PREP U ACSM EP-C EXAM PRACTICE QUESTIONS AND ANSWERS LATEST
UPDATE 2025 ALL ANSWERS CORRECT VERIFIED BEST RANKED TO SCORE A+
FOR SUCCESS
Rating of Perceived Exertion (RPE) - CORRECT ANSWERS If difficulties are encountered in
calculating percentage VO2max for prescribing exercise intensity in cases of cardiac disease,
the EP-C should instead consider
flexion; extension - CORRECT ANSWERS A posterior pelvic tilt produces lumbar _____ and
an anterior pelvic tilt produces lumbar _____
transverse plane - CORRECT ANSWERS Pronation of the radioulnar joint occurs in:
Sagittal plane; flexion/extension - CORRECT ANSWERS The facet joints of the lumbar spine
are oriented in the _____ which primarily allows _____ motions
Supraliac - CORRECT ANSWERS Which of the following utilizes a DIAGONAL fold when
assessing body composition via skinfold calipers
Unable to externally rotate the shoulder joint past 60 degrees - CORRECT ANSWERS While
supine, your client performs ROM on the shoulder joint. She displays tightness in the
infraspinatus and teres minor. You were led to this conclusion because the client was:
Cardiac Output - CORRECT ANSWERS Defined as the volume of blood being pumped by
the heart in a minute
Sagittal
Explanation:
Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the
sagittal plane. Pg 98 - CORRECT ANSWERS Deviations in which plane are referred to as
hyperlordosis:
4 compartments of the lower limb - CORRECT ANSWERS 1. Superficial posterior
compartment (i.e. posterior tibial compartment on PrepU) (gastrocnemius, soleus, plantaris)
,2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum
longus)
3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis)
4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis
longus.
1, 2, 3 are plantarflexion
4 is dorsiflexion
Longitudinal Muscle - CORRECT ANSWERS A muscle that produces low force and has a
high contractile rate is classified as a _________
Dorsiflexion; talus - CORRECT ANSWERS The ankle's most stable position is in ______ due
to the overall shape of the ______
Moderate Risk - CORRECT ANSWERS During the pre-participation screening your client is
determined to have 4 risk factors. This is considered to be:
Contraindication - CORRECT ANSWERS A reason or rationale NOT to perform exercise or
testing
Which of the following is MOST accurate regarding exercise testing and pregnant women? -
CORRECT ANSWERS Submaximal exercise testing is more appropriate, however rarely
indicated.
Aerobic Exercise Training - CORRECT ANSWERS Which of the following has the greatest
effect on the reduction of blood pressure
Kinesiology - CORRECT ANSWERS The study of the mechanics of human movement is
called:
Dyslipidemia - CORRECT ANSWERS Total 200 mg/dL or HDL <40 mg/dL or LDL >130 mg/dL
horizontal abduction - CORRECT ANSWERS What joint action of the shoulder is performed
during a reverse cable fly or a reverse dumbbell fly
,extension; sagittal - CORRECT ANSWERS Concentric contraction of the triceps brachii
muscle causes _____ in the _____ plane
Total peripheral resistance may drop slightly - CORRECT ANSWERS During graded exercise,
which of the following occurs due to large muscle vasodilation?
Conduct a familiarization period of no less than two weeks. - CORRECT ANSWERS Which of
the following is a recommended procedure for administering a 1-RM strength test?
Narrow the base of support - CORRECT ANSWERS To manipulate the intensity and increase
the challenge of balance-related training, you should:
Decreased body weight - CORRECT ANSWERS For most clients, a positive effect of
consistent energy deficit is:
100% fruit juice - CORRECT ANSWERS Which of the following counts as part of the fruit
group:
The correlation between obesity and increased chronic disease risk - CORRECT ANSWERS
One of the MOST important reasons for assessment of your client's body composition is:
Color your plate - CORRECT ANSWERS Which of the following is a key recommendation of
the 2010 USDA dietary guidelines
gluteus maximus, biceps femoris, semitendinosus, and semimembranosus
(Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to
this specific question, but its worth knowing all 4 of the muscles are responsible for the
action of hip extension) - CORRECT ANSWERS Which of the following is responsible for hip
extension:
Terminate the assessment - CORRECT ANSWERS You are performing a submaximal
treadmill test for your client in which you are gradually increasing the speed and grade. You
observe a normal response to heart rate and blood pressure during the first several stages.
During the next increase in speed and grade, you observe that SBP drops about 12 mm Hg.
You should:
, Refrain ofrom odrinking oany ocaffeinated obeverages o30 ominutes oprior oto othe oassessment.
o- o oCORRECT oANSWERS o o o oYou oare oready oto oproceed owith oscheduling oa ofitness
oassessment owith oyour oclient otomorrow. oTo oget othe omost oaccurate oheart orate
oresponse, oyou oinstruct oyour oclient oto:
Arteriovenous ooxygen odifference o- o oCORRECT oANSWERS o o o oWhich oof othe ofollowing
ocardiac ovariables owill oincrease oas oa oresult oof oregular oaerobic otraining oat oa
osubmaximal oeffort?
Oriented otoward othe oceiling. o- o oCORRECT oANSWERS o o o oDuring othe osupine orotational
ostretch, oit ois oimportant oto ohave othe oabdomen:
Joint opain ois ominimal o- o oCORRECT oANSWERS o o o oIndividuals owith oarthritis oshould
oideally ostretch owhen:
The oMOST oimportant oreasons ofor omaintaining ocollaborative orelationships owith ohealth
ocare oprofessionals o- o oCORRECT oANSWERS o o o ooptimize oclient ooutcomes oand oidentify
orisk ofactors
Jumps oin oplace o- o oCORRECT oANSWERS o o o oWhich oof othe ofollowing ois oMOST
oappropriate ofor oa onovice oathlete ostarting oplyometric otraining
Modifying othe oorder oof oexercises o- o oCORRECT oANSWERS o o o oTo oaccomplish oprogressive
ooverload, oincrease othe ointensity oand/or ovolume oby oincreasing oresistance, oincreasing
othe onumber oof osets/reps oexercises, oor:
Benefit; orisk o- o oCORRECT oANSWERS o o o oPre-participation ohealth oscreenings oduring
oinitial oclient oconsultation ohelp othe oEP-C oto omaximize o______ oand ominimize o_______
orisk
What owould obe oa ogood otarget oheart orate orange ofor oa omoderately otrained ofemale, oage
o42, owith oa oresting oheart orate oof o60? o- o oCORRECT oANSWERS o o o o143 oto o154 obpm
Explanation: o
Moderately otrained oindividuals omay ofind othat o70% oto o80% oVO2max oprovides oa
osufficient otraining ostimulus. op. o403
UPDATE 2025 ALL ANSWERS CORRECT VERIFIED BEST RANKED TO SCORE A+
FOR SUCCESS
Rating of Perceived Exertion (RPE) - CORRECT ANSWERS If difficulties are encountered in
calculating percentage VO2max for prescribing exercise intensity in cases of cardiac disease,
the EP-C should instead consider
flexion; extension - CORRECT ANSWERS A posterior pelvic tilt produces lumbar _____ and
an anterior pelvic tilt produces lumbar _____
transverse plane - CORRECT ANSWERS Pronation of the radioulnar joint occurs in:
Sagittal plane; flexion/extension - CORRECT ANSWERS The facet joints of the lumbar spine
are oriented in the _____ which primarily allows _____ motions
Supraliac - CORRECT ANSWERS Which of the following utilizes a DIAGONAL fold when
assessing body composition via skinfold calipers
Unable to externally rotate the shoulder joint past 60 degrees - CORRECT ANSWERS While
supine, your client performs ROM on the shoulder joint. She displays tightness in the
infraspinatus and teres minor. You were led to this conclusion because the client was:
Cardiac Output - CORRECT ANSWERS Defined as the volume of blood being pumped by
the heart in a minute
Sagittal
Explanation:
Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the
sagittal plane. Pg 98 - CORRECT ANSWERS Deviations in which plane are referred to as
hyperlordosis:
4 compartments of the lower limb - CORRECT ANSWERS 1. Superficial posterior
compartment (i.e. posterior tibial compartment on PrepU) (gastrocnemius, soleus, plantaris)
,2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum
longus)
3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis)
4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis
longus.
1, 2, 3 are plantarflexion
4 is dorsiflexion
Longitudinal Muscle - CORRECT ANSWERS A muscle that produces low force and has a
high contractile rate is classified as a _________
Dorsiflexion; talus - CORRECT ANSWERS The ankle's most stable position is in ______ due
to the overall shape of the ______
Moderate Risk - CORRECT ANSWERS During the pre-participation screening your client is
determined to have 4 risk factors. This is considered to be:
Contraindication - CORRECT ANSWERS A reason or rationale NOT to perform exercise or
testing
Which of the following is MOST accurate regarding exercise testing and pregnant women? -
CORRECT ANSWERS Submaximal exercise testing is more appropriate, however rarely
indicated.
Aerobic Exercise Training - CORRECT ANSWERS Which of the following has the greatest
effect on the reduction of blood pressure
Kinesiology - CORRECT ANSWERS The study of the mechanics of human movement is
called:
Dyslipidemia - CORRECT ANSWERS Total 200 mg/dL or HDL <40 mg/dL or LDL >130 mg/dL
horizontal abduction - CORRECT ANSWERS What joint action of the shoulder is performed
during a reverse cable fly or a reverse dumbbell fly
,extension; sagittal - CORRECT ANSWERS Concentric contraction of the triceps brachii
muscle causes _____ in the _____ plane
Total peripheral resistance may drop slightly - CORRECT ANSWERS During graded exercise,
which of the following occurs due to large muscle vasodilation?
Conduct a familiarization period of no less than two weeks. - CORRECT ANSWERS Which of
the following is a recommended procedure for administering a 1-RM strength test?
Narrow the base of support - CORRECT ANSWERS To manipulate the intensity and increase
the challenge of balance-related training, you should:
Decreased body weight - CORRECT ANSWERS For most clients, a positive effect of
consistent energy deficit is:
100% fruit juice - CORRECT ANSWERS Which of the following counts as part of the fruit
group:
The correlation between obesity and increased chronic disease risk - CORRECT ANSWERS
One of the MOST important reasons for assessment of your client's body composition is:
Color your plate - CORRECT ANSWERS Which of the following is a key recommendation of
the 2010 USDA dietary guidelines
gluteus maximus, biceps femoris, semitendinosus, and semimembranosus
(Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to
this specific question, but its worth knowing all 4 of the muscles are responsible for the
action of hip extension) - CORRECT ANSWERS Which of the following is responsible for hip
extension:
Terminate the assessment - CORRECT ANSWERS You are performing a submaximal
treadmill test for your client in which you are gradually increasing the speed and grade. You
observe a normal response to heart rate and blood pressure during the first several stages.
During the next increase in speed and grade, you observe that SBP drops about 12 mm Hg.
You should:
, Refrain ofrom odrinking oany ocaffeinated obeverages o30 ominutes oprior oto othe oassessment.
o- o oCORRECT oANSWERS o o o oYou oare oready oto oproceed owith oscheduling oa ofitness
oassessment owith oyour oclient otomorrow. oTo oget othe omost oaccurate oheart orate
oresponse, oyou oinstruct oyour oclient oto:
Arteriovenous ooxygen odifference o- o oCORRECT oANSWERS o o o oWhich oof othe ofollowing
ocardiac ovariables owill oincrease oas oa oresult oof oregular oaerobic otraining oat oa
osubmaximal oeffort?
Oriented otoward othe oceiling. o- o oCORRECT oANSWERS o o o oDuring othe osupine orotational
ostretch, oit ois oimportant oto ohave othe oabdomen:
Joint opain ois ominimal o- o oCORRECT oANSWERS o o o oIndividuals owith oarthritis oshould
oideally ostretch owhen:
The oMOST oimportant oreasons ofor omaintaining ocollaborative orelationships owith ohealth
ocare oprofessionals o- o oCORRECT oANSWERS o o o ooptimize oclient ooutcomes oand oidentify
orisk ofactors
Jumps oin oplace o- o oCORRECT oANSWERS o o o oWhich oof othe ofollowing ois oMOST
oappropriate ofor oa onovice oathlete ostarting oplyometric otraining
Modifying othe oorder oof oexercises o- o oCORRECT oANSWERS o o o oTo oaccomplish oprogressive
ooverload, oincrease othe ointensity oand/or ovolume oby oincreasing oresistance, oincreasing
othe onumber oof osets/reps oexercises, oor:
Benefit; orisk o- o oCORRECT oANSWERS o o o oPre-participation ohealth oscreenings oduring
oinitial oclient oconsultation ohelp othe oEP-C oto omaximize o______ oand ominimize o_______
orisk
What owould obe oa ogood otarget oheart orate orange ofor oa omoderately otrained ofemale, oage
o42, owith oa oresting oheart orate oof o60? o- o oCORRECT oANSWERS o o o o143 oto o154 obpm
Explanation: o
Moderately otrained oindividuals omay ofind othat o70% oto o80% oVO2max oprovides oa
osufficient otraining ostimulus. op. o403
