ACSM Clinical Exercise Physiologist Exam Ques ons and
answers Updated RATED A+ 2025/2026 100% VERIFIED
CORRECT
1 MET = - Correct Answers 3.5 ml/kg/mig
1 large box - Correct Answers 5mm or 0.2 seconds
1 small box - Correct Answers 1mm or 0.04 sec
1 Rep Max (1RM) Procedure - Correct Answers 1.) warm up with sub max reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then es-mated max a.empt
4.) 3-5 min rest a.empt with added weight un-l achieved in 3-5 tries
5.) once a.empt failed- a.empt weight between last 2
Intraventricular conduc-on delay - Correct Answers - wide QRS = >0.1
- refers to disturbances in the intraventricular propaga-on of supraventricular impulses resul-ng
in changes in the QRS complex either in morphology or dura-on, or both
- abnormal ac-va-on the ventricle cause by conduc-on delay
Indicators of an old MI - Correct Answers - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindica-ons to Exercise Tes-ng - Correct Answers 1. recent change in ECG
2. unstable angina
,3. uncontrolled dysrhythmia causing sxs
4. symptoma-c severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocardi-s/pericardi-s
8. suspected / known dissec-ng aneurysm
9. acute systemic infec-on
***Risk of tes-ng outweigh the benefits***
Absolute indica-ons to Terminate Exercise Tes-ng - Correct Answers 1. Drop in SBP > 10
mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficul-es
6. Sustained V-TAch
7. ST eleva-on (+1mm) in leads w/o Q waves
Blood Glucose Management with exercise - Correct Answers - Requires balance between
hepa-c glucose produc-on, peripheral glucose uptake, combined with effec-ve insulin response
- Con-nuous monitoring
- Regular PA
Dangers of BS of 250-300 mg/dl - Correct Answers - Urinary Ketones form as a result of
ineffec-ve fat metabolism that contribute to diabe-c ketoacidosis
Ideal blood glucose post Exercise - Correct Answers > 80 mg/dl
,Ideal Blood Glucose before exercise - Correct Answers > 100 mg/dl
Normal BP response to Exercise - Correct Answers - Progressive increase in SBP with workload
un-l plateau in peak exercise
- No change or slight decrease in SP
Bi-ventricular pacemaker - Correct Answers Deliver innova-ve therapy- cardiac
resynchroniza-on
Used for CHF to decrease symptoms and increase func-on
Benefits of PA as mo-va-on - Correct Answers - decrease mortality
- decrease risk of metabolic disease
- weight control
- decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
Bradychardia - Correct Answers HR < 50 BPM
Bundle Branch Block - Correct Answers - Wide QRS
- usually result from disease in BB's or Ventricular abnormali-es, drug use, or electrolyte
imbalance
Chronotropic Incompetence - Correct Answers - HR fails to increase with increased workload
- achieving <85 % age predicted max HR
- achieving <62% of age predicted max HR on beta blockers
, - Predic-ve of CAD and increased risk of mortality
EKG Changes from metabolic diseases - Correct Answers - Hypothyroidism: Decreased sinus
rate
- Hyperthyroidsm: Increased sinus rate
- Obesity: Increased res-ng HR, BP; Increased PR, QRS, and QT intervals
- Hypothermia: J-point deflec-on
EKG lead placement: V1 and V2 - Correct Answers Right and LeQ Sternal border at the 4th
intercostal space
EKG lead placement: V3 - Correct Answers Midpoint between V2 and V4
EKG Lead placement: V4 - Correct Answers Mid-clavicular line at 5th intercostal space
EKG lead placement: V5 - Correct Answers Anterior axillary line
EKG lead placement: V6 - Correct Answers Mid-axillary line, horizontal to V4 and V5
Effect of Exercise on dyslipidemia - Correct Answers - decrease triglycerides, LDL, total
cholesterol
- increase HDL
- can cause angina or claudica-on
- increase lipoprotein enzyme ac-vity
- increase volume rather then intensity for best results
answers Updated RATED A+ 2025/2026 100% VERIFIED
CORRECT
1 MET = - Correct Answers 3.5 ml/kg/mig
1 large box - Correct Answers 5mm or 0.2 seconds
1 small box - Correct Answers 1mm or 0.04 sec
1 Rep Max (1RM) Procedure - Correct Answers 1.) warm up with sub max reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then es-mated max a.empt
4.) 3-5 min rest a.empt with added weight un-l achieved in 3-5 tries
5.) once a.empt failed- a.empt weight between last 2
Intraventricular conduc-on delay - Correct Answers - wide QRS = >0.1
- refers to disturbances in the intraventricular propaga-on of supraventricular impulses resul-ng
in changes in the QRS complex either in morphology or dura-on, or both
- abnormal ac-va-on the ventricle cause by conduc-on delay
Indicators of an old MI - Correct Answers - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindica-ons to Exercise Tes-ng - Correct Answers 1. recent change in ECG
2. unstable angina
,3. uncontrolled dysrhythmia causing sxs
4. symptoma-c severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocardi-s/pericardi-s
8. suspected / known dissec-ng aneurysm
9. acute systemic infec-on
***Risk of tes-ng outweigh the benefits***
Absolute indica-ons to Terminate Exercise Tes-ng - Correct Answers 1. Drop in SBP > 10
mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficul-es
6. Sustained V-TAch
7. ST eleva-on (+1mm) in leads w/o Q waves
Blood Glucose Management with exercise - Correct Answers - Requires balance between
hepa-c glucose produc-on, peripheral glucose uptake, combined with effec-ve insulin response
- Con-nuous monitoring
- Regular PA
Dangers of BS of 250-300 mg/dl - Correct Answers - Urinary Ketones form as a result of
ineffec-ve fat metabolism that contribute to diabe-c ketoacidosis
Ideal blood glucose post Exercise - Correct Answers > 80 mg/dl
,Ideal Blood Glucose before exercise - Correct Answers > 100 mg/dl
Normal BP response to Exercise - Correct Answers - Progressive increase in SBP with workload
un-l plateau in peak exercise
- No change or slight decrease in SP
Bi-ventricular pacemaker - Correct Answers Deliver innova-ve therapy- cardiac
resynchroniza-on
Used for CHF to decrease symptoms and increase func-on
Benefits of PA as mo-va-on - Correct Answers - decrease mortality
- decrease risk of metabolic disease
- weight control
- decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
Bradychardia - Correct Answers HR < 50 BPM
Bundle Branch Block - Correct Answers - Wide QRS
- usually result from disease in BB's or Ventricular abnormali-es, drug use, or electrolyte
imbalance
Chronotropic Incompetence - Correct Answers - HR fails to increase with increased workload
- achieving <85 % age predicted max HR
- achieving <62% of age predicted max HR on beta blockers
, - Predic-ve of CAD and increased risk of mortality
EKG Changes from metabolic diseases - Correct Answers - Hypothyroidism: Decreased sinus
rate
- Hyperthyroidsm: Increased sinus rate
- Obesity: Increased res-ng HR, BP; Increased PR, QRS, and QT intervals
- Hypothermia: J-point deflec-on
EKG lead placement: V1 and V2 - Correct Answers Right and LeQ Sternal border at the 4th
intercostal space
EKG lead placement: V3 - Correct Answers Midpoint between V2 and V4
EKG Lead placement: V4 - Correct Answers Mid-clavicular line at 5th intercostal space
EKG lead placement: V5 - Correct Answers Anterior axillary line
EKG lead placement: V6 - Correct Answers Mid-axillary line, horizontal to V4 and V5
Effect of Exercise on dyslipidemia - Correct Answers - decrease triglycerides, LDL, total
cholesterol
- increase HDL
- can cause angina or claudica-on
- increase lipoprotein enzyme ac-vity
- increase volume rather then intensity for best results
