ACSM Clinical Exercise Physiologist
Exam Questions and Answers Graded A+
Factors for a valid VO2 Max? - Correct 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. - Correct answer-125mg
Can HR max be changed with training? - Correct answer-NO
How many factors must we see for Valid Vo2 max test? - Correct answer-3
RER vs RQ - Correct answer-RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
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,What variable caueses VO2 max to increase with training? - Correct answer-Stroke
volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - Correct answer-
buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - Correct
answer-- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - Correct answer-
Only if they have S/S
Acute EXSC affect on leukocytes? - Correct answer-INC concentration
Gold std for diagnosing cardiac issues - Correct answer-Cardiac catheterization
ST segment elevation vs depression - Correct answer-Elevation: Myocardial
infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - Correct answer-- Client
uses Beta Agonist
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,- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - Correct answer-250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? -
Correct answer-VERY slow to return to resting levels
Primary cause of type 2! diabetes? - Correct answer-Inflammation
S/S of diabetes mellitus: - Correct answer-Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - Correct answer-
Insulin (if exercising at peak insulin effect)
When programming EXSC for clinical population, what variables should be
progressed first? - Correct answer-Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - Correct answer-Hypercaloric Diet
Obesity BMI classifications - Correct answer->30 = OBESE
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, 30-34=mild
34-39=moderate
>40=morbid
waist circumference - Correct answer-> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - Correct answer-Central (visceral)
adiposity
Most effective method for losing weight? - Correct answer-Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) -
Correct answer-5-10%
What is exercises effect on weight loss? - Correct answer-LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - Correct answer-Pharma:
BMI >27 w/comorbidities
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Exam Questions and Answers Graded A+
Factors for a valid VO2 Max? - Correct 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. - Correct answer-125mg
Can HR max be changed with training? - Correct answer-NO
How many factors must we see for Valid Vo2 max test? - Correct answer-3
RER vs RQ - Correct answer-RER: co2 expired/ o2 consumed at mouth
RQ: Co2 produced by cell metabolism/ o2 used by tissues
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,What variable caueses VO2 max to increase with training? - Correct answer-Stroke
volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause - Correct answer-
buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance? - Correct
answer-- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? - Correct answer-
Only if they have S/S
Acute EXSC affect on leukocytes? - Correct answer-INC concentration
Gold std for diagnosing cardiac issues - Correct answer-Cardiac catheterization
ST segment elevation vs depression - Correct answer-Elevation: Myocardial
infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: - Correct answer-- Client
uses Beta Agonist
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - Correct answer-250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? -
Correct answer-VERY slow to return to resting levels
Primary cause of type 2! diabetes? - Correct answer-Inflammation
S/S of diabetes mellitus: - Correct answer-Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? - Correct answer-
Insulin (if exercising at peak insulin effect)
When programming EXSC for clinical population, what variables should be
progressed first? - Correct answer-Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity - Correct answer-Hypercaloric Diet
Obesity BMI classifications - Correct answer->30 = OBESE
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 30-34=mild
34-39=moderate
>40=morbid
waist circumference - Correct answer-> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - Correct answer-Central (visceral)
adiposity
Most effective method for losing weight? - Correct answer-Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant) -
Correct answer-5-10%
What is exercises effect on weight loss? - Correct answer-LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery - Correct answer-Pharma:
BMI >27 w/comorbidities
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
