Question 1

Which of the following risk factors for coronary heart disease enables you to subtract one risk factor from the total amount of positive risk factors?

Accepted Answer

High serum HDL cholesterol > 60 mg/dl (1.6mmol/L) is the only risk factor that enables you to subtract one risk factor from the total amount of positive risk factors.

Question 2

Who should obtain a physician's clearance before starting an exercise program?

Accepted Answer

Sedentary individuals who plan to engage in vigorous exercise should obtain a physician's clearance to ensure safety and address any potential health risks.

Question 3

What are the most commonly used modes for cardiovascular exercise testing?

Accepted Answer

Treadmill, cycle ergometer, and bench stepping are the most commonly used modes for cardiovascular exercise testing due to their accessibility and ability to standardize testing protocols.

Question 4

What is the anatomical reference for the waist circumference measurement?

Accepted Answer

The waist circumference is measured at the narrowest part of the torso, which is above the umbilicus and below the xiphoid process.

Question 5

What is the standard site for the measurement of the subscapular skinfold?

Accepted Answer

The standard site for the measurement of the subscapular skinfold is one centimeter below the inferior angle of the scapula. This location has been found to be the most reliable and valid site for measuring subcutaneous fat in this region.

Question 6

What does waist to hip ratio assess?

Accepted Answer

Waist to hip ratio assesses the distribution of body weight, specifically the amount of fat stored around the waist and hips. A higher waist to hip ratio indicates a higher amount of central or abdominal fat, which is associated with an increased risk of health problems such as cardiovascular disease, diabetes, and certain cancers.

Question 7

Of the nine possible skinfold sites, which three sites are measured on a diagonal fold?

Accepted Answer

Chest, subscapular, and suprailiac skinfold sites are measured on a diagonal fold.

Question 8

Mr. Smith wishes to enroll in your exercise program.  Preliminary evaluation revealed the following information: Age = 50 years                             Resting heart rate = 78 beats/min                   Weight = 198 lb (90 kg)               Resting blood pressure = 162/94 mm Hg Height = 70 inches (178 cm)       Body fat = 30%              Blood chemistry:       Total cholesterol = 240 mg/dl (6.21 mmol/L)       HDL cholesterol = 34 mg/dl (0.88 mmol/L)       Triglycerides = 180 mg/dl (2.03 mmol/L)       Glucose = 98 mg/dl (5.55 mmol/L) Family history and current habits:       Father died of heart attack at 90 years of age       Hypertensive mother died at age 84       Smokes a pipe after dinner each evening       Smokes cigarettes (25-30 per day)       Reports too much work and is struggling to meet deadlines       Currently doing moderate exercise       No medications at present According to ACSM stratification guidelines, Mr. Smith has which of the following coronary artery disease risk factors?

Accepted Answer

Mr. Smith has hypertension, high total cholesterol, and smokes, which are all considered coronary artery disease risk factors according to ACSM stratification guidelines. Although he is also overweight and has a high percentage of body fat, these are not listed as risk factors in the guidelines.

Question 9

A sedentary 48 year old male with controlled hypertension has hired you to assist him with beginning a marathon training program.  Which level of pre-participation screening must a certified Personal Trainer require?

Accepted Answer

The best choice would be a medical examination performed by his physician before he begins. This is because the client is over 45 years old and has controlled hypertension, which places him at higher risk for cardiovascular disease. It is recommended that individuals with these risk factors undergo a medical examination before beginning a new exercise program. The medical examination can help ensure that the client is healthy enough to participate in a marathon training program and can also provide important information for the development of a safe and effective exercise program.

Question 10

What is the initial American College of Sports Medicine risk stratification of a 57 year old female client who has a blood pressure of 150/70 mm Hg and a total serum cholesterol of 240 mg/dL (6.2 mmol/L)?

Accepted Answer

According to the ACSM risk stratification guidelines, a blood pressure reading of 150/70 places the client in the moderate risk category. Additionally, a total serum cholesterol level of 240 mg/dL puts the client in the moderate risk category according to the guidelines. Therefore, the client is at moderate risk for exercise-induced complications and a thorough medical evaluation is recommended prior to initiating an exercise program.

Question 11

What is the difference between absolute and relative contraindication?

Accepted Answer

Absolute contraindications prevent the individual from any/all exercise testing and prescription whereas relative contraindications allow for some testing and participation.

Question 12

Which of the following modifiable risk factors is the most preventable cause of death in the United States today?

Accepted Answer

Cigarette smoking is the most preventable cause of death in the United States today. It is a major cause of lung cancer, chronic obstructive pulmonary disease (COPD), and cardiovascular disease. While other modifiable risk factors such as diabetes, hypertension, and hypercholesterolemia also contribute to premature death, addressing cigarette smoking is the most effective way to prevent these health problems.

Question 13

Your new client is a 42 year old male who is a stock broker. His health history revealed the following: total cholesterol 185 mg/dL (4.7 mmol/L) , HDL  32 mg/dL (0.8 mmol/L), LDL 110 mg/dL (2.8 mmol/L), resting blood pressure 138/80 mm Hg, waist circumference 98 centimeters. What is his initial risk stratification?

Accepted Answer

The answer of Your new client is a 42 year...

Question 14

The acronym IDEA includes which of the following steps to solve a problem?

Accepted Answer

IDEA stands for Identify the problem, Develop a list of solutions, Evaluate each solution, and Act on the best solution. Option B is the only step mentioned in IDEA. Options A, C, and D may be part of the problem-solving process but are not specifically included in the IDEA acronym.

Question 15

What factors should be taken into account when determining appropriate exercise test and mode?

Accepted Answer

Age and health history are important factors to consider when deciding on an appropriate exercise test and mode. Lifestyle can also play a role in determining the most suitable exercise program. Gender and occupation may have some impact on exercise selection, but they are not as critical as age, health history, and lifestyle.

Question 16

Your client is telling you about his progress during the past week.  You do not quite understand what the client is trying to convey.  You restate what the client just told you and ask him/her if that is correct.  Which of the following terms define the communication strategy described in the above scenario?

Accepted Answer

In the scenario described, the communication strategy being used is reflecting. This involves restating the client's message to ensure understanding and active listening.

Question 17

What is the appropriate sequence for fitness testing?

Accepted Answer

The appropriate sequence for fitness testing is to start with body composition to assess baseline metrics, followed by cardiorespiratory endurance to evaluate aerobic capacity, then muscular fitness to test strength and endurance, and finally flexibility to assess the range of motion.

Question 18

What risk stratification would physician supervision be recommended during exercise testing?

Accepted Answer

Physician supervision is recommended during exercise testing for individuals at high risk, even during submaximal testing, due to the increased likelihood of adverse events.

Question 19

The risk of developing a myocardial infarction increases when there is a family history of myocardial infarction or sudden death before the ages of:

Accepted Answer

According to American Heart Association, the risk of developing a myocardial infarction increases when there is a family history of myocardial infarction or sudden death before the ages of 55 years of age in a first-degree male relative and 65 years of age in a first-degree female relative. Therefore, option C is the correct answer.

Question 20

If a 50 year old male checked a "yes" response on his PAR-Q, what is the next step for his certified Personal Trainer?

Accepted Answer

If a 50-year-old male checked a "yes" response on his PAR-Q, the next step for his certified Personal Trainer is to refer the client to his physician. This is because the PAR-Q is a screening tool that is used to identify individuals who may need medical clearance before beginning an exercise program. By checking "yes", it means that the individual may have a medical condition that requires further evaluation and clearance from a physician before starting an exercise program. The trainer should not begin a fitness program until the client has been cleared by a physician.

Exam 1: ACSM Certified Personal Trainer