030-444 ACSM Certified Clinical Exercise Physiologist Question and Answers

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

Voicing his or her opinion.

Joining fitness organizations, and subscribing to fitness journals.

Buying fitness videos.

Reading the newspaper.

Premature ventricular contractions.

Ventricular tachycardia.

Ventricular trigeminy.

Ventricular bigeminy.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. 51.

Louis, Mosby, 1999, p 167.)

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.

State laws help to identify illegal aliens who may apply for a job in your club.

State laws may control the number of minority employees working at your club.

State laws may affect how much can be charged for a membership.

Many states have practice acts that control the behavior and actions of fitness instructors.

Annual practice sessions involving all staff.

Emergency plan that constantly refers to national established guidelines (e.g., ACLS) without addressing unique features of the program.

Emergency drills carried out on a regular basis and documented.

Scenarios developed to increase the applicability of the emergency plan practice

sessions.

181.72 mL . kg-1 . min-1

18.17 mL. kg-1 . min-1

29.76 mL . kg-1 . min-1

27.96 mL . kg-1 . min-1

50W.

100W.

200W.

300W.

Polarization.

Repolarization.

Automaticity.

Depolarization.

Break-down analysis.

Break-even analysis.

Profitability analysis.

Margin analysis.

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.

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.

Office supplies.

Salaries.

Utilities (e.g., telephone).

Laboratory charge backs for blood work.

75 bpm

125 bpm

200 bpm

300 bpm

Data analysis.

Goals assessment.

Outcomes assessment.

Budget assessment.

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.

29.48 mL . kg-1 . min-1

45.4 mL . kg-1 . min-1

47.2 mL . kg-1 . min-1

48.9 mL . kg-1 . min-1

Electrical

Chemical

Mechanical

Emotional

Negative

Positive

Isoelectric

Either positive or negative

Hyperkalemia.

Acute pericarditis.

Acute MI.

Hypokalemia.

It helps to promote the program and staff to the public.

It reduces the risk of legal action against your staff.

It lowers your malpractice insurance premium by promoting quality.

It makes sure that your clients are happy and getting what they want.

Diabetes.

Skin cancer.

Coronary artery disease.

Colon cancer.

Sweat as much as possible.

Exercise at 85% of HRR.

Perform resistance exercise three to five times per week.

Expend 300 to 500 calories per exercise session.

195 bpm.

166 bpm.

177 bpm.

102 bpm.

Height/weight charts.

Total body weight.

WHR.

Total body water.

The exercise leader should be fit enough to exercise with any of his or her participants.

Most people are not bored by exercise and can easily find time to participate in an exercise program.

The exercise leader should adjust the exercise intensity based on individual differences in fitness.

Periodic fitness assessment may provide evidence of improvement in fitness for some participants.

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.

Dyslipidemia (low HDL-C, elevated triglycerides).

Osteoporosis.

Insulin resistance.

Elevated blood pressure.

8 to 12.

12 to 16.

14 to 18.

6 to 10.

Proprioceptive neuromuscular facilitation.

Ballistic stretching.

The plough and hurdler's stretches.

Static stretches held for 10 to 30 seconds per repetition.

ECG electrodes.

Temporary wages.

Rental fees for the facility space.

Consultant fees.

The emphasis should be large muscle activity performed at a low to moderate intensity.

Increasing venous return should be a priority during cool-down.

The potential for improving flexibility may be improved during cool-down as compared with warm-up.

Between 1 and 2 minutes are recommended for an adequate cool-down.

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.

Determining total body fat through the BMI to assess obesity.

Determining the degree of abdominal fat and health risk through waist circumference.

Using the waist-to-hip ratio as the only definition of obesity and lean muscle mass.

Both A and B.

A decrease in maximal HR is responsible for reductions in the maximal oxygen consumption as we age.

A loss of fat-free mass is responsible for the decrease in muscular strength as we age.

The ACSM recommends a cardiorespiratory training intensity of 50% to 70% of HRR for older adults.

Resistance exercise training is not recommended for older adults.

Weight training.

Walking.

Bicycling.

Stair climbing.

10%initial body weight in first 6 months.

20 pounds in 2 months.

5 pounds per week for the first 6 weeks, then weight maintenance.

BMI of less than 18.5.

Oranges.

Yogurt.

Pasta.

Olive oil.

0.8 g/kg.

1.4 g/kg.

2.2 g/kg.

1.7 g/kg.

Performing four to six repetitions per set.

Using high resistance.

Incorporating high repetitions.

Performing isometric exercises only.

The number of repetitions to volitional fatigue will vary inversely with resistance.

It is necessary to determine the 1- RM to establish training intensity.

Exercise to volitional fatigue is not dangerous from a musculoskeletal standpoint provided that good exercise form is maintained.

Exercise intensity should be similar for males and females.

Weight/hip circumference.

Weight/height2.

Height/weight2.

Hip circumference/height.

2, 4, and 6, respectively.

4, 6, and 8, respectively.

6, 8, and 9, respectively.

4, 4, and 9, respectively.

40% to 60% of maximum HR, 20 to 30 minutes continuously, 3 days per week.

50% to 70% of HRR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

40% to 60% of maximum HR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

50% to 70% of HRR, 20 to 30 minutes continuously, 3 days per week

Antihypertensive medication.

Lithium.

Cholestyramine.

Cromolyn sodium.