ACSM Clinical Exercise Physiologist
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1 MET = - CORRECT ANSWER✔✔- 3.5 ml/kg/mig
1 large box - CORRECT ANSWER✔✔- 5mm or 0.2 seconds
1 small box - CORRECT ANSWER✔✔- 1mm or 0.04 sec
1 Rep Max (1RM) Procedure - CORRECT ANSWER✔✔- 1.) 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 - CORRECT 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 - CORRECT ANSWER✔✔- - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindications to Exercise Testing - CORRECT ANSWER✔✔- 1. 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 - CORRECT ANSWER✔✔- 1. 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 - CORRECT 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 - CORRECT ANSWER✔✔- - Urinary Ketones form as a
result of ineffective fat metabolism that contribute to diabetic ketoacidosis
Ideal blood glucose post Exercise - CORRECT ANSWER✔✔- > 80 mg/dl
Ideal Blood Glucose before exercise - CORRECT ANSWER✔✔- > 100 mg/dl
Normal BP response to Exercise - CORRECT ANSWER✔✔- - Progressive increase in SBP
with workload until plateau in peak exercise
- No change or slight decrease in SP
,Bi-ventricular pacemaker - CORRECT ANSWER✔✔- Deliver innovative therapy- cardiac
resynchronization
Used for CHF to decrease symptoms and increase function
Benefits of PA as motivation - CORRECT 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 - CORRECT ANSWER✔✔- HR < 50 BPM
Bundle Branch Block - CORRECT ANSWER✔✔- - Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug use, or electrolyte
imbalance
Chronotropic Incompetence - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔- Right and Left Sternal border
at the 4th intercostal space
EKG lead placement: V3 - CORRECT ANSWER✔✔- Midpoint between V2 and V4
EKG Lead placement: V4 - CORRECT ANSWER✔✔- Mid-clavicular line at 5th intercostal
space
EKG lead placement: V5 - CORRECT ANSWER✔✔- Anterior axillary line
EKG lead placement: V6 - CORRECT ANSWER✔✔- Mid-axillary line, horizontal to V4
and V5
Effect of Exercise on dyslipidemia - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔- - increased SV at rest
- lower resting HR, prolonged diastole, increased end diastolic volume, increased SV
UPDATED ACTUAL Exam Questions and
CORRECT Answers
1 MET = - CORRECT ANSWER✔✔- 3.5 ml/kg/mig
1 large box - CORRECT ANSWER✔✔- 5mm or 0.2 seconds
1 small box - CORRECT ANSWER✔✔- 1mm or 0.04 sec
1 Rep Max (1RM) Procedure - CORRECT ANSWER✔✔- 1.) 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 - CORRECT 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 - CORRECT ANSWER✔✔- - Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindications to Exercise Testing - CORRECT ANSWER✔✔- 1. 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 - CORRECT ANSWER✔✔- 1. 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 - CORRECT 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 - CORRECT ANSWER✔✔- - Urinary Ketones form as a
result of ineffective fat metabolism that contribute to diabetic ketoacidosis
Ideal blood glucose post Exercise - CORRECT ANSWER✔✔- > 80 mg/dl
Ideal Blood Glucose before exercise - CORRECT ANSWER✔✔- > 100 mg/dl
Normal BP response to Exercise - CORRECT ANSWER✔✔- - Progressive increase in SBP
with workload until plateau in peak exercise
- No change or slight decrease in SP
,Bi-ventricular pacemaker - CORRECT ANSWER✔✔- Deliver innovative therapy- cardiac
resynchronization
Used for CHF to decrease symptoms and increase function
Benefits of PA as motivation - CORRECT 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 - CORRECT ANSWER✔✔- HR < 50 BPM
Bundle Branch Block - CORRECT ANSWER✔✔- - Wide QRS
- usually result from disease in BB's or Ventricular abnormalities, drug use, or electrolyte
imbalance
Chronotropic Incompetence - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔- Right and Left Sternal border
at the 4th intercostal space
EKG lead placement: V3 - CORRECT ANSWER✔✔- Midpoint between V2 and V4
EKG Lead placement: V4 - CORRECT ANSWER✔✔- Mid-clavicular line at 5th intercostal
space
EKG lead placement: V5 - CORRECT ANSWER✔✔- Anterior axillary line
EKG lead placement: V6 - CORRECT ANSWER✔✔- Mid-axillary line, horizontal to V4
and V5
Effect of Exercise on dyslipidemia - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER✔✔- - increased SV at rest
- lower resting HR, prolonged diastole, increased end diastolic volume, increased SV
