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ACSM Study Guide 2026 – Complete Resource for ACSM Personal Trainer Exam Based on KSAs

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This document provides a comprehensive ACSM study guide for the 2026 Personal Trainer exam, compiled using the Knowledge, Skills, and Abilities (KSAs) framework. It includes all essential concepts, key terms, and repeated focus areas for mastery, covering exercise science, program design, client assessment, risk management, and professional standards, serving as a complete preparation resource for exam success.

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ACSM STUDY GUIDE(THIS IS
EVERYTHING YOU NEED FOR THE
ACSM PT EXAM. I PUT EVERYTHING
TOGETHER BY USING THE KSA'S.
THERE ARE DUPLICATES OF CERTAIN
TERMS FOR THE PURPOSE OF I FELT
THERE WERE IMPORT AND REALLY
WANTED A GRASP ON THEM)2026
BIOMECHANICS - Answer principles of physics related to energy and force as they
apply to the human body

PROXIMAL - Answer CLOSER TO THE TRUNK

DISTAL - Answer further from the trunk

SUPERIOR (CRANIAL) - Answer above, toward the head

INFERIOR (CAUDAL) - Answer lower than, toward the feet

ANTERIOR (VENTRAL) - Answer toward the front

POSTERIOR (DORSAL) - Answer toward the back

MEDIAL - Answer closer to the midline

LATERAL - Answer further from the midline

THREE CARDINAL BODY PLANES - Answer sagittal plane, frontal plane,
transverse plane

SAGITTAL PLANE - Answer makes a division into right and left portions

FRONTAL PLANE - Answer makes a division into anterior (front) and posterior
(back) portions

TRANSVERSE PLANE - Answer makes a division into upper (superior) and lower
(inferior) portions

ROTATION - Answer movement around a longitudinal axis, either toward or away
from the midline

CIRCUMDUCTION - Answer a combination of flexion, extension, abduction, and
adduction

,ACSM STUDY GUIDE(THIS IS
EVERYTHING YOU NEED FOR THE
ACSM PT EXAM. I PUT EVERYTHING
TOGETHER BY USING THE KSA'S.
THERE ARE DUPLICATES OF CERTAIN
TERMS FOR THE PURPOSE OF I FELT
THERE WERE IMPORT AND REALLY
WANTED A GRASP ON THEM)2026
EVERSION - Answer turning the sole of the foot away from the midline

INVERSION - Answer turning the sole of the foot toward the midline

Bones of the skull, vertebral column, ribs, and sternum... - Answer AXIAL
SKELETON

VERTEBRAL COLUMN (SPINE) - Answer serves as the main axial support for the
body

4 Major curvatures of the adult vertebral column - Answer cervical curve, thoracic
curve, lumbar curve,
sacral curve

KYPHOSIS "primary curves" - Answer curves of the thoracic and sacral regions

LORDOSIS "secondary curves" - Answer curves of the cervical and lumbar region

Commonly found abnormal curves in the sagittal plane - Answer hyperkyphosis and
hyperlordosis

HYPERKYPHOSIS - Answer exaggerated posterior thoracic curvature

HYPERLORDOSIS - Answer exaggerated anterior lumbar curvature

Commonly found abnormal curve in the frontal plane - Answer scoliosis

STERNUM - Answer midline of the chest

What are the 3 parts of the sternum? - Answer manubrium, body, xiphoid process

RF for family history - Answer myocardial infarction, coronary revascularization or
sudden death to a 1st degree family member when >55 male, >65 female

RF for cigarette smoking - Answer within 6 months

, ACSM STUDY GUIDE(THIS IS
EVERYTHING YOU NEED FOR THE
ACSM PT EXAM. I PUT EVERYTHING
TOGETHER BY USING THE KSA'S.
THERE ARE DUPLICATES OF CERTAIN
TERMS FOR THE PURPOSE OF I FELT
THERE WERE IMPORT AND REALLY
WANTED A GRASP ON THEM)2026
Risk factor for Dyslipidemia LDL - Answer Lgreater than 130 mg/dL

RF Dyslipidemia Total Cholesterol - Answer greater than 200 mg/dL

RF Dyslipidemia low HDL - Answer less than 40 mg/dL

RF Sedentary minutes of activity, days of week, past # of months - Answer less than
30 min/day, 3 days/week, for at least 3 months

RF Prediabetes fasting blood glucose - Answer greater than or equal to 100 mg/dL
up to 126

greater than or equal to 126 mg/dL - Answer Fasting Blood Glucose for Diabetes
diagnosis

RF for Obesity - Answer body mass of greater then or equal to 30kg/m2; waist
girthgreater than 102 cm for men and 88 cm for women

RF Age men, women - Answer 45 men, 55 women

Negative Risk Factor - Answer HDL greater than 60 mg/dL

RF for hypertensive - Answer systolic greater than or equal to 140; diastolic greater
then or equal to 90; confirmed by 2 separate occasions or on hypertension meds

obesity - Answer excessivly high amounts of body fat or adipose tissue in relation to
lean body mass

overweight - Answer increased body weight, in relation to height when compared to
some standard of acceptable or desirable weight

percent fat - Answer the total amount of weight that is measured as fat tissue

body mass index BMI - Answer the height to weight ratio can be misleading because
it does not consider body type

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