1|Page
ACMS CLINICAL EXERCISE PHYSIOLOGIST REAL
EXAM ACTUAL CORRECT QUESTIONS AND VERIFIED
ANSWERS JUST REALEASED 2024
This is comprised of every single review question from the ACSM Certification Review Book, the
important stuff from ACSM's guidelines for exercise testing and prescription and Questions
directly from the powerpoints of my clinical exercise physiology professor who IS A BOARD
MEMBER FOR ACSM THAT WRITES THE EXAMS. You're welcome. Don't forget to study your
EKG's and Metabolic Equations!!
Factors for a valid VO2 Max? - CORRECT 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. - CORRECT
ANSWER>>>>125mg
Can HR max be changed with training? - CORRECT
ANSWER>>>>NO
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How many factors must we see for Valid Vo2 max test? -
CORRECT ANSWER>>>>3
RER vs RQ - CORRECT 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? -
CORRECT ANSWER>>>>Stroke volume because heart gets
bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause -
CORRECT ANSWER>>>>buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need
clearance? - CORRECT ANSWER>>>>- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? -
CORRECT ANSWER>>>>Only if they have S/S
Acute EXSC affect on leukocytes? - CORRECT ANSWER>>>>INC
concentration
Gold std for diagnosing cardiac issues - CORRECT
ANSWER>>>>Cardiac catheterization
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ST segment elevation vs depression - CORRECT
ANSWER>>>>Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: -
CORRECT ANSWER>>>>- Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - CORRECT
ANSWER>>>>250/115
Patient w/ CAD will exhibit what symptom relating to HR and
BP after EXSC? - CORRECT ANSWER>>>>VERY slow to return to
resting levels
Primary cause of type 2! diabetes? - CORRECT
ANSWER>>>>Inflammation
S/S of diabetes mellitus: - CORRECT ANSWER>>>>Polydipsia
(thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? -
CORRECT ANSWER>>>>Insulin (if exercising at peak insulin
effect)
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When programming EXSC for clinical population, what variables
should be progressed first? - CORRECT ANSWER>>>>Frequency,
then duration, then intensity
*When adjusting intensity, duration should be dropped back to
baseline
Primary cause of obesity - CORRECT ANSWER>>>>Hypercaloric
Diet
Obesity BMI classifications - CORRECT ANSWER>>>>>30 =
OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - CORRECT ANSWER>>>>> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - CORRECT
ANSWER>>>>Central (visceral) adiposity
Most effective method for losing weight? - CORRECT
ANSWER>>>>Surgical intervention
ACMS CLINICAL EXERCISE PHYSIOLOGIST REAL
EXAM ACTUAL CORRECT QUESTIONS AND VERIFIED
ANSWERS JUST REALEASED 2024
This is comprised of every single review question from the ACSM Certification Review Book, the
important stuff from ACSM's guidelines for exercise testing and prescription and Questions
directly from the powerpoints of my clinical exercise physiology professor who IS A BOARD
MEMBER FOR ACSM THAT WRITES THE EXAMS. You're welcome. Don't forget to study your
EKG's and Metabolic Equations!!
Factors for a valid VO2 Max? - CORRECT 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. - CORRECT
ANSWER>>>>125mg
Can HR max be changed with training? - CORRECT
ANSWER>>>>NO
,2|Page
How many factors must we see for Valid Vo2 max test? -
CORRECT ANSWER>>>>3
RER vs RQ - CORRECT 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? -
CORRECT ANSWER>>>>Stroke volume because heart gets
bigger (NOT MAX HR)
Lactates main job is to _______________ and does not cause -
CORRECT ANSWER>>>>buffer Ph, muscle fatigue
Client DOES NOT regularly exercise, when do they need
clearance? - CORRECT ANSWER>>>>- Have a chronic disease
- Have a chronic disease and S/S
Client DOES regularly exercise, when do they need clearance? -
CORRECT ANSWER>>>>Only if they have S/S
Acute EXSC affect on leukocytes? - CORRECT ANSWER>>>>INC
concentration
Gold std for diagnosing cardiac issues - CORRECT
ANSWER>>>>Cardiac catheterization
,3|Page
ST segment elevation vs depression - CORRECT
ANSWER>>>>Elevation: Myocardial infarction
Depression: ischemia
2 cases when you should not do a regular exsc stress test: -
CORRECT ANSWER>>>>- Client uses Beta Agonist
- Client uses dipyridamole (a vasodilator)
What BP level contraindicated during exsc test - CORRECT
ANSWER>>>>250/115
Patient w/ CAD will exhibit what symptom relating to HR and
BP after EXSC? - CORRECT ANSWER>>>>VERY slow to return to
resting levels
Primary cause of type 2! diabetes? - CORRECT
ANSWER>>>>Inflammation
S/S of diabetes mellitus: - CORRECT ANSWER>>>>Polydipsia
(thirst)
Polyuria (urination)
Polyphagia (hunger)
Which diabetic medications is contraindicated for exercise? -
CORRECT ANSWER>>>>Insulin (if exercising at peak insulin
effect)
, 4|Page
When programming EXSC for clinical population, what variables
should be progressed first? - CORRECT ANSWER>>>>Frequency,
then duration, then intensity
*When adjusting intensity, duration should be dropped back to
baseline
Primary cause of obesity - CORRECT ANSWER>>>>Hypercaloric
Diet
Obesity BMI classifications - CORRECT ANSWER>>>>>30 =
OBESE
30-34=mild
34-39=moderate
>40=morbid
waist circumference - CORRECT ANSWER>>>>> 40 Males
>35 Females
INCREASED RISK
What type of adiposity is most inflammatory? - CORRECT
ANSWER>>>>Central (visceral) adiposity
Most effective method for losing weight? - CORRECT
ANSWER>>>>Surgical intervention
