ACSM Clinical Exercise Physiologist Exam 2022
(Exercise Test and Prescription)
Factors for a valid VO2 Max? - 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. - 125mg
Can HR max be changed with training? - NO
How many factors must we see for Valid Vo2 max test? - 3
RER vs RQ - 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? - Stroke volume because heart gets
bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - - Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - Only if they have S/S
Acute EXSC affect on leukocytes? - INC concentration
,Gold std for diagnosing cardiac issues - Cardiac catheterization
ST segment elevation vs depression - Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - - Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - 250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - VERY slow to return
to resting levels
Primary cause of type 2! diabetes? - Inflammation
S/S of diabetes mellitus: - Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - Insulin (if exercising at peak insulin
effect)
When programming EXSC for clinical population, what variables should be progressed first? -
Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - Hypercaloric Diet
, Obesity BMI classifications - >30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - > 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - Central (visceral) adiposity
Most effective method for losing weight? - Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - 5-10%
What is exercises effect on weight loss? - LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - 25%
(Exercise Test and Prescription)
Factors for a valid VO2 Max? - 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. - 125mg
Can HR max be changed with training? - NO
How many factors must we see for Valid Vo2 max test? - 3
RER vs RQ - 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? - Stroke volume because heart gets
bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - - Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - Only if they have S/S
Acute EXSC affect on leukocytes? - INC concentration
,Gold std for diagnosing cardiac issues - Cardiac catheterization
ST segment elevation vs depression - Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - - Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - 250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - VERY slow to return
to resting levels
Primary cause of type 2! diabetes? - Inflammation
S/S of diabetes mellitus: - Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - Insulin (if exercising at peak insulin
effect)
When programming EXSC for clinical population, what variables should be progressed first? -
Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - Hypercaloric Diet
, Obesity BMI classifications - >30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - > 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - Central (visceral) adiposity
Most effective method for losing weight? - Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - 5-10%
What is exercises effect on weight loss? - LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - 25%
