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Quiz Session - Attempts With Random Questions

ACSM-CEP Exam Questions

Page 9 of 25

161.

Which of the following is a characteristic of binge eating disorder?

  • Eating past the point of feeling full

  • Purging after meals

  • Skipping meals

  • Extreme weight loss

Correct answer: Eating past the point of feeling full

Patients with binge eating disorders typically eat a large amount of food, in a short amount of time. Patients with binge eating disorders will often eat past the point of fullness and tend to feel shame about their actions.

Purging after meals is characteristic of Bulimia Nervosa. Skipping meals may be a sign of Anorexia Nervosa. Extreme weight loss can occur with many different eating disorders, but is uncharacteristic of binge eating disorder.

162.

Which of the following would not be found on a typical health history form?

  • Non-exercise related hobbies

  • Family history

  • Surgical history

  • Current medications

Correct answer: Non-exercise related hobbies

Although it's important to get to know a client and develop rapport, a typical health history form will generally stick to information about the person's physical habits and past medical history.

Family history is an important component of every health history form. Surgical history can provide a wealth of data about contraindications and potential modifications for exercise. Current medications will allow the CEP to be aware of any abnormal patient responses to exercise or testing.

163.

Which of the following is an appropriate consideration when working with a client who has been diagnosed with osteoporosis?

  • If the patient presents with a fever, more caution should be taken during the exercise session

  • Resistance training should be avoided due to the high risk of fracture

  • Rotational exercises should be emphasized over all other movements

  • Weightbearing exercise should be avoided

Correct answer: If the patient presents with a fever, more caution should be taken during the exercise session

With most conditions, fever is typically a sign of a systemic issue or an infection. Extra caution should always be taken when a patient with osteoporosis presents with a fever.

Resistance training is a crucial component of an exercise plan for those with osteoporosis. Rotational exercises should be used with caution in patients with osteoporosis. Weightbearing exercises seem to be very beneficial in patients with osteoporosis.

164.

Which of the following is not part of The Five A's Model of client-centered coaching?

  • Approve

  • Assess

  • Advise

  • Agree

Correct answer: Approve

The Five A's Model of client-centered coaching includes assessing, advising, agreeing, assisting, and arranging. This model has led to positive impacts on clients' physical activity habits, even when the counseling sessions are very brief.

Advise is part of The Five A's Model. Assess is part of The Five A's Model. Agree is part of The Five A's Model.

165.

Which of the following best demonstrates the dose-response relationship as it relates to exercise?

  • An increase in the amount of exercise one performs will result in more health benefits

  • A decrease in the amount of exercise one performs will result in more health benefits

  • An increase in the amount of exercise one performs will result in fewer health benefits

  • There is no relationship between the amount of exercise one performs and the health benefits he or she should expect to achieve

Correct answer: An increase in the amount of exercise one performs will result in more health benefits

As one performs a higher volume of exercise, one can expect to achieve more health benefits.

A decrease in the amount of exercise one performs will often result in fewer health benefits. There is a direct relationship between the amount of exercise one performs and the expected health benefits.

166.

Which of the following is not an effect of exercise for patients suffering from Cerebral Palsy (CP)?

  • Decreased blood pressure

  • Increased heart rate

  • Increased oxygen consumption

  • Reduced force generation

Correct answer: Decreased blood pressure

For individuals with CP, it is expected that blood pressure, effort, oxygen consumption, and heart rate will all be higher than they would be for someone without the condition. As a result, exercise for people with CP requires a huge amount of energy, and this can therefore be a barrier for motivation.

Heart rate is often increased in those with CP during exercise. Oxygen consumption tends to be higher in those with CP during exercise. Force generation is typically reduced in those with CP during exercise and may be due to a variety of factors.

167.

A client currently needs to eat 2500 calories per day to maintain her current weight. If she makes no other changes, but begins to eat 2000 calories a day, about how long will you expect it to take for her to lose one pound?

  • One week

  • Two weeks

  • Four days

  • One day

Correct answer: One week

A pound of fat contains roughly 3500 calories. By maintaining a 500 calorie deficit every day and changing nothing else, this client should expect to lose a pound within a week (7 x 500 = 3500).

In two weeks, this client should expect to lose two pounds. In four days, this client should expect to lose about half a pound. In one day, this client may lose a fraction of a pound.

168.

Which of the following is an absolute contraindication to spirometry testing?

  • Ascending aortic aneurysm

  • Recent ocular surgery

  • Systolic blood pressure > 200 mm Hg

  • Diarrhea

Correct answer: Ascending aortic aneurysm 

Recent heart attacks, unstable angina, pulmonary embolisms, and ascending aortic aneurysms are all absolute contraindications for spirometry testing.

Recent ocular surgery, very high blood pressure, and diarrhea are all relative contraindications.

169.

Which of the following statements about substance abuse and exercise is true?

  • Patients with substance abuse disorders may be better able to abstain from alcohol or drug use through participation in an exercise program

  • Patients with substance abuse disorders should not expect to receive any benefits from participating in exercise programs

  • Patients with substance abuse disorders should avoid exercise, as it may worsen withdrawal symptoms

  • Patients with substance abuse disorders should not be allowed to participate in the design of their own exercise programs, as they need to have these elements of their lives controlled

Correct answer: Patients with substance abuse disorders may be better able to abstain from alcohol or drug use through participation in an exercise program

Physical activity and exercise programs have been found to decrease cravings, reduce withdrawal symptoms, and help patients better control their disorders.

Patients with substance abuse disorders should expect to receive many benefits from participating in an exercise program. Patients with substance abuse disorders may experience reduced withdrawal symptoms. Patients with substance abuse disorders should collaborate in the design of their exercise programs, as they will have a better sense of control.

170.

Which of the following statements about adolescence and puberty is true?

  • Puberty is usually completed by the time a person turns 17, while adolescence can often extend until a person is 21 years old

  • Puberty is usually completed by the time a person turns 21, while adolescence typically ends around age 17

  • Puberty and adolescence are completely synonymous terms

  • The stages of adolescence are divided into seven stages, termed Salter-Harris stages

Correct answer: Puberty is usually completed by the time a person turns 17, while adolescence can often extend until a person is 21 years old

While there is some variation, puberty is generally complete by the age of 17. Adolescence, on the other hand, often ends in a person's 20s.

Puberty is defined as the development of sexual maturity, while adolescence is described as the time period from puberty to adulthood. The stages of adolescence are divided into five Tanner stages.

171.

Which of the following is true of air temperature in relation to the autonomic nervous system?

  • Inhaling cold hair tends to stimulate the sympathetic nervous system

  • Inhaling cold air tends to stimulate the parasympathetic nervous system

  • Inhaling cold air has no effect on the autonomic nervous system

  • Inhaling cold air reduces the temperature of the lower respiratory tract but not the upper portion

Correct answer: Inhaling cold hair tends to stimulate the sympathetic nervous system

The autonomic nervous system has two branches: the parasympathetic branch, which is active when we are in a state of rest, and the sympathetic nervous system. These two branches are often termed the "rest and digest" and "fight or flight" systems, respectively. Cold air inhalation often leads to an increase of sympathetic activity throughout the systems of the body.

172.

Which of the following is true regarding amputations?

  • Diabetes mellitus is the primary reason for amputations in the United States

  • A transtibial amputation is also known as an "above the knee" amputation

  • A transfemoral amputation is also known as a "below the knee" amputation

  • A lower limb prosthesis will often decrease walking energy cost

Correct answer: Diabetes mellitus is the primary reason for amputations in the United States

Trauma, cancer, infection, and other diseases can lead to amputations, but diabetes mellitus is the number one reason for amputation in the U.S.

A transtibial amputation is performed through the tibia and is known as a "below the knee" amputation. A transfemoral amputation is performed through the femur and is known as an "above the knee" amputation. A lower limb prosthesis will often increase walking energy cost.

173.

A CEP sees on a patient's chart that they have a rotator cuff tear. Which of the following muscles is not part of the rotator cuff?

  • Rhomboid major

  • Teres minor

  • Infraspinatus

  • Supraspinatus

Correct answer: Rhomboid major

The rhomboid major is an important muscle in the back that provides scapular stability, but it is not part of the rotator cuff group.

The teres minor is one of the four rotator cuff muscles. The teres minor and infraspinatus primarily perform external rotation. The supraspinatus is a commonly torn rotator cuff muscle. The supraspinatus primarily initiates abduction.

174.

Which of the following is an example of decisional balance?

  • A client realizes that the benefit of improving his mood through exercise outweighs the cost of using up some of his TV time to exercise

  • A client increases his self-efficacy by seeing his peers in cardiac rehab recover and move on from the program

  • A client has been thinking about starting to exercise, but hasn't yet changed his sedentary behaviors

  • A client decides to start exercising because he remembers being a successful basketball player in his youth

Correct answer: A client realizes that the benefit of improving his mood through exercise outweighs the cost of using up some of his TV time to exercise

Decisional balance refers to clients weighing the pros and cons of a decision. In this example, the client realizes that the benefits of exercise will be superior to the cost of not being able to watch as much TV.

Vicarious experiences help increase a client's self-efficacy, but are not the same as decisional balance. A client who has been thinking about starting to exercise, but hasn't yet changed his sedentary behaviors is in the contemplation stage of change. A client who remembers a past success can often increase his self-efficacy by using a personal mastery experience.

175.

Which of the following is the best definition of hypercapnia?

  • An excessive amount of carbon dioxide in the blood

  • An excessive amount of oxygen in the blood

  • An excessive amount of nitrogen in the blood

  • An excessive amount of phosphorus in the blood

Correct answer: An excessive amount of carbon dioxide in the blood

As a result of low inadequate respiration (often), patients can experience hypercapnia. This causes a number of problems and can lead to long-term disease.

High amounts of nitrogen in the blood is most closely related to uremia. Hyperoxia is having high levels of oxygen in the blood. Hyperphosphatemia refers to high levels of phosphate in the blood.

176.

Which of the following is true of the "bladder void count" method of determining hydration status?

  • Patients who void at least 6 times a day are usually adequately hydrated

  • Patients who void less than 5 times a day are sufficiently hydrated

  • Patients who have pale urine when they void are considered dehydrated

  • Patients who have dark urine when they void are considered sufficiently hydrated

Correct answer: Patients who void at least 6 times a day are usually adequately hydrated

While this method has not been validated, it is an easy and quick way to measure hydration status.

Patients who void less than 5 times a day are likely dehydrated, according to this measurement technique. This method does not account for urine color. In general, however, dark urine tends to indicate dehydration, while pale urine indicates adequate hydration.

177.

Which of the following terms is analogous to the term "flat-lining"?

  • Asystole

  • Ventricular fibrillation

  • Torsade de Pointes

  • Ventricular tachycardia

Correct answer: Asystole

Asystole occurs when there is no electrical activity in the heart whatsoever. As a result, the patient will be unconscious and unresponsive.

Ventricular fibrillation occurs when the ventricles quickly depolarize consecutively but without a regular rhythm. Torsade de Pointes is a shifting of the polarity of QRS waves during V-tach. Ventricular tachycardia is a series of three or more premature ventricular contractions all in a row.

178.

A patient's resting blood pressure is 110/70. How should the CEP interpret this finding?

  • This is a normal blood pressure

  • This blood pressure falls within the "dangerously low" blood pressure range. This patient should be referred for extensive medical testing before starting exercise.

  • This blood pressure is indicative of prehypertension

  • This blood pressure may cause a life-threatening situation for this client. The CEP should contact emergency services immediately.

Correct answer: This is a normal blood pressure

Blood pressures below 120/80 mm Hg are considered normal.

There are no official blood pressure standards that indicate whether blood pressure is dangerously low. Most clinicians do not worry about low blood pressure unless the patient is symptomatic. Prehypertension is defined by blood pressure greater than 120/80 mm Hg but less than 130/80 mm Hg.

179.

A CEP is working with a client who has recently been diagnosed with multiple sclerosis (MS). The client asks the CEP when the best time of day would be for her to complete her walks around her neighborhood. 

How should the CEP respond?

  • "It would be best if you could avoid the heat when you exercise, as warm temperatures can increase symptoms associated with MS. Therefore, I would recommend you walk early in the mornings or later in the evenings to avoid the hottest part of the day."

  • "It would be best if you could exercise in hotter temperatures, as heat tends to decrease the symptoms of MS. Therefore, I would recommend you walk in the middle of the day, when it is warmest outside."

  • "With your condition, it would be best if you avoided exercising, except for at very low intensities. Therefore, I would recommend that you just walk laps around your house so that you can sit down whenever you feel your heart rate increase."

  • "With your condition, you shouldn't be walking, as there is a risk you could fall. I would recommend you purchase a stationary bike and use that instead."

Correct answer: "It would be best if you could avoid the heat when you exercise, as warm temperatures can increase symptoms associated with MS. Therefore, I would recommend you walk early in the mornings or later in the evenings to avoid the hottest part of the day."

Heat produced internally from exercising and heat from external sources can both increase the symptoms of MS. As a result, some practitioners have come to the conclusion that exercising is bad for people with MS. However, exercise provides tons of benefits for these patients, when prescriptions account for their unique needs.

Recommending that a client avoid exercise is almost always inappropriate. There are some very rare conditions and situations in which abstaining from exercise might be appropriate, but MS is not typically one of them. If the patient is interested in walking, she should be encouraged to do so. Walking is functional and helpful in many ways for MS.

180.

Which of the following is true regarding the physical activity recommendations for children as compared to the recommendations for adults?

  • Children should achieve twice as much physical activity per week as compared to adults

  • Children should achieve the same amount of physical activity as adults each week

  • Children should achieve about half as much physical activity per week as compared to adults

  • There are no official recommendations regarding weekly physical activity for children, while there are agreed-upon recommendations for adults

Correct answer: Children should achieve twice as much physical activity per week as compared to adults

Children are encouraged to achieve 300 minutes of physical activity per week (moderate to vigorous), while adults are encouraged to achieve 150 minutes of physical activity per week. The physical activity options for children should include weight-bearing exercise and typical, fun childhood physical activities such as running and skipping rope.

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