×

Quiz Session - Attempts With Random Questions

ACSM-CEP Exam Questions

Page 8 of 25

141.

A patient was recently evaluated by her physician. The results of her CVD risk assessment are as follows:

  • 40 years old
  • Family history of a great aunt who died of a heart attack at 80 years old
  • No history of smoking
  • Healthy diet
  • Runs 10 miles a day, 4 days a week, and has done so for 2 years
  • BMI of 20 kg/m^2
  • BP of 114/76 mm Hg
  • Total cholesterol of 100 mg/dL
  • Oral glucose tolerance test of 150 mg/dL
  • HDL of 62 mg/dL

How should these results be interpreted?

  • The patient has ideal cardiovascular health

  • The patient has one positive risk factor for high HDL

  • The patient has one positive risk factor for hypertension

  • The patient has one positive risk factor for family history

Correct answer: The patient has ideal cardiovascular health

Ideal cardiovascular health is defined as being physically active, having normal blood pressure, normal blood glucose, normal BMI, normal cholesterol levels, maintaining a healthy diet and not smoking. While this patient has a family history of heart disease, it was in a great aunt who died at 80 years old, not in a first degree female relative younger than 65 years of age.

142.

A patient has difficulty lifting up his young son from the floor due to leg weakness and poor form. Which of the following exercises would be most appropriate to emphasize in his prescription in order to improve this deficit?

  • Squats and deadlifts

  • Hamstring curls and calf raises

  • Tricep pushdowns and bicep curls

  • Crunches and hamstring curls

Correct answer: Squats and deadlifts

In order to improve lower body strength and reach this specific functional deficit, squats and deadlifts must be included in this patient's exercise prescription. These movements are directly transferable to lifting up a child from the floor and will strengthen many different muscles of the legs at the same time.

143.

What is the relationship between the intensity and the duration of exercise?

  • Intensity and duration are inversely related

  • Intensity and duration have no relationship

  • Intensity and duration have a strong, direct relationship

  • Intensity and duration have a weak, direct relationship

Correct answer: Intensity and duration are inversely related

Intensity of exercise and duration of exercise both need to be considered with all exercise programming. As intensity increases, duration must decrease and vice versa.

Improvements across a variety of metrics can be realized with both high-intensity, short-duration exercise, as well as low-intensity, long-duration exercise. The choice of which type of exercise to prescribe for a given client depends on a number of considerations, including the training status of the client and their goals.

144.

Which of the following statements is false regarding Body Mass Index (BMI) measurements?

  • BMI can indicate the body fat percentage of a patient

  • BMI is a valid tool for determining cardiovascular risk in patients

  • BMI is measured by dividing one's weight in kilograms by their height in meters squared

  • BMI is a valid tool for determining metabolic disease risk in patients

Correct answer: BMI can indicate the body fat percentage of a patient

BMI does not distinguish between fat mass and fat-free mass. BMI simply provides a measure of one's weight divided by one's height squared.

BMI is a valid tool for determining cardiovascular risk in patients. BMI is calculated by converting a patient's weight to kilograms, their height to meters, then dividing their weight by their height squared. BMI is a valid tool for determining metabolic disease risk in patients.

145.

Glycogen is primarily stored in which of the following areas of the body?

  • The liver and skeletal muscles

  • The stomach and small intestine

  • The brain and spinal cord

  • Glycogen is not stored in the body, glucose is the stored form of sugar

Correct answer: The liver and skeletal muscles

Glycogen is the stored form of sugar within the body. The vast majority of it is stored within the skeletal muscles and the liver. When energy is needed to complete a task, glycogen is released from these areas and broken down into usable energy.

146.

Which of the following is true regarding osteoporosis?

  • Women typically experience osteoporosis earlier than men

  • Serious side effects from bisphophonates are very common

  • Vitamin D supplements have no effect on bone health

  • People with osteoporosis should avoid weight-bearing exercise

Correct answer: Women typically experience osteoporosis earlier than men

When women go through menopause in their 50s, osteoporosis usually begins. Men don't typically experience osteoporosis until their 70s.

Serious side effects from bisphophonates are rare. Vitamin D supplements seem to be a good complementary treatment for osteoporosis and to improve bone health in general. People with osteoporosis benefit from appropriate weight-bearing exercise.

147.

Which of the following assumptions could you safely make if a patient tells you that he is taking propranolol?

  • The patient's heart rate and blood pressure will be reduced at rest and when exercising

  • The patient has arthritis

  • The patient has been having problems excreting fluids

  • The patient has dyslipidemia

Correct answer: The patient's heart rate and blood pressure will be reduced at rest and when exercising

Propranolol is a beta blocker. Beta blockers are designed to reduce blood pressure and heart rate in order to put less stress on the cardiovascular system. It would be safe to assume that the patient's heart rate and blood pressure will be reduced due to the medication. If these measures are not reduced, the patient may consider following up with his doctor to see if there is a dosage problem.

Beta blockers do not address arthritic symptoms. Diuretics address issues of excreting fluids. Dyslipidemia is addressed through the use of antilipemic agents.

148.

At what age do the epiphyseal growth plates typically fuse in males?

  • Between ages 14 and 19

  • Between ages 12 and 16

  • Between ages 20 and 30

  • Between ages 2 and 5

Correct answer: Between ages 14 and 19

Boys' epiphyseal plates tend to fuse in adolescence, between the ages of 14 and 19.

Girls' epiphyseal plates fuse between ages 12 and 16. Bones continue to harden between the ages of 20 and 30, but the epiphyseal plates have long since fused. Bones are still forming between ages 2 and 5.

149.

Which of the following statements regarding COPD is false?

  • COPD has a direct healthcare cost of about 10 million dollars in the U.S.

  • COPD is correlated with smoking and exposure to tobacco smoke

  • COPD is the third most common cause of death in the United States

  • COPD affects more than 200 million people around the world

Correct answer: COPD has a direct healthcare cost of about 10 million dollars in the U.S.

The direct healthcare cost for COPD in the U.S. is over 32 billion dollars. 

While there are some COPD patients who have never smoked, and some smokers who never develop COPD, smoking remains a major risk factor for the development of COPD. COPD trails only heart disease and cancer in terms of causes of death in the United States. COPD affects tons of countries around the world and accounts for a significant portion of the global burden of disease.

150.

Which of the following is true of ozone?

  • Ozone is typically created through the reaction between UV radiation and car exhaust

  • Ozone levels are usually higher in the winter months as compared to the summer months

  • Ozone levels are usually highest in the early morning hours

  • While more research is needed, early findings suggest that ozone exposure has no effect on exercise performance

Correct answer: Ozone is typically created through the reaction between UV radiation and car exhaust

Ozone makes up a large percentage of smog and is produced when UV light encounters vehicular exhaust.

Ozone levels tend to be higher in the summer months as compared to the winter months. Ozone levels are often highest in the early to mid afternoon hours. Ozone seems to negatively affect exercise performance in a variety of ways.

151.

A patient's systolic blood pressure rises by 10 mm Hg after 10 minutes of exercise. His diastolic blood pressure does not increase from its resting value. How should the CEP interpret this finding?

  • This is a normal response to exercise

  • This change indicates that the patient may be at risk of developing heart failure

  • This is an abnormal finding, as the diastolic blood pressure and systolic blood pressure should rise in equal proportions when a person is exercising

  • This is a medical emergency, as the patient is demonstrating signs of a heart attack

Correct answer: This is a normal response to exercise

With exercise, systolic blood pressure should rise as the intensity of the work increases. 

Diastolic blood pressure should not change much, if at all, from resting values. This is not an abnormal finding or a medical emergency.

152.

What is the primary function of the Federal Trade Commission (FTC)?

  • To prevent false advertising and unfair competition

  • To ensure that workplaces are safe for employees

  • To enforce patents

  • To provide insurance for businesses and individuals

Correct answer: To prevent false advertising and unfair competition

The FTC was created to ensure that businesses do not take advantage of consumers by deliberately misleading them with false advertising.

OSHA ensures that workplaces are safe for employees. The FTC does not enforce patents. The FTC does not provide insurance for businesses and individuals.

153.

Which of the following is true regarding the 1500 method of measuring heart rate on an ECG?

  • It is a slow method, but extremely accurate

  • It is one of the quickest methods available for determining heart rate

  • It is the best method to use if the R-R intervals are varied

  • It requires no math calculations

Correct answer: It is a slow method, but extremely accurate

The 1500 method takes a considerable amount of time to perform as compared to the other methods of determining heart rate. However, it provides a very accurate measurement of heart rate.

The 1500 method is a slow method of heart rate determination as compared to the other available methods. The 6-second method is the best method to use if the R-R intervals are varied. The 1500 method requires mathematical calculations.

154.

Which of the following is true of nitrogen dioxide exposure and exercise?

  • Healthy adults tend to experience few adverse effects during submaximal exercise when exposed to low levels of nitrogen dioxide for a short period

  • Nitrogen dioxide has not been researched very heavily, as it seems to be relatively harmless to humans

  • Nitrogen dioxide tends to irritate the lower respiratory tract

  • There is a vast amount of research outlining the detrimental effects of nitrogen dioxide exposure when patients exercise near their VO2max

Correct answer: Healthy adults tend to experience few adverse effects during submaximal exercise when exposed to low levels of nitrogen dioxide for a short period

Interestingly, nitrogen dioxide, when exposure is brief and at low levels, does not seem to impair submaximal exercise capacity in healthy adults.

Nitrogen dioxide is generally considered to be very harmful to humans, especially at high levels, so much attention has been paid to the compound in the research field. Nitrogen dioxide tends to irritate the upper respiratory tract. Little attention has been paid to the effects of nitrogen dioxide exposure in patients exercising at or near their VO2max.

155.

A client who has been regularly exercising and meeting their fitness goals for three months is in which stage of change?

  • Action stage

  • Precontemplation stage

  • Contemplation stage

  • Maintenance stage

Correct answer: Action stage

The action stage is the period in which the client has committed to a consistent exercise regimen, but has been working out for fewer than six months.

Clients in the precontemplation stage have no thoughts about changing their physical activity status. Clients in the contemplation stage have not started exercising yet, but they are considering doing so. Clients in the maintenance stage have been meeting their fitness goals for six or more months.

156.

Which of the following is the best reason to select arm ergometry testing over cycle ergometry or treadmill testing for a patient?

  • The patient suffers from flaccid paralysis in his right lower extremity

  • The clinician wants to elicit the highest VO2 max/peak value possible

  • The clinician wants the patient to achieve true cardiorespiratory fatigue

  • The patient has serious cardiac involvement, and blood pressure and heart rate need to be closely monitored throughout the examination

Correct answer: The patient suffers from flaccid paralysis in his right lower extremity

Arm ergometry testing is not ideal for most patients. There are few times when this type of testing would be appropriate, one of them being the inability for the patients to use their lower extremities effectively.

VO2 max/peak values will be roughly 5% lower during an arm ergometry test as compared to a treadmill test. The end of the test will likely be brought about by muscular fatigue in the arms rather than true cardiorespiratory fatigue. Blood pressure and heart rate are particularly hard to monitor during an arm ergometry test.

157.

What are the most common beneficial effects prednisone has on the body?

  • Decreases pain, reduces swelling, helps with inflammation

  • Prevents clotting and reduces the chance of developing a pulmonary embolism

  • Suppresses and/or relieves cough symptoms

  • Lowers cholesterol levels

Correct answer: Decreases pain, reduces swelling, helps with inflammation

Prednisone is a corticosteroid. Corticosteroids are typically prescribed to help treat inflammatory conditions.

Anticoagulant medications prevent clotting. Antitussives suppress and/or relieve coughs. Antilipemic agents lower cholesterol levels.

158.

Which of the following is false regarding informed consent?

  • Informed consent is not necessary if most reasonable people would want to receive the treatment under the same circumstances

  • Before giving medical treatment or guiding a client through exercise, all practitioners must obtain informed consent

  • In medical emergencies, consent can be implied

  • If the patient/client is under 18, consent must be obtained through his or her legal guardian

Correct answer: Informed consent is not necessary if most reasonable people would want to receive the treatment under the same circumstances

Consent must always be obtained before working with any client or performing any medical procedure. It doesn't matter if one could assume that the person probably wants the treatment in question.

Informed consent must always be obtained prior to any medical treatment or exercise session. In many emergencies, consent is implied. Minors are unable to give consent. Therefore, consent must be obtained through their legal guardians.

159.

Which of the following is an appropriate exercise testing consideration for a patient with hearing loss?

  • Using a variety of visual cues

  • Reviewing the testing parameters as loudly as possible

  • Choosing open kinetic chain strength testing options for patients with associated balance issues

  • Not adjusting the test in any way to ensure that the data is comparable against that of other patients

Correct answer: Using a variety of visual cues

Those with hearing loss and normal vision often rely heavily on visual cues. By standing in front of the patient and clearly explaining the test through a variety of visual methods, the CEP gives the patient the best possible chance of success.

The CEP should talk in a normal tone and voice, not as loudly as possible. Often, it's a good idea to select closed kinetic chain strength testing options for patients with balance issues. Tests may need to be adjusted in order to provide baseline data for patients, even though this may affect the comparability of the data itself.

160.

Which of the following is true of patients with asthma regarding exercise in cold environments?

  • Exercise in colder environments could more easily trigger an asthma attack

  • Exercise in colder environments tends to be more comfortable for most patients with asthma

  • Patients with asthma should never exercise in cold environments

  • Cold air has no effect on exercise tolerance for most patients with asthma

Correct answer: Exercise in colder environments could more easily trigger an asthma attack

Patients with asthma should always ensure that they have their rescue inhalers available when exercising in cold environments. Cold air can trigger a bronchospasm in some patients with asthma.

Exercise in cold environments can often be more uncomfortable for patients with asthma. Patients with asthma can exercise in cold environments, as long as they take proper precautions.

×