10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
ACSM Clinical Exercise Physiologist EXAM
(updated 2025) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
Save
Terms in this set (354)
1 MET = 3.5 ml/kg/mig
1 large box 5mm or 0.2 seconds
1 small box 1mm or 0.04 sec
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
1 Rep Max (1RM)
4.) 3-5 min rest attempt with added weight until
Procedure
achieved in 3-5 tries
5.) once attempt failed- attempt weight between last
2
- wide QRS = >0.1
- refers to disturbances in the intraventricular
propagation of supraventricular impulses resulting in
Intraventricular
changes in the QRS complex either in morphology or
conduction delay
duration, or both
- abnormal activation the ventricle cause by
conduction delay
- Abnormal/significant Q waves
Indicators of an old MI
- 1 box wide of > 1/3 of R-wave
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,10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
1. recent change in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
Absolute
5. uncontrolled HF w/ sxs
Contraindications to
6. acute PE or pulmonary infarct
Exercise Testing
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
**Risk of testing outweigh the benefits**
1. Drop in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
Absolute indications to
4. signs of poor perfusion
Terminate Exercise Testing
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
- Requires balance between hepatic glucose
Blood Glucose production, peripheral glucose uptake, combined
Management with with effective insulin response
exercise - Continuous monitoring
- Regular PA
Dangers of BS of 250-300 - Urinary Ketones form as a result of ineffective fat
mg/dl metabolism that contribute to diabetic ketoacidosis
Ideal blood glucose post > 80 mg/dl
Exercise
Ideal Blood Glucose > 100 mg/dl
before exercise
- Progressive increase in SBP with workload until
Normal BP response to
plateau in peak exercise
Exercise
- No change or slight decrease in SP
Deliver innovative therapy- cardiac resynchronization
Bi-ventricular pacemaker Used for CHF to decrease symptoms and increase
function
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,10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
- decrease mortality
- decrease risk of metabolic disease
Benefits of PA as - weight control
motivation - decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
Bradychardia HR < 50 BPM
- Wide QRS
Bundle Branch Block - usually result from disease in BB's or Ventricular
abnormalities, drug use, or electrolyte imbalance
- HR fails to increase with increased workload
- achieving <85 % age predicted max HR
Chronotropic
- achieving <62% of age predicted max HR on beta
Incompetence
blockers
- Predictive of CAD and increased risk of mortality
- Hypothyroidism: Decreased sinus rate
- Hyperthyroidsm: Increased sinus rate
EKG Changes from
- Obesity: Increased resting HR, BP; Increased PR,
metabolic diseases
QRS, and QT intervals
- Hypothermia: J-point deflection
EKG lead placement: V1 Right and Left Sternal border at the 4th intercostal
and V2 space
EKG lead placement: V3 Midpoint between V2 and V4
EKG Lead placement: V4 Mid-clavicular line at 5th intercostal space
EKG lead placement: V5 Anterior axillary line
EKG lead placement: V6 Mid-axillary line, horizontal to V4 and V5
- decrease triglycerides, LDL, total cholesterol
- increase HDL
Effect of Exercise on
- can cause angina or claudication
dyslipidemia
- increase lipoprotein enzyme activity
- increase volume rather then intensity for best results
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, 10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
- long term exercise needed for weight management
Effect of exercise on
- decrease abdominal fat, decrease risk of disease
obesity
associated with visceral body fat distribution
- exercise can cause better redistribution of blood
Effect of exercise on PAD flow and improved endothelial function
- claudication pain with exercise, relieved with rest
- increased SV at rest
Effect of regular aerobic
- lower resting HR, prolonged diastole, increased end
activity on SV
diastolic volume, increased SV
- decrease BP for up to 22 hours post exercise for
Effect of exercise on those with normal BP
hypertension - decrease BP 10-12 mmHg for up to 1-2 hours post
exercise for those with hypertension
*Inflammation of main air passages to lungs.*
- Acute bronchitis is a cough that can last several days
or weeks.
Bronchitis
- Chronic bronchitis is a type of COPD, characterized
by presence of productive cough that lasts >3 months
per year for at least 2 years.
Approx anaerobic 55%
threshold at what % VO2
max in healthy untrained
individual
light intensity activity <3 METs
moderate intensity activity 3-6 METs
vigorous intensity activity >6 METs
a person's weight in kilograms divided by the square
BMI (body mass index)
of height in meters
Underweight BMI <18.5
Normal BMI 18.5-24.9
Overweight BMI 25-29.9
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ACSM Clinical Exercise Physiologist EXAM
(updated 2025) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
Save
Terms in this set (354)
1 MET = 3.5 ml/kg/mig
1 large box 5mm or 0.2 seconds
1 small box 1mm or 0.04 sec
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
1 Rep Max (1RM)
4.) 3-5 min rest attempt with added weight until
Procedure
achieved in 3-5 tries
5.) once attempt failed- attempt weight between last
2
- wide QRS = >0.1
- refers to disturbances in the intraventricular
propagation of supraventricular impulses resulting in
Intraventricular
changes in the QRS complex either in morphology or
conduction delay
duration, or both
- abnormal activation the ventricle cause by
conduction delay
- Abnormal/significant Q waves
Indicators of an old MI
- 1 box wide of > 1/3 of R-wave
https://quizlet.com/1089405091/acsm-clinical-exercise-physiologist-exam-updated-2025-questions-answers-latest-already-graded-a-update-2025202… 1/47
,10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
1. recent change in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
Absolute
5. uncontrolled HF w/ sxs
Contraindications to
6. acute PE or pulmonary infarct
Exercise Testing
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
**Risk of testing outweigh the benefits**
1. Drop in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
Absolute indications to
4. signs of poor perfusion
Terminate Exercise Testing
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
- Requires balance between hepatic glucose
Blood Glucose production, peripheral glucose uptake, combined
Management with with effective insulin response
exercise - Continuous monitoring
- Regular PA
Dangers of BS of 250-300 - Urinary Ketones form as a result of ineffective fat
mg/dl metabolism that contribute to diabetic ketoacidosis
Ideal blood glucose post > 80 mg/dl
Exercise
Ideal Blood Glucose > 100 mg/dl
before exercise
- Progressive increase in SBP with workload until
Normal BP response to
plateau in peak exercise
Exercise
- No change or slight decrease in SP
Deliver innovative therapy- cardiac resynchronization
Bi-ventricular pacemaker Used for CHF to decrease symptoms and increase
function
https://quizlet.com/1089405091/acsm-clinical-exercise-physiologist-exam-updated-2025-questions-answers-latest-already-graded-a-update-2025202… 2/47
,10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
- decrease mortality
- decrease risk of metabolic disease
Benefits of PA as - weight control
motivation - decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
Bradychardia HR < 50 BPM
- Wide QRS
Bundle Branch Block - usually result from disease in BB's or Ventricular
abnormalities, drug use, or electrolyte imbalance
- HR fails to increase with increased workload
- achieving <85 % age predicted max HR
Chronotropic
- achieving <62% of age predicted max HR on beta
Incompetence
blockers
- Predictive of CAD and increased risk of mortality
- Hypothyroidism: Decreased sinus rate
- Hyperthyroidsm: Increased sinus rate
EKG Changes from
- Obesity: Increased resting HR, BP; Increased PR,
metabolic diseases
QRS, and QT intervals
- Hypothermia: J-point deflection
EKG lead placement: V1 Right and Left Sternal border at the 4th intercostal
and V2 space
EKG lead placement: V3 Midpoint between V2 and V4
EKG Lead placement: V4 Mid-clavicular line at 5th intercostal space
EKG lead placement: V5 Anterior axillary line
EKG lead placement: V6 Mid-axillary line, horizontal to V4 and V5
- decrease triglycerides, LDL, total cholesterol
- increase HDL
Effect of Exercise on
- can cause angina or claudication
dyslipidemia
- increase lipoprotein enzyme activity
- increase volume rather then intensity for best results
https://quizlet.com/1089405091/acsm-clinical-exercise-physiologist-exam-updated-2025-questions-answers-latest-already-graded-a-update-2025202… 3/47
, 10/8/25, 7:27 AM ACSM Clinical Exercise Physiologist EXAM (updated 2025) Questions & Answers | Latest Already Graded A+ UPDATE 2025|2026 …
- long term exercise needed for weight management
Effect of exercise on
- decrease abdominal fat, decrease risk of disease
obesity
associated with visceral body fat distribution
- exercise can cause better redistribution of blood
Effect of exercise on PAD flow and improved endothelial function
- claudication pain with exercise, relieved with rest
- increased SV at rest
Effect of regular aerobic
- lower resting HR, prolonged diastole, increased end
activity on SV
diastolic volume, increased SV
- decrease BP for up to 22 hours post exercise for
Effect of exercise on those with normal BP
hypertension - decrease BP 10-12 mmHg for up to 1-2 hours post
exercise for those with hypertension
*Inflammation of main air passages to lungs.*
- Acute bronchitis is a cough that can last several days
or weeks.
Bronchitis
- Chronic bronchitis is a type of COPD, characterized
by presence of productive cough that lasts >3 months
per year for at least 2 years.
Approx anaerobic 55%
threshold at what % VO2
max in healthy untrained
individual
light intensity activity <3 METs
moderate intensity activity 3-6 METs
vigorous intensity activity >6 METs
a person's weight in kilograms divided by the square
BMI (body mass index)
of height in meters
Underweight BMI <18.5
Normal BMI 18.5-24.9
Overweight BMI 25-29.9
https://quizlet.com/1089405091/acsm-clinical-exercise-physiologist-exam-updated-2025-questions-answers-latest-already-graded-a-update-2025202… 4/47
