030-444 ACSM Certified Clinical Exercise Physiologist Questions and Answers

9.11 mL . kg-1 . min-1

11.9 mL . kg-1 . min-1

24 mL . kg-1 . min-1

20.81 mL . kg-1 . min-1

12.91 mL . kg-1 . min-1

14.61 mL . kg-1 . min-1

16.41 mL . kg-1 . min-1

22.89 mL . kg-1 . min-1

Voicing his or her opinion.

Joining fitness organizations, and subscribing to fitness journals.

Buying fitness videos.

Reading the newspaper.

50W.

100W.

200W.

300W.

LBBB.

Posterior wall MI.

RBBB.

LVH.

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

Louis, Mosby, 1999, p 70.)

Offering a shoulder on which to cry.

Conducting surveys, and responding to client needs.

Encouraging members to "let go" in exercise classes.

Having members teach classes.

Left atrial enlargement and LVH.

Right atrial enlargement and right ventricular hypertrophy.

Left anterior fascicular block and left posterior h,scicular block.

Subendocardial ischemia and infarction

Avr V1 V4

Avl V2 V5

Avf V3 V6

A legal form.

A process that is backed up by a form.

Something that only a lawyer can provide to an exercise program.

Being an informed consumer to ensure that one undertakes the proper exercise program.

Reflect the costs of implementing a program.

Reflect the costs to operate a program.

Are not necessary with fitness programs.

Are part of the balance sheet in financial reports.

They inform the manager which employees are performing poorly.

They indicate which members are problematic and should be dismissed.

They document and give details of any incident or problem that occurs.

State laws often require them.

Annual practice sessions involving all staff.

Emergency plan that constantly refers to national established guidelines (e.g., ACLS) without addressing unique features of the program.

Emergency drills carried out on a regular basis and documented.

Scenarios developed to increase the applicability of the emergency plan practice

sessions.

Fitness equipment costs.

If a company is making or losing money.

Viability, identification of problems, and a plan for the future of a program.

Assets and liabilities of the financial plan.

Hypokalemia.

Defective intraventricular conduction.

Right atrial enlargement.

Abnormal ST segment

A business plan.

A survey.

Management factors.

Budget categories.

300 mL . min-1

750 mL . min-1

1.25 L . min-1

1.7 L. min-1

12.7 kcal . min-1

1.271 kcal . min-1

3.633 kcal . min -1

36.33 kcal . min -1

5.0 mph

6.8 mph

18.25 m . min-1

18.25 mph

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.

5.59 MET.

3.30 MET.

2.30 MET.

3.02 MET.

Atrial flutter.

Atrial fibrillation.

Premature atrial contractions.

Atrial tachycardia.

Hypokalemia and hypercalcemia.

Hyperkalemia and hypercalcemia.

Hypocalcemia and hypokalemia.

Hypocalcemia and hyperkalemia.

ECG electrodes.

Temporary wages.

Rental fees for the facility space.

Consultant fees.

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.

2,000 kcal.

2,500 kcal.

3,000 kcal.

3,500 kcal.

0.98.

>29.9

43 inches

All of the above.

Increase portion sizes at meals.

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

Eat one extra meal per day.

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

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

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

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

Resistance exercise training is not recommended for older adults.

Resistance exercise training is dangerous and should be avoided.

A physician-supervised exercise test is not necessary to establish exercise intensity.

Anginal pain is normal during exercise, and participants should be pushed through the pain.

Exercise intensity should be set at an HR of 10 bpm less than the level at which signs/symptoms were evidenced during an exercise test.

Ketogenesis.

Positive caloric balance.

Positive electrolyte balance.

Negative energy balance.

Cramping, burning, and tightness in the calf muscle, usually triggered by activity and relieved with rest.

Acute, sharp pain in the foot on palpation at rest.

Crepitus in the knee during cycling.

Pitting ankle edema at a rating of 3 +

Having a personal trainer.

Proper breathing.

Speed of movement.

Body mechanics.

40% to 60% of maximum HR, 20 to 30 minutes continuously, 3 days per week.

50% to 70% of HRR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

40% to 60% of maximum HR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

50% to 70% of HRR, 20 to 30 minutes continuously, 3 days per week

8 to 12.

12 to 16.

14 to 18.

6 to 10.

Clients after atherectomy.

Clients with angina.

Clients with osteoporosis.

Clients with arthritis.

75% of HRR.

30 bpm above the standing resting HR.

40% of HRR.

(220 - age) X 0.85.

Oranges.

Yogurt.

Pasta.

Olive oil.

Increased muscle viscosity, allowing easier and smoother contractions.

Reduced muscle tension and increased relaxation.

Improved coordination by allowing greater ease of movement.

Increased ROM.

An individual's level of fitness.

The risk of cardiovascular or orthopedic injury.

Any previous history participating in organized sports.

Individual preference and exercise objectives.

Avoiding muscle strengthening exercises that involve low resistance.

Avoiding activities that involve the Valsalva maneuver.

Monitoring a client who is taking diuretics for arrhythmias.

Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.

Weight/hip circumference.

Weight/height2.

Height/weight2.

Hip circumference/height.

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.

β2-Agonists.

β-Blockers.

Diuretics.

Aspirin.

Be stored away for safekeeping.

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

Be viewed as a document in progress.

Contain program information ranging from the organizational structure to the

facility's maintenance schedule.

Dyslipidemia (low HDL-C, elevated triglycerides).

Osteoporosis.

Insulin resistance.

Elevated blood pressure.

Improved ischemic threshold at which angina symptoms occur.

Increased myocardial oxygen demand at the same submaximallevels.

Eradication of all symptoms.

Elevation of BP.