ACSM Clinical Exercise
Physiologist Exam 2026 (Actual
Exam) Questions with verified
Answers (Latest Update 2026)
UPDATE!!
1 MET = - 🧠 ANSWER ✔✔3.5 ml/kg/mig
1 large box - 🧠 ANSWER ✔✔5mm or 0.2 seconds
1 small box - 🧠 ANSWER ✔✔1mm or 0.04 sec
,1 Rep Max (1RM) Procedure - 🧠 ANSWER ✔✔1.) warm up with sub max
reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then estimated max attempt
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
Intraventricular conduction delay - 🧠 ANSWER ✔✔- wide QRS = >0.1
- refers to disturbances in the intraventricular propagation of
supraventricular impulses resulting in changes in the QRS complex either
in morphology or duration, or both
- abnormal activation the ventricle cause by conduction delay
Indicators of an old MI - 🧠 ANSWER ✔✔- Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindications to Exercise Testing - 🧠 ANSWER ✔✔1. recent
change in ECG
2. unstable angina
,3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
***Risk of testing outweigh the benefits***
Absolute indications to Terminate Exercise Testing - 🧠 ANSWER ✔✔1.
Drop in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Blood Glucose Management with exercise - 🧠 ANSWER ✔✔- Requires
balance between hepatic glucose production, peripheral glucose uptake,
combined with effective insulin response
- Continuous monitoring
- Regular PA
Dangers of BS of 250-300 mg/dl - 🧠 ANSWER ✔✔- Urinary Ketones form
as a result of ineffective fat metabolism that contribute to diabetic
ketoacidosis
Ideal blood glucose post Exercise - 🧠 ANSWER ✔✔> 80 mg/dl
Ideal Blood Glucose before exercise - 🧠 ANSWER ✔✔> 100 mg/dl
Normal BP response to Exercise - 🧠 ANSWER ✔✔- Progressive increase in
SBP with workload until plateau in peak exercise
- No change or slight decrease in SP
Bi-ventricular pacemaker - 🧠 ANSWER ✔✔Deliver innovative therapy-
cardiac resynchronization
Used for CHF to decrease symptoms and increase function
Benefits of PA as motivation - 🧠 ANSWER ✔✔- decrease mortality
Physiologist Exam 2026 (Actual
Exam) Questions with verified
Answers (Latest Update 2026)
UPDATE!!
1 MET = - 🧠 ANSWER ✔✔3.5 ml/kg/mig
1 large box - 🧠 ANSWER ✔✔5mm or 0.2 seconds
1 small box - 🧠 ANSWER ✔✔1mm or 0.04 sec
,1 Rep Max (1RM) Procedure - 🧠 ANSWER ✔✔1.) warm up with sub max
reps (40-60% RM)
2.) 3-5 reps moderate wt (70-80% RM)
3.) 2 min rest then estimated max attempt
4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries
5.) once attempt failed- attempt weight between last 2
Intraventricular conduction delay - 🧠 ANSWER ✔✔- wide QRS = >0.1
- refers to disturbances in the intraventricular propagation of
supraventricular impulses resulting in changes in the QRS complex either
in morphology or duration, or both
- abnormal activation the ventricle cause by conduction delay
Indicators of an old MI - 🧠 ANSWER ✔✔- Abnormal/significant Q waves
- 1 box wide of > 1/3 of R-wave
Absolute Contraindications to Exercise Testing - 🧠 ANSWER ✔✔1. recent
change in ECG
2. unstable angina
,3. uncontrolled dysrhythmia causing sxs
4. symptomatic severe AS
5. uncontrolled HF w/ sxs
6. acute PE or pulmonary infarct
7. acute myocarditis/pericarditis
8. suspected / known dissecting aneurysm
9. acute systemic infection
***Risk of testing outweigh the benefits***
Absolute indications to Terminate Exercise Testing - 🧠 ANSWER ✔✔1.
Drop in SBP > 10 mmHg w/ increased workload
2. Moderately severe angina
3. Increase in Dizziness
4. signs of poor perfusion
5. technical difficulties
6. Sustained V-TAch
7. ST elevation (+1mm) in leads w/o Q waves
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Blood Glucose Management with exercise - 🧠 ANSWER ✔✔- Requires
balance between hepatic glucose production, peripheral glucose uptake,
combined with effective insulin response
- Continuous monitoring
- Regular PA
Dangers of BS of 250-300 mg/dl - 🧠 ANSWER ✔✔- Urinary Ketones form
as a result of ineffective fat metabolism that contribute to diabetic
ketoacidosis
Ideal blood glucose post Exercise - 🧠 ANSWER ✔✔> 80 mg/dl
Ideal Blood Glucose before exercise - 🧠 ANSWER ✔✔> 100 mg/dl
Normal BP response to Exercise - 🧠 ANSWER ✔✔- Progressive increase in
SBP with workload until plateau in peak exercise
- No change or slight decrease in SP
Bi-ventricular pacemaker - 🧠 ANSWER ✔✔Deliver innovative therapy-
cardiac resynchronization
Used for CHF to decrease symptoms and increase function
Benefits of PA as motivation - 🧠 ANSWER ✔✔- decrease mortality
