ACSM CLINICAL EXERCISE PHYSIOLOGIST
CERTIFICATION EVALUATION TEST PAPER
COMPLETE QUESTIONS AND SOLUTIONS
●● 1 large box
Answer: 5mm or 0.2 seconds
●● 1 small box
Answer: 1mm or 0.04 sec
●● 1 Rep Max (1RM) Procedure
Answer: 1.) warm up with sub max reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then estimated max attempt
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
●● Intraventricular conduction delay
Answer: - wide QRS = >0.1
- refers to disturbances in the intraventricular propagation of
supraventricular impulses resulting in changes in the QRS complex
either in morphology or duration, or both
,- abnormal activation the ventricle cause by conduction delay
●● Indicators of an old MI
Answer: - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
●● Absolute Contraindications to Exercise Testing
Answer: 1. recent change in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
***Risk of testing outweigh the benefits***
●● Absolute indications to Terminate Exercise Testing
Answer: 1. Drop in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
,4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
●● Blood Glucose Management with exercise
Answer: - Requires balance between hepatic glucose production,
peripheral glucose uptake, combined with effective insulin response
- Continuous monitoring
- Regular PA
●● Dangers of BS of 250-300 mg/dl
Answer: - Urinary Ketones form as a result of ineffective fat metabolism
that contribute to diabetic ketoacidosis
●● Ideal blood glucose post Exercise
Answer: > 80 mg/dl
●● Ideal Blood Glucose before exercise
Answer: > 100 mg/dl
●● Normal BP response to Exercise
, Answer: - Progressive increase in SBP with workload until plateau in
peak exercise
- No change or slight decrease in SP
●● Bi-ventricular pacemaker
Answer: Deliver innovative therapy- cardiac resynchronization
Used for CHF to decrease symptoms and increase function
●● Benefits of PA as motivation
Answer: - 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
Answer: HR < 50 BPM
●● Bundle Branch Block
Answer: - Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug
use, or electrolyte imbalance
CERTIFICATION EVALUATION TEST PAPER
COMPLETE QUESTIONS AND SOLUTIONS
●● 1 large box
Answer: 5mm or 0.2 seconds
●● 1 small box
Answer: 1mm or 0.04 sec
●● 1 Rep Max (1RM) Procedure
Answer: 1.) warm up with sub max reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then estimated max attempt
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
●● Intraventricular conduction delay
Answer: - wide QRS = >0.1
- refers to disturbances in the intraventricular propagation of
supraventricular impulses resulting in changes in the QRS complex
either in morphology or duration, or both
,- abnormal activation the ventricle cause by conduction delay
●● Indicators of an old MI
Answer: - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
●● Absolute Contraindications to Exercise Testing
Answer: 1. recent change in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
***Risk of testing outweigh the benefits***
●● Absolute indications to Terminate Exercise Testing
Answer: 1. Drop in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
,4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
●● Blood Glucose Management with exercise
Answer: - Requires balance between hepatic glucose production,
peripheral glucose uptake, combined with effective insulin response
- Continuous monitoring
- Regular PA
●● Dangers of BS of 250-300 mg/dl
Answer: - Urinary Ketones form as a result of ineffective fat metabolism
that contribute to diabetic ketoacidosis
●● Ideal blood glucose post Exercise
Answer: > 80 mg/dl
●● Ideal Blood Glucose before exercise
Answer: > 100 mg/dl
●● Normal BP response to Exercise
, Answer: - Progressive increase in SBP with workload until plateau in
peak exercise
- No change or slight decrease in SP
●● Bi-ventricular pacemaker
Answer: Deliver innovative therapy- cardiac resynchronization
Used for CHF to decrease symptoms and increase function
●● Benefits of PA as motivation
Answer: - 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
Answer: HR < 50 BPM
●● Bundle Branch Block
Answer: - Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug
use, or electrolyte imbalance
