acsm EP exam Questions and Answers Updated 2026

acsm EP exam
Questions and
Answers Updated
2026
WhenMshouldManMexerciseMphysiologistMadministerMaMhealthMhistoryMformMtoMa
Mclient?

A.MbeforeMtheMfitnessMevaluationM

B.MfollowingMtheMfirstMexerciseMsessionM

C.MduringMtheMphysician'sMmedicalMexaminationM

D.MafterMcreatingManMexerciseMprescriptionM-MAnswerA



AnMexerciseMphysiologistMisMconductingMaMBruceMsubmaximalMtreadmillMtest.MNea
rMtheMendMofMstageM2,MtheMclientMreportsMthatMtheyMareMstartingMtoMexperie
nceMchestMdiscomfort.MTheMclientMindicatesMthatMtheyMwouldMlikeMtoMcontinue.
MWhichMofMtheMfollowingMisMtheMmostMappropriate?

A.MContinueMtoMstageM3.M

B.MMaintainMtheMspeedMandMgradient.M

C.MDecreaseMtheMspeedMandMgradientMbyM2%.M

D.MDiscontinueMtheMtest.M-MAnswerD



DuringMtheMpreparticipationMscreening,MaM53-year-
oldMmaleMclientMpresentsMwithMtheMfollowingMinformation:M

PhysicalMactivityMhistory:M•MEnjoysMgardeningMatMhomeM•MLikesMtoMwalk/jogM2-
3MtimesMperMweekMatM3-
4MMETMforM20MminutesMHealthMhistory:M•MSuccessfullyMcompletedManMoutpatien
tMcardiacMrehabilitationMthreeMyearsMagoM•MAMroutineMphysicalMwasMconducted

,M10MmonthsMagoM•MClearedMforMmoderateMtoMvigorousMexerciseMatMthatMtime
M

Goal:M•MRunMinMaMlocalM5KMraceMinMsixMmonthsM•MCompleteMinMunderM30M
minutesMTheMclientMwouldMlikeMtoMbeginManMexerciseMprogramMrightMaway.M

WhichMofMtheMfollowingMisMtheMmostMappropriateMtoMperformMnext?M

A.MDiscontinueMtheMscreeningMandMrequestMaMmoreMcurrentMexerciseMclearance.
M

B.MAdministerMaMCooperM12-
minMtestMandMdetermineMtheMclient'sMaerobicMcapacity.M

C.MStartMtheMclientMonMaMmoderateMintensityMaerobicMexerciseMprogramM3-
4Mtimes/Mweek.M

D.MBeginMtheMclientMonMaMvigorousMintensityMaerobicMeM-MAnswerB



HealthMandMFitnessMAssessmentM

A.MAdministerMandMinterpretMpreparticipationMhealthMscreeningMproceduresMtoMA
pplicationMmaximizeMclientMsafetyMandMminimizeMrisk.M

1.MKnowledgeMof:Ma.MtheMpreparticipationMscreeningMalgorithmMandMtoolsMthatM
provideMaccurateMinformationMaboutMtheMclient'sMhealth/medicalMhistory,Mcurrent
MmedicalMconditions,MriskMfactors,Msign/symptomsMofMdisease,McurrentMphysicalMa
ctivityMhabits,MandMmedications.M-MAnswer



whatMareMtheMkeyMcomponentsMincludedMinMinformedMconsentMandMhealth/medi
calMhistoryM-MAnswer



whatMareMtheMlimitationsMofMinformedMconsentMandMhealth/medicalMhistoryM-
MAnswer



DetermineMclient'sMreadinessMtoMparticipateMinMaMhealth-
relatedMphysicalMfitnessMRecallMassessmentMandMexerciseMprogram.M

1)MKnowledgeMof:Ma.MtheMpreparticipationMscreeningMalgorithmMasMdelineatedMin
MtheMcurrentMeditionMofMACSM'sMGuidelinesMforMExerciseMTestingMandMPrescripti
on.M-MAnswer

, whatMareMcardiovascularMriskMfactorsMorMconditionsMthatMmayMrequireMconsultati
onMwithMmedicalMpersonnelMpriorMtoMexerciseMtestingMorMtrainingM(5ish)M-
MAnswerinappropriateMchangesMinMrestingMheartMrateMand/orMbloodMpressure;Mn
ewMonsetMdiscomfortMinMchest,Mneck,Mshoulder,MorMarm;MchangesMinMtheMpatte
rnMofMdiscomfortMduringMrestMorMexercise;Mfainting,MdizzyMspells,Mclaudication



whatMareMpulmonaryMriskMfactorsMorMconditionsMthanMmayMrequireMconsultation
MwithMmedicalMpersonnelMpriorMtoMexerciseMtestingMorMtrainingM(5)M-
MAnswerasthma,Mexercise-
inducedMasthma/bronchospasm,MextremeMbreathlessnessMatMrestMorMduringMexerci
se,MchronicMbronchitis,Memphysema



WhatMisMasthma?M-
MAnswerConstrictingMofMtheMairwayMdueMtoMinflammationMandMmuscularMcontrac
tionMofMtheMbronchioles



WhatMareMbronchioles?M-
MAnswerAirwaysMinMtheMlungsMthatMleadMfromMtheMbronchiMtoMtheMalveoli.



whatMisMaMbronchospasmM-
MAnswerBronchospasmsMhappenMwhenMtheMmusclesMthatMlineMyourMbronchiM(air
waysMinMyourMlungs)Mtighten.MThisMresultsMinMwheezing,Mcoughing,MandMotherM
symptoms.



WhatMisMchronicMbronchitis?M-
MAnswerinflammationMofMtheMbronchiMandMbronchiolesMdueMtoMchronicMexposur
eMtoMirritants



WhatMisMemphysema?M-
MAnsweraMconditionMinMwhichMtheMairMsacsMofMtheMlungsMareMdamagedMandM
enlarged,McausingMbreathlessness.