ACSM CLINICAL EXERCISE PHYSIOLOGIST
EXAM SCRIPT VERIFIED QUESTIONS WITH
FULL SOLUTION
●● The key components included in informed consent and
health/medical history
Answer: Informed Consent:
1. Purpose and explanation of the test
2. Attendant risks and discomforts
3. Responsibilities of the participant
4. Benefits to be expected
5. Inquiries
6. Use of medical records
7. Freedom of consent
8. freedom to as questions
9. signature and date (parent sign if under 18)
Health/Medical History:
1. Medical diagnosis
2. Previous physical examination findings
3. History of symptoms
,4. Recent illness, hospitalization, new medical diagnosis, or surgical
procedures.
5. Orthopedic problems
6. Medication use and drug allergies
7. Other habits including caffeine, alcohol, tobacco use, or recreational
drug use
8. Exercise history
9. Work history
10. Family history of cardiac, pulmonary, or metabolic disease, stroke,
or sudden death
●● The limitations of informed consent and health/medical history
Answer: 1. Breach of contract claims
2. Failure to obtain adequate informed consent
3. Negligence in procedural explanation
4. Doesn't provide legal immunity
5. Improper test administration
6. Personnel qualifications
7. Poor safety procedures
8. Informed consent process can be used as defense
●● Risk factor thresholds for ACSM risk stratification including genetic
and lifestyle factors related to the development of CVD.
,Answer: Age: Men >_ 45 years old. Women >_ 55 years old
Family History: Myocardial infarction, coronary revascularization, or
sudden death before 55 years old in father or other first degree male
relative or before 65 years old in mother or other first degree female
relative.
Cigarette smoking: Current cigarette smoker or those who quit within
the previous 6 months
Sedentary lifestyle: Not participating in at least 30 min of moderate-
intensity physical activity (40%-60% VO2R) on at least 3 days of the
week for at least 3 months.
Obesity: Body mass index >_ 30 kg/m2 waist girth >102cm for men
>88cm for women
Hypertension: Systolic blood pressure >_ 140 mmHg and/or diastolic
blood pressure >_ 90 mmHg
Dyslipidemia: =LDL >_ 130 mg/dL
HDL= < 40 mg/dL or on lipid-lowering medication.
, Prediabetes: Impaired fasting glucose = fasting plasma glucose >_ 100
mg/dL and <_ 125 mg/dL or impaired glucose tolerance (IGT) = 2 hours
values in oral glucose tolerance test >_ 140 mg/dL and <_ 199 mg/dL
confirmed by measurements on at least 2 separate occasions.
Negative risk factors: High density lipoprotein (HDL): >_ 60 mg/dL
●● The major signs or symptoms suggestive of cardiovascular,
pulmonary and metabolic disease.
Answer: 1. Pain, discomfort in the chest, neck, jaw, arms, or other areas
that may result from ischemia.
2. Shortness of breath at rest or with mild exertion. Dyspnea.
3. Dizziness or syncope (passing out)
4. Orthopnea or paroxysmal nocturnal dyspnea
5. Ankle edema (swelling)
6. Palpitations or tachycardia
7. Intermittent claudication (pain in lower body during exercise)
8. Known heart murmur
9. Unusual fatigue or shortness of breath with usual activities
●● Cardiovascular risk factors or conditions that may require
consultation with medical personnel prior to exercise testing or training
Answer: Individuals at moderate risk with 2 or more CVD risk factors
Inappropriate changes in resting heart rate and/or blood pressure
EXAM SCRIPT VERIFIED QUESTIONS WITH
FULL SOLUTION
●● The key components included in informed consent and
health/medical history
Answer: Informed Consent:
1. Purpose and explanation of the test
2. Attendant risks and discomforts
3. Responsibilities of the participant
4. Benefits to be expected
5. Inquiries
6. Use of medical records
7. Freedom of consent
8. freedom to as questions
9. signature and date (parent sign if under 18)
Health/Medical History:
1. Medical diagnosis
2. Previous physical examination findings
3. History of symptoms
,4. Recent illness, hospitalization, new medical diagnosis, or surgical
procedures.
5. Orthopedic problems
6. Medication use and drug allergies
7. Other habits including caffeine, alcohol, tobacco use, or recreational
drug use
8. Exercise history
9. Work history
10. Family history of cardiac, pulmonary, or metabolic disease, stroke,
or sudden death
●● The limitations of informed consent and health/medical history
Answer: 1. Breach of contract claims
2. Failure to obtain adequate informed consent
3. Negligence in procedural explanation
4. Doesn't provide legal immunity
5. Improper test administration
6. Personnel qualifications
7. Poor safety procedures
8. Informed consent process can be used as defense
●● Risk factor thresholds for ACSM risk stratification including genetic
and lifestyle factors related to the development of CVD.
,Answer: Age: Men >_ 45 years old. Women >_ 55 years old
Family History: Myocardial infarction, coronary revascularization, or
sudden death before 55 years old in father or other first degree male
relative or before 65 years old in mother or other first degree female
relative.
Cigarette smoking: Current cigarette smoker or those who quit within
the previous 6 months
Sedentary lifestyle: Not participating in at least 30 min of moderate-
intensity physical activity (40%-60% VO2R) on at least 3 days of the
week for at least 3 months.
Obesity: Body mass index >_ 30 kg/m2 waist girth >102cm for men
>88cm for women
Hypertension: Systolic blood pressure >_ 140 mmHg and/or diastolic
blood pressure >_ 90 mmHg
Dyslipidemia: =LDL >_ 130 mg/dL
HDL= < 40 mg/dL or on lipid-lowering medication.
, Prediabetes: Impaired fasting glucose = fasting plasma glucose >_ 100
mg/dL and <_ 125 mg/dL or impaired glucose tolerance (IGT) = 2 hours
values in oral glucose tolerance test >_ 140 mg/dL and <_ 199 mg/dL
confirmed by measurements on at least 2 separate occasions.
Negative risk factors: High density lipoprotein (HDL): >_ 60 mg/dL
●● The major signs or symptoms suggestive of cardiovascular,
pulmonary and metabolic disease.
Answer: 1. Pain, discomfort in the chest, neck, jaw, arms, or other areas
that may result from ischemia.
2. Shortness of breath at rest or with mild exertion. Dyspnea.
3. Dizziness or syncope (passing out)
4. Orthopnea or paroxysmal nocturnal dyspnea
5. Ankle edema (swelling)
6. Palpitations or tachycardia
7. Intermittent claudication (pain in lower body during exercise)
8. Known heart murmur
9. Unusual fatigue or shortness of breath with usual activities
●● Cardiovascular risk factors or conditions that may require
consultation with medical personnel prior to exercise testing or training
Answer: Individuals at moderate risk with 2 or more CVD risk factors
Inappropriate changes in resting heart rate and/or blood pressure
