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ACSM CLINICAL EXERCISE PHYSIOLOGIST|QUESTIONS AND VERIFIED ANSWERS|GRADED A+|PASS ON FIRST ATTEMPT|BRAND NEW 2026 UPDATE

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ACSM CLINICAL EXERCISE PHYSIOLOGIST|QUESTIONS AND VERIFIED ANSWERS|GRADED A+|PASS ON FIRST ATTEMPT|BRAND NEW 2026 UPDATE

Institution
ACSM CEP
Course
ACSM CEP

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Factors for a valid VO2 Max? - 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. -
ANSWER 125mg



Can HR max be changed with training? - ANSWER NO



How many factors must we see for Valid Vo2 max test? - ANSWER 3



RER vs RQ - 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? - ANSWER Stroke volume
because heart gets bigger (NOT MAX HR)



Lactates main job is to _______________ and does not cause - ANSWER buffer Ph,
muscle fatigue




1

,Client DOES NOT regularly exercise, when do they need clearance? - ANSWER - Have a
chronic disease

- Have a chronic disease and S/S



Client DOES regularly exercise, when do they need clearance? - ANSWER Only if they
have S/S



Acute EXSC affect on leukocytes? - ANSWER INC concentration



Gold std for diagnosing cardiac issues - ANSWER Cardiac catheterization



ST segment elevation vs depression - ANSWER Elevation: Myocardial infarction



Depression: ischemia



2 cases when you should not do a regular exsc stress test: - ANSWER - Client uses Beta
Agonist



- Client uses dipyridamole (a vasodilator)



What BP level contraindicated during exsc test - ANSWER 250/115



Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? - ANSWER
VERY slow to return to resting levels



Primary cause of type 2! diabetes? - ANSWER Inflammation



S/S of diabetes mellitus: - ANSWER Polydipsia (thirst)


2

,Polyuria (urination)

Polyphagia (hunger)



Which diabetic medications is contraindicated for exercise? - ANSWER Insulin (if
exercising at peak insulin effect)



When programming EXSC for clinical population, what variables should be progressed first? -
ANSWER Frequency, then duration, then intensity



*When adjusting intensity, duration should be dropped back to baseline



Primary cause of obesity - ANSWER Hypercaloric Diet



Obesity BMI classifications - ANSWER >30 = OBESE



30-34=mild

34-39=moderate

>40=morbid



waist circumference - ANSWER > 40 Males

>35 Females



INCREASED RISK



What type of adiposity is most inflammatory? - ANSWER Central (visceral) adiposity



Most effective method for losing weight? - ANSWER Surgical intervention




3

, NIH's weight loss goal for obese individuals (what is clinically significant) - ANSWER 5-
10%



What is exercises effect on weight loss? - ANSWER LITTLE TO NONE!



BMI qualifications for pharmacotherapy/surgery - ANSWER Pharma:

BMI >27 w/comorbidities

BMI >30



Surgery:

BMI>35-39 w/comorbidities

BMI>40



Average weight loss with bariatric surgery? - ANSWER 25%



BP classifications - ANSWER Normal: 120/80



Elevated: 120-129/80



St 1 Hypertension: 130-139/80-89



St 2 Hypertension:

>140/>90



Which physiological variable has greatest impact on BP? - ANSWER Blood vessel radius



Atherosclerosis vs. Arteriosclerosis - ANSWER Athero: Thickening (Via damage to media
of BV being patched by LDL cholesterol)

4

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ACSM CEP

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