ACSM Clinical Exercise Physiologist
Exam 2026 Questions and Answers
1 MET = - Correct answer-3.5 ml/kg/mig
1 large box - Correct answer-5mm or 0.2 seconds
1 small box - Correct answer-1mm or 0.04 sec
1 Rep Max (1RM) Procedure - Correct answer-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
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
Intraventricular conduction delay - Correct answer-- wide QRS = >0.1
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,- refers to disturbances in the intraventricular propagation of supraventricular
impulses resulting in changes in the QRS complex either in morphology or
duration, or both
- abnormal activation the ventricle cause by conduction delay
Indicators of an old MI - Correct answer-- Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindications to Exercise Testing - Correct answer-1. recent change
in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
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,***Risk of testing outweigh the benefits***
Absolute indications to Terminate Exercise Testing - Correct answer-1. Drop in
SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
Blood Glucose Management with exercise - Correct answer-- Requires balance
between hepatic glucose production, peripheral glucose uptake, combined with
effective insulin response
- Continuous monitoring
- Regular PA
Dangers of BS of 250-300 mg/dl - Correct answer-- Urinary Ketones form as a
result of ineffective fat metabolism that contribute to diabetic ketoacidosis
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, Ideal blood glucose post Exercise - Correct answer-> 80 mg/dl
Ideal Blood Glucose before exercise - Correct answer-> 100 mg/dl
Normal BP response to Exercise - Correct answer-- Progressive increase in SBP
with workload until plateau in peak exercise
- No change or slight decrease in SP
Bi-ventricular pacemaker - Correct answer-Deliver innovative therapy- cardiac
resynchronization
Used for CHF to decrease symptoms and increase function
Benefits of PA as motivation - Correct answer-- decrease mortality
- decrease risk of metabolic disease
- weight control
- decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
Bradychardia - Correct answer-HR < 50 BPM
Bundle Branch Block - Correct answer-- Wide QRS
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Exam 2026 Questions and Answers
1 MET = - Correct answer-3.5 ml/kg/mig
1 large box - Correct answer-5mm or 0.2 seconds
1 small box - Correct answer-1mm or 0.04 sec
1 Rep Max (1RM) Procedure - Correct answer-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
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
Intraventricular conduction delay - Correct answer-- wide QRS = >0.1
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,- refers to disturbances in the intraventricular propagation of supraventricular
impulses resulting in changes in the QRS complex either in morphology or
duration, or both
- abnormal activation the ventricle cause by conduction delay
Indicators of an old MI - Correct answer-- Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindications to Exercise Testing - Correct answer-1. recent change
in ECG
2. unstable angina
3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,***Risk of testing outweigh the benefits***
Absolute indications to Terminate Exercise Testing - Correct answer-1. Drop in
SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
Blood Glucose Management with exercise - Correct answer-- Requires balance
between hepatic glucose production, peripheral glucose uptake, combined with
effective insulin response
- Continuous monitoring
- Regular PA
Dangers of BS of 250-300 mg/dl - Correct answer-- Urinary Ketones form as a
result of ineffective fat metabolism that contribute to diabetic ketoacidosis
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Ideal blood glucose post Exercise - Correct answer-> 80 mg/dl
Ideal Blood Glucose before exercise - Correct answer-> 100 mg/dl
Normal BP response to Exercise - Correct answer-- Progressive increase in SBP
with workload until plateau in peak exercise
- No change or slight decrease in SP
Bi-ventricular pacemaker - Correct answer-Deliver innovative therapy- cardiac
resynchronization
Used for CHF to decrease symptoms and increase function
Benefits of PA as motivation - Correct answer-- decrease mortality
- decrease risk of metabolic disease
- weight control
- decrease depression and anxiety
- increase body image and self -esteem/ efficacy
- increase ability to do ADL's
Bradychardia - Correct answer-HR < 50 BPM
Bundle Branch Block - Correct answer-- Wide QRS
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
