030-444 ACSM Certified Clinical Exercise Physiologist Questions and Answers

Proprioceptive neuromuscular facilitation.

Ballistic stretching.

The plough and hurdler's stretches.

Static stretches held for 10 to 30 seconds per repetition.

Women who have never been pregnant.

African-American women.

Women who are involved in activities that place stress on the wrists, hips, or lum bosacral region.

Postmenopausal women.

Rehydrate.

Decrease the intensity of activity quickly to decrease cardiac afterload.

Limit the cool-down period to 5 minutes.

Increase the number of isometric activities.

Avoiding muscle strengthening exercises that involve low resistance.

Avoiding activities that involve the Valsalva maneuver.

Monitoring a client who is taking diuretics for arrhythmias.

Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.

The possible need to splint painful joints forprotection.

Periods of acute inflammation result in decreased pain and joint stiffness.

The possibility of gait abnormalities as compensation for pain or stiffness.

The need to avoid exercise of warm, swollenjoints.

Persons with WI pacemakers may be chronotropically (HR) competent with exercise but require longer warm-up and gradual increase in intensity during the initial exercise portion of their session.

Persons who are chronotropically competent are tachycardic at rest and should not exercise at low intensities.

BP response is not a good marker of intensity effort in those with WI pacemakers and need not be evaluated during an exercise session.

Persons with WI pacemakers must avoid exercise on the bicycle ergometer because of the location of the ventricular lead wire and potential for displacement.

Diabetes.

Skin cancer.

Coronary artery disease.

Colon cancer.

0.98.

>29.9

43 inches

All of the above.

The athlete should reduce fat intake to 10% of total calories.

The athlete should increase protein intake to threefold the RDA.

The athlete should have a greater intake of grains, fruits, vegetables, and lean sources of protein.

There should be no change in calories.

Daily exercise sessions.

Intensity of activity to maximal tolerable pain, with intermittent rest periods.

Cardiorespiratory building activities that are nonweight bearing if the plan is to work on longer duration and higher intensity to elicit a cardiorespiratory training effect.

Stopping activity at the onset of claudication discomfort to avoid further vascular damage from ischemia.

Weight/hip circumference.

Weight/height2.

Height/weight2.

Hip circumference/height.

Hypocaloric diet.

Daily aerobic exercise.

Resistance training.

A low-fat, high-fiber diet and daily physical activity.

20 minutes continuously.

30 minutes continuously.

Multiple sessions of more than 10 minutes in duration throughout the day.

Two sessions of 20 minutes throughout the day.

Ketogenesis.

Positive caloric balance.

Positive electrolyte balance.

Negative energy balance.

Bulimia.

Anorexia nervosa.

Chronic dieting.

Yo-yo dieting.

A process for injury reporting, backed up with a form, should be developed.

The process to be used and the accompanying forms must be part of the P&P manual.

Injury reporting forms must be kept under lock and key, just like data records.

A physician should sign every injury report form that is filed.

Shortening the cool-down to less than 5 minutes.

Eliminating resistance training completely.

Prolonging the cool-down.

Implementing high-intensity (>85% of HRR), short-duration intervals.

10, 1,600.

3-5, 1,500.

1-2, 1,200.

None of the above.

Having a personal trainer.

Proper breathing.

Speed of movement.

Body mechanics.

A referred pain from a herniated lumbar disk.

Rotator cuff strain or impingement.

angina.

Advanced stages of multiple sclerosis.

All records must be kept by the program director/manager under lock and key.

Data must be available to all individuals who need to see it.

Data should be kept on file for at least 1 year before being discarded.

Sensitive information (e.g., participant's name) needs to be protected.

9.11 mL . kg-1 . min-1

11.9 mL . kg-1 . min-1

24 mL . kg-1 . min-1

20.81 mL . kg-1 . min-1

Voicing his or her opinion.

Joining fitness organizations, and subscribing to fitness journals.

Buying fitness videos.

Reading the newspaper.

Electrical

Chemical

Mechanical

Emotional

Valuable, because it looks good to the owners.

To create many opportunities for educating the staff.

To let the staff handle their own education but also to encourage it.

Not very valuable, because member retention and sales are the key to any program.

Left atrial enlargement and LVH.

Right atrial enlargement and right ventricular hypertrophy.

Left anterior fascicular block and left posterior h,scicular block.

Subendocardial ischemia and infarction

Avr V1 V4

Avl V2 V5

Avf V3 V6

Negligence is breaking a tort law and can ruin an instructor's career.

State taxes often are related to profit, which is governed by tort laws.

Tort laws are related to worker's compensation regulations.

They relate to the Americans with Disabilities Act (ADA)

AACVPR.

American College of Physicians.

American Heart Association.

ACSM.

3 pounds.

6 pounds.

11 pounds.

15 pounds.

Fitness equipment costs.

If a company is making or losing money.

Viability, identification of problems, and a plan for the future of a program.

Assets and liabilities of the financial plan.

Only if they wish to become floor supervisors or program managers.

Yes, because of the natural progression of advancement into management.

Yes, because as instructors, they manage client programs and manage the floor

with the clients.

No, because they will be trained in management if they become managers.

6.78 kcal . min-1

11.58 kcal· min-1

20.85 kcal. min-1

25.47 kcal· min-1

300 mL . min-1

750 mL . min-1

1.25 L . min-1

1.7 L. min-1

Hypokalemia.

Defective intraventricular conduction.

Right atrial enlargement.

Abnormal ST segment

Explain how to use the fitness equipment properly.

Clarify the rights of and risks in being a fitness member.

Are general guidelines for operating a fitness program or department.

Explain the employee insurance plans and how to use them.

Office supplies.

Salaries.

Utilities (e.g., telephone).

Laboratory charge backs for blood work.

Atrial flutter.

Atrial fibrillation.

Premature atrial contractions.

Atrial tachycardia.

The needs and/or program assessment is a useful tool for gathering data and

support for program implementation.

The needs and/or program assessment often must be a creative tool developed inhouse

to meet the program's specific needs.

Given that the needs assessment may be developed in-house without the benefit

of external validity, generalizing the results may be difficult.

Program planning is an essential step before needs assessment can be performed.

Hypokalemia and hypercalcemia.

Hyperkalemia and hypercalcemia.

Hypocalcemia and hypokalemia.

Hypocalcemia and hyperkalemia.

9.38 mL. kg-1 . min-1

12.88 mL . kg-1l . min-1

18.76 mL . kg-1 . min-1

22.26 mL . kg-1 . min-1

Selling memberships at any cost is key.

You know more than they do, so be aggressive.

Honesty and an understanding of the needs of the potential member are always the

best way.

Long-term agreements make more money than short-term agreements.

Prolonged PR interval.

Prolonged QRS interval.

Shortened QT interval.

Elevated ST segment.

The client care plan for each individual participant is not used in this process.

Data that are subjective or anecdotal in nature can be used in the assessment.

Periodic progress reports are valuable and should stimulate the need to collect

objective data to support any subjective findings.

Standardized tools should be used for outcome assessment.

Is not necessary if the client completes the medical history questionnaire.

Is a communication tool with little exercise value?.

Provides information about the physician's attitude regarding your club.

Provides a medical opinion about a client's risk with exercise.

The law.

The client rights statement.

Policies and procedures.

A check and balance for management and clients.