ACSM CLINICAL EXERCISE
PHYSIOLOGIST EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Factors for a valid VO2 Max? - ANS 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. -
ANS 125mg
Can HR max be changed with training? - ANS NO
How many factors must we see for Valid Vo2 max test? - ANS 3
RER vs RQ - ANS RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What variable caueses VO2 max to increase with training? - ANS Stroke volume because
heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - ANS buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - ANS - Have a chronic
disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - ANS Only if they have S/S
Acute EXSC affect on leukocytes? - ANS INC concentration
Gold std for diagnosing cardiac issues - ANS Cardiac catheterization
ST segment elevation vs depression - ANS Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - ANS - Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - ANS 250/115
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - ANS VERY slow
to return to resting levels
Primary cause of type 2! diabetes? - ANS Inflammation
S/S of diabetes mellitus: - ANS Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - ANS Insulin (if exercising at peak
insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
ANS Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - ANS Hypercaloric Diet
Obesity BMI classifications - ANS >30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - ANS > 40 Males
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, >35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - ANS Central (visceral) adiposity
Most effective method for losing weight? - ANS Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - ANS 5-10%
What is exercises effect on weight loss? - ANS LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - ANS Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - ANS 25%
BP classifications - ANS Normal: 120/80
Elevated: 120-129/80
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
PHYSIOLOGIST EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Factors for a valid VO2 Max? - ANS 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. -
ANS 125mg
Can HR max be changed with training? - ANS NO
How many factors must we see for Valid Vo2 max test? - ANS 3
RER vs RQ - ANS RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What variable caueses VO2 max to increase with training? - ANS Stroke volume because
heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - ANS buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - ANS - Have a chronic
disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - ANS Only if they have S/S
Acute EXSC affect on leukocytes? - ANS INC concentration
Gold std for diagnosing cardiac issues - ANS Cardiac catheterization
ST segment elevation vs depression - ANS Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - ANS - Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - ANS 250/115
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - ANS VERY slow
to return to resting levels
Primary cause of type 2! diabetes? - ANS Inflammation
S/S of diabetes mellitus: - ANS Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - ANS Insulin (if exercising at peak
insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
ANS Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - ANS Hypercaloric Diet
Obesity BMI classifications - ANS >30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - ANS > 40 Males
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, >35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - ANS Central (visceral) adiposity
Most effective method for losing weight? - ANS Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - ANS 5-10%
What is exercises effect on weight loss? - ANS LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - ANS Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - ANS 25%
BP classifications - ANS Normal: 120/80
Elevated: 120-129/80
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
