ACSM Clinical Exercise Physiologist Exam with ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
verified detailed solutions ||\\//|| ||\\//||
Factors for a valid VO2 Max? - correct answer✔✔RER > 1.1 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lactate >8mmol/L ||\\//||
RPE>18
Plateu in VO2 ||\\//|| ||\\//||
HR @ age predicted max
||\\//|| ||\\//|| ||\\//|| ||\\//||
Drug has half life of 4 hours. IF given 1000mg, what concentration is left after 12 hours. -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔125mg ||\\//||
Can HR max be changed with training? - correct answer✔✔NO
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
How many factors must we see for Valid Vo2 max test? - correct answer✔✔3
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
RER vs RQ - correct answer✔✔RER: co2 expired/ o2 consumed at mouth
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
RQ: Co2 produced by cell metabolism/ o2 used by tissues
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What variable caueses VO2 max to increase with training? - correct answer✔✔Stroke
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
volume because heart gets bigger (NOT MAX HR) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lactates main job is to _______________ and does not cause - correct answer✔✔buffer Ph, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
muscle fatigue ||\\//||
,Client DOES NOT regularly exercise, when do they need clearance? - correct answer✔✔-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Have a chronic disease ||\\//|| ||\\//|| ||\\//||
- Have a chronic disease and S/S
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Client DOES regularly exercise, when do they need clearance? - correct answer✔✔Only if
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
they have S/S ||\\//|| ||\\//||
Acute EXSC affect on leukocytes? - correct answer✔✔INC concentration
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Gold std for diagnosing cardiac issues - correct answer✔✔Cardiac catheterization
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ST segment elevation vs depression - correct answer✔✔Elevation: Myocardial infarction
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Depression: ischemia ||\\//||
2 cases when you should not do a regular exsc stress test: - correct answer✔✔- Client uses
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Beta Agonist ||\\//||
- Client uses dipyridamole (a vasodilator)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What BP level contraindicated during exsc test - correct answer✔✔250/115
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔VERY slow to return to resting levels ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Primary cause of type 2! diabetes? - correct answer✔✔Inflammation ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,S/S of diabetes mellitus: - correct answer✔✔Polydipsia (thirst)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Polyuria (urination) ||\\//||
Polyphagia (hunger) ||\\//||
Which diabetic medications is contraindicated for exercise? - correct answer✔✔Insulin (if
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
exercising at peak insulin effect) ||\\//|| ||\\//|| ||\\//|| ||\\//||
When programming EXSC for clinical population, what variables should be progressed
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
first? - correct answer✔✔Frequency, then duration, then intensity
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
*When adjusting intensity, duration should be dropped back to baseline
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Primary cause of obesity - correct answer✔✔Hypercaloric Diet ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Obesity BMI classifications - correct answer✔✔>30 = OBESE ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
30-34=mild
34-39=moderate
>40=morbid
waist circumference - correct answer✔✔> 40 Males
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
>35 Females ||\\//||
INCREASED RISK ||\\//||
, What type of adiposity is most inflammatory? - correct answer✔✔Central (visceral)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
adiposity
Most effective method for losing weight? - correct answer✔✔Surgical intervention
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NIH's weight loss goal for obese individuals (what is clinically significant) - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔5-10%
What is exercises effect on weight loss? - correct answer✔✔LITTLE TO NONE!
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BMI qualifications for pharmacotherapy/surgery - correct answer✔✔Pharma:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BMI >27 w/comorbidities ||\\//|| ||\\//||
BMI >30 ||\\//||
Surgery:
BMI>35-39 w/comorbidities ||\\//||
BMI>40
Average weight loss with bariatric surgery? - correct answer✔✔25% ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BP classifications - correct answer✔✔Normal: 120/80
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Elevated: 120-129/80 ||\\//||
St 1 Hypertension: 130-139/80-89
||\\//|| ||\\//|| ||\\//||
verified detailed solutions ||\\//|| ||\\//||
Factors for a valid VO2 Max? - correct answer✔✔RER > 1.1 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lactate >8mmol/L ||\\//||
RPE>18
Plateu in VO2 ||\\//|| ||\\//||
HR @ age predicted max
||\\//|| ||\\//|| ||\\//|| ||\\//||
Drug has half life of 4 hours. IF given 1000mg, what concentration is left after 12 hours. -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔125mg ||\\//||
Can HR max be changed with training? - correct answer✔✔NO
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
How many factors must we see for Valid Vo2 max test? - correct answer✔✔3
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
RER vs RQ - correct answer✔✔RER: co2 expired/ o2 consumed at mouth
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
RQ: Co2 produced by cell metabolism/ o2 used by tissues
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What variable caueses VO2 max to increase with training? - correct answer✔✔Stroke
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
volume because heart gets bigger (NOT MAX HR) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lactates main job is to _______________ and does not cause - correct answer✔✔buffer Ph, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
muscle fatigue ||\\//||
,Client DOES NOT regularly exercise, when do they need clearance? - correct answer✔✔-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Have a chronic disease ||\\//|| ||\\//|| ||\\//||
- Have a chronic disease and S/S
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Client DOES regularly exercise, when do they need clearance? - correct answer✔✔Only if
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
they have S/S ||\\//|| ||\\//||
Acute EXSC affect on leukocytes? - correct answer✔✔INC concentration
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Gold std for diagnosing cardiac issues - correct answer✔✔Cardiac catheterization
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ST segment elevation vs depression - correct answer✔✔Elevation: Myocardial infarction
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Depression: ischemia ||\\//||
2 cases when you should not do a regular exsc stress test: - correct answer✔✔- Client uses
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Beta Agonist ||\\//||
- Client uses dipyridamole (a vasodilator)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What BP level contraindicated during exsc test - correct answer✔✔250/115
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔VERY slow to return to resting levels ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Primary cause of type 2! diabetes? - correct answer✔✔Inflammation ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,S/S of diabetes mellitus: - correct answer✔✔Polydipsia (thirst)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Polyuria (urination) ||\\//||
Polyphagia (hunger) ||\\//||
Which diabetic medications is contraindicated for exercise? - correct answer✔✔Insulin (if
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
exercising at peak insulin effect) ||\\//|| ||\\//|| ||\\//|| ||\\//||
When programming EXSC for clinical population, what variables should be progressed
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
first? - correct answer✔✔Frequency, then duration, then intensity
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
*When adjusting intensity, duration should be dropped back to baseline
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Primary cause of obesity - correct answer✔✔Hypercaloric Diet ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Obesity BMI classifications - correct answer✔✔>30 = OBESE ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
30-34=mild
34-39=moderate
>40=morbid
waist circumference - correct answer✔✔> 40 Males
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
>35 Females ||\\//||
INCREASED RISK ||\\//||
, What type of adiposity is most inflammatory? - correct answer✔✔Central (visceral)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
adiposity
Most effective method for losing weight? - correct answer✔✔Surgical intervention
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NIH's weight loss goal for obese individuals (what is clinically significant) - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔5-10%
What is exercises effect on weight loss? - correct answer✔✔LITTLE TO NONE!
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BMI qualifications for pharmacotherapy/surgery - correct answer✔✔Pharma:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BMI >27 w/comorbidities ||\\//|| ||\\//||
BMI >30 ||\\//||
Surgery:
BMI>35-39 w/comorbidities ||\\//||
BMI>40
Average weight loss with bariatric surgery? - correct answer✔✔25% ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
BP classifications - correct answer✔✔Normal: 120/80
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Elevated: 120-129/80 ||\\//||
St 1 Hypertension: 130-139/80-89
||\\//|| ||\\//|| ||\\//||
