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ACSM Certified Exercise Physiologist Exam
Questions And 100% Correct Answers (A+)
Yes - Answer You are a personal trainer at university recreation facility. You have just been assigned a new client, Mike. He has been relatively active but has never worked w/ a trainer or been on a structured program. He is a prior college football player but has been inactive since graduation (6yr prior). He plays softball a couple times a week and walks 2-3 times a week. He is a software programmer and hence he sits at the desk all day during his working time. He feels fatigued, although his general goal is to be healthier and in better shape. Mike fills in an informed consent and health status questionnaire. Mike is a 40yr old caucasian, with a body mass of 95.24kg and a height of 181cm. BP: 112/78 mmHgm, total cholesterol: 221mg/dl, HDL, and LDL- unknown, the FBG is unknown. His father and paternal grandfather have known CVD. There is no known cardiovascular and metabolic disease in his mother's side.
Including the variables you have been provided in the above question, assume Mike told you that he was also diagnosed recently w/ a pulmonary disorder, such as chronic bronchitis. Automatically, would you refer him to a physician for medical clearance?
No - Answer Is a medical exam recommended prior to participation in moderate exercise?
Yes - Answer Is a medical exam recommended prior to participation in vigorous exercise?
No - Answer Is exercise testing recommended prior to exercise for participation in vigorous exercise?
181cm/100cm= 1.81m x 1.81m= 3.27m
BMI= 95.24kg / 3.27m
BMI= 29.07kg/m2 - Answer You're working as a personal trainer at a university
recreation facility. You've been assigned a new client, Mike. He has been relatively active but has never worked w/ a trainer or been on a structured program. He was a college football player, but since graduation some 6yr prior, he has not been active. He currently plays softball a couple of times a week and walks 2-3 times a week. He works as a software programmer, sitting at the desk all day during his working hours. Even though he feels fatigue, his overall goal is to get healthier and into better shape. Mike fills out an informed consent and health status questionnaire. Mike is a 40yr old caucasian, weighing 95.24kg at a height of 181cm. His BP is 112/78 mmHg, total cholesterol is 221mg/dl (HDL and LDL are unknown), and FBG is unknown. Both his father and his paternal grandfather are known to have CVD. There are no known cardiovascular or metabolic diseases on his mother's side.
Based on your decision that Mike is clear to participate using the most updated ACSM guidelines, you begin a fitness assessment in order to establish baseline data.
Cardiovascular measures:
Resting HR: 77bpm
BP: 118/
Body composition: Skinfold calipers
Chest: 14mm
Abdomen: 28mm
Thigh: 19mm
Cardiovascular endurance: 1.5mile walk/run test (allowed Mike to set the intensity) and he completed the distance in 14min 0sec
-Muscular endurance: completed 30 push-ups and 40 curl-ups during the Push-up and Curl-up test (most common muscular endurance test used)
-Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs
-Flexibility: Trunk flexion was measured using a Sit-and-Reach box: 18cm
What is Mike's BMI?
Push-up and Curl-up Test - Answer What is the most common muscular endurance test used in the field?
Chest: 14mm
Abdomen: 28mm
Thigh: 19mm
-Cardiovascular endurance: 1.5mile walk/run test this test allows Mike to pace himself and completed the distance in 14min 0sec
-Muscular endurance: Push-up and Curl-up test most common muscular endurance test used completed 30 push-ups and 40 curl-ups
-Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs
-Flexibility: Trunk flexion was measured using a Sit-and-Reach box: 18cm
Once again, assuming Mike did complete the 1.5mile walk/run test in 14min, calculate Mike's estimated maximal volume of oxygen consumed per unit time (VO2max) using the below equation:
VO2max (ml/kg/min)= 3.5 + 483/1.5miles (min)
Poor - Answer -Cardiovascular measures:
Resting HR: 77bpm
BP: 118/
-Body composition: Skinfold calipers
Chest: 14mm
Abdomen: 28mm
Thigh: 19mm
Cardiovascular endurance: 1.5mile walk/run test this test allows Mike to pace himself, completed the distance in 14min 0sec Muscular endurance: Push-up and Curl-up test most common muscular endurance test used, completed 30 push-ups and 40 curl-ups Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs Flexibility: Trunk flexion was measured using a Sit-and-Reach box: 18cm
The 1.5mile walk/run test would place Mike in which of Fitness Categories for Maximal Aerobic Power for Men/Women?
Excellent - Answer -Cardiovascular measures:
Resting HR: 77bpm
BP: 118/
-Body composition: Skinfold calipers
Chest: 14mm
Abdomen: 28mm
Thigh: 19mm
-Cardiovascular endurance: 1.5mile walk/run test (this test allows Mike to pace himself) and completed the distance in 14min 0sec
-Muscular endurance: Push-up and Curl-up test (most common muscular endurance test used) completed 30 push-ups and 40 curl-ups
-Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs
-Flexibility: Trunk flexion was measured using a Sit-and-Reach box: 18cm
The push-up result for Mike would place him in what fitness category?
Average - Answer -Cardiovascular measures:
Resting HR: 77bpm
BP: 118/
-Body composition: Skinfold calipers
Chest: 14mm
Abdomen: 28mm
Thigh: 19mm
-Cardiovascular endurance: 1.5mile walk/run test (this test allows Mike to pace himself) and completed the distance in 14min 0sec
-Muscular endurance: Push-up and Curl-up test (most common muscular endurance test used) completed 30 push-ups and 40 curl-ups
-Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs
-Flexibility: Trunk flexion was measured using a Sit-and-Reach box: 18cm
What would Mike's fitness category ranking be for the result of the curl-up?
used) completed 30 push-ups and 40 curl-ups
-Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs
Flexibility -Trunk flexion was measured using a Sit-and-Reach box: 18cm
The leg press 1RM result for Mike would place him in which fitness category?
Fair - Answer -Cardiovascular measures:
Resting HR: 77bpm
BP: 118/
-Body composition: Skinfold calipers
Chest: 14mm
Abdomen: 28mm
Thigh: 19mm
-Cardiovascular endurance: 1.5mile walk/run test (this test allows Mike to pace himself) and completed the distance in 14min 0sec
-Muscular endurance: Push-up and Curl-up test most common muscular endurance test used completed 30 push-ups and 40 curl-ups -Muscular strength: Bench press 1RM: 225lbs and Leg press 1RM: 455lbs -Flexibility: Trunk flexion measured using a Sit-and-Reach box: 18cm Mike's result for the trunk flexion would put him into what category of fitness? -Any testing should only be completed after Mike has taken part in familiarization/practice sessions
This will be done by having Mike first warm up by completing a number of submaximal repetitions of the bench press to be used for the determination of the 1RM. Determine the 1RM (or any multiple of 1RM) within 4 trials w/ rest periods of 3-5min between trials Choose an initial weight that is estimated to be within Mike's capacity, approximately 50-70%
The resistance is progressively increased by 5-10% for the upper body until he cannot complete the selected reps; all reps are to be performed at the same movement speed and ROM to instill consistency between trials.
weight of the last lift performed is considered the absolute 1RM (or multiple 1RM) - Response Mike wanted his muscular strength tested in the bench press and you felt the 1RM test was appropriate to administer, list the steps required to administer this particular test to Mike.
Test space measures 1.5 miles
-Inform him of the purpose of the test and the need to pace himself over 1.5miles
-Start test and give feedback on time to help pace him
-Once tet is complete, record the total time to nearest hundredth of a minute
Estimated VO2max using 1.5mile run test prediction equation Solution You want to assess Mike's cardiorespiratory endurance and you have selected the 1.5mile run test. What steps would you take to perform the 1.5mile run test on Mike?
VO2max (ml/kg/min)= 3.5 + 483 / 1.5mile time (min) Solution 1.5mile run test prediction equation?
Stage 1 hypertension Solution Mr. McCain is an African American male, 36yr old construction worker. He is not currently taking part in any exercise program due to tiredness after working in the hot sun all day. Reports getting >30min of PA 5days/wk while at work. He describes how his father died of a heart attack at 40yrs old and wants to take steps to improve his health. Mr. McCain reports interest in a cross-fit program he has heard about while at work. He says he would like to start that program but wants to make sure he's fit enough to begin the high-intensity program. Mr. McCain is on a beta-blocker for hypertension. He is a nonsmoker and otherwise healthy. Today he presents with the following: resting HR= 65bpm and resting BP= 140/84mmHg. Mr. McCain reports that he forgot to take his beta-blocker today. He weighs 202lbs and is 72inch tall and his BF= 22%. His results for the fasting blood lipid profile were as follows:
-Total cholesterol= 230mg/dl
-HDL-C= 46mg/dl
-LDL= 140mg/dl
-Triglycerides= 220mg/dl
-FBG= 80mg/dl
Mr. McCain completed a max Bruce Treadmill test in 11min 55sec (estimated VO2max= 45.5 ml/kg/min). His maximal HR reached 185bpm, and his BP was 186/98mmHg. Other health-related physical fitness parameters included Sit and Reach= 40cm (the sit-and-reach box has a zero point at 23cm), 50 curl-ups, and 21 push-ups.
How would you classify Mr. McCain's BP?
LDL= 140mg/dl
Triglycerides= 220mg/dl
FBG= 80mg/dl
Mr. McCain completed a maximal Bruce Treadmill test in 11min 55sec (estimated VO2max= 45.5 ml/kg/min). His maximal HR was 185bpm and his BP was 186/98mmHg. Other health-related physical fitness parameters were Sit and Reach= 40cm (the sit-and-reach box has zero point set at 23cm), 50 curl-ups, and 21 push-ups.
Based on the findings from the trunk forward flexion test, assume the sit-and-reach box has a zero point at 23cm, in which fitness category would Mr. McCain fall?
VO2R= 45.5ml/kg/min - 3.5ml/kg/min= 42ml/kg/min
60% of 42ml/kg/min
42/x=100%/60%
(42/x)x=(100/60)x
42=1.66666666667*x
42/1.66666666667=x
25.2=x
x=25.2ml/kg/min
VO2R= 25.2ml/kg/min + 3.5ml/kg/min= 28.7ml/kg/min - Answer Mr. McCain is a 36yr old African American male, who works as a construction worker. He is too tired to participate in an exercise program because of working all day in the hot sun. During his work, he receives over 30min of PA 5days/week. He reports his father died from a heart attack when he was 40yrs old; he would like to take some steps to improve his health. Mr. McCain becomes interested in a cross-fit program he hears about at work. He says he wants to start that program but would like to make sure he is fit enough to enter the high-intensity program. Mr. McCain is on a beta-blocker for hypertension. He is a nonsmoker and otherwise healthy. On today's visit, his resting HR= 65bpm, and resting BP= 140/84mmHg. Mr. McCain forgot to take his beta-blocker today. He weighs 202lbs, and is 72inch tall, and his BF= 22%. His fasting blood lipid profile results were as follows:
-Total cholesterol= 230mg/dl
-HDL-C= 46mg/dl
-LDL= 140mg/dl
-Triglycerides= 220mg/dl
-FBG= 80mg/dl
Mr. McCain completed a max Bruce Treadmill test in 11min 55sec (estimated VO2max= 45.5 ml/kg/min). His maximal HR reached 185bpm, and his BP was 186/98mmHg. Other health-related physical fitness parameters included Sit and Reach= 40cm (the sit-and-reach box has a zero point at 23cm), 50 curl-ups, and 21 push-ups.
What is Mr. McCain's target VO2 reserve (VO2R) if prescribing at 60% intensity level?
202lbs x 0.454kg= 92kg
Intensity level= 28.7ml/kg/min
(28.7ml/kg/min x 92kg) / 1,000mL= 26.4 L/min
2.64 L/min x 5kcal= 13.2kcal/min
13.2kcal/min x 30min= 396kcal - Answer Mr. McCain is a 36yr old African American male, who works as a construction worker. He's not participating in any exercise program b/c he's tired after working in the hot sun all day. He walks to work and is getting more than 30min of PA 5days/week. His father died of a heart attack at the age of 40yrs and he wants to take steps to improve his health. Mr McCain is interested in a cross-fit program that he's heard about at work. He states that he would like to start. that program but wants to make sure he's fit enough to begin the high intensity program. Mr. McCain takes a beta-blocker for hypertension. He is a nonsmoker and otherwise healthy. On today's visit, his resting HR= 65bpm, and resting BP= 140/84mmHg. Mr. McCain reported that he forgot to take his beta-blocker today. He weighs 202lbs and is 72inch tall; thus, his BF= 22%. His fasting blood lipid profile results were as follows:
Total cholesterol= 230mg/dl
HDL-C= 46mg/dl
LDL= 140mg/dl
Triglycerides= 220mg/dl
FBG= 80mg/dl
Mr. McCain completed a max Bruce Treadmill test in 11min 55sec (estimated VO2max= 45.5 ml/kg/min). His maximal HR reached 185bpm, and his BP was 186/98mmHg. Other health-related physical fitness parameters included Sit and Reach= 40cm (the
her. She is on medication for high BP and her physician would like her to exercise to help improve her cardiovascular status. She periodically has problems with her right knee; her physician diagnosed her with a tear in her medial meniscus. She is also in PT for a sore left shoulder and has a history of adhesive capsulitis. She also has struggled to keep her weight down over the past 5yrs and currently is 210lbs and 5ft 6inch. Her results from her latest physical include the following:
Total cholesterol: 202mg/dl
Triglycerides (TG): 155mg/dl
HDL-C: 40mg/dl
LDL-C: 131mg/dl
Fasting glucose: 105mg/dl
BP: 122/78mmHg
Mrs. Kelly states that she has come to realize that she needs to make changes, and this time she feels ready to succeed; however, failure is great in her mind because she has had success off and on in the past. The fear of having severe CV issues is a big motivator for her this time. She does not presently work out of the house, devoting much time to caring for a sick nephew and mother and traveling often to see her family. For the sake of this assignment assume you have addressed her medical issues w/ proper medical clearance forms and assessments.
Utilizing either the stages of change model or the transtheoretical model
Health Belief Model - Answer Mrs. Kelly is a 55yr old female whose come to the fitness center looking for help w/ her workout. Her goals include becoming more active, losing a few pounds, and increasing strength and endurance for enhanced ability to carry out activities of daily living (ADL). She walks her dog around the block for approximately 15min/day. She had previously been in a gym, most of her exercises were cardiovascular exercises; she prefers using the treadmill. She doesn't know as much RT, but she seems okay if someone can take her through them. She does not like working out with her husband because he intimidates her, and she also stated that she does not like coming to the gym when there are a lot of people there because it makes her feel like people are watching her. Medications: High Blood Pressure-government insurance. Doctor's Orders: She needs to work out in order to improve her cardiovascular health. She periodically has problems w/ her right knee, for which her doctor diagnosed her w/ a tear in her medial meniscus. She's also in PT for a sore left shoulder and has a history of adhesive capsulitis. She has also struggled to keep her weight down over the last 5yrs and currently weighs 210lbs and is 5ft 6inch. Her results form her latest physical include:
Total cholesterol: 202mg/dl
Triglycerides: 155mg/dl
HDL-C: 40mg/dl
LDL-C: 131mg/dl
Fasting glucose: 105mg/dl
BP: 122/78mmHg
Mrs. Kelly says that she can "see" what she needs to do and is prepared to be successful this time, but is often fearful of not being successful due to her spotty success in the past. Major motivator this time is the fear of having severe CV issues. She is currently not working outside the home, dedicating considerable time to the care of her ailing nephew and mother, and often travels to visit her family. For this question only, assume that you have medically cleared her for flying through forms and examinations appropriately.
Based on Mrs Kelly's request regarding imminent/severe CV conditions, what
Health Belief Model - States that people are likely to change a behavior if that current behavior poses a perceived serious potential health problem, the threat is severe, and the person perceives themselves to be susceptible to the threat
Client-centered approach - Mrs. Kelly is a 55yr old female whose come to the fitness center looking for help w/ her workout. Her goals are to be more active, lose a few pounds, and increase strength and endurance to improve overall ability to perform ADL. She walks her dog around the block for approximately 15min/day. She has previously exercised in a fitness center and is familiar w/ cardiovascular equipment and prefers treadmill. She's not as familiar w/ RT but is comfortable if she has someone to instruct her. She does not like working out w/ her husband b/c he intimidates her, and also has expressed her disliking to come to the gym at busy hours of the day b/c she feels as though people are watching her. She is on medication for high BP, and her doctor would like for her to work out to improve her cardiovascular status. She has problems periodically w/ her right knee; her doctor diagnosed her w/ a tear in her medial meniscus. She is also in PT for a sore left shoulder and has a history of adhesive capsulitis. She has struggled to maintain her weight over the past 5 yrs. Presently, she weighs 210lbs and stands at a height of 5ft 6inch. Results from her latest physicals include the following:
Total cholesterol 202mg/dl
some experience with cardio equipment and has preferred the use of the treadmill. She is less comfortable with RT, but it's okay if she has someone there to walk her through it. She does not enjoy exercising with her husband because he makes her feel intimidated. She also once mentioned not liking the idea of having to come in during peak hours because it may make her feel like people are staring at her. She is on medication for high BP, and her doctor would like for her to work out to improve her cardiovascular health. She has problems periodically w/ her right knee; her doctor diagnosed her w/ a tear in her medial meniscus. She is also in PT for a sore left shoulder and has a history of adhesive capsulitis. She also struggles to keep her weight down and over the course of the past 5yrs. Currently, she weights 210lbs and is 5ft 6inch. Her results form her latest physical include:
Total cholesterol: 202mg/dl
Triglycerides TG: 155mg/dl
HDL-C: 40mg/dl
LDL-C: 131mg/dl
Fasting glucose: 105mg/dl
BP: 122/78mmHg
Mrs. Kelly states that she has finally come to realize that she needs to make some changes and feels ready to succeed this time but is still afraid to fail since she succeeds in the short-term in the past. Fear of having severe CV issues is a big motivator for her this time. She currently does not work outside of the home, spends much time caring for a sick nephew and mother, and travels frequently to visit family. Assume you have addressed her medical issues w/ proper medical clearance forms and assessments.
With the information provided which would be an appropria
Relapse Prevention - Answer The model or approach that combines behavioral skill training, cognitive intervention, and lifestyle coaching is.
Assist in identifying ways to overcome PA barriers
Provide exercises she can do while traveling and encourage her to fit activity in when and where she can as she cares for her family- addressing the behavioral component of the RPM
By using a planning worksheet, she can think through and plan around the various barriers, i.e., the coping planning. Also, the reduced anxiety regarding committing to a
regular exercise program through requesting her to pay attention to her feeling about finally being more active can also be addressed for the cognitive portion of the RPM.
-she needs to view herself as an active person, i.e. social liberation-to assist her w/ her overall life style change - Answer List a few cognitive and behavioral strategies you may help Mrs. Kelly w/ overcoming barriers w/ injuries, travel, and relapse prevention.
She has elevated total cholesterol, borderline elevated LDL-C, reduced HDL-C and elevated triglyceride and blood glucose. She also has high BP controlled by medication. Her BMI= 33.9. kg/m2 puts her into Class 1 Obesity. With motivational interviewing skills, she'll know the need to reduce disease risk and BMI. By setting principles that are SMART, specific, measurable, achievable, realistic, and time-oriented, the goals will be achieved. - Response Mrs. Kelly is a 55yr old female whose come into the fitness center looking for help w/ her workout. Her goals are to be more active, lose a few pounds, and increase strength and endurance to improve ADLs. She is currently walking her dog around the block for approximately 15min/day. She has exercised previously in a gym setting and is familiar w/ cardio equipment and prefers treadmill. She's not as familiar w/ RT but is comfortable if she has someone to instruct her. Does not like to work out w/ husband b/c he intimidates her and also has voiced her disliking of coming to gym during busy hours b/c she feels as though people are watching her. She is on medication for high BP, and her physician wishes her to exercise to help her improve her overall cardiovascular health. She has problems periodically w/ her right knee-her physician diagnosed her w/ a tear in her medial meniscus. She's also in PT for a sore left shoulder and has a history of adhesive capsulitis. She also has struggled to maintain her weight over the past 5yrs and presently weighs 210lbs and is 5ft 6inch. Her results form her latest physical include:
Total cholesterol: 202mg/dl
Triglycerides (TG): 155mg/dl
HDL-C: 40mg/dl
LDL-C: 131mg/dl
Fasting glucose: 105mg/dl
BP: 122/78mmHg
Mrs. Kelly voices that she realizes that she needs to make changes, and she can feel ready to succeed this time but is still scared to fail due to her intermittent success in the past. The fear of having severe CV issues is a huge driving force for her at this time. She is presently not working outside the home and devotes much of her time caring for her ailing nephew and mother and setting frequent trips to visit her family. Assume that you have discussed her medical concerns w/ appropriate medical clearance forms and examinations.
