030-444 ACSM Certified Clinical Exercise Physiologist Questions and Answers

50W.

100W.

200W.

300W.

To determine the specific needs and interests of the target market.

To determine the quality of potential fitness instructor who could be hired in the area.

To determine the needs of management before developing the budget.

To determine the need for new or different exercise equipment.

The manager should maintain a hands-off approach.

The manager should be involved only in the budgeting and final approval.

The manager should be the only person involved in program development.

The manager should be active as a program developer as well as a resource,

supporter, and critic for programs developed by other staff.

Hyperacute phase of MI.

LVH.

Acute pericarditis.

Hypocalcemia.

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)

Are part of staff news.

Are part of client and staff education.

Are part of the facility marketing.

Require considerable money and must be budgeted carefully.

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.

Subendocardial ischemia.

Transmural ischemia.

Acute inferior MI.

Posterior MI

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

Louis, Mosby, 1999,p91.)

Prolonged PR interval.

Prolonged QRS interval.

Shortened QT interval.

Elevated ST segment.

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

Break-down analysis.

Break-even analysis.

Profitability analysis.

Margin analysis.

12.87 calories.

31.28 calories.

510 calories.

3,500 calories.

Electrical

Chemical

Mechanical

Emotional

They create problems with staff egos.

They reduce memberships.

They create successful programs and reduce problems.

They create more work for the staff and reduce feedback.

Hypokalemia and hypercalcemia.

Hyperkalemia and hypercalcemia.

Hypocalcemia and hypokalemia.

Hypocalcemia and hyperkalemia.

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

They inform the manager which employees are performing poorly.

They indicate which members are problematic and should be dismissed.

They document and give details of any incident or problem that occurs.

State laws often require them.

6.78 kcal . min-1

11.58 kcal· min-1

20.85 kcal. min-1

25.47 kcal· min-1

12.7 kcal . min-1

1.271 kcal . min-1

3.633 kcal . min -1

36.33 kcal . min -1

Not important, because members do not care.

Important, primarily because it adds spice to marketing materials.

Not a good idea, because certified staff will increase your payroll.

Important, primarily because it adds a standard of knowledge and credibility to your facility.

Is based on historical features of program administration.

Adapts to trends in program services.

Is limited in scope and practice.

Is the same for the entire client population served.

Dyslipidemia (low HDL-C, elevated triglycerides).

Osteoporosis.

Insulin resistance.

Elevated blood pressure.

Continuous cycling activity at 70% of Vo2 max for 30 minutes.

Use of dyspnea scales, RPE scales, and pursed-lip breathing instruction.

Intermittent bouts of activity on a variety of modalities (exercise followed by short rest).

Encouraging the client to achieve an intensity either at or above the anaerobic threshold.

Allow her to exercise as long as her glucose is not greater than 300 mgldL (17 mmol/L).

Not allow her to exercise this session, and notify her physician of the findings.

Give her an extra carbohydrate snack, and wait 5 minutes before beginning exercise.

Readjust her insulin regimen for the remainder of the day to compensate for the high morning glucose level.

Record body weight daily, and report weight gains to a physician.

Note signs and symptoms (e.g., dyspnea, intolerance to activities of daily living), and report them to a physician.

Do not palpate the pulse during daily activities or periods of light- headedness, because an irregular pulse is normal and occurs at various times during the day.

Both A and B.

Greater than 140 mg/dL.

Between 60 and 140 mg/dL.

Less than 60 mg/dL.

Between 200 and 400 mg/dL.

Bulimia.

Anorexia nervosa.

Chronic dieting.

Yo-yo dieting.

They tend to consume less overall energy than men.

They tend to consume less dairy products.

They tend to consume less protein from meat sources.

All of the above.

195 bpm.

166 bpm.

177 bpm.

102 bpm.

Oranges.

Yogurt.

Pasta.

Olive oil.

128 bpm.

109 to 119 bpm.

129 bpm.

125 to 128 bpm.

Asthma.

Tuberculosis.

Cystic fibrosis.

Emphysema.

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.

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.

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.

Hypocaloric diet.

Daily aerobic exercise.

Resistance training.

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

Very LDL-C, <120 mg/dL.

LDL-C, <125 mg/dL.

HDL-C, >30 mg/dL.

LDL-C, <100 mg/dL.

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.

Muscle blood flow is increased as a result of warm-up.

Peripheral vasodilation occurs as a result of warm-up.

Peripheral vasoconstriction occurs as a result of warm-up.

Between 5 and 10 minutes should be allotted for a warm-up period.

Antihypertensive medication.

Lithium.

Cholestyramine.

Cromolyn sodium.

Proprioceptive neuromuscular facilitation.

Ballistic stretching.

The plough and hurdler's stretches.

Static stretches held for 10 to 30 seconds per repetition.

Consume 16 to 24 fluid ounces of water for every pound of weight lost.

Drink nothing but alcoholic beverages after engaging in exercise.

Avoid drinking water after exercise because of the danger of cramps.

Eat salt tablets with every meal during the hot summer months.

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.

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.

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.