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NASM Stretching and Flexibility Practice Exam (20 Questions)
1. Which sensory receptor is responsible for detecting rapid stretch in a muscle
and causing the stretch reflex?
• A) Golgi Tendon Organ
• B) Muscle spindle
• C) Pacinian corpuscle
• D) Joint kinesthetic receptor
Rationale: Muscle spindles are sensitive to changes in muscle length and speed of
stretch. When activated, they cause the myotatic (stretch) reflex, which causes the
muscle to contract to prevent overstretching.
2. Holding a hamstring static stretch for 30 seconds primarily stimulates which
neurological process?
• A) Reciprocal inhibition
• B) Autogenic inhibition
• C) Stretch reflex
• D) Synergistic dominance
,Rationale: Prolonged tension (approximately 30 seconds) stimulates the Golgi
Tendon Organ, which triggers autogenic inhibition — causing the muscle to relax
to protect against injury.
3. A client has tight hip flexors and weak gluteus maximus. During a squat, the
client's low back hyperextends. This is best described as:
• A) Autogenic inhibition
• B) Synergistic dominance
• C) Altered reciprocal inhibition
• D) Davis's law
Rationale: Synergistic dominance occurs when a weak prime mover (gluteus
maximus) allows synergists (hamstrings and erector spinae) to take over, leading
to faulty movement patterns like low back hyperextension.
4. Which type of stretching is recommended during Phase 1 (Stabilization
Endurance) of the NASM OPT model?
• A) Dynamic stretching only
• B) Corrective flexibility (SMR + static stretching)
• C) Functional flexibility only
• D) Ballistic stretching
Rationale: Phase 1 focuses on correcting muscle imbalances and joint dysfunction.
Corrective flexibility, including SMR and static stretching, is used to reduce tension
and improve alignment.
5. How long should a tender spot be held during self-myofascial release (foam
rolling) to achieve autogenic inhibition?
, • A) 5–10 seconds
• B) 15–20 seconds
• C) 30 seconds
• D) 60–90 seconds
Rationale: NASM recommends holding pressure on a tender point for
approximately 30 seconds to stimulate the Golgi Tendon Organ and cause
autogenic inhibition, allowing the muscle to relax.
6. Tight quadriceps leading to inhibited hamstrings is an example of:
• A) Altered reciprocal inhibition
• B) Autogenic inhibition
• C) Synergistic dominance
• D) Pattern overload
Rationale: Altered reciprocal inhibition occurs when a tight agonist (quadriceps)
causes decreased neural drive to its antagonist (hamstrings), leading to muscle
imbalance.
7. Which flexibility phase uses active-isolated stretching with 1–2 second holds?
• A) Corrective flexibility
• B) Active flexibility
• C) Functional flexibility
• D) Passive flexibility
*Rationale: Active flexibility uses active-isolated stretching (AIS) with short 1–2
second holds to increase range of motion without fatiguing the muscle, typically
performed before activity.*