ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
Factors for a valid VO2 Max? - (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. -
(ANSWER)125mg
Can HR max be changed with training? - (ANSWER)NO
How many factors must we see for Valid Vo2 max test? - (ANSWER)3
RER vs RQ - (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? - (ANSWER)Stroke volume because heart gets
bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - (ANSWER)buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - (ANSWER)- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - (ANSWER)Only if they have S/S
Acute EXSC affect on leukocytes? - (ANSWER)INC concentration
,ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
Gold std for diagnosing cardiac issues - (ANSWER)Cardiac catheterization
ST segment elevation vs depression - (ANSWER)Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - (ANSWER)- Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - (ANSWER)250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - (ANSWER)VERY slow to
return to resting levels
Primary cause of type 2! diabetes? - (ANSWER)Inflammation
S/S of diabetes mellitus: - (ANSWER)Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - (ANSWER)Insulin (if exercising at peak
insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
(ANSWER)Frequency, then duration, then intensity
,ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - (ANSWER)Hypercaloric Diet
Obesity BMI classifications - (ANSWER)>30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - (ANSWER)> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - (ANSWER)Central (visceral) adiposity
Most effective method for losing weight? - (ANSWER)Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - (ANSWER)5-10%
What is exercises effect on weight loss? - (ANSWER)LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - (ANSWER)Pharma:
BMI >27 w/comorbidities
BMI >30
, ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - (ANSWER)25%
BP classifications - (ANSWER)Normal: 120/80
Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
St 2 Hypertension:
>140/>90
Which physiological variable has greatest impact on BP? - (ANSWER)Blood vessel radius
Atherosclerosis vs. Arteriosclerosis - (ANSWER)Athero: Thickening (Via damage to media of BV being
patched by LDL cholesterol)
Arterio: Stiffening (vascular remodeling due to high BP, inflammation and hyperglycemia)
What does a higher DBP mean? - (ANSWER)Pt has a better elastic recoil
What is the best predictor of future cardiovascular events? - (ANSWER)Arterial stiffness score (PP/Pulse
wave velocity)
BP changes during EXSC - (ANSWER)Aerobic: SBP inc, DBP dec
ANSWERS
Factors for a valid VO2 Max? - (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. -
(ANSWER)125mg
Can HR max be changed with training? - (ANSWER)NO
How many factors must we see for Valid Vo2 max test? - (ANSWER)3
RER vs RQ - (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? - (ANSWER)Stroke volume because heart gets
bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - (ANSWER)buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - (ANSWER)- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - (ANSWER)Only if they have S/S
Acute EXSC affect on leukocytes? - (ANSWER)INC concentration
,ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
Gold std for diagnosing cardiac issues - (ANSWER)Cardiac catheterization
ST segment elevation vs depression - (ANSWER)Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - (ANSWER)- Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - (ANSWER)250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - (ANSWER)VERY slow to
return to resting levels
Primary cause of type 2! diabetes? - (ANSWER)Inflammation
S/S of diabetes mellitus: - (ANSWER)Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - (ANSWER)Insulin (if exercising at peak
insulin effect)
When programming EXSC for clinical population, what variables should be progressed first? -
(ANSWER)Frequency, then duration, then intensity
,ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - (ANSWER)Hypercaloric Diet
Obesity BMI classifications - (ANSWER)>30 = OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - (ANSWER)> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - (ANSWER)Central (visceral) adiposity
Most effective method for losing weight? - (ANSWER)Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) - (ANSWER)5-10%
What is exercises effect on weight loss? - (ANSWER)LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - (ANSWER)Pharma:
BMI >27 w/comorbidities
BMI >30
, ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery? - (ANSWER)25%
BP classifications - (ANSWER)Normal: 120/80
Elevated: 120-129/80
St 1 Hypertension: 130-139/80-89
St 2 Hypertension:
>140/>90
Which physiological variable has greatest impact on BP? - (ANSWER)Blood vessel radius
Atherosclerosis vs. Arteriosclerosis - (ANSWER)Athero: Thickening (Via damage to media of BV being
patched by LDL cholesterol)
Arterio: Stiffening (vascular remodeling due to high BP, inflammation and hyperglycemia)
What does a higher DBP mean? - (ANSWER)Pt has a better elastic recoil
What is the best predictor of future cardiovascular events? - (ANSWER)Arterial stiffness score (PP/Pulse
wave velocity)
BP changes during EXSC - (ANSWER)Aerobic: SBP inc, DBP dec
