ACSM Clinical Exercise Physiologist
Final Examination with Guaranteed
Pass Solutions 2025-2026 Edition.
Factors for a valid VO2 Max? - 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. -
Answer 125mg
Can HR max be changed with training? - Answer NO
How many factors must we see for Valid Vo2 max test? - Answer 3
RER vs RQ - Answer RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
What variable caueses VO2 max to increase with training? - Answer Stroke volume because
heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - Answer buffer Ph, muscle
fatigue
Client DOES NOT regularly exercise, when do they need clearance? - Answer - Have a chronic
disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - Answer Only if they have S/S
,ST segment elevation vs depression - Answer Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - Answer - Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - Answer 250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - Answer VERY
slow to return to resting levels
Primary cause of type 2! diabetes? - Answer Inflammation
S/S of diabetes mellitus: - Answer Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - Answer Insulin (if exercising at
peak insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
Answer Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - Answer Hypercaloric Diet
Obesity BMI classifications - Answer >30 = OBESE
, waist circumference - Answer > 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - Answer Central (visceral) adiposity
Most effective method for losing weight? - Answer Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - Answer 5-10%
What is exercises effect on weight loss? - Answer LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - Answer Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - Answer 25%
BP classifications - Answer Normal: 120/80
Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
St 2 Hypertension:
>140/>90
Final Examination with Guaranteed
Pass Solutions 2025-2026 Edition.
Factors for a valid VO2 Max? - 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. -
Answer 125mg
Can HR max be changed with training? - Answer NO
How many factors must we see for Valid Vo2 max test? - Answer 3
RER vs RQ - Answer RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
What variable caueses VO2 max to increase with training? - Answer Stroke volume because
heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - Answer buffer Ph, muscle
fatigue
Client DOES NOT regularly exercise, when do they need clearance? - Answer - Have a chronic
disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - Answer Only if they have S/S
,ST segment elevation vs depression - Answer Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - Answer - Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - Answer 250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - Answer VERY
slow to return to resting levels
Primary cause of type 2! diabetes? - Answer Inflammation
S/S of diabetes mellitus: - Answer Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - Answer Insulin (if exercising at
peak insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
Answer Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - Answer Hypercaloric Diet
Obesity BMI classifications - Answer >30 = OBESE
, waist circumference - Answer > 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - Answer Central (visceral) adiposity
Most effective method for losing weight? - Answer Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - Answer 5-10%
What is exercises effect on weight loss? - Answer LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - Answer Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - Answer 25%
BP classifications - Answer Normal: 120/80
Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
St 2 Hypertension:
>140/>90
