Prep U ACSM EP-C Exam Practice
Questions and Answers 2025 Graded
to Pass.
Longitudinal Muscle - Answer A muscle that produces low force and has a high contractile rate
is classified as a _________
Dorsiflexion; talus - Answer The ankle's most stable position is in ______ due to the overall
shape of the ______
Moderate Risk - Answer During the pre-participation screening your client is determined to
have 4 risk factors. This is considered to be:
Contraindication - Answer A reason or rationale NOT to perform exercise or testing
Rating of Perceived Exertion (RPE) - Answer If difficulties are encountered in calculating
percentage VO2max for prescribing exercise intensity in cases of cardiac disease, the EP-C
should instead consider
flexion; extension - Answer A posterior pelvic tilt produces lumbar _____ and an anterior
pelvic tilt produces lumbar _____
transverse plane - Answer Pronation of the radioulnar joint occurs in:
Sagittal plane; flexion/extension - Answer The facet joints of the lumbar spine are oriented in
the _____ which primarily allows _____ motions
Supraliac - Answer Which of the following utilizes a DIAGONAL fold when assessing body
composition via skinfold calipers
Unable to externally rotate the shoulder joint past 60 degrees - Answer While supine, your
client performs ROM on the shoulder joint. She displays tightness in the infraspinatus and teres
minor. You were led to this conclusion because the client was:
,Sagittal
Explanation:
Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the
sagittal plane. Pg 98 - Answer Deviations in which plane are referred to as hyperlordosis:
4 compartments of the lower limb - Answer 1. Superficial posterior compartment (i.e.
posterior tibial compartment on PrepU) (gastrocnemius, soleus, plantaris)
2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum
longus)
3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis)
4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis longus.
1, 2, 3 are plantarflexion
4 is dorsiflexion
Which of the following is MOST accurate regarding exercise testing and pregnant women? -
Answer Submaximal exercise testing is more appropriate, however rarely indicated.
Aerobic Exercise Training - Answer Which of the following has the greatest effect on the
reduction of blood pressure
Kinesiology - Answer The study of the mechanics of human movement is called:
Dyslipidemia - Answer Total 200 mg/dL or HDL <40 mg/dL or LDL >130 mg/dL
horizontal abduction - Answer What joint action of the shoulder is performed during a reverse
cable fly or a reverse dumbbell fly
extension; sagittal - Answer Concentric contraction of the triceps brachii muscle causes _____
in the _____ plane
Total peripheral resistance may drop slightly - Answer During graded exercise, which of the
following occurs due to large muscle vasodilation?
,Narrow the base of support - Answer To manipulate the intensity and increase the challenge
of balance-related training, you should:
Decreased body weight - Answer For most clients, a positive effect of consistent energy deficit
is:
100% fruit juice - Answer Which of the following counts as part of the fruit group:
The correlation between obesity and increased chronic disease risk - Answer One of the MOST
important reasons for assessment of your client's body composition is:
Color your plate - Answer Which of the following is a key recommendation of the 2010 USDA
dietary guidelines
gluteus maximus, biceps femoris, semitendinosus, and semimembranosus
(Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to this
specific question, but its worth knowing all 4 of the muscles are responsible for the action of hip
extension) - Answer Which of the following is responsible for hip extension:
Terminate the assessment - Answer You are performing a submaximal treadmill test for your
client in which you are gradually increasing the speed and grade. You observe a normal
response to heart rate and blood pressure during the first several stages. During the next
increase in speed and grade, you observe that SBP drops about 12 mm Hg. You should:
Refrain from drinking any caffeinated beverages 30 minutes prior to the assessment. - Answer
You are ready to proceed with scheduling a fitness assessment with your client tomorrow. To
get the most accurate heart rate response, you instruct your client to:
Arteriovenous oxygen difference - Answer Which of the following cardiac variables will
increase as a result of regular aerobic training at a submaximal effort?
Oriented toward the ceiling. - Answer During the supine rotational stretch, it is important to
have the abdomen:
, Jumps in place - Answer Which of the following is MOST appropriate for a novice athlete
starting plyometric training
Modifying the order of exercises - Answer To accomplish progressive overload, increase the
intensity and/or volume by increasing resistance, increasing the number of sets/reps exercises,
or:
Benefit; risk - Answer Pre-participation health screenings during initial client consultation help
the EP-C to maximize ______ and minimize _______ risk
What would be a good target heart rate range for a moderately trained female, age 42, with a
resting heart rate of 60? - Answer 143 to 154 bpm
Explanation:
Moderately trained individuals may find that 70% to 80% VO2max provides a sufficient training
stimulus. p. 403
1:10 - Answer What is the recommended work-to-rest ratio when performing depth jumps:
lactate - Answer A proper cool-down allows the body to help remove
Terminate the Assessment - Answer You are performing a submaximal treadmill test for your
client in which you are gradually increasing the speed and grade. You observe a normal
response to heart rate and blood pressure during the first several stages. During the next
increase in speed and grade, you observe that SBP drops about 12 mm HG. You should:
Plyometric training - Answer Which of the following provides ideal stress on the bone to
promote adaptations in the bone:
Which of the following assesses anaerobic capacity? - Answer 300-yard shuttle run
Explanation:
Anaerobic capacity can be assessed with 300-yard shuttlerun and the line drill. p 501
Altering rest intervals - Answer To accomplish progressive overload, increase the intensity
and/or volume by increasing resistance, increasing the number of sets/reps/exercises, or:
Questions and Answers 2025 Graded
to Pass.
Longitudinal Muscle - Answer A muscle that produces low force and has a high contractile rate
is classified as a _________
Dorsiflexion; talus - Answer The ankle's most stable position is in ______ due to the overall
shape of the ______
Moderate Risk - Answer During the pre-participation screening your client is determined to
have 4 risk factors. This is considered to be:
Contraindication - Answer A reason or rationale NOT to perform exercise or testing
Rating of Perceived Exertion (RPE) - Answer If difficulties are encountered in calculating
percentage VO2max for prescribing exercise intensity in cases of cardiac disease, the EP-C
should instead consider
flexion; extension - Answer A posterior pelvic tilt produces lumbar _____ and an anterior
pelvic tilt produces lumbar _____
transverse plane - Answer Pronation of the radioulnar joint occurs in:
Sagittal plane; flexion/extension - Answer The facet joints of the lumbar spine are oriented in
the _____ which primarily allows _____ motions
Supraliac - Answer Which of the following utilizes a DIAGONAL fold when assessing body
composition via skinfold calipers
Unable to externally rotate the shoulder joint past 60 degrees - Answer While supine, your
client performs ROM on the shoulder joint. She displays tightness in the infraspinatus and teres
minor. You were led to this conclusion because the client was:
,Sagittal
Explanation:
Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the
sagittal plane. Pg 98 - Answer Deviations in which plane are referred to as hyperlordosis:
4 compartments of the lower limb - Answer 1. Superficial posterior compartment (i.e.
posterior tibial compartment on PrepU) (gastrocnemius, soleus, plantaris)
2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum
longus)
3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis)
4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis longus.
1, 2, 3 are plantarflexion
4 is dorsiflexion
Which of the following is MOST accurate regarding exercise testing and pregnant women? -
Answer Submaximal exercise testing is more appropriate, however rarely indicated.
Aerobic Exercise Training - Answer Which of the following has the greatest effect on the
reduction of blood pressure
Kinesiology - Answer The study of the mechanics of human movement is called:
Dyslipidemia - Answer Total 200 mg/dL or HDL <40 mg/dL or LDL >130 mg/dL
horizontal abduction - Answer What joint action of the shoulder is performed during a reverse
cable fly or a reverse dumbbell fly
extension; sagittal - Answer Concentric contraction of the triceps brachii muscle causes _____
in the _____ plane
Total peripheral resistance may drop slightly - Answer During graded exercise, which of the
following occurs due to large muscle vasodilation?
,Narrow the base of support - Answer To manipulate the intensity and increase the challenge
of balance-related training, you should:
Decreased body weight - Answer For most clients, a positive effect of consistent energy deficit
is:
100% fruit juice - Answer Which of the following counts as part of the fruit group:
The correlation between obesity and increased chronic disease risk - Answer One of the MOST
important reasons for assessment of your client's body composition is:
Color your plate - Answer Which of the following is a key recommendation of the 2010 USDA
dietary guidelines
gluteus maximus, biceps femoris, semitendinosus, and semimembranosus
(Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to this
specific question, but its worth knowing all 4 of the muscles are responsible for the action of hip
extension) - Answer Which of the following is responsible for hip extension:
Terminate the assessment - Answer You are performing a submaximal treadmill test for your
client in which you are gradually increasing the speed and grade. You observe a normal
response to heart rate and blood pressure during the first several stages. During the next
increase in speed and grade, you observe that SBP drops about 12 mm Hg. You should:
Refrain from drinking any caffeinated beverages 30 minutes prior to the assessment. - Answer
You are ready to proceed with scheduling a fitness assessment with your client tomorrow. To
get the most accurate heart rate response, you instruct your client to:
Arteriovenous oxygen difference - Answer Which of the following cardiac variables will
increase as a result of regular aerobic training at a submaximal effort?
Oriented toward the ceiling. - Answer During the supine rotational stretch, it is important to
have the abdomen:
, Jumps in place - Answer Which of the following is MOST appropriate for a novice athlete
starting plyometric training
Modifying the order of exercises - Answer To accomplish progressive overload, increase the
intensity and/or volume by increasing resistance, increasing the number of sets/reps exercises,
or:
Benefit; risk - Answer Pre-participation health screenings during initial client consultation help
the EP-C to maximize ______ and minimize _______ risk
What would be a good target heart rate range for a moderately trained female, age 42, with a
resting heart rate of 60? - Answer 143 to 154 bpm
Explanation:
Moderately trained individuals may find that 70% to 80% VO2max provides a sufficient training
stimulus. p. 403
1:10 - Answer What is the recommended work-to-rest ratio when performing depth jumps:
lactate - Answer A proper cool-down allows the body to help remove
Terminate the Assessment - Answer You are performing a submaximal treadmill test for your
client in which you are gradually increasing the speed and grade. You observe a normal
response to heart rate and blood pressure during the first several stages. During the next
increase in speed and grade, you observe that SBP drops about 12 mm HG. You should:
Plyometric training - Answer Which of the following provides ideal stress on the bone to
promote adaptations in the bone:
Which of the following assesses anaerobic capacity? - Answer 300-yard shuttle run
Explanation:
Anaerobic capacity can be assessed with 300-yard shuttlerun and the line drill. p 501
Altering rest intervals - Answer To accomplish progressive overload, increase the intensity
and/or volume by increasing resistance, increasing the number of sets/reps/exercises, or:
