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ACSM 030-444 Dumps

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Total 160 questions

ACSM Certified Clinical Exercise Physiologist Questions and Answers

Question 1

All of the following are special considerations inprescribing exercise for the client with arthritis EXCEPT

Options:

A.

The possible need to splint painful joints forprotection.

B.

Periods of acute inflammation result in decreased pain and joint stiffness.

C.

The possibility of gait abnormalities as compensation for pain or stiffness.

D.

The need to avoid exercise of warm, swollenjoints.

Question 2

Initial training sessions for a person with severe chronic obstructive pulmonary disease most likely would NOT include

Options:

A.

Continuous cycling activity at 70% of Vo2 max for 30 minutes.

B.

Use of dyspnea scales, RPE scales, and pursed-lip breathing instruction.

C.

Intermittent bouts of activity on a variety of modalities (exercise followed by short rest).

D.

Encouraging the client to achieve an intensity either at or above the anaerobic threshold.

Question 3

A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on evaluation, decreased ROM and strength are noted. You also notice that he is beginning to use accessory muscles to substitute movements and to compensate. These symptoms may indicate

Options:

A.

A referred pain from a herniated lumbar disk.

B.

Rotator cuff strain or impingement.

C.

angina.

D.

Advanced stages of multiple sclerosis.

Question 4

If total daily caloric consumption is 2,400 kcal and the total fat in that diet is 30%, how many grams of fat per day would be consumed?

Options:

A.

80.

B.

70.

C.

90.

D.

75.

Question 5

Which of the following medical conditions is NOT part of the female athlete triad?

Options:

A.

Disordered eating.

B.

Osteoporosis.

C.

Amenorrhea.

D.

Anemia.

Question 6

All of the following are helpful suggestions for an athlete trying to gain weight EXCEPT

Options:

A.

Increase portion sizes at meals.

B.

Eat more high-calorie foods (e.g., candy bars, soft drinks).

C.

Eat one extra meal per day.

D.

Snack on energy- and nutrient-dense foods (e.g., fig bars, nuts and dried fruit).

Question 7

Which of the following statements regarding exercise for the elderly is FALSE?

Options:

A.

A decrease in maximal HR is responsible for reductions in the maximal oxygen consumption as we age.

B.

A loss of fat-free mass is responsible for the decrease in muscular strength as we age.

C.

The ACSM recommends a cardiorespiratory training intensity of 50% to 70% of HRR for older adults.

D.

Resistance exercise training is not recommended for older adults.

Question 8

A program's policy and procedures manual should NOT

Options:

A.

Be stored away for safekeeping.

B.

Be revised as the program's policies and/or procedures are modified.

C.

Be viewed as a document in progress.

D.

Contain program information ranging from the organizational structure to the

facility's maintenance schedule.

Question 9

Which of the following statements regarding warm-up is FALSE?

Options:

A.

Muscle blood flow is increased as a result of warm-up.

B.

Peripheral vasodilation occurs as a result of warm-up.

C.

Peripheral vasoconstriction occurs as a result of warm-up.

D.

Between 5 and 10 minutes should be allotted for a warm-up period.

Question 10

Which the following statements regarding intensity of resistance training is FALSE?

Options:

A.

The number of repetitions to volitional fatigue will vary inversely with resistance.

B.

It is necessary to determine the 1- RM to establish training intensity.

C.

Exercise to volitional fatigue is not dangerous from a musculoskeletal standpoint provided that good exercise form is maintained.

D.

Exercise intensity should be similar for males and females.

Question 11

Which of the following is not a feature of the metabolic syndrome?

Options:

A.

Dyslipidemia (low HDL-C, elevated triglycerides).

B.

Osteoporosis.

C.

Insulin resistance.

D.

Elevated blood pressure.

Question 12

A comprehensive patient care plan is necessary for effective program management, because it

Options:

A.

Is required by federal law.

B.

Provides a "road map" for interventions.

C.

Is a requirement for insurance reimbursement.

D.

Provides raw data for analysis in CQI or outcomes assessment.

Question 13

An ideal weight-loss program should set a goal of _ pounds per week, with an energy intake of not less than _ kcal/day.

Options:

A.

10, 1,600.

B.

3-5, 1,500.

C.

1-2, 1,200.

D.

None of the above.

Question 14

The recommended cardiorespiratory exercise training goal for apparently healthy individuals should be

Options:

A.

15 minutes, six times per week, at 90% of HRR.

B.

30 minutes, three times per week, at 85% of HRR.

C.

60 minutes, three times per week, at 85% of HRR.

D.

30 minutes of weight training, three times per week, at 60% of HRR.

Question 15

The exercise leader or health/fitness instructor should modify exercise sessions for participants with hypertension by

Options:

A.

Shortening the cool-down to less than 5 minutes.

B.

Eliminating resistance training completely.

C.

Prolonging the cool-down.

D.

Implementing high-intensity (>85% of HRR), short-duration intervals.

Question 16

The eating habits of an athlete involved in long distance running should differ from those of a sedentary individual of the same body weight in what way?

Options:

A.

The athlete should reduce fat intake to 10% of total calories.

B.

The athlete should increase protein intake to threefold the RDA.

C.

The athlete should have a greater intake of grains, fruits, vegetables, and lean sources of protein.

D.

There should be no change in calories.

Question 17

The recommended muscular strength and endurance training program for apparently healthy individuals should be

Options:

A.

One set of 8 to 12 reps, 8 to 10 separate exercises, 2 days per week.

B.

Two sets of six to eight reps, 8 to 10 separate exercises, 2 days per week.

C.

One set of 8 to 12 reps, 8 to 10 separate exercises, 4 to 5 days per week.

D.

Two sets of six to eight reps, 8 to 10 separate exercises, 4 days per week, and alternating days for legs and upper body.

Question 18

Which fat-soluble vitamin is important for bone formation?

Options:

A.

Vitamin A.

B.

Vitamin D.

C.

Vitamin E.

D.

Vitamin K.

Question 19

Which of the following waist circumference measurements indicates abdominal obesity?

Options:

A.

0.98.

B.

>29.9

C.

43 inches

D.

All of the above.

Question 20

Which of the following statements true regarding exercise leadership is FALSE?

Options:

A.

The exercise leader should be fit enough to exercise with any of his or her participants.

B.

Most people are not bored by exercise and can easily find time to participate in an exercise program.

C.

The exercise leader should adjust the exercise intensity based on individual differences in fitness.

D.

Periodic fitness assessment may provide evidence of improvement in fitness for some participants.

Question 21

Which energy source represents the largest potential energy store in the body?

Options:

A.

Fat.

B.

Blood glucose.

C.

Muscle glycogen.

D.

Protein.

Question 22

Using the original Borg scale, it is recommended that the exercise intensity elicit an RPE within the range of

Options:

A.

8 to 12.

B.

12 to 16.

C.

14 to 18.

D.

6 to 10.

Question 23

The appropriate exercise HR for an individual on -blocking medication would generally

be

Options:

A.

75% of HRR.

B.

30 bpm above the standing resting HR.

C.

40% of HRR.

D.

(220 - age) X 0.85.

Question 24

Athletes may have protein needs greater than those of sedentary individuals. What level of protein intake is the recommended UL for athletes?

Options:

A.

0.8 g/kg.

B.

1.4 g/kg.

C.

2.2 g/kg.

D.

1.7 g/kg.

Question 25

Capital budgets

Options:

A.

Reflect the costs of implementing a program.

B.

Reflect the costs to operate a program.

C.

Are not necessary with fitness programs.

D.

Are part of the balance sheet in financial reports.

Question 26

If a healthy young man exercises at an intensity of 45 mL. kg-1.min -1 three times per week for 45 minutes each session, how long would it take him to lose 10 pounds of fat?

Options:

A.

4 weeks.

B.

7.14 weeks.

C.

16.5 weeks.

D.

19 weeks.

Question 27

A 55-kilogram woman trains on a cycle ergometer by pedaling at 60 rpm against a resistance of 1.5 kiloponds. What is her absolute Yo2?

Options:

A.

1.36 L . min-1

B.

2.47 L . min-1

C.

3.62 L . min-1

D.

3600 mL . min-1

Question 28

Examine the six extremity leads shown in the figure below. What is the appropriate mean QRS axis?

Options:

A.

-30°.

B.

60°.

C.

90°.

D.

120°.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St

Louis, Mosby, 1999, p 55.)

Question 29

What is the relative Y02 of running on a treadmill at 5.5 mph and a 12% grade?

Options:

A.

29.48 mL . kg-1 . min-1

B.

45.4 mL . kg-1 . min-1

C.

47.2 mL . kg-1 . min-1

D.

48.9 mL . kg-1 . min-1

Question 30

Why should a fitness operator be concerned with state practice laws?

Options:

A.

State laws help to identify illegal aliens who may apply for a job in your club.

B.

State laws may control the number of minority employees working at your club.

C.

State laws may affect how much can be charged for a membership.

D.

Many states have practice acts that control the behavior and actions of fitness instructors.

Question 31

A fitness newsletter, fitness library, and bulletin boards

Options:

A.

Are part of staff news.

B.

Are part of client and staff education.

C.

Are part of the facility marketing.

D.

Require considerable money and must be budgeted carefully.

Question 32

What is the best way that an administrator can educate the fitness staff?

Options:

A.

Voicing his or her opinion.

B.

Joining fitness organizations, and subscribing to fitness journals.

C.

Buying fitness videos.

D.

Reading the newspaper.

Question 33

What are some of the common sales "rules" in promoting your fitness program?

Options:

A.

Selling memberships at any cost is key.

B.

You know more than they do, so be aggressive.

C.

Honesty and an understanding of the needs of the potential member are always the

best way.

D.

Long-term agreements make more money than short-term agreements.

Question 34

A 70-kg client is running on a treadmill at 5 mph and a 5% grade. What is his caloric expenditure rate?

Options:

A.

12.7 kcal . min-1

B.

1.271 kcal . min-1

C.

3.633 kcal . min -1

D.

36.33 kcal . min -1

Question 35

In atrial flutter, the stimulation rate is approximately

Options:

A.

75 bpm

B.

125 bpm

C.

200 bpm

D.

300 bpm

Question 36

Which one of the following statements concerning a needs assessment is NOT true?

Options:

A.

The needs and/or program assessment is a useful tool for gathering data and

support for program implementation.

B.

The needs and/or program assessment often must be a creative tool developed inhouse

to meet the program's specific needs.

C.

Given that the needs assessment may be developed in-house without the benefit

of external validity, generalizing the results may be difficult.

D.

Program planning is an essential step before needs assessment can be performed.

Question 37

In response to various stimuli, movements of ions occur, causing the rapid loss of the internal negative potential. This process is known as

Options:

A.

Polarization.

B.

Repolarization.

C.

Automaticity.

D.

Depolarization.

Question 38

Slow conduction in the A V node is associated with

Options:

A.

Prolonged PR interval.

B.

Prolonged QRS interval.

C.

Shortened QT interval.

D.

Elevated ST segment.

Question 39

Why are records valuable to a fitness program?

Options:

A.

They help in evaluation of a program.

B.

They offer music not found on tapes or CDs.

C.

They help to provide facts in any legal issues.

D.

They help the front desk to monitor paid and unpaid clients.

Question 40

What should the manager's involvement be in developing fitness programs?

Options:

A.

The manager should maintain a hands-off approach.

B.

The manager should be involved only in the budgeting and final approval.

C.

The manager should be the only person involved in program development.

D.

The manager should be active as a program developer as well as a resource,

supporter, and critic for programs developed by other staff.

Question 41

Budgets are designed to

Options:

A.

Make management happy.

B.

Determine if a program is viable.

C.

Save money.

D.

Teach managers about cost analysis.

Question 42

Which type of financial analysis would be appropriate for a not-for-profit program

that wishes to determine the amount of revenue from program fees needed so that no

other sources of revenue are required to meet the program's expenses?

Options:

A.

Break-down analysis.

B.

Break-even analysis.

C.

Profitability analysis.

D.

Margin analysis.

Question 43

Staff certification is

Options:

A.

Not important, because members do not care.

B.

Important, primarily because it adds spice to marketing materials.

C.

Not a good idea, because certified staff will increase your payroll.

D.

Important, primarily because it adds a standard of knowledge and credibility to your facility.

Question 44

What is the MET equivalent to level walking on a treadmill at 3.0 mph?

Options:

A.

5.59 MET.

B.

3.30 MET.

C.

2.30 MET.

D.

3.02 MET.

Question 45

Which of the following conditions can prolong the QT interval?

Options:

A.

Hypokalemia and hypercalcemia.

B.

Hyperkalemia and hypercalcemia.

C.

Hypocalcemia and hypokalemia.

D.

Hypocalcemia and hyperkalemia.

Question 46

A 143-pound woman regularly exercises on a treadmill at a speed of 5.5 mph and a 2% elevation. What is her caloric expenditure?

Options:

A.

6.78 kcal . min-1

B.

11.58 kcal· min-1

C.

20.85 kcal. min-1

D.

25.47 kcal· min-1

Question 47

One important aspect of staff competency is ensuring that staff members are well trained and kept up to date. Which of the following organizations has recently launched the Registry for Clinical Exercise Physiologists?

Options:

A.

AACVPR.

B.

American College of Physicians.

C.

American Heart Association.

D.

ACSM.

Question 48

A client is walking on a treadmill at 3.4 mph and a 5% grade. What is her Y02 in relative terms?

Options:

A.

9.11 mL . kg-1 . min-1

B.

11.9 mL . kg-1 . min-1

C.

24 mL . kg-1 . min-1

D.

20.81 mL . kg-1 . min-1

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Total 160 questions