ACSM EP COMPREHENSIVE TEST 2026
QUESTIONS WITH SOLUTIONS GRADED A+
●● What is the minimum requirement when getting accurate information
for health and fitness assessments. Answer: PAR-Q
●● Key Components of Medical History (10 things). Answer: 1. medical
diagnosis of a prior illness
2. previous physical exam findings
3. history of symptoms
4. recent illnesses/procedures, etc.
5. orthopedic problems
6. medication use
7. habits
8. exercise history
9. work history
10. family history
●● 7 components of informed consent. Answer: 1. purpose &
explanation of test
2. attendant risks & discomforts
3. responsibilities of participant
,4. benefits to be expected
5. inquires (Questions)
6. use of medal records
7. freedom of consent
●● limitation of a PAR-Q?. Answer: it can only be identify those who
are at high risk - can't tell between low or moderate risk
●● limitation of informed consent/health history forms?. Answer: most
forms don't make recommendations based on intensity of the proposed
exercise program
●● how many POSITIVE risk factors are there?. Answer: 8
●● what are the 8?. Answer: 1. age
2. family history
3. smoking
4. sedentary life
5. obesity
6. hypertension
7. dyslipidemia
8. pre-diabetes
,●● positive risk factor for AGE: men & women. Answer: MEN: greater
than or = 45
WOMEN: greater than or = 55
●● positive risk factor for FAMILY HISTORY. Answer: heart attack,
coronary revascularization or sudden death in family BEFORE age 55
(in dad or 1st degree relative)
OR
heart attack, coronary revascularization or sudden death BEFORE age
65 (in mom or 1st degree relative)
●● positive risk factor for SMOKING. Answer: current smoker OR quit
in the past 6 months
●● positive risk factor for SEDENTARY. Answer: not doing 30 min of
moderate intensity PA (40%-<60% VO2R) on at least 3 days of the week
for at least 3 months
●● Positive Risk Factor for OBESITY. Answer: BMI: greater than or =
30 kg/m2
Waist Girth for MEN: greater than 40 in/102cm
, Waist Girth for WOMEN: greater than 35in/88cm
●● Positive Risk Factor for HYPERTENSION. Answer: SBP: greater
than or = 140mmHg
DBP: greater than or = 90mmHg
OR on medication
●● Positive Risk Factor for DYSLIPIDEMIA. Answer: LDL: greater
than or = 130mg/dL
HDL: greater than or = 40mg/dL
OR on lipid-lowering meds
●● Positive Risk Factor for PRE DIABETES. Answer: Impaired Fasting
Glucose (IFG): greater than or = 100mg/dL & less than or = 125mg/dL
Impaired Glucose Tolerance (IGT): greater than or = 140 & less than or
= 199
QUESTIONS WITH SOLUTIONS GRADED A+
●● What is the minimum requirement when getting accurate information
for health and fitness assessments. Answer: PAR-Q
●● Key Components of Medical History (10 things). Answer: 1. medical
diagnosis of a prior illness
2. previous physical exam findings
3. history of symptoms
4. recent illnesses/procedures, etc.
5. orthopedic problems
6. medication use
7. habits
8. exercise history
9. work history
10. family history
●● 7 components of informed consent. Answer: 1. purpose &
explanation of test
2. attendant risks & discomforts
3. responsibilities of participant
,4. benefits to be expected
5. inquires (Questions)
6. use of medal records
7. freedom of consent
●● limitation of a PAR-Q?. Answer: it can only be identify those who
are at high risk - can't tell between low or moderate risk
●● limitation of informed consent/health history forms?. Answer: most
forms don't make recommendations based on intensity of the proposed
exercise program
●● how many POSITIVE risk factors are there?. Answer: 8
●● what are the 8?. Answer: 1. age
2. family history
3. smoking
4. sedentary life
5. obesity
6. hypertension
7. dyslipidemia
8. pre-diabetes
,●● positive risk factor for AGE: men & women. Answer: MEN: greater
than or = 45
WOMEN: greater than or = 55
●● positive risk factor for FAMILY HISTORY. Answer: heart attack,
coronary revascularization or sudden death in family BEFORE age 55
(in dad or 1st degree relative)
OR
heart attack, coronary revascularization or sudden death BEFORE age
65 (in mom or 1st degree relative)
●● positive risk factor for SMOKING. Answer: current smoker OR quit
in the past 6 months
●● positive risk factor for SEDENTARY. Answer: not doing 30 min of
moderate intensity PA (40%-<60% VO2R) on at least 3 days of the week
for at least 3 months
●● Positive Risk Factor for OBESITY. Answer: BMI: greater than or =
30 kg/m2
Waist Girth for MEN: greater than 40 in/102cm
, Waist Girth for WOMEN: greater than 35in/88cm
●● Positive Risk Factor for HYPERTENSION. Answer: SBP: greater
than or = 140mmHg
DBP: greater than or = 90mmHg
OR on medication
●● Positive Risk Factor for DYSLIPIDEMIA. Answer: LDL: greater
than or = 130mg/dL
HDL: greater than or = 40mg/dL
OR on lipid-lowering meds
●● Positive Risk Factor for PRE DIABETES. Answer: Impaired Fasting
Glucose (IFG): greater than or = 100mg/dL & less than or = 125mg/dL
Impaired Glucose Tolerance (IGT): greater than or = 140 & less than or
= 199
