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Cpt Flashcards

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1
Q

What describes the systemic approach to learning anatomy ?

A

Anatomy learned according to organ systems

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2
Q

What muscle is the prime mover for a seated lateral dumbbell raise to shoulder level with elbows slightly flexed?

A

Middle deltoid

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3
Q

What occurs when running up an incline?

A

A greater range of motion occurs in the ankle joint

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4
Q

Following a 12 week aerobic conditioning program, an individual running at submaximal workload would be expected to have an ________ circulating blood lactate level as compared to the value obtained at that same absolute workload prior to the conditioning program?

A

Somewhat lower

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5
Q

Your client has discovered she is pregnant through a home pregnancy test. She wants to continue exercise during pregnancy and is seeking your help. What is the best recommendation?

A

Encourage her to see a physician for any possible limitations

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6
Q

You have a new make client who is 6’8 tall and 36 years old weight = 194 and is cleared by a physician to being in an exercise program of moderate intensity? What constitutes a SMART weight loss goal for him?

A

Lose 1-2lbs per week by walking 40min 5x a week at 3.8mph on treadmill

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7
Q

Immediately following a chest and shoulder workout a 55year old make executive complains of a dull ache in the left side of the chest that is aggravated with respiration. What would you consider is the source of the pain?

A

Muscular

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8
Q

When considering the a cute response of arm vs leg exercises which is true?

A

At the peak workload, oxygen consumption greater with leg workouts

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9
Q

What is most likely to cause of lightheaded and dizziness experienced by an older adult who moves from a lying position to standing position

A

Decreased venous return

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10
Q

Cardiovascular adaptations to chronic endurance training includ an _______ given fixed sub-maximal exercise intensity

A

Increase stroke volume and decrease heart rate

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11
Q

A 50 year old women who quit smoking 5 months ago with a Bp 120/90 mm HG , BMI 29kg/m2 LDL 135 mg/dl HDL 70mg/dl wants to start a exercise program. How many net positive risk factors does she have?

A

2

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12
Q

What muscle extends the elbow ?

A

Triceps brachii

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13
Q

A process that entails conveying complete understanding to a client or patient about his of her options to choose to participate in a procedure, test, service , or program is known ______

A

Informed consent

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14
Q

Older adult may have difficulty performing activities of daily living due to______

A

Decreases joint mobility

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15
Q

Acsm guidelines a____ client who is beginning a/n_____ is Recommended to obtain from medical exam and graded exercise test

A

46 year old female
Newly diagnosed with type 2
Diabetes
Cycling class

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16
Q

One purpose of a pre participation health screening is to ______

A

Identify clients in need of physician clearance

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17
Q

Acsm guideline the _____ categorized under moderate risk for cardiovascular disease

A

47 year old male with high Bp

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18
Q

When proctoring the aha/acsm health and fitness facility prep articulation screening with a new client you learn that he may need to use a facility with a medically qualified staff or need a physicians referral. What sole aspect of his history would put him in this category?

A

He experiences cheat discomfort with exertion

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19
Q

The physical activity readiness questionaire (PAR-Q) includes questions regarding _____\

A

Presence of chest pain and dizziness

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20
Q

What acute cardiovascular responses accompany the transition from sitting to walking ?

A

Increase in cardiac output and arteriovenous oxygen difference

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21
Q

Decrease muscle masses as a result of aging process plays a role in ___ and ____

A

Glucose intolerance

Declining independence

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22
Q

What heart rate changes are observes as a result of chronic aerobic training ?

A

Both submaximal heart rate for standard exercise task and decrease resting heart rate

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23
Q

Which peripheral adaptation is in part responsible for improvements in oxygen consumption that results from regular cardiovascular exercise

A

Increase capillary density

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24
Q

Which body fat distribution pattern is most commonly associated with an increase risk of metabolic disease

A

Android

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25
Q

The _____ is the muscle responsible for inspiration during quiet breathing

A

Diaphragm

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26
Q

One difference between over reaching and over training is that _____

A

Overtraining involves a syndrome of prolonged fatigue in athletes where ass over teaching may be planned short term training phase of high intensity exercise followed by short term recovery

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27
Q

52 years old sedentary Female Bp 150/70 and total serum cholesterol of 240 mg/dl desires to begin vigorous intensity exercise program . How should the trainer advise the client

A

Begin low intensity until medical clearance is obtained

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28
Q

Proper spotting technique for the forward step lunge when using a barbell involves positioning yourself ______

A

Behind client placing hands on their waist of balance starts to become compromised

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29
Q

Overtraining symptoms include

A

Decreases neuromuscular strength

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30
Q

What is bradycardia?

A

Heart rate less than 60 beats per min

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31
Q

Muscular balance in a resistance training session may be achieved by______

A

Alternation of leg curls and leg extension

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32
Q

What is a tachycardia

A

Heart rate greater then 100 beats per min

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33
Q

What muscles are used to flex the knee joint

A

Hamstrings gracilis sartorius

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34
Q

Acsm Rex for an effective strength training program for a menopausal client ?

A

10-15 reps per set of moderate vigorous intensity 8-10 muscle groups

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35
Q

Which is not an acsm guideline got aerobic exercise and the older adult?

A

Exercise must be vigorous and continuous to be beneficial

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36
Q

What is the order of normal electrical conduction of the heart ?

A

SA node , AV node, bundle of his , bundle branches , purkinje fibers

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37
Q

Which is most associated with proprioceptive neuromuscular facilitation

A

Stretching techniques

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38
Q

Your client reports that she drank 20 oz cup of coffee 20 min prior to her exercise session: how might this affect her heart rate and blood pressure responses ?

A

Increase blood pressure and increase heart rate

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39
Q

During your initial assessment of your client , you notice her resting heart rate is 45 beats per min while symptomatic and not taking medication . Based in this info what best describes her heart rate

A

Bradycardia

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40
Q

Which structure is responsible for maintaining artio- ventricular vale closure in the heat ??

A

Papillary muscle

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41
Q

42 year old male stock broker. His health history revealed total cholesterol 185 mg/dl resting Bp of 138/80 , waist circumference of 98 million based on clients risk- what is appropriate for the client to do?

A

Begin vigorous exercise immediately

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42
Q

What action is produced by the quadriceps femoral muscles during the concentric phase of a back squat?

A

Knee extension

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43
Q

What is a potential side effect of taking diet pills prior to exercise ?

A

Increase blood pressure and heart rate

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44
Q

80 year old client Whois beginning an exercise program . What is recommended when providing initial stability ball training?

A

Place the ball close to a wall during the first few sessions

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45
Q

Which recommendation is most appropriate for the hypertensive individual training to improve cardiorespiratory endurance ?

A

Swimming at 65% vo2 Max

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46
Q

When working with a client who had COPD (stable and medically cleared for exercise) likes swimming, you should recommend they swim_____ days a week at a ____ intensity

A

3

High

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47
Q

Dumbbells, barbells kettle bells and medicine balls are generally considered what type of equipment ?

A

Dynamic external resistance devices

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48
Q

When working with clients who have complications from type 2 diabetes mellitus hypoglycemia during exercise becomes a greater concern with____

A

Autonomic neuropathy

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49
Q

Henry would like to focus on improving strength in his chest muscles what exercises reflects the specificity principle ?

A

Dumbbell fly

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50
Q

What are three non modifiable conditions that place someone at increased risk for the development of coronary artery disease ?

A

Advanced age
Gender
Family history

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51
Q

What are the acute effects of alcohol intake in exercise?

A

Promotes dehydration

Increased risk of heart arrhythmias

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52
Q

A Client who reports a decreases rating perceived exertion at a given treadmill running speed after taking albuterol , likely suffers from which of the following conditions ?

A

Asthma

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53
Q

What is the action of the trapezius muscle in the lifting phase of a standing dumbbell lateral raise ?

A

Concentric upward rotation of the scapula

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54
Q

You determine that your client is over striding when they run. What would be the effect
On their running performance due
To this mechanical error?

A

Decrease in running economy and increase in braking motion

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55
Q

Which of the following practices are not recommended for persons with asthma who desire to
Participate Ina strenuous aerobic exercise program?

A

Use of short intense warm up

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56
Q

What is recommended for daily physical activity for youth

A

30 min of moderate or vigorous intensity

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57
Q

When developing an exercise prescription prescription for a client visiting a high altitude environment the personal trainer should be aware that _______

A

It may take up to 2 weeks to overcome decreased exercise performance

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58
Q

Drink the concentric phase of a chin up the glenochumeral joint is moving through ______ in the _____ plane

A

Extension

Sagital

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59
Q

Which environment trigger is not associated with exercise induced asthma

A

Warm up

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60
Q

What is the recommended intensity range of aerobic exercise for a low risk adult who currently meets minimal physical activity levels?

A

40-55% HHR

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61
Q

What is the exercise response to acute cigarette smoking

A

Heart rate increases likelihood of coronary artery spasm increases

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62
Q

What is the leading casuals of non cardiovascular death in young athletes ?

A

Overheating

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63
Q

Which of the following blood lipids is influenced more by physical activity than by nutrition modification?

A

HDL

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64
Q

Why is cool down period important ?

A

Returns pooled blood back to central circulation

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65
Q

What does it mean if a specific activity is contraindicated

A

Do not perform at all

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66
Q

What is a result of resistance training in adolescents

A

Promotes muscular strength.

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67
Q

What resistance training method is described by a light to heavy or heavy to light progression of sets ?

A

Pyramid

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68
Q

FITTE

A 
Frequency 
Intensity 
Time
Type
Enjoyment
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69
Q

What resistance training method is being used when the client is performing a set of bicep curls immediately followed by triceps push downs ?

A

Supersets

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70
Q

What position should women in their second or third trimester of pregnancy avoid when performing exercises ?

A

Supine

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71
Q

What is the first phase of an annual training cycle ?

A

Preparatory

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72
Q

Which of the following exercise program variables describe a change in intensity?

A

Increasing a treadmill incline by 5degrees

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73
Q

What happens to the muscle during isometric tension development ?

A

No change in the length of the muscle

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74
Q

Together the center of disease control and prevention and the ACSM recommends that every us adult should accumulate ________ minutes or more of moderate intensity physical activity on most preferable all days of the week

A

30 minutes

75
Q

What is suggested order of an exercise session?

A

Warm up endurance phase cool down stretch

76
Q

What is the function of hamstrings muscles ?

A

Hip extensors

77
Q

Not a principle of training ?

A

Concentration

78
Q

When performing a seated leg extension which muscle group is primary antagonist during the concentric phase ?

A

Hamstrings

79
Q

According to FOOD quite pyramid , should fats and oils be used in the diet?

A

Sparingly

80
Q

In which of the following scenarios should be Automated External Defibrillator (aed) be used?

A

Unconscious client without a pulse

81
Q

What is the equivalent of 2.5 lbs of body fat in kilocalories

A

8750 kilocalories

82
Q

Normal range BMI

A

18.5 to 24.9 BMI

83
Q

A client is attempting to lose 10 lbs . In order to lose 1.5 lbs per week she will have to reduce her caloric intake level by how many calories

A

750

84
Q

Clients seeking nutritional meal planning from Ann ACSM CPT should be….

A

Referred to a registered dietician

85
Q

Which of the following statement about dehydroepiandrosterone (dhea) is correct?

A

US food and drug administration has classified DHEA as a controlled drug

86
Q

What is the definition of arteriosclerosis

A

Hardening of the arteries

87
Q

Procuring general liability insurance and _____ provides legal protection for a personal trainer who has been accused of negligence

A

Professional liability insurance

88
Q

A fitness professional who shares identifiable Heath information about a client with someone who is outside of the realm of a patient care is in violation of which federal standard ?

A

Health insurance portability and accountability act (HIPAA) privacy rule

89
Q

Which would not be found on a quarterly profit and loss statement ?

A

Fixed assets like land or building

90
Q

Which is a limiting factor when using body mass index to determine obesity and disease risk?

A

Over estimates individuals with above average muscle mass

91
Q

In what plane does the lower leg move during the seated knee extension ?

A

Sagittal

92
Q

Where does ambivalence fall in the “stages of changes” behavior model?

A

Contemplation

93
Q

What is defined as the ability to move a joint through its ROM

A

Flexibility

94
Q

If you are palpating the anterior surface of the lateral side of the distal forearm what pulse are you checking ?

A

Radial

95
Q

One of your corporate wellness clients is normally consistent in attempting appts. Lately he has been missing sessions . What strategy would not be the most appropriate way to demonstrate social supposed to encourage him?

A

Contact his company Hunan resources department with an attendance report

96
Q

What tends to cause the symptoms of soreness that occur at 24-48 hours after a single bout of intensive exercise?

A

Muscle fiber damage

97
Q

You are demonstrating how to stretch to your client. Which statement about technique is correct?

A

Increase range of stretch during exhalation

98
Q

Individuals who have recently had a hip replacement surgery are usually instructed to avoid which motion of the hip

A

Internal rotation

99
Q

Which person would be likely experience intrinsic reinforcement?

A

Alexis age 49 who has been swimming for 6 months three times a week to increase her cardiovascular endurance

100
Q

The stroke volume of a client who had a cardiac output of 5 liters per minute and a heart rate of 70 beats per min approx ______

A

70ml

101
Q

FITTE

A 
Frequency 
Intensity 
Time
Type
Enjoyment
102
Q

What resistance training method is being used when the client is performing a set of bicep curls immediately followed by triceps push downs ?

A

Supersets

103
Q

What position should women in their second or third trimester of pregnancy avoid when performing exercises ?

A

Supine

104
Q

What is the first phase of an annual training cycle ?

A

Preparatory

105
Q

Which of the following exercise program variables describe a change in intensity?

A

Increasing a treadmill incline by 5degrees

106
Q

What happens to the muscle during isometric tension development ?

A

No change in the length of the muscle

107
Q

Together the center of disease control and prevention and the ACSM recommends that every us adult should accumulate ________ minutes or more of moderate intensity physical activity on most preferable all days of the week

A

30 minutes

108
Q

What is suggested order of an exercise session?

A

Warm up endurance phase cool down stretch

109
Q

What is the function of hamstrings muscles ?

A

Hip extensors

110
Q

Not a principle of training ?

A

Concentration

111
Q

When performing a seated leg extension which muscle group is primary antagonist during the concentric phase ?

A

Hamstrings

112
Q

According to FOOD quite pyramid , should fats and oils be used in the diet?

A

Sparingly

113
Q

In which of the following scenarios should be Automated External Defibrillator (aed) be used?

A

Unconscious client without a pulse

114
Q

What is the equivalent of 2.5 lbs of body fat in kilocalories

A

8750 kilocalories

115
Q

Normal range BMI

A

18.5 to 24.9 BMI

116
Q

A client is attempting to lose 10 lbs . In order to lose 1.5 lbs per week she will have to reduce her caloric intake level by how many calories

A

750

117
Q

Clients seeking nutritional meal planning from Ann ACSM CPT should be….

A

Referred to a registered dietician

118
Q

Which of the following statement about dehydroepiandrosterone (dhea) is correct?

A

US food and drug administration has classified DHEA as a controlled drug

119
Q

What is the definition of arteriosclerosis

A

Hardening of the arteries

120
Q

Procuring general liability insurance and _____ provides legal protection for a personal trainer who has been accused of negligence

A

Professional liability insurance

121
Q

A fitness professional who shares identifiable Heath information about a client with someone who is outside of the realm of a patient care is in violation of which federal standard ?

A

Health insurance portability and accountability act (HIPAA) privacy rule

122
Q

Which would not be found on a quarterly profit and loss statement ?

A

Fixed assets like land or building

123
Q

Which is a limiting factor when using body mass index to determine obesity and disease risk?

A

Over estimates individuals with above average muscle mass

124
Q

In what plane does the lower leg move during the seated knee extension ?

A

Sagittal

125
Q

Where does ambivalence fall in the “stages of changes” behavior model?

A

Contemplation

126
Q

What is defined as the ability to move a joint through its ROM

A

Flexibility

127
Q

If you are palpating the anterior surface of the lateral side of the distal forearm what pulse are you checking ?

A

Radial

128
Q

One of your corporate wellness clients is normally consistent in attempting appts. Lately he has been missing sessions . What strategy would not be the most appropriate way to demonstrate social supposed to encourage him?

A

Contact his company Hunan resources department with an attendance report

129
Q

What tends to cause the symptoms of soreness that occur at 24-48 hours after a single bout of intensive exercise?

A

Muscle fiber damage

130
Q

You are demonstrating how to stretch to your client. Which statement about technique is correct?

A

Increase range of stretch during exhalation

131
Q

Individuals who have recently had a hip replacement surgery are usually instructed to avoid which motion of the hip

A

Internal rotation

132
Q

Which person would be likely experience intrinsic reinforcement?

A

Alexis age 49 who has been swimming for 6 months three times a week to increase her cardiovascular endurance

133
Q

The stroke volume of a client who had a cardiac output of 5 liters per minute and a heart rate of 70 beats per min approx ______

A

70ml

134
Q

What behavioral strategy are you employing when you plan an outdoor exercise program for your client during his upcoming three week vacation ?

A

relapse prevention

135
Q

A dietary protein is considered “complete” when it ____

A

Contains all essential amino acids

136
Q

Which is not true regarding a properly administered informed consent

A

It released the facility and personnel from liability

137
Q

General guidelines for increasing flexibility of the hamstring muscles include _______

A

Warm up

Exhale during the stretch and maintain neutral position of the spine

138
Q

In comparison to type 1 muscle fibers type 2 fibers ______

A

Are recruited at a higher percentage of maximum force

139
Q

Age -59
Sedentary female with BMI 33 kg/m2 ( ex smoker) no history of heart disease / BP- 135/85 total cholesterol -180 mg/dl HDL level of 30 mg/ dl
Wants to improve fitness. If this client wanted to initiate a regular moderate intensity exercise routine , what is recommended by ACSM prior to participation in exercise ?

A

Neither a medical examination nor sub maximal exercise testing is necessary

140
Q

Which has been substantiated in scientific literature as a supplement that may be helpful for decreasing the duration of common cold but has shown to interact with drugs taken for anxiety and high serum cholesterol?

A

Echinacea

141
Q

According to the current 2005 dietary guidelines for Americans .

A

The elderly and individual with dark skin are at greater risk of low vitamin D concentrations than other populations

142
Q

59 year old sedentary femal 33 BMI she has no history of heart disease - mom had myocardial infarction at age of 65 -she is ex smoker quit 15 years ago BP is 135/85mmHg total cholesterol 180mg/dl HDL level 30mg /dl blood glucose 100mg/dl
What risk stratification does this client fall into?
How many risk factor thresholds for coronary risk artery disease does this client posses?
What are the risk factors ?

A

Moderate
Three
Obesity sedentary lifestyle hypercholesterolemia

143
Q

An intake of additional protein calories above an average individual daily requirement will result in which of the following ?

A

A conversion to fat and stored as triglyceride

144
Q

Which of the following is not true regarding a properly administered informed consent form ?

A

It released the faculty and personnel from liability

145
Q

Correct order of an effective program planning model

A

Needs assessment , program planning, program implementation, program evaluation

146
Q

A routine pattern of adhering to and documenting compliance with fitness industry guidelines is often an effective guard against_____

A

Negligence

147
Q

What is the role of high density lipoprotein in the blood?

A

Transports cholesterol

148
Q

Which of the following is a potential danger of long term consumption of high protein diet?

A

Calcium is drawn from the bones and exerted in urine

149
Q

What term best describes accurate record keeping a safe exercise environment and proper supervision

A

Risk management

150
Q

Which legal team is defined as failure to conform ones conduct to generally accepted standard or duty

A

Negligence

151
Q

What effect should a bronchodilator have on your asthmatic client ?

A

Decrease airway resistance

152
Q

Your client reports ankle edema? What should you look for?

A

Swelling

153
Q

I have been thinking about starting an exercise program but there never seems to be enough time - this is an example of which stage in the transtheoretical model?

A

Contemplation

154
Q

What of the following is the formula for calculating heart rate reserve?

A

Clients max HR - RHR

155
Q

Which of the following is the correct energy expenditure in METs associated with an exercise oxygen up take of 28-ml-kg-1-min-1

A

8

156
Q

45 year old male weighs 202lbs sling old analysis 24% of his weight is fat, if he wants to decrease body fat to 17% what is his target body weight , assuming he maintains the same lean body mass

A

185lbs

157
Q

When doing a push on on the floor the motion at the elbow joint is called________ and the type of muscle action is called_____

A

Flexion

Eccentric

158
Q

An appropriate exercise to develop muscle endurance for the _____ is _____

A

Wrist flexors one set of 15 reps of wrist curls at low resistance

159
Q

A client exercising at a level 15 on the BORG rating of perceived exertion scale is likely to describe the exercise as _______

A

HARD

160
Q

The acsms recommended exercise prescription for developing and maintain muscular strength and endurance for health and fitness includes a minimum of ….

A

1 set 8-12 reps using 8-10 exercises that train major muscle groups of the lower and upper body

161
Q

The valsalva maneuver may elicit which of the following physiological responses during the concentric phase of a resistance training repetition ?

A

Increased intrathoracic pressure and increased systolic blood pressure

162
Q

Using the heart rate reserve method what is the target heart rate for a 40 year old man with a resting heart rate of 70 beats/ min exercising at an intensity of 65%

A

142 beats / min

163
Q

A client who wants to strengthen muscles of the chest must perform exercises such as the bench press , dumbbell flys as opposed to lay pull down and dumbbell rows. Which of the following principles of training best describes this principle ?

A

Specificity

164
Q

Which of the following muscles groups must be strengthened in order to maintain a healthy back?

A

Abdominal , hip extensions , erector spinae

165
Q

Which is the following term used for a training regimen that begins with rapid eccentric muscle action followed by concentric action of the same muscle ?

A

Plyometrics

166
Q

What is the hearts predominant pacemaker ?

A

Sinoatrial mode

167
Q

The recommended initial treatment for an acute joint injury is the application of which of the following ?

A

Compression and cold

168
Q

What is your best course of action when you have evidence that one of your clients has an eating disorder?

A

Refer client to medical professional

169
Q

Warning sign of anorexia nervosa?

A

Preferring to eat in isolation

170
Q

An athlete is heavy endurance training should maintain a daily carbohydrate Intake that is approx. what percentage of his total energy intake?

A

65%

171
Q

A client is 5’3 tall weighs 130lbs after calculating her BMI she falls into what category?

A

Normal

172
Q

A new client who has been resistance training for 6 months comes to you with a goal of increasing muscular size. Following health appraisal and fitness testing including a modified 1 RM test, you design a program to meet the clients goal. Which of the following regimens best defines an appropriate plan to achieve this clients goals?

A

4-6 sets of 6-12 reps at 85%

173
Q

When reading the label on a new energy bar you notice the bar is sweetened with fructose. Based on this label which of the following conclusions can you make about this product?

A

The bar is sweetened wit a monosaccharide

174
Q

A CPT fails to properly spot a client performing heavy incline dumbbell presses and the client injures himself my this is an example of what type of negligence?

A

Omission

175
Q

If your active client consumed 2100 kilocalories per day for one week and burned off 2600kcal each day that same week. How much weight would your client lose that particular week , assuming normal hydration?

A

1 pound

176
Q

A client at your fitness center complains of a headache and seems disoriented . He appears ashen and has moist , cold skin. You know he has type 1 diabetes - which do you call for after medical assistance ?

A

Administer sugar

177
Q

If a good product has 259 k cal per serving a recommended serving size of 5 oz and contained 10 servings per container . How many kcals would consume if she at 1/4 of the container?

A

625

178
Q

Which of the following exercises is contraindicated by ACSM?

A

Unsupported hip/ trunk flexion

179
Q

Which of the following locations is most sensitive to the barorceptor reflex when palpating the pulse of an exercise client?

A

Carotid artery

180
Q

Correct sequence of events when starting the process for exercise prescription for a new client?

A

Obtain medical history , have the client perform a risk factor assessment administer fitness tests interpret the days prescribe exercise

181
Q

Info about the personal habits of the client including alcohol caffeine and tobacco consumption is typically include in what document?

A

Medical history

182
Q

Client pre participation screening procedure should be _____

A

Valid cost effective and time efficient

183
Q

Which of the following is a limiting factor when using body mass index to determine obesity and disease risk?

A

Fat and lean tissue weights are not differentiated

Acsm Cpt (2 decks)

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