Question 1

Which of the following statements true regarding exercise leadership is FALSE?

Accepted Answer

A)  The exercise leader should be fit enough to exercise with any of his or her participants. 
B)  Most people are not bored by exercise and can easily find time to participate in an exercise program. 
C)  The exercise leader should adjust the exercise intensity based on individual differences in fitness. 
D)  Periodic fitness assessment may provide evidence of improvement in fitness for some participants.

Question 2

An embolism __________.

Accepted Answer

A)  Can increase pulmonary vascular resistance. 
B)  Is excessive fluid retention. 
C)  Can be triggered by a chemical mediator (e.g., histamine). 
D)  Is an outward bulging of the ventricular wall.

Question 3

The motor neuron and all the muscle fibers it innervates are called a __________.

Accepted Answer

A)  Motor junction. 
B)  Motor unit. 
C)  Motor end plate. 
D)  None of the above.

Question 4

All of the following are special considerations in prescribing exercise for the client with arthritis EXCEPT __________.

Accepted Answer

A)  The possible need to splint painful joints for protection. 
B)  Periods of acute inflammation result in decreased pain and joint stiffness. 
C)  The possibility of gait abnormalities as compensation for pain or stiffness. 
D)  The need to avoid exercise of warm, swollen joints.

Question 5

When the body consumes more calories than it uses, the condition is called __________.

Accepted Answer

A)  Ketogenesis. 
B)  Positive caloric balance. 
C)  Positive electrolyte balance. 
D)  Negative energy balance.

Question 6

Slapping of the foot during heel strike and increased knee and hip flexion during swing are characteristic of __________.

Accepted Answer

A)  Weakness in the gluteus medius and minimus. 
B)  Weakness in the quadriceps femoris. 
C)  Weakness in the plantar flexors. 
D)  Weakness in the dorsiflexors.

Question 7

Cartilage is categorized as which of the following types of connective tissue?

Accepted Answer

A)  Loose. 
B)  Dense. 
C)  Fluid. 
D)  Supporting.

Question 8

A client with type 1 diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result of 253 mgldL (14 mmol/L). A urine test is positive for ketones before her exercise session. What action should you take?

Accepted Answer

A)  Allow her to exercise as long as her glucose is not greater than 300mgldL (17 mmol/L). 
B)  Not allow her to exercise this session, and notify her physician of the findings. 
C)  Give her an extra carbohydrate snack, and wait 5 minutes before beginning exercise. 
D)  Readjust her insulin regimen for the remainder of the day to compensate for the high morning glucose level.

Question 9

Encouraging moderate-intensity activity and the accumulation of activity throughout the day are examples of __________.

Accepted Answer

A)  Relapse prevention counseling. 
B)  Using the stages of change. 
C)  Allowing individuality in exercise choices. 
D)  Addressing the individual's agenda.

Question 10

Stroke volume is defined as ___________.

Accepted Answer

A)  The product of cardiac output and total peripheral resistance. 
B)  The difference between EDV and ESV. 
C)  The product of preload and HR. 
D)  The product of cardiac output and arteriovenous oxygen difference.

Question 11

Which of the following is true when two people of different weights (80 and 70 kg) are exercising at 5 mph 5% grade on a treadmill?

Accepted Answer

A)  V02 will be different if expressed in mL/kg/min. 
B)  V02 will be the same if expressed in L/min. 
C)  Cardiac output will be the same in L/min. 
D)  None of the above.

Question 12

In response to various stimuli, movements of ions occur, causing the rapid loss of the internal negative potential. This process is known as __________.

Accepted Answer

A)  Polarization. 
B)  Repolarization. 
C)  Automaticity. 
D)  Depolarization.

Question 13

Cardiac output is a function of __________.

Accepted Answer

A)  HR, preload, after load, and contractility. 
B)  HR and SBP. 
C)  SV and EDV. 
D)  Maximal oxygen consumption and arteriovenous oxygenation difference.

Question 14

Which one of the following statements concerning a needs assessment is NOT true?

Accepted Answer

A)  The needs and/or program assessment is a useful tool for gathering data and support for program implementation. 
B)  The needs and/or program assessment often must be a creative tool developed in-house to meet the program's specific needs. 
C)  Given that the needs assessment may be developed in-house without the benefit of external validity, generalizing the results may be difficult. 
D)  Program planning is an essential step before needs assessment can be performed.

Question 15

A 35-year-old woman reduces her caloric intake by 1,200 kcal per week. How much weight will she lose in 26 weeks?

Accepted Answer

A)  8.9 pounds 
B)  12.0 pounds 
C)  26.0 pounds 
D)  34.3 pounds

Question 16

All of the following risk factors for CAD can be modified by a regular and appropriate exercise training program EXCEPT __________.

Accepted Answer

A)  Advancing age. 
B)  DM. 
C)  Hypertension. 
D)  HDL cholesterol.

Question 17

The remains relatively unchanged throughout childhood. However, after age 25, it typically decreases by __________.

Accepted Answer

A)  0% to 5% each decade. 
B)  5% to 15% each decade. 
C)  15% to 20% each decade. 
D)  15% to 20% each year.

Question 18

What resistance would you set a cycle ergometer at if your 80-kg client needs to train at 6 METs? Assume a 50 rpm cycling cadence.

Accepted Answer

A)  1.5 kg. 
B)  2.07 kg. 
C)  0.25 pounds. 
D)  0.45 pounds.

Question 19

Which of the following issues would you include in discharge education instructions for a client with congestive heart failure to avoid potential emergency situations related to this condition at home?

Accepted Answer

A)  Record body weight daily, and report weight gains to a physician. 
B)  Note signs and symptoms (e.g., dyspnea, intolerance to activities of daily living), and report them to a physician. 
C)  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. 
D)  Record body weight daily, and report weight gains to a physician and note signs and symptoms (e.g., dyspnea, intolerance to activities of daily living), and report them to a physician.

Question 20

A 55-kilogram woman trains on a cycle ergometer by pedaling at 60 rpm against a resistance of 1.5 kiloponds. What is her absolute Y02?

Accepted Answer

A)  1.36 L. min-1 
B)  2.47 L. min-1 
C)  3.62 L. min-1 
D)  3600 mL. min-1

Exam 2: ACSM Registered Clinical Exercise Physiologist