ACSM Part III

Question 1

CAD exercise effects on O2 consumption

Answer 1

lower maximum O2 consumption, causing shorter time on treadmill

Question 2

CAD exercise effects on cardiac output

Answer 2

SV/HR/Q all blunted and a blunted increase in BP

Question 3

CAD exercise effects on Ejection fraction

Answer 3

blunted increase/decrease and blunted increase in BP

Question 4

CAD exercise effects on AVO2D

Answer 4

AVO2D widens earlier in exercise and is less than normal

Question 5

CAD exercise effects on circulatory adjustment

Answer 5

lower rate of adjustment to workload, HR & BP take longer to increase and stay high for longer

Question 6

ST segment results warranting medical referral

Answer 6

horizontal-downsloping ST seg. depression >1mm
ST seg elevation in a normal ECG
ST seg elevation in leads with MI Q wave

Question 7

significant ventricular or supraventricular ectopy or rhythm

any chest or arm pain induced or increased with exercise

Answer 7

warrants medical referral

Question 8

HR or SBP results warranting medical referral

Answer 8

failure to increase or significant drop in HR or SBP
normal: 10 beats/MET 10mmHg/MET
maximal SBP of < 140 mmHG suggest poor prognosis

Question 9

SBP in response to exercise, types of AV block and BBB warranting medical referral

Answer 9

hypertensive response to exercise (SBP>225)
exercise induced 2nd/3rd AV block
exercise induced BBB

Question 10

Physical/GXT prior to Participation

men < 45, women < 55 + <2 ACSM risk markers

Answer 10

moderate exercise: no

Vigorous exercise: no

Question 11

Physical/GXT prior to Participation

Older persons or those having no more than 1 ACSM risk marker

Answer 11

moderate exercise: no

Vigorous exercise: yes

Question 12

Physical/GXT prior to Participation

Signs, symptoms of CV disease or known CV, pulmonary or metabolic disease

Answer 12

moderate exercise: yes

Vigorous exercise: yes