ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
1. pretest consider- systematic approach in screening clients for:
ations for healh signs and symptoms, family history, risk factors for dis-
appraisal ease
2. informed con- an agreement to do or allow something to occur, made
sent with an awareness of relevant facts, including: proce-
dures, risks, benefits, limitations, and discomforts
-legal and ethical document
-often paired with release of liability form
3. Par-Q used for screening
Physical Activity Readiness Questionnaire
minimal standard for moderate intensity exercise
7 questions; if answered "yes" to any question, then re-
quire to get medical release form from healthcare provider
4. physician refer- safeguard for high risk clients who may compromise
ral health with exercise without medically trained staff
-physician's name, stating diagnosis, and exercise per-
scription
5. risk stratification assigns individuals to low, medium, or high risk based on
presence of conditions
6. ACSM risk strati- makes recommendations based upon low, moderate, or
fication matrix high risk clients
7. positive risk fac- family history of disease
tors cigarette smoking
hypertension
hyercholesterolemia/dyslipidemia
impaired fasting glucose
obesity
sedentary lifestyle
8. family history of myocardial infarction, coronary revascularization, or sud-
disease den death before age 55 in males and 65 females (1st
degree relatives)
9.
, ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
cigarette smok- currently smoking or quit withing 6 months, or exposed to
ing 2nd hand smoke over 6 months
10. hypertension clients currently taking antihypertensive medication
and/or confirmed (2 separate occasions) 140/90 BP or
higher
11. hypercholes- clients currently taking lipid lowering medication and/or
terolemia/dys- those with total serum cholesterol >200 mg/dL, or high
lipdemia density lipoprotein cholesterols of 0.35 mg/dL
12. impaired fasting fasting blood glucose > or equal to 110 mg/dL (2 separate
glucose measurements)
13. obesity BMI > or equal mg/m^2 or waist girth exceeding approxi-
mately 39.4 inches
14. sedentary those not meeting recommended amount of physical ac-
lifestyle tivity (at least 30 minutes of physical activity at a moderate
intensity 40-60%, at least 3 days a week for at least 3
months)
15. negative risk fac- high serum HDL cholesterol: >60 mg/dL
tors
16. emerging risk inflammatory markers: reactive C protein (CRP) and fib-
factors rinogen
17. low risk men <45, women <55, asymptomatic, with 1 or less risk
factors
A) current medical examination and exercise testing prior
participation- not necessary for moderate or vigorous ex-
ercise
B) physician supervision of exercise tests- not necessary
for submax or maximal tests
18. moderate risk men >45, women >55, or those who meet the threshold
for 2 or more risk factors
A) current medical examination and exercise testing pri-
or participation- not necessary for moderate but recom-
, ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
mended for vigorous exercise
B) physician supervision of exercise tests- not necessary
for submax but recommended for maximal tests
19. high risk 1 or more signs and symptoms listed or a known cardio-
vascular, pulmonary, or metabolic disease
A) current medical examination and exercise testing pri-
or participation- recommended for moderate or vigorous
exercise
B) physician supervision of exercise tests- recommended
for submax or maximal tests
20. exercise testing M.R.I.P.L.
steps medical history
risk factor assessment
interpreting the data (cardio endurance, muscle
strength/endurance, flexibility, body comp)
prescribing exercise program
lifestyle counseling
21. stress test usually only recommended by physician if the client has
symptoms of coronary artery disease, or significant risk
factors for CAD
22. do NOT do vig- clients with diagnosed or present cardio diseases, con-
orous exercise genital abnormalities, and/or hereditary abnormalities:
with: hypertrophic cardiomyopathy
coronary arter abnormalities
aortic stenossi
23. signs/symptoms -pain, discomfort, distress in areas that may be due to
of ischemia (chest, neck, jaw, arms, etc.)
cardiovascular -shortness of breath at rest or mild exertion
and pulmonary -dizziness or syncope
disease -edema, especially ankle
-tachycardia, or other arrhythmic occurrences (known
heart murmur)
-orthopnea or paroxysmal dyspnea
-intermittent claudication
-unusual fatigue or shortness of breath with ADLs
, ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
24. ischemia an inadequate blood supply to an organ or part of the
body, especially the heart muscles.
-can result in heart attack, can by silent
intermediate condition of CAD
25. edema puffy swelling of tissue from the accumulation of fluid
-common in arms, hands, legs, ankles, and feet, face,
abdomen
*symptoms:* swelling of tissue directly under skin,
stretched or shiny skin, skin that pits after being pressed,
increased abdominal size
-remove salt from clients diet may help with swelling
-can be sign of underlying disease (heart failure, kidney
disease, cirrhosis of liver etc.)
26. orthopnea ability to breathe only in an upright position
-difficulty breathing in supine position
-usually indicative of left ventricular dysfunction
27. paroxysmal dys- sudden, recurring episode of difficult breathing
pnea -asthma
28. angina heart pain
-insufficient supply off blood
*symptoms:* chest pain/discomfort, pain in neck shoulder
back arms or jaw, nausea, fatigue, sweating, shortness of
breath, anxiety, dizziness
29. stable angina most common type
occurring with exertion and going away with rest
can be triggered by mental or emotional stress
could feel like indigestion and spread to arms, back, or
other areas
30. unstable angina *medical emergency*
occurs even at rest and usually more severe and longer
lasting (as long as 30 minutes)
-may signal heart attack!!!
Study online at https://quizlet.com/_52qjri
1. pretest consider- systematic approach in screening clients for:
ations for healh signs and symptoms, family history, risk factors for dis-
appraisal ease
2. informed con- an agreement to do or allow something to occur, made
sent with an awareness of relevant facts, including: proce-
dures, risks, benefits, limitations, and discomforts
-legal and ethical document
-often paired with release of liability form
3. Par-Q used for screening
Physical Activity Readiness Questionnaire
minimal standard for moderate intensity exercise
7 questions; if answered "yes" to any question, then re-
quire to get medical release form from healthcare provider
4. physician refer- safeguard for high risk clients who may compromise
ral health with exercise without medically trained staff
-physician's name, stating diagnosis, and exercise per-
scription
5. risk stratification assigns individuals to low, medium, or high risk based on
presence of conditions
6. ACSM risk strati- makes recommendations based upon low, moderate, or
fication matrix high risk clients
7. positive risk fac- family history of disease
tors cigarette smoking
hypertension
hyercholesterolemia/dyslipidemia
impaired fasting glucose
obesity
sedentary lifestyle
8. family history of myocardial infarction, coronary revascularization, or sud-
disease den death before age 55 in males and 65 females (1st
degree relatives)
9.
, ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
cigarette smok- currently smoking or quit withing 6 months, or exposed to
ing 2nd hand smoke over 6 months
10. hypertension clients currently taking antihypertensive medication
and/or confirmed (2 separate occasions) 140/90 BP or
higher
11. hypercholes- clients currently taking lipid lowering medication and/or
terolemia/dys- those with total serum cholesterol >200 mg/dL, or high
lipdemia density lipoprotein cholesterols of 0.35 mg/dL
12. impaired fasting fasting blood glucose > or equal to 110 mg/dL (2 separate
glucose measurements)
13. obesity BMI > or equal mg/m^2 or waist girth exceeding approxi-
mately 39.4 inches
14. sedentary those not meeting recommended amount of physical ac-
lifestyle tivity (at least 30 minutes of physical activity at a moderate
intensity 40-60%, at least 3 days a week for at least 3
months)
15. negative risk fac- high serum HDL cholesterol: >60 mg/dL
tors
16. emerging risk inflammatory markers: reactive C protein (CRP) and fib-
factors rinogen
17. low risk men <45, women <55, asymptomatic, with 1 or less risk
factors
A) current medical examination and exercise testing prior
participation- not necessary for moderate or vigorous ex-
ercise
B) physician supervision of exercise tests- not necessary
for submax or maximal tests
18. moderate risk men >45, women >55, or those who meet the threshold
for 2 or more risk factors
A) current medical examination and exercise testing pri-
or participation- not necessary for moderate but recom-
, ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
mended for vigorous exercise
B) physician supervision of exercise tests- not necessary
for submax but recommended for maximal tests
19. high risk 1 or more signs and symptoms listed or a known cardio-
vascular, pulmonary, or metabolic disease
A) current medical examination and exercise testing pri-
or participation- recommended for moderate or vigorous
exercise
B) physician supervision of exercise tests- recommended
for submax or maximal tests
20. exercise testing M.R.I.P.L.
steps medical history
risk factor assessment
interpreting the data (cardio endurance, muscle
strength/endurance, flexibility, body comp)
prescribing exercise program
lifestyle counseling
21. stress test usually only recommended by physician if the client has
symptoms of coronary artery disease, or significant risk
factors for CAD
22. do NOT do vig- clients with diagnosed or present cardio diseases, con-
orous exercise genital abnormalities, and/or hereditary abnormalities:
with: hypertrophic cardiomyopathy
coronary arter abnormalities
aortic stenossi
23. signs/symptoms -pain, discomfort, distress in areas that may be due to
of ischemia (chest, neck, jaw, arms, etc.)
cardiovascular -shortness of breath at rest or mild exertion
and pulmonary -dizziness or syncope
disease -edema, especially ankle
-tachycardia, or other arrhythmic occurrences (known
heart murmur)
-orthopnea or paroxysmal dyspnea
-intermittent claudication
-unusual fatigue or shortness of breath with ADLs
, ACSM Personal Trainer Certification
Study online at https://quizlet.com/_52qjri
24. ischemia an inadequate blood supply to an organ or part of the
body, especially the heart muscles.
-can result in heart attack, can by silent
intermediate condition of CAD
25. edema puffy swelling of tissue from the accumulation of fluid
-common in arms, hands, legs, ankles, and feet, face,
abdomen
*symptoms:* swelling of tissue directly under skin,
stretched or shiny skin, skin that pits after being pressed,
increased abdominal size
-remove salt from clients diet may help with swelling
-can be sign of underlying disease (heart failure, kidney
disease, cirrhosis of liver etc.)
26. orthopnea ability to breathe only in an upright position
-difficulty breathing in supine position
-usually indicative of left ventricular dysfunction
27. paroxysmal dys- sudden, recurring episode of difficult breathing
pnea -asthma
28. angina heart pain
-insufficient supply off blood
*symptoms:* chest pain/discomfort, pain in neck shoulder
back arms or jaw, nausea, fatigue, sweating, shortness of
breath, anxiety, dizziness
29. stable angina most common type
occurring with exertion and going away with rest
can be triggered by mental or emotional stress
could feel like indigestion and spread to arms, back, or
other areas
30. unstable angina *medical emergency*
occurs even at rest and usually more severe and longer
lasting (as long as 30 minutes)
-may signal heart attack!!!
