ACSM EXERCISE PHYSIOLOGIST EXAM
2025/2026 WITH 100% ACCURATE ANSWERS
1. What is the recommended frequency of exercise for obese individuals
according to the FITT principle?
≥5 days/week
Every day
1-2 days/week
3 days/week
2. Describe the components of the ACSM exercise recommendations for
older adults, including the types of exercises and their frequency.
The ACSM recommends flexibility exercises only, with no aerobic
or muscular fitness guidelines.
The ACSM recommends 30 minutes of moderate to vigorous
aerobic exercise 5 days a week, along with muscular fitness
exercises 2 days a week involving 8-10 exercises at 10-15
repetitions, and flexibility exercises for 10 minutes on 2 days a
week.
The ACSM recommends 60 minutes of light aerobic exercise 3
days a week, with no specific guidelines for muscular fitness or
flexibility.
The ACSM recommends 20 minutes of vigorous aerobic exercise
7 days a week, with strength training once a week.
3. Unstable angina, uncontrolled dysrhythmias, uncontrolled symptomatic
HF, acute/suspected cardiovascular event, and acute systemic infection
are all considered:
absolute contraindications
,Relative exercise contraindications
,4. If a patient with hypertension is prescribed beta-blockers, what
considerations should a fitness trainer keep in mind when designing an
exercise program?
Increase exercise duration to compensate for medication effects.
Encourage high-intensity interval training without modifications.
Focus solely on strength training exercises.
Adjust exercise intensity to accommodate reduced heart rate.
5. If a patient taking hypoglycemic medication plans to start an exercise
program, what should they monitor closely during physical activity?
Blood glucose levels
Body weight
Muscle soreness
Heart rate
6. What do muscle spindles primarily respond to?
Change in length
Change in pH
Change in tension
Change in temperature
7. If a person is performing a stretch exercise, which type of muscle
spindle response would be activated and what would be the
physiological significance?
Muscle spindles would not respond, as they are inactive during
stretching.
Muscle spindles would respond to temperature changes,
, affecting muscle flexibility.
Muscle spindles would respond to the change in length,
signaling the nervous system to adjust muscle tension.
Muscle spindles would only respond to tension changes, not
length changes.
8. Describe the intensity level recommended for flexibility exercises in the
FITT principle.
Painful stretching
Maximum stretch without discomfort
No sensation at all
Feel tight, slight discomfort
9. Describe how kyphosis can impact an individual's fitness and health
guidelines.
Kyphosis has no impact on fitness and health guidelines.
Kyphosis only affects older adults and not younger populations.
Kyphosis improves overall fitness levels.
Kyphosis can affect posture and may limit exercise options,
requiring tailored fitness guidelines.
10. Condition when blood flow to the coronary arteries is blocked:
cardiac arrest
angina pectoris
myocardial infarction
11. If a patient has a prolonged QRS duration, what might this indicate
about their cardiac health?
2025/2026 WITH 100% ACCURATE ANSWERS
1. What is the recommended frequency of exercise for obese individuals
according to the FITT principle?
≥5 days/week
Every day
1-2 days/week
3 days/week
2. Describe the components of the ACSM exercise recommendations for
older adults, including the types of exercises and their frequency.
The ACSM recommends flexibility exercises only, with no aerobic
or muscular fitness guidelines.
The ACSM recommends 30 minutes of moderate to vigorous
aerobic exercise 5 days a week, along with muscular fitness
exercises 2 days a week involving 8-10 exercises at 10-15
repetitions, and flexibility exercises for 10 minutes on 2 days a
week.
The ACSM recommends 60 minutes of light aerobic exercise 3
days a week, with no specific guidelines for muscular fitness or
flexibility.
The ACSM recommends 20 minutes of vigorous aerobic exercise
7 days a week, with strength training once a week.
3. Unstable angina, uncontrolled dysrhythmias, uncontrolled symptomatic
HF, acute/suspected cardiovascular event, and acute systemic infection
are all considered:
absolute contraindications
,Relative exercise contraindications
,4. If a patient with hypertension is prescribed beta-blockers, what
considerations should a fitness trainer keep in mind when designing an
exercise program?
Increase exercise duration to compensate for medication effects.
Encourage high-intensity interval training without modifications.
Focus solely on strength training exercises.
Adjust exercise intensity to accommodate reduced heart rate.
5. If a patient taking hypoglycemic medication plans to start an exercise
program, what should they monitor closely during physical activity?
Blood glucose levels
Body weight
Muscle soreness
Heart rate
6. What do muscle spindles primarily respond to?
Change in length
Change in pH
Change in tension
Change in temperature
7. If a person is performing a stretch exercise, which type of muscle
spindle response would be activated and what would be the
physiological significance?
Muscle spindles would not respond, as they are inactive during
stretching.
Muscle spindles would respond to temperature changes,
, affecting muscle flexibility.
Muscle spindles would respond to the change in length,
signaling the nervous system to adjust muscle tension.
Muscle spindles would only respond to tension changes, not
length changes.
8. Describe the intensity level recommended for flexibility exercises in the
FITT principle.
Painful stretching
Maximum stretch without discomfort
No sensation at all
Feel tight, slight discomfort
9. Describe how kyphosis can impact an individual's fitness and health
guidelines.
Kyphosis has no impact on fitness and health guidelines.
Kyphosis only affects older adults and not younger populations.
Kyphosis improves overall fitness levels.
Kyphosis can affect posture and may limit exercise options,
requiring tailored fitness guidelines.
10. Condition when blood flow to the coronary arteries is blocked:
cardiac arrest
angina pectoris
myocardial infarction
11. If a patient has a prolonged QRS duration, what might this indicate
about their cardiac health?
