ACSM Clinical Exercise Physiologist Exam Newest
2026 Questions and Correct Detailed Answers Already
Graded A+
gold std for diagnosis congestive heart failure - CORRECT ANSWER-
Echocardiogram
Which common medication is a negative chronotropic and how does it effect
exercise - CORRECT ANSWER-B blocker
When pt on B-blocker, must lower expectation of HR for a given intensity (lower
hr for given intensity)
What is PAD? - CORRECT ANSWER-Blockage of leg arteries by plaque
Which population are at highest risk of PAD? - CORRECT ANSWER-Diabetics
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
2026 Questions and Correct Detailed Answers Already
Graded A+
gold std for diagnosis congestive heart failure - CORRECT ANSWER-
Echocardiogram
Which common medication is a negative chronotropic and how does it effect
exercise - CORRECT ANSWER-B blocker
When pt on B-blocker, must lower expectation of HR for a given intensity (lower
hr for given intensity)
What is PAD? - CORRECT ANSWER-Blockage of leg arteries by plaque
Which population are at highest risk of PAD? - CORRECT ANSWER-Diabetics
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
