of CHF) normal hemodynamic responses/ECG asymptomatic max functional capacity at least 7.0 mets absence of clinical depression/symptoms age defining criteria - Answer men /= 45 yrs women /= 55 yrs family history defining criteria - Answer myocardial infarction, coronary revascularization, or sudden death: before 55 yrs in father or 1st degree male relative before 65 yrs in mother or 1st degree female relative cigarette smoking defining criteria - Answer current smoker or quit in previous 6 months or environmental exposure physical inactivity defining criteria - Answer not meeting minimum threshold of 75-150 minutes of moderate to vigorous PA (500-1000 mets) BMI/waist circumference defining criteria - Answer BMI /= 30 kg-m2 WC 102 in men WC 88 in women blood pressure defining criteria - Answer SBP /= 130 mmHg and/or DBP /= 80 mmHg (based on average of 2 or more readings on 2 or more occasions [or on hypertensive meds]) lipids defining criteria - Answer LDL /= 130 mg dL HDL 40 in men or 50 in women uses lipid lowering medication total serum /= 200 mg dL blood glucose defining criteria - Answer fasting plasma glucose /= 100 mg dL 2 hr plasma glucose values /= 140 mg dL HbA1C /= 5.7 medical history - Answer a record of past health problems and illnesses acute MI within 2 days - Answer absolute contra