ACSM CLINICAL EXERCISE PHYSIOLOGIST UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

ACSM CLINICAL EXERCISE PHYSIOLOGIST UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS

Question:
1. 1 MET =
Answer:
3.5 ml/kg/mig

Question:
2. 1 large box
Answer:
5mm or 0.2 seconds

Question:
3. 1 small box
Answer:
1mm or 0.04 sec

Question:
4. 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

Question:
5. 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

Question:
6. Indicators of an old MI
Answer:
- Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave

Question:
7. 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***

Question:
8. 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

Question:
9. Blood Glucose Management with exercise
Answer:
- Requires balance between hepatic glucose production, peripheral glucose uptake, combined with
effective insulin response
- Continuous monitoring
- Regular PA

Question:
10. Dangers of BS of 250-300 mg/dl
Answer:
- Urinary Ketones form as a result of ineffective fat metabolism that contribute to diabetic ketoacidosis

Question:
11. Ideal blood glucose post Exercise
Answer:
> 80 mg/dl

Question:
12. Ideal Blood Glucose before exercise
Answer:
> 100 mg/dl

Question:
13. Normal BP response to Exercise

,Answer:
- Progressive increase in SBP with workload until plateau in peak exercise
- No change or slight decrease in SP

Question:
14. Bi-ventricular pacemaker
Answer:
Deliver innovative therapy- cardiac resynchronization Used for CHF to decrease symptoms and increase
function

Question:
15. 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

Question:
16. Bradychardia
Answer:
HR < 50 BPM

Question:
17. Bundle Branch Block
Answer:
- Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug use, or electrolyte imbalance

Question:
18. Chronotropic Incompetence
Answer:
- HR fails to increase with increased workload
- achieving <85 % age predicted max HR
- achieving <62% of age predicted max HR on beta blockers
- Predictive of CAD and increased risk of mortality

Question:
19. EKG Changes from metabolic diseases
Answer:
- Hypothyroidism: Decreased sinus rate
- Hyperthyroidsm: Increased sinus rate
- Obesity: Increased resting HR, BP; Increased PR, QRS, and QT intervals
- Hypothermia: J-point deflection

, Question:
20. EKG lead placement: V1 and V2
Answer:
Right and Left Sternal border at the 4th intercostal space

Question:
21. EKG lead placement: V3
Answer:
Midpoint between V2 and V4

Question:
22. EKG Lead placement: V4
Answer:
Mid-clavicular line at 5th intercostal space

Question:
23. EKG lead placement: V5
Answer:
Anterior axillary line

Question:
24. EKG lead placement: V6
Answer:
Mid-axillary line, horizontal to V4 and V5

Question:
25. Effect of Exercise on dyslipidemia
Answer:
- decrease triglycerides, LDL, total cholesterol
- increase HDL
- can cause angina or claudication
- increase lipoprotein enzyme activity
- increase volume rather then intensity for best results

Question:
26. Effect of exercise on obesity
Answer:
- long term exercise needed for weight management
- decrease abdominal fat, decrease risk of disease associated with visceral body fat distribution

Question:
27. Effect of exercise on PAD
Answer:
- exercise can cause better redistribution of blood flow and improved endothelial function
- claudication pain with exercise, relieved with rest