ACSM Clinical Exercise Physiologist Exam Test Questions
and Answers Graded A+
Factors for a valid VO2 Max? - ANSWER - Client DOES regularly exercise, when do they
RER > 1.1 need clearance? - ANSWER -Only if they
Lactate >8mmol/L have S/S
RPE>18
Plateu in VO2
HR @ age predicted max Acute EXSC affect on leukocytes? -
ANSWER -INC concentration
Drug has half life of 4 hours. IF given 1000mg,
what concentration is left after 12 hours. - Gold std for diagnosing cardiac issues -
ANSWER -125mg ANSWER -Cardiac catheterization
Can HR max be changed with training? - ST segment elevation vs depression -
ANSWER -NO ANSWER -Elevation: Myocardial infarction
Depression: ischemia
How many factors must we see for Valid Vo2
max test? - ANSWER -3
2 cases when you should not do a regular exsc
stress test: - ANSWER -- Client uses Beta
RER vs RQ - ANSWER -RER: co2 expired/ Agonist
o2 consumed at mouth
- Client uses dipyridamole (a vasodilator)
RQ: Co2 produced by cell metabolism/ o2 used
by tissues
What BP level contraindicated during exsc test -
ANSWER -250/115
What variable caueses VO2 max to increase with
training? - ANSWER -Stroke volume
because heart gets bigger (NOT MAX HR) Patient w/ CAD will exhibit what symptom relating
to HR and BP after EXSC? - ANSWER -
VERY slow to return to resting levels
Lactates main job is to _______________ and
does not cause - ANSWER -buffer Ph,
muscle fatigue Primary cause of type 2! diabetes? -
ANSWER -Inflammation
Client DOES NOT regularly exercise, when do
they need clearance? - ANSWER -- Have a S/S of diabetes mellitus: - ANSWER -
chronic disease Polydipsia (thirst)
- Have a chronic disease and S/S Polyuria (urination)
Polyphagia (hunger)
,ACSM Clinical Exercise Physiologist Exam Test Questions
and Answers Graded A+
(what is clinically significant) - ANSWER -5-
10%
Which diabetic medications is contraindicated for
exercise? - ANSWER -Insulin (if exercising
at peak insulin effect) What is exercises effect on weight loss? -
ANSWER -LITTLE TO NONE!
When programming EXSC for clinical population,
what variables should be progressed first? - BMI qualifications for pharmacotherapy/surgery -
ANSWER -Frequency, then duration, then ANSWER -Pharma:
intensity BMI >27 w/comorbidities
BMI >30
*When adjusting intensity, duration should be
dropped back to baseline Surgery:
BMI>35-39 w/comorbidities
BMI>40
Primary cause of obesity - ANSWER -
Hypercaloric Diet
Average weight loss with bariatric surgery? -
ANSWER -25%
Obesity BMI classifications - ANSWER -
>30 = OBESE
BP classifications - ANSWER -Normal:
30-34=mild 120/80
34-39=moderate
>40=morbid Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
waist circumference - ANSWER -> 40
Males St 2 Hypertension:
>35 Females >140/>90
INCREASED RISK
Which physiological variable has greatest impact
on BP? - ANSWER -Blood vessel radius
What type of adiposity is most inflammatory? -
ANSWER -Central (visceral) adiposity
Atherosclerosis vs. Arteriosclerosis -
ANSWER -Athero: Thickening (Via damage
Most effective method for losing weight? - to media of BV being patched by LDL
ANSWER -Surgical intervention cholesterol)
Arterio: Stiffening (vascular remodeling due to
NIH's weight loss goal for obese individuals high BP, inflammation and hyperglycemia)
, ACSM Clinical Exercise Physiologist Exam Test Questions
and Answers Graded A+
You need 2/3 of these criteria to diagnose heart
What does a higher DBP mean? - attack - ANSWER -Chest pain >30 mins
ANSWER -Pt has a better elastic recoil
EKG shows ST Segment elevation / T wave
inversion
What is the best predictor of future
cardiovascular events? - ANSWER -Arterial Presence of biomarkers in blood
stiffness score (PP/Pulse wave velocity)
Fibrinolytics - ANSWER -Streptokinase,
BP changes during EXSC - ANSWER - Tenecteplase (TNKase)
Aerobic: SBP inc, DBP dec
Clot buster used in emergencies
Resistance: SBP inc, DBP inc
Aspirin - ANSWER -Inhibits thromboxane
ACE inhibitors - ANSWER -stop conversion A2 (inhibiting clot formation)
of angiotensin 1 to angiotensin 2 ---
VASODILATE
Recovery time after heart attack before EXSC -
ANSWER -1-2 days
ARB's - ANSWER -Block angiotensin 2
from binding to its receptor on artery --
VASODILATE What intensity should you exercise ACS/Heart
attack patients - ANSWER -10 BPM below
their ischemic threshold (elicits chest pain)
which hypertension medication effects exercise?
- ANSWER -B-Blockers
Types of congestive heart failure: -
ANSWER -Right side: due to increased
EXSC affect on blood lipid profile - pulmonary pressure
ANSWER -Decrease TG, Increase HDL
Left side: due to peripheral resistance
Statin effect on lipids - ANSWER - - Systolic:
Decrease LDL, TG <30% EF
Increase HDL <30 SV
Right side:
<60 EF
what drug decreases TG - ANSWER -
<30 SV
Fibrates
and Answers Graded A+
Factors for a valid VO2 Max? - ANSWER - Client DOES regularly exercise, when do they
RER > 1.1 need clearance? - ANSWER -Only if they
Lactate >8mmol/L have S/S
RPE>18
Plateu in VO2
HR @ age predicted max Acute EXSC affect on leukocytes? -
ANSWER -INC concentration
Drug has half life of 4 hours. IF given 1000mg,
what concentration is left after 12 hours. - Gold std for diagnosing cardiac issues -
ANSWER -125mg ANSWER -Cardiac catheterization
Can HR max be changed with training? - ST segment elevation vs depression -
ANSWER -NO ANSWER -Elevation: Myocardial infarction
Depression: ischemia
How many factors must we see for Valid Vo2
max test? - ANSWER -3
2 cases when you should not do a regular exsc
stress test: - ANSWER -- Client uses Beta
RER vs RQ - ANSWER -RER: co2 expired/ Agonist
o2 consumed at mouth
- Client uses dipyridamole (a vasodilator)
RQ: Co2 produced by cell metabolism/ o2 used
by tissues
What BP level contraindicated during exsc test -
ANSWER -250/115
What variable caueses VO2 max to increase with
training? - ANSWER -Stroke volume
because heart gets bigger (NOT MAX HR) Patient w/ CAD will exhibit what symptom relating
to HR and BP after EXSC? - ANSWER -
VERY slow to return to resting levels
Lactates main job is to _______________ and
does not cause - ANSWER -buffer Ph,
muscle fatigue Primary cause of type 2! diabetes? -
ANSWER -Inflammation
Client DOES NOT regularly exercise, when do
they need clearance? - ANSWER -- Have a S/S of diabetes mellitus: - ANSWER -
chronic disease Polydipsia (thirst)
- Have a chronic disease and S/S Polyuria (urination)
Polyphagia (hunger)
,ACSM Clinical Exercise Physiologist Exam Test Questions
and Answers Graded A+
(what is clinically significant) - ANSWER -5-
10%
Which diabetic medications is contraindicated for
exercise? - ANSWER -Insulin (if exercising
at peak insulin effect) What is exercises effect on weight loss? -
ANSWER -LITTLE TO NONE!
When programming EXSC for clinical population,
what variables should be progressed first? - BMI qualifications for pharmacotherapy/surgery -
ANSWER -Frequency, then duration, then ANSWER -Pharma:
intensity BMI >27 w/comorbidities
BMI >30
*When adjusting intensity, duration should be
dropped back to baseline Surgery:
BMI>35-39 w/comorbidities
BMI>40
Primary cause of obesity - ANSWER -
Hypercaloric Diet
Average weight loss with bariatric surgery? -
ANSWER -25%
Obesity BMI classifications - ANSWER -
>30 = OBESE
BP classifications - ANSWER -Normal:
30-34=mild 120/80
34-39=moderate
>40=morbid Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
waist circumference - ANSWER -> 40
Males St 2 Hypertension:
>35 Females >140/>90
INCREASED RISK
Which physiological variable has greatest impact
on BP? - ANSWER -Blood vessel radius
What type of adiposity is most inflammatory? -
ANSWER -Central (visceral) adiposity
Atherosclerosis vs. Arteriosclerosis -
ANSWER -Athero: Thickening (Via damage
Most effective method for losing weight? - to media of BV being patched by LDL
ANSWER -Surgical intervention cholesterol)
Arterio: Stiffening (vascular remodeling due to
NIH's weight loss goal for obese individuals high BP, inflammation and hyperglycemia)
, ACSM Clinical Exercise Physiologist Exam Test Questions
and Answers Graded A+
You need 2/3 of these criteria to diagnose heart
What does a higher DBP mean? - attack - ANSWER -Chest pain >30 mins
ANSWER -Pt has a better elastic recoil
EKG shows ST Segment elevation / T wave
inversion
What is the best predictor of future
cardiovascular events? - ANSWER -Arterial Presence of biomarkers in blood
stiffness score (PP/Pulse wave velocity)
Fibrinolytics - ANSWER -Streptokinase,
BP changes during EXSC - ANSWER - Tenecteplase (TNKase)
Aerobic: SBP inc, DBP dec
Clot buster used in emergencies
Resistance: SBP inc, DBP inc
Aspirin - ANSWER -Inhibits thromboxane
ACE inhibitors - ANSWER -stop conversion A2 (inhibiting clot formation)
of angiotensin 1 to angiotensin 2 ---
VASODILATE
Recovery time after heart attack before EXSC -
ANSWER -1-2 days
ARB's - ANSWER -Block angiotensin 2
from binding to its receptor on artery --
VASODILATE What intensity should you exercise ACS/Heart
attack patients - ANSWER -10 BPM below
their ischemic threshold (elicits chest pain)
which hypertension medication effects exercise?
- ANSWER -B-Blockers
Types of congestive heart failure: -
ANSWER -Right side: due to increased
EXSC affect on blood lipid profile - pulmonary pressure
ANSWER -Decrease TG, Increase HDL
Left side: due to peripheral resistance
Statin effect on lipids - ANSWER - - Systolic:
Decrease LDL, TG <30% EF
Increase HDL <30 SV
Right side:
<60 EF
what drug decreases TG - ANSWER -
<30 SV
Fibrates
