PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
atropine - ANSWER-treats brachycardia, 2md degree heat block mobitz type I, and 3rd degree
heart block with high purkinjee or AV nodal escape rhythm
increases firing rate of SA node and conduction through AV node of heart and blocks action of
vagus nerve (part of heart that decreases HR)
bronchodialators - ANSWER-asthma or COPD have difficulty exercising for extended durations
-use short, intermittent bouts, rest as needed, begin at very low intensity
-monitor for dyspnea
-take asthma medications prior to exercising and have inhaler available
-frequently check O2 levels with pulse oximeter 1.
anticholinergics
2. sympathomimetics (beta2-receptor agonists)
3. anticholinergics with sympathomimetics (beta2-recepto agonists) 4.
xanthine derivatives
5. leukotriene antagonists and formation inhibitors (American association of family
physicians)
6. mast cell stabilizers
anticholinergics - ANSWER-increase exercise capatiy w/ clients limited by bronchospasm
block neurotransmitters ACh affecting muscles around bronchi
-stops muscles in bronchi from tightening when lungs are irritated
-can increase/no effect on resting or exercise HR
-does NOT affect resting/exercise BP
sympathomimetics (beta2-receptor agonists) - ANSWER-imitate effects of transmitter
substances of sympathetic nervous system
stimulating beta2-receptors on smooth muscles in airways
, PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
-can decrease or have no effect on resting/exercise HR and BP
anticholinergics with sympathomimetics (beta2-recepto agonists) - ANSWER-slight increase in
resting/exercise HR and BP
, PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
leukotriene antagonists and formation inhibitors (American association of family physicians) -
ANSWER-potent inflammatory mediators inducing bronchoconstriction and enhancing airway
hyperresponsiveness
-stimulate smooth muscle hypertrophy, muscle hypersecretion, and influx of eosinophils into
airway tissues
xanthine derivatives - ANSWER-stimulate central nervous system, produce diuresis, and relax
smooth muscles
help relax smooth muscles in bronchial tree
-may result in premature ventricular contractions at rest and exercise HR and BP
mast cell stabilizers - ANSWER-prevent/control some allergic disorders, block calcium channel
essential for cell degranulation, stabilizing cell and preventing release of histamine related
mediators
-used in inhalers to treat asthma, nasal sprays for fever, and eye drops for allergic conjunctives
antidiabetic agents - ANSWER-if on insulin must coordinate injections and food intake with
exercise program or diagnostic test
*concerns:* foot ulcers and hypoglycemia
-intensity, frequency, and duration depends on severity and fitness level
-check blood glucose before and after exercise (must be at 100 before and after exercise!!!)
1. biguanides
2. glucosidase inhibitors
3. meglitinides
4. sulfonylureas
5. thiazolidinediones
6. insulin
, PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
bigaunides - ANSWER-decrease hepatic glucose production and intestinal glucose absorption
no effect on rest/exercise HR and BP
glucosidase inhibitors - ANSWER-inhibit glucose absorption and have no effect on
resting/exercise HR and BP
meglitinides and sulfonylureas - ANSWER-stimulate pancreatic islet beta cells no
effect on resting/exercise HR and BP
thiazolidinediones - ANSWER-increase insulin sensitivity no
effect on rest/exercise HR and BP
insulin - ANSWER-caries how acts base on type
-no effect on resting/exercise HR and BP
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
atropine - ANSWER-treats brachycardia, 2md degree heat block mobitz type I, and 3rd degree
heart block with high purkinjee or AV nodal escape rhythm
increases firing rate of SA node and conduction through AV node of heart and blocks action of
vagus nerve (part of heart that decreases HR)
bronchodialators - ANSWER-asthma or COPD have difficulty exercising for extended durations
-use short, intermittent bouts, rest as needed, begin at very low intensity
-monitor for dyspnea
-take asthma medications prior to exercising and have inhaler available
-frequently check O2 levels with pulse oximeter 1.
anticholinergics
2. sympathomimetics (beta2-receptor agonists)
3. anticholinergics with sympathomimetics (beta2-recepto agonists) 4.
xanthine derivatives
5. leukotriene antagonists and formation inhibitors (American association of family
physicians)
6. mast cell stabilizers
anticholinergics - ANSWER-increase exercise capatiy w/ clients limited by bronchospasm
block neurotransmitters ACh affecting muscles around bronchi
-stops muscles in bronchi from tightening when lungs are irritated
-can increase/no effect on resting or exercise HR
-does NOT affect resting/exercise BP
sympathomimetics (beta2-receptor agonists) - ANSWER-imitate effects of transmitter
substances of sympathetic nervous system
stimulating beta2-receptors on smooth muscles in airways
, PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
-can decrease or have no effect on resting/exercise HR and BP
anticholinergics with sympathomimetics (beta2-recepto agonists) - ANSWER-slight increase in
resting/exercise HR and BP
, PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
leukotriene antagonists and formation inhibitors (American association of family physicians) -
ANSWER-potent inflammatory mediators inducing bronchoconstriction and enhancing airway
hyperresponsiveness
-stimulate smooth muscle hypertrophy, muscle hypersecretion, and influx of eosinophils into
airway tissues
xanthine derivatives - ANSWER-stimulate central nervous system, produce diuresis, and relax
smooth muscles
help relax smooth muscles in bronchial tree
-may result in premature ventricular contractions at rest and exercise HR and BP
mast cell stabilizers - ANSWER-prevent/control some allergic disorders, block calcium channel
essential for cell degranulation, stabilizing cell and preventing release of histamine related
mediators
-used in inhalers to treat asthma, nasal sprays for fever, and eye drops for allergic conjunctives
antidiabetic agents - ANSWER-if on insulin must coordinate injections and food intake with
exercise program or diagnostic test
*concerns:* foot ulcers and hypoglycemia
-intensity, frequency, and duration depends on severity and fitness level
-check blood glucose before and after exercise (must be at 100 before and after exercise!!!)
1. biguanides
2. glucosidase inhibitors
3. meglitinides
4. sulfonylureas
5. thiazolidinediones
6. insulin
, PERSONAL TRAINER
CERTIFICATION ACSM EXAM WITH
VERIFIED ANSWERS REVIEW
WELL RATED
bigaunides - ANSWER-decrease hepatic glucose production and intestinal glucose absorption
no effect on rest/exercise HR and BP
glucosidase inhibitors - ANSWER-inhibit glucose absorption and have no effect on
resting/exercise HR and BP
meglitinides and sulfonylureas - ANSWER-stimulate pancreatic islet beta cells no
effect on resting/exercise HR and BP
thiazolidinediones - ANSWER-increase insulin sensitivity no
effect on rest/exercise HR and BP
insulin - ANSWER-caries how acts base on type
-no effect on resting/exercise HR and BP
