ACSM Clinical Exercise Physiologist Exam
2025 With Accurate Solutions
Factors for a valid VO2 Max? - CORRECT ANSWER✔✔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. -
CORRECT ANSWER✔✔125mg
Can HR max be changed with training? - CORRECT ANSWER✔✔NO
How many factors must we see for Valid Vo2 max test? - CORRECT ANSWER✔✔3
RER vs RQ - CORRECT ANSWER✔✔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? - CORRECT ANSWER✔✔Stroke
volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - CORRECT ANSWER✔✔buffer Ph,
muscle fatigue
,Client DOES NOT regularly exercise, when do they need clearance? - CORRECT ANSWER✔✔-
Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - CORRECT ANSWER✔✔Only if
they have S/S
Acute EXSC affect on leukocytes? - CORRECT ANSWER✔✔INC concentration
Gold std for diagnosing cardiac issues - CORRECT ANSWER✔✔Cardiac catheterization
ST segment elevation vs depression - CORRECT ANSWER✔✔Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - CORRECT ANSWER✔✔- Client uses
Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - CORRECT ANSWER✔✔250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - CORRECT
ANSWER✔✔VERY slow to return to resting levels
Primary cause of type 2! diabetes? - CORRECT ANSWER✔✔Inflammation
,S/S of diabetes mellitus: - CORRECT ANSWER✔✔Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - CORRECT ANSWER✔✔Insulin (if
exercising at peak insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
CORRECT ANSWER✔✔Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - CORRECT ANSWER✔✔Hypercaloric Diet
Obesity BMI classifications - CORRECT ANSWER✔✔>30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - CORRECT ANSWER✔✔> 40 Males
>35 Females
INCREASED RISK
, What type of adiposity is most inflammatory? - CORRECT ANSWER✔✔Central (visceral)
adiposity
Most effective method for losing weight? - CORRECT ANSWER✔✔Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - CORRECT
ANSWER✔✔5-10%
What is exercises effect on weight loss? - CORRECT ANSWER✔✔LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - CORRECT ANSWER✔✔Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - CORRECT ANSWER✔✔25%
BP classifications - CORRECT ANSWER✔✔Normal: 120/80
Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
St 2 Hypertension:
2025 With Accurate Solutions
Factors for a valid VO2 Max? - CORRECT ANSWER✔✔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. -
CORRECT ANSWER✔✔125mg
Can HR max be changed with training? - CORRECT ANSWER✔✔NO
How many factors must we see for Valid Vo2 max test? - CORRECT ANSWER✔✔3
RER vs RQ - CORRECT ANSWER✔✔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? - CORRECT ANSWER✔✔Stroke
volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - CORRECT ANSWER✔✔buffer Ph,
muscle fatigue
,Client DOES NOT regularly exercise, when do they need clearance? - CORRECT ANSWER✔✔-
Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - CORRECT ANSWER✔✔Only if
they have S/S
Acute EXSC affect on leukocytes? - CORRECT ANSWER✔✔INC concentration
Gold std for diagnosing cardiac issues - CORRECT ANSWER✔✔Cardiac catheterization
ST segment elevation vs depression - CORRECT ANSWER✔✔Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - CORRECT ANSWER✔✔- Client uses
Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - CORRECT ANSWER✔✔250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - CORRECT
ANSWER✔✔VERY slow to return to resting levels
Primary cause of type 2! diabetes? - CORRECT ANSWER✔✔Inflammation
,S/S of diabetes mellitus: - CORRECT ANSWER✔✔Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - CORRECT ANSWER✔✔Insulin (if
exercising at peak insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
CORRECT ANSWER✔✔Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - CORRECT ANSWER✔✔Hypercaloric Diet
Obesity BMI classifications - CORRECT ANSWER✔✔>30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - CORRECT ANSWER✔✔> 40 Males
>35 Females
INCREASED RISK
, What type of adiposity is most inflammatory? - CORRECT ANSWER✔✔Central (visceral)
adiposity
Most effective method for losing weight? - CORRECT ANSWER✔✔Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - CORRECT
ANSWER✔✔5-10%
What is exercises effect on weight loss? - CORRECT ANSWER✔✔LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - CORRECT ANSWER✔✔Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - CORRECT ANSWER✔✔25%
BP classifications - CORRECT ANSWER✔✔Normal: 120/80
Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
St 2 Hypertension:
