030-444 ACSM Certified Clinical Exercise Physiologist Questions and Answers

Greater than 140 mg/dL.

Between 60 and 140 mg/dL.

Less than 60 mg/dL.

Between 200 and 400 mg/dL.

They tend to consume less overall energy than men.

They tend to consume less dairy products.

They tend to consume less protein from meat sources.

All of the above.

Perhaps the most important feature of the mission statement is its clarity or understandability.

The mission statement should elucidate the program's goals.

There should be a different mission statement for each program or, perhaps, even a different mission statement for each component of a program.

A program's mission statement generally is fixed.

Hypocaloric diet.

Daily aerobic exercise.

Resistance training.

A low-fat, high-fiber diet and daily physical activity.

2,000 kcal.

2,500 kcal.

3,000 kcal.

3,500 kcal.

Hypertensive response.

Increased ischemia.

Improved anginal thresholds.

Severe hypotension.

Straight leg lifts.

Parallel squats.

Spinal extension exercises.

Sit-ups with feet anchored.

Persons with WI pacemakers may be chronotropically (HR) competent with exercise but require longer warm-up and gradual increase in intensity during the initial exercise portion of their session.

Persons who are chronotropically competent are tachycardic at rest and should not exercise at low intensities.

BP response is not a good marker of intensity effort in those with WI pacemakers and need not be evaluated during an exercise session.

Persons with WI pacemakers must avoid exercise on the bicycle ergometer because of the location of the ventricular lead wire and potential for displacement.

Diabetes.

Skin cancer.

Coronary artery disease.

Colon cancer.

Weight training.

Walking.

Bicycling.

Stair climbing.

A referred pain from a herniated lumbar disk.

Rotator cuff strain or impingement.

angina.

Advanced stages of multiple sclerosis.

Fruits, beans, and oats.

Meat and dairy foods.

Wheat bran and whole wheat products.

All of the above.

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

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

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

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

2, 4, and 6, respectively.

4, 6, and 8, respectively.

6, 8, and 9, respectively.

4, 4, and 9, respectively.

Clients with functionally limiting chronicdisease.

Clients with comorbid disease states.

Asymptomatic clients with a functional capacity of 10 MET.

Clients at 1 week after CABG surgery.

128 bpm.

109 to 119 bpm.

129 bpm.

125 to 128 bpm.

Determining total body fat through the BMI to assess obesity.

Determining the degree of abdominal fat and health risk through waist circumference.

Using the waist-to-hip ratio as the only definition of obesity and lean muscle mass.

Both A and B.

0.8 g/kg.

1.4 g/kg.

2.2 g/kg.

1.7 g/kg.

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

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

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

Exercise intensity should be similar for males and females.

Limit activities as tolerated to the development of self-care activities, ROM for extremities, and low-resistance activities.

Limit upper body activities to biceps curls, horizontal arm adduction, and overhead press using 5-pound weights while sitting on the side of the bed.

Progress all activities performed from supine to sitting to standing.

Measure vital signs, symptoms, RPE, fatigue, and skin color and perform electrocardiography before, during, and after treatments to assess activity tolerance.

20 minutes continuously.

30 minutes continuously.

Multiple sessions of more than 10 minutes in duration throughout the day.

Two sessions of 20 minutes throughout the day.

Office supplies.

Salaries.

Utilities (e.g., telephone).

Laboratory charge backs for blood work.

Break-down analysis.

Break-even analysis.

Profitability analysis.

Margin analysis.

They help in evaluation of a program.

They offer music not found on tapes or CDs.

They help to provide facts in any legal issues.

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

Selling memberships at any cost is key.

You know more than they do, so be aggressive.

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

best way.

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

Acute pericarditis.

Right atrial enlargement.

Chronic obstructive pulmonary disease.

Cardiomyopathy.

8.9 pounds.

12.0 pounds.

26.0 pounds.

34.3 pounds.

Not important, because members do not care.

Important, primarily because it adds spice to marketing materials.

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

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

Hypokalemia and hypercalcemia.

Hyperkalemia and hypercalcemia.

Hypocalcemia and hypokalemia.

Hypocalcemia and hyperkalemia.

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

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

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

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

Hyperacute phase of MI.

LVH.

Acute pericarditis.

Hypocalcemia.

75 bpm

125 bpm

200 bpm

300 bpm

Polarization.

Repolarization.

Automaticity.

Depolarization.

They create problems with staff egos.

They reduce memberships.

They create successful programs and reduce problems.

They create more work for the staff and reduce feedback.

-30°.

60°.

90°.

120°.

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

Louis, Mosby, 1999, p 55.)

Atrial flutter.

Atrial fibrillation.

Premature atrial contractions.

Atrial tachycardia.

1.52 L . min-1

773.0 mL . min-1

0.840 L· min-1

0.774 L· min-1

Is not necessary if the client completes the medical history questionnaire.

Is a communication tool with little exercise value?.

Provides information about the physician's attitude regarding your club.

Provides a medical opinion about a client's risk with exercise.

It helps to promote the program and staff to the public.

It reduces the risk of legal action against your staff.

It lowers your malpractice insurance premium by promoting quality.

It makes sure that your clients are happy and getting what they want.

Scooped-out depression of the ST segment produced by digitalis.

Elevation of the PR interval produced by digitalis.

Shortening of the QT interval produced by digitalis.

Prolongation of the QRS complex produced by digitalis.

LBBB.

Posterior wall MI.

RBBB.

LVH.

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

Louis, Mosby, 1999, p 70.)

Valuable, because it looks good to the owners.

To create many opportunities for educating the staff.

To let the staff handle their own education but also to encourage it.

Not very valuable, because member retention and sales are the key to any program.

A business plan.

A survey.

Management factors.

Budget categories.

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

support for program implementation.

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

to meet the program's specific needs.

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

of external validity, generalizing the results may be difficult.

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

Explain how to use the fitness equipment properly.

Clarify the rights of and risks in being a fitness member.

Are general guidelines for operating a fitness program or department.

Explain the employee insurance plans and how to use them.