ACSM Clinical Exercise Physiologist Actual
Exam. 209 Questions and Correct Answers,
Latest Update with complete solution. 2024/2025.
Factors for a valid VO2 Max?
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.
125mg
Can HR max be changed with training?
NO
How many factors must we see for Valid Vo2 max test?
3
RER vs RQ
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?
Stroke volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause
buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance?
- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance?
Only if they have S/S
Acute EXSC affect on leukocytes?
INC concentration
,Gold std for diagnosing cardiac issues
Cardiac catheterization
ST segment elevation vs depression
Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test:
- Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test
250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC?
VERY slow to return to resting levels
Primary cause of type 2! diabetes?
Inflammation
S/S of diabetes mellitus:
Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise?
Insulin (if exercising at peak insulin effect)
When programming EXSC for clinical population, what variables should be progressed first?
Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity
Hypercaloric Diet
Obesity BMI classifications
>30 = OBESE
30-34=mild
, 34-39=moderate
>40=morbid
waist circumference
> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory?
Central (visceral) adiposity
Most effective method for losing weight?
Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant)
5-10%
What is exercises effect on weight loss?
LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery
Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery?
25%
BP classifications
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?
Exam. 209 Questions and Correct Answers,
Latest Update with complete solution. 2024/2025.
Factors for a valid VO2 Max?
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.
125mg
Can HR max be changed with training?
NO
How many factors must we see for Valid Vo2 max test?
3
RER vs RQ
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?
Stroke volume because heart gets bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause
buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need clearance?
- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance?
Only if they have S/S
Acute EXSC affect on leukocytes?
INC concentration
,Gold std for diagnosing cardiac issues
Cardiac catheterization
ST segment elevation vs depression
Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test:
- Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test
250/115
Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC?
VERY slow to return to resting levels
Primary cause of type 2! diabetes?
Inflammation
S/S of diabetes mellitus:
Polydipsia (thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise?
Insulin (if exercising at peak insulin effect)
When programming EXSC for clinical population, what variables should be progressed first?
Frequency, then duration, then intensity
*When adjusting intensity, duration should be dropped back to baseline
Primary cause of obesity
Hypercaloric Diet
Obesity BMI classifications
>30 = OBESE
30-34=mild
, 34-39=moderate
>40=morbid
waist circumference
> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory?
Central (visceral) adiposity
Most effective method for losing weight?
Surgical intervention
NIH's weight loss goal for obese individuals (what is clinically significant)
5-10%
What is exercises effect on weight loss?
LITTLE TO NONE!
BMI qualifications for pharmacotherapy/surgery
Pharma:
BMI >27 w/comorbidities
BMI >30
Surgery:
BMI>35-39 w/comorbidities
BMI>40
Average weight loss with bariatric surgery?
25%
BP classifications
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?
