U ACSM EP-C Exam Prep Questions and answers with complete solutions 2025 | Verified
Longitudinal Muscle - ✔✔A muscle that produces low force and has a high contractile rate is classified as
a
Dorsiflexion; talus - ✔✔The ankle's most stable position is in due to the overall shape of the
Moderate Risk - ✔✔During the pre-participation screening your client is determined to have 4 risk
factors. This is considered to be:
Contraindication - ✔✔A reason or rationale NOT to perform exercise or testing
Rating of Perceived Exertion (RPE) - ✔✔If difficulties are encountered in calculating percentage VO2max
for prescribing exercise intensity in cases of cardiac disease, the EP-C should instead consider
flexion; extension - ✔✔A posterior pelvic tilt produces lumbar and an anterior pelvic tilt produces
lumbar
transverse plane - ✔✔Pronation of the radioulnar joint occurs in:
Sagittal plane; flexion/extension - ✔✔The facet joints of the lumbar spine are oriented in the
which primarily allows motions
Supraliac - ✔✔Which of the following utilizes a DIAGONAL fold when assessing body composition via
skinfold calipers
Unable to externally rotate the shoulder joint past 60 degrees - ✔✔While supine, your client performs
ROM on the shoulder joint. She displays tightness in the infraspinatus and teres minor. You were led to
this conclusion because the client was:
,Cardiac Output - ✔✔Defined as the volume of blood being pumped by the heart in a minute
Sagittal
Explanation:
Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the sagittal
plane. Pg 98 - ✔✔Deviations in which plane are referred to as hyperlordosis:
4 compartments of the lower limb - ✔✔1. Superficial posterior compartment (i.e. posterior tibial
compartment on PrepU) (gastrocnemius, soleus, plantaris)
2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum longus)
3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis)
4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis longus.
1, 2, 3 are plantarflexion
4 is dorsiflexion
Which of the following is MOST accurate regarding exercise testing and pregnant women? -
✔✔Submaximal exercise testing is more appropriate, however rarely indicated.
Aerobic Exercise Training - ✔✔Which of the following has the greatest effect on the reduction of blood
pressure
Kinesiology - ✔✔The study of the mechanics of human movement is called:
Dyslipidemia - ✔✔Total 200 mg/dL or HDL <40 mg/dL or LDL >130 mg/dL
horizontal abduction - ✔✔What joint action of the shoulder is performed during a reverse cable fly or a
reverse dumbbell fly
,extension; sagittal - ✔✔Concentric contraction of the triceps brachii muscle causes in the
plane
Total peripheral resistance may drop slightly - ✔✔During graded exercise, which of the following occurs
due to large muscle vasodilation?
Conduct a familiarization period of no less than two weeks. - ✔✔Which of the following is a
recommended procedure for administering a 1-RM strength test?
Narrow the base of support - ✔✔To manipulate the intensity and increase the challenge of balance-
related training, you should:
Decreased body weight - ✔✔For most clients, a positive effect of consistent energy deficit is:
100% fruit juice - ✔✔Which of the following counts as part of the fruit group:
The correlation between obesity and increased chronic disease risk - ✔✔One of the MOST important
reasons for assessment of your client's body composition is:
Color your plate - ✔✔Which of the following is a key recommendation of the 2010 USDA dietary
guidelines
gluteus maximus, biceps femoris, semitendinosus, and semimembranosus
(Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to this specific
question, but its worth knowing all 4 of the muscles are responsible for the action of hip extension) -
✔✔Which of the following is responsible for hip extension:
Terminate the assessment - ✔✔You are performing a submaximal treadmill test for your client in which
you are gradually increasing the speed and grade. You observe a normal response to heart rate and
blood pressure during the first several stages. During the next increase in speed and grade, you observe
that SBP drops about 12 mm Hg. You should:
, Refrain from drinking any caffeinated beverages 30 minutes prior to the assessment. - ✔✔You are ready
to proceed with scheduling a fitness assessment with your client tomorrow. To get the most accurate
heart rate response, you instruct your client to:
Arteriovenous oxygen difference - ✔✔Which of the following cardiac variables will increase as a result of
regular aerobic training at a submaximal effort?
Oriented toward the ceiling. - ✔✔During the supine rotational stretch, it is important to have the
abdomen:
Joint pain is minimal - ✔✔Individuals with arthritis should ideally stretch when:
The MOST important reasons for maintaining collaborative relationships with health care professionals -
✔✔optimize client outcomes and identify risk factors
Jumps in place - ✔✔Which of the following is MOST appropriate for a novice athlete starting plyometric
training
Modifying the order of exercises - ✔✔To accomplish progressive overload, increase the intensity and/or
volume by increasing resistance, increasing the number of sets/reps exercises, or:
Benefit; risk - ✔✔Pre-participation health screenings during initial client consultation help the EP-C to
maximize and minimize risk
What would be a good target heart rate range for a moderately trained female, age 42, with a resting
heart rate of 60? - ✔✔143 to 154 bpm
Explanation:
Moderately trained individuals may find that 70% to 80% VO2max provides a sufficient training stimulus.
p. 403
1:10 - ✔✔What is the recommended work-to-rest ratio when performing depth jumps:
Longitudinal Muscle - ✔✔A muscle that produces low force and has a high contractile rate is classified as
a
Dorsiflexion; talus - ✔✔The ankle's most stable position is in due to the overall shape of the
Moderate Risk - ✔✔During the pre-participation screening your client is determined to have 4 risk
factors. This is considered to be:
Contraindication - ✔✔A reason or rationale NOT to perform exercise or testing
Rating of Perceived Exertion (RPE) - ✔✔If difficulties are encountered in calculating percentage VO2max
for prescribing exercise intensity in cases of cardiac disease, the EP-C should instead consider
flexion; extension - ✔✔A posterior pelvic tilt produces lumbar and an anterior pelvic tilt produces
lumbar
transverse plane - ✔✔Pronation of the radioulnar joint occurs in:
Sagittal plane; flexion/extension - ✔✔The facet joints of the lumbar spine are oriented in the
which primarily allows motions
Supraliac - ✔✔Which of the following utilizes a DIAGONAL fold when assessing body composition via
skinfold calipers
Unable to externally rotate the shoulder joint past 60 degrees - ✔✔While supine, your client performs
ROM on the shoulder joint. She displays tightness in the infraspinatus and teres minor. You were led to
this conclusion because the client was:
,Cardiac Output - ✔✔Defined as the volume of blood being pumped by the heart in a minute
Sagittal
Explanation:
Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the sagittal
plane. Pg 98 - ✔✔Deviations in which plane are referred to as hyperlordosis:
4 compartments of the lower limb - ✔✔1. Superficial posterior compartment (i.e. posterior tibial
compartment on PrepU) (gastrocnemius, soleus, plantaris)
2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum longus)
3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis)
4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis longus.
1, 2, 3 are plantarflexion
4 is dorsiflexion
Which of the following is MOST accurate regarding exercise testing and pregnant women? -
✔✔Submaximal exercise testing is more appropriate, however rarely indicated.
Aerobic Exercise Training - ✔✔Which of the following has the greatest effect on the reduction of blood
pressure
Kinesiology - ✔✔The study of the mechanics of human movement is called:
Dyslipidemia - ✔✔Total 200 mg/dL or HDL <40 mg/dL or LDL >130 mg/dL
horizontal abduction - ✔✔What joint action of the shoulder is performed during a reverse cable fly or a
reverse dumbbell fly
,extension; sagittal - ✔✔Concentric contraction of the triceps brachii muscle causes in the
plane
Total peripheral resistance may drop slightly - ✔✔During graded exercise, which of the following occurs
due to large muscle vasodilation?
Conduct a familiarization period of no less than two weeks. - ✔✔Which of the following is a
recommended procedure for administering a 1-RM strength test?
Narrow the base of support - ✔✔To manipulate the intensity and increase the challenge of balance-
related training, you should:
Decreased body weight - ✔✔For most clients, a positive effect of consistent energy deficit is:
100% fruit juice - ✔✔Which of the following counts as part of the fruit group:
The correlation between obesity and increased chronic disease risk - ✔✔One of the MOST important
reasons for assessment of your client's body composition is:
Color your plate - ✔✔Which of the following is a key recommendation of the 2010 USDA dietary
guidelines
gluteus maximus, biceps femoris, semitendinosus, and semimembranosus
(Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to this specific
question, but its worth knowing all 4 of the muscles are responsible for the action of hip extension) -
✔✔Which of the following is responsible for hip extension:
Terminate the assessment - ✔✔You are performing a submaximal treadmill test for your client in which
you are gradually increasing the speed and grade. You observe a normal response to heart rate and
blood pressure during the first several stages. During the next increase in speed and grade, you observe
that SBP drops about 12 mm Hg. You should:
, Refrain from drinking any caffeinated beverages 30 minutes prior to the assessment. - ✔✔You are ready
to proceed with scheduling a fitness assessment with your client tomorrow. To get the most accurate
heart rate response, you instruct your client to:
Arteriovenous oxygen difference - ✔✔Which of the following cardiac variables will increase as a result of
regular aerobic training at a submaximal effort?
Oriented toward the ceiling. - ✔✔During the supine rotational stretch, it is important to have the
abdomen:
Joint pain is minimal - ✔✔Individuals with arthritis should ideally stretch when:
The MOST important reasons for maintaining collaborative relationships with health care professionals -
✔✔optimize client outcomes and identify risk factors
Jumps in place - ✔✔Which of the following is MOST appropriate for a novice athlete starting plyometric
training
Modifying the order of exercises - ✔✔To accomplish progressive overload, increase the intensity and/or
volume by increasing resistance, increasing the number of sets/reps exercises, or:
Benefit; risk - ✔✔Pre-participation health screenings during initial client consultation help the EP-C to
maximize and minimize risk
What would be a good target heart rate range for a moderately trained female, age 42, with a resting
heart rate of 60? - ✔✔143 to 154 bpm
Explanation:
Moderately trained individuals may find that 70% to 80% VO2max provides a sufficient training stimulus.
p. 403
1:10 - ✔✔What is the recommended work-to-rest ratio when performing depth jumps: