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ACSM CLINICAL EXERCISE PHYSIOLOGIST
EXAM 2025 | CERTIFIED QUESTIONS WITH
ANSWERS
Factors for a valid VO2 Max? - correct-answer-RER > 1.1
Lactate >8mmol/L
RPE>18
Plateu in VO2
HR @ age predicted max
Drug has half life of 4 hours. IF given 1000mg, what concentration is left after 12
hours. - correct-answer-125mg
Can HR max be changed with training? - correct-answer-NO
How many factors must we see for Valid Vo2 max test? - correct-answer-3
RER vs RQ - correct-answer-RER: co2 expired/ o2 consumed at mouth
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RQ: Co2 produced by cell metabolism/ o2 used by tissues
What variable caueses VO2 max to increase with training? - correct-answer-Stroke
volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - correct-answer-
buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - correct-
answer-- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - correct-answer-
Only if they have S/S
Acute EXSC affect on leukocytes? - correct-answer-INC concentration
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Gold std for diagnosing cardiac issues - correct-answer-Cardiac catheterization
ST segment elevation vs depression - correct-answer-Elevation: Myocardial
infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - correct-answer--
Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - correct-answer-250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? -
correct-answer-VERY slow to return to resting levels
Primary cause of type 2! diabetes? - correct-answer-Inflammation
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S/S of diabetes mellitus: - correct-answer-Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Relative Contraindications to Exercise Testing - correct-answer-- Known
obstructive left main coronary artery stenosis
- Moderate aortic stenosis
- Taccharythmias
- Advanced or complete heart block
- Recent stroke
- resting hypertension: >200/110
- Uncorrected medical conditions: electrolyte imbalaces, significant anemia,
hyperthyroidism
Terminating a symptom limiting max exercise test - correct-answer-ABSOLUTE:
- ST elevation >1
- Drop in systolic >10 w/ increased workload
- Moderate/severe angina
- Ataxia, diziness, syncope
- poor perfusion (cyanosis, pallor)
- Sustained V-tach
- 2nd or 3rd degree block
ACSM CLINICAL EXERCISE PHYSIOLOGIST
EXAM 2025 | CERTIFIED QUESTIONS WITH
ANSWERS
Factors for a valid VO2 Max? - correct-answer-RER > 1.1
Lactate >8mmol/L
RPE>18
Plateu in VO2
HR @ age predicted max
Drug has half life of 4 hours. IF given 1000mg, what concentration is left after 12
hours. - correct-answer-125mg
Can HR max be changed with training? - correct-answer-NO
How many factors must we see for Valid Vo2 max test? - correct-answer-3
RER vs RQ - correct-answer-RER: co2 expired/ o2 consumed at mouth
,2|Page
RQ: Co2 produced by cell metabolism/ o2 used by tissues
What variable caueses VO2 max to increase with training? - correct-answer-Stroke
volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - correct-answer-
buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - correct-
answer-- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - correct-answer-
Only if they have S/S
Acute EXSC affect on leukocytes? - correct-answer-INC concentration
,3|Page
Gold std for diagnosing cardiac issues - correct-answer-Cardiac catheterization
ST segment elevation vs depression - correct-answer-Elevation: Myocardial
infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - correct-answer--
Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - correct-answer-250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? -
correct-answer-VERY slow to return to resting levels
Primary cause of type 2! diabetes? - correct-answer-Inflammation
, 4|Page
S/S of diabetes mellitus: - correct-answer-Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Relative Contraindications to Exercise Testing - correct-answer-- Known
obstructive left main coronary artery stenosis
- Moderate aortic stenosis
- Taccharythmias
- Advanced or complete heart block
- Recent stroke
- resting hypertension: >200/110
- Uncorrected medical conditions: electrolyte imbalaces, significant anemia,
hyperthyroidism
Terminating a symptom limiting max exercise test - correct-answer-ABSOLUTE:
- ST elevation >1
- Drop in systolic >10 w/ increased workload
- Moderate/severe angina
- Ataxia, diziness, syncope
- poor perfusion (cyanosis, pallor)
- Sustained V-tach
- 2nd or 3rd degree block
