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ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM | FROM PRACTICE TO PERFECTION | GUARANTEED SUCCESS!

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ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM | FROM PRACTICE TO PERFECTION | GUARANTEED SUCCESS!

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December 1, 2025
Number of pages
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Written in
2025/2026
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ACSM CLINICAL EXERCISE PHYSIOLOGIST EXAM |
FROM PRACTICE TO PERFECTION | GUARANTEED
SUCCESS!
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


1
APPHIA - Crafted with Care and Precision for Academic Excellence.

,Client DOES regularly exercise, when do they need clearance? - Answer: Only if they
have S/S


Acute EXSC affect on leukocytes? - Answer: INC concentration


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)




2
APPHIA - Crafted with Care and Precision for Academic Excellence.

, When programming EXSC for clinical population, what variables should be progressed
first? - Answer: Frequency, then duration, then intensity


*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



3
APPHIA - Crafted with Care and Precision for Academic Excellence.
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