ACSM Clinical Exercise Physiologist Exam Questions With 100% Correct Answers

ACSM Clinical Exercise Physiologist Exam Questions With 100% Correct Answers 1 MET = - answer3.5 ml/kg/mig 1 large box - answer5mm or 0.2 seconds 1 small box - answer1mm or 0.04 sec 1 Rep Max (1RM) Procedure - answer1.) 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 - answer- wide QRS = >0.1 - 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 - answer- Abnormal/significant Q waves - 1 box wide of > 1/3 of R-wave Absolute Contraindications to Exercise Testing - answer1. 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 ***Risk of testing outweigh the benefits*** Absolute indications to Terminate Exercise Testing - answer1. 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 - 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 - answer- Urinary Ketones form as a result of ineffective fat metabolism that contribute to diabetic ketoacidosis Ideal blood glucose post Exercise - answer> 80 mg/dl Ideal Blood Glucose before exercise - answer> 100 mg/dl Normal BP response to Exercise - answer- Progressive increase in SBP with workload until plateau in peak exercise - No change or slight decrease in SP Bi-ventricular pacemaker - answerDeliver innovative therapy- cardiac resynchronization Used for CHF to decrease symptoms and increase function Benefits of PA as motivation - 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 - answerHR < 50 BPM Bundle Branch Block - answer- Wide QRS - usually result from disease in BB's or Ventricular abnormalities, drug use, or electrolyte imbalance Chronotropic Incompetence - answer- HR fails to increase with increased workload - achieving <85 % age predicted max HR - achieving <62% of age predicted max HR on beta blockers - Predictive of CAD and increased risk of mortality EKG Changes from metabolic diseases - answer- Hypothyroidism: Decreased sinus rate - Hyperthyroidsm: Increased sinus rate - Obesity: Increased resting HR, BP; Increased PR, QRS, and QT intervals - Hypothermia: J-point deflection EKG lead placement: V1 and V2 - answerRight and Left Sternal border at the 4th intercostal space EKG lead placement: V3 - answerMidpoint between V2 and V4 EKG Lead placement: V4 - answerMid-clavicular line at 5th intercostal space EKG lead placement: V5 - answerAnterior axillary line EKG lead placement: V6 - answerMid-axillary line, horizontal to V4 and V5 Effect of Exercise on dyslipidemia - answer- decrease triglycerides, LDL, total cholesterol - increase HDL - can cause angina or claudication - increase lipoprotein enzyme activity - increase volume rather then intensity for best results Effect of exercise on obesity - answer- long term exercise needed for weight management - decrease abdominal fat, decrease risk of disease associated with visceral body fat distribution Effect of exercise on PAD - answer- exercise can cause better redistribution of blood flow and improved endothelial function - claudication pain with exercise, relieved with rest Effect of regular aerobic activity on SV - answer- increased SV at rest