Cpt Flashcards
What describes the systemic approach to learning anatomy ?
Anatomy learned according to organ systems
What muscle is the prime mover for a seated lateral dumbbell raise to shoulder level with elbows slightly flexed?
Middle deltoid
What occurs when running up an incline?
A greater range of motion occurs in the ankle joint
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?
Somewhat lower
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?
Encourage her to see a physician for any possible limitations
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?
Lose 1-2lbs per week by walking 40min 5x a week at 3.8mph on treadmill
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?
Muscular
When considering the a cute response of arm vs leg exercises which is true?
At the peak workload, oxygen consumption greater with leg workouts
What is most likely to cause of lightheaded and dizziness experienced by an older adult who moves from a lying position to standing position
Decreased venous return
Cardiovascular adaptations to chronic endurance training includ an _______ given fixed sub-maximal exercise intensity
Increase stroke volume and decrease heart rate
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?
2
What muscle extends the elbow ?
Triceps brachii
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 ______
Informed consent
Older adult may have difficulty performing activities of daily living due to______
Decreases joint mobility
Acsm guidelines a____ client who is beginning a/n_____ is Recommended to obtain from medical exam and graded exercise test
46 year old female
Newly diagnosed with type 2
Diabetes
Cycling class
One purpose of a pre participation health screening is to ______
Identify clients in need of physician clearance
Acsm guideline the _____ categorized under moderate risk for cardiovascular disease
47 year old male with high Bp
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?
He experiences cheat discomfort with exertion
The physical activity readiness questionaire (PAR-Q) includes questions regarding _____\
Presence of chest pain and dizziness
What acute cardiovascular responses accompany the transition from sitting to walking ?
Increase in cardiac output and arteriovenous oxygen difference
Decrease muscle masses as a result of aging process plays a role in ___ and ____
Glucose intolerance
Declining independence
What heart rate changes are observes as a result of chronic aerobic training ?
Both submaximal heart rate for standard exercise task and decrease resting heart rate
Which peripheral adaptation is in part responsible for improvements in oxygen consumption that results from regular cardiovascular exercise
Increase capillary density
Which body fat distribution pattern is most commonly associated with an increase risk of metabolic disease
Android
The _____ is the muscle responsible for inspiration during quiet breathing
Diaphragm
One difference between over reaching and over training is that _____
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
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
Begin low intensity until medical clearance is obtained
Proper spotting technique for the forward step lunge when using a barbell involves positioning yourself ______
Behind client placing hands on their waist of balance starts to become compromised
Overtraining symptoms include
Decreases neuromuscular strength
What is bradycardia?
Heart rate less than 60 beats per min
Muscular balance in a resistance training session may be achieved by______
Alternation of leg curls and leg extension
What is a tachycardia
Heart rate greater then 100 beats per min
What muscles are used to flex the knee joint
Hamstrings gracilis sartorius
Acsm Rex for an effective strength training program for a menopausal client ?
10-15 reps per set of moderate vigorous intensity 8-10 muscle groups
Which is not an acsm guideline got aerobic exercise and the older adult?
Exercise must be vigorous and continuous to be beneficial
What is the order of normal electrical conduction of the heart ?
SA node , AV node, bundle of his , bundle branches , purkinje fibers
Which is most associated with proprioceptive neuromuscular facilitation
Stretching techniques
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 ?
Increase blood pressure and increase heart rate
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
Bradycardia
Which structure is responsible for maintaining artio- ventricular vale closure in the heat ??
Papillary muscle
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?
Begin vigorous exercise immediately
What action is produced by the quadriceps femoral muscles during the concentric phase of a back squat?
Knee extension
What is a potential side effect of taking diet pills prior to exercise ?
Increase blood pressure and heart rate
80 year old client Whois beginning an exercise program . What is recommended when providing initial stability ball training?
Place the ball close to a wall during the first few sessions
Which recommendation is most appropriate for the hypertensive individual training to improve cardiorespiratory endurance ?
Swimming at 65% vo2 Max
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
3
High
Dumbbells, barbells kettle bells and medicine balls are generally considered what type of equipment ?
Dynamic external resistance devices
When working with clients who have complications from type 2 diabetes mellitus hypoglycemia during exercise becomes a greater concern with____
Autonomic neuropathy
Henry would like to focus on improving strength in his chest muscles what exercises reflects the specificity principle ?
Dumbbell fly
What are three non modifiable conditions that place someone at increased risk for the development of coronary artery disease ?
Advanced age
Gender
Family history
What are the acute effects of alcohol intake in exercise?
Promotes dehydration
Increased risk of heart arrhythmias
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 ?
Asthma
What is the action of the trapezius muscle in the lifting phase of a standing dumbbell lateral raise ?
Concentric upward rotation of the scapula
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?
Decrease in running economy and increase in braking motion
Which of the following practices are not recommended for persons with asthma who desire to
Participate Ina strenuous aerobic exercise program?
Use of short intense warm up
What is recommended for daily physical activity for youth
30 min of moderate or vigorous intensity
When developing an exercise prescription prescription for a client visiting a high altitude environment the personal trainer should be aware that _______
It may take up to 2 weeks to overcome decreased exercise performance
Drink the concentric phase of a chin up the glenochumeral joint is moving through ______ in the _____ plane
Extension
Sagital
Which environment trigger is not associated with exercise induced asthma
Warm up
What is the recommended intensity range of aerobic exercise for a low risk adult who currently meets minimal physical activity levels?
40-55% HHR
What is the exercise response to acute cigarette smoking
Heart rate increases likelihood of coronary artery spasm increases
What is the leading casuals of non cardiovascular death in young athletes ?
Overheating
Which of the following blood lipids is influenced more by physical activity than by nutrition modification?
HDL
Why is cool down period important ?
Returns pooled blood back to central circulation
What does it mean if a specific activity is contraindicated
Do not perform at all
What is a result of resistance training in adolescents
Promotes muscular strength.
What resistance training method is described by a light to heavy or heavy to light progression of sets ?
Pyramid
FITTE
Frequency Intensity Time Type Enjoyment
What resistance training method is being used when the client is performing a set of bicep curls immediately followed by triceps push downs ?
Supersets
What position should women in their second or third trimester of pregnancy avoid when performing exercises ?
Supine
What is the first phase of an annual training cycle ?
Preparatory
Which of the following exercise program variables describe a change in intensity?
Increasing a treadmill incline by 5degrees
What happens to the muscle during isometric tension development ?
No change in the length of the muscle
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
30 minutes
What is suggested order of an exercise session?
Warm up endurance phase cool down stretch
What is the function of hamstrings muscles ?
Hip extensors
Not a principle of training ?
Concentration
When performing a seated leg extension which muscle group is primary antagonist during the concentric phase ?
Hamstrings
According to FOOD quite pyramid , should fats and oils be used in the diet?
Sparingly
In which of the following scenarios should be Automated External Defibrillator (aed) be used?
Unconscious client without a pulse
What is the equivalent of 2.5 lbs of body fat in kilocalories
8750 kilocalories
Normal range BMI
18.5 to 24.9 BMI
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
750
Clients seeking nutritional meal planning from Ann ACSM CPT should be….
Referred to a registered dietician
Which of the following statement about dehydroepiandrosterone (dhea) is correct?
US food and drug administration has classified DHEA as a controlled drug
What is the definition of arteriosclerosis
Hardening of the arteries
Procuring general liability insurance and _____ provides legal protection for a personal trainer who has been accused of negligence
Professional liability insurance
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 ?
Health insurance portability and accountability act (HIPAA) privacy rule
Which would not be found on a quarterly profit and loss statement ?
Fixed assets like land or building
Which is a limiting factor when using body mass index to determine obesity and disease risk?
Over estimates individuals with above average muscle mass
In what plane does the lower leg move during the seated knee extension ?
Sagittal
Where does ambivalence fall in the “stages of changes” behavior model?
Contemplation
What is defined as the ability to move a joint through its ROM
Flexibility
If you are palpating the anterior surface of the lateral side of the distal forearm what pulse are you checking ?
Radial
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?
Contact his company Hunan resources department with an attendance report
What tends to cause the symptoms of soreness that occur at 24-48 hours after a single bout of intensive exercise?
Muscle fiber damage
You are demonstrating how to stretch to your client. Which statement about technique is correct?
Increase range of stretch during exhalation
Individuals who have recently had a hip replacement surgery are usually instructed to avoid which motion of the hip
Internal rotation
Which person would be likely experience intrinsic reinforcement?
Alexis age 49 who has been swimming for 6 months three times a week to increase her cardiovascular endurance
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 ______
70ml
FITTE
Frequency Intensity Time Type Enjoyment
What resistance training method is being used when the client is performing a set of bicep curls immediately followed by triceps push downs ?
Supersets
What position should women in their second or third trimester of pregnancy avoid when performing exercises ?
Supine
What is the first phase of an annual training cycle ?
Preparatory
Which of the following exercise program variables describe a change in intensity?
Increasing a treadmill incline by 5degrees
What happens to the muscle during isometric tension development ?
No change in the length of the muscle
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
30 minutes
What is suggested order of an exercise session?
Warm up endurance phase cool down stretch
What is the function of hamstrings muscles ?
Hip extensors
Not a principle of training ?
Concentration
When performing a seated leg extension which muscle group is primary antagonist during the concentric phase ?
Hamstrings
According to FOOD quite pyramid , should fats and oils be used in the diet?
Sparingly
In which of the following scenarios should be Automated External Defibrillator (aed) be used?
Unconscious client without a pulse
What is the equivalent of 2.5 lbs of body fat in kilocalories
8750 kilocalories
Normal range BMI
18.5 to 24.9 BMI
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
750
Clients seeking nutritional meal planning from Ann ACSM CPT should be….
Referred to a registered dietician
Which of the following statement about dehydroepiandrosterone (dhea) is correct?
US food and drug administration has classified DHEA as a controlled drug
What is the definition of arteriosclerosis
Hardening of the arteries
Procuring general liability insurance and _____ provides legal protection for a personal trainer who has been accused of negligence
Professional liability insurance
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 ?
Health insurance portability and accountability act (HIPAA) privacy rule
Which would not be found on a quarterly profit and loss statement ?
Fixed assets like land or building
Which is a limiting factor when using body mass index to determine obesity and disease risk?
Over estimates individuals with above average muscle mass
In what plane does the lower leg move during the seated knee extension ?
Sagittal
Where does ambivalence fall in the “stages of changes” behavior model?
Contemplation
What is defined as the ability to move a joint through its ROM
Flexibility
If you are palpating the anterior surface of the lateral side of the distal forearm what pulse are you checking ?
Radial
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?
Contact his company Hunan resources department with an attendance report
What tends to cause the symptoms of soreness that occur at 24-48 hours after a single bout of intensive exercise?
Muscle fiber damage
You are demonstrating how to stretch to your client. Which statement about technique is correct?
Increase range of stretch during exhalation
Individuals who have recently had a hip replacement surgery are usually instructed to avoid which motion of the hip
Internal rotation
Which person would be likely experience intrinsic reinforcement?
Alexis age 49 who has been swimming for 6 months three times a week to increase her cardiovascular endurance
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 ______
70ml
What behavioral strategy are you employing when you plan an outdoor exercise program for your client during his upcoming three week vacation ?
relapse prevention
A dietary protein is considered “complete” when it ____
Contains all essential amino acids
Which is not true regarding a properly administered informed consent
It released the facility and personnel from liability
General guidelines for increasing flexibility of the hamstring muscles include _______
Warm up
Exhale during the stretch and maintain neutral position of the spine
In comparison to type 1 muscle fibers type 2 fibers ______
Are recruited at a higher percentage of maximum force
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 ?
Neither a medical examination nor sub maximal exercise testing is necessary
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?
Echinacea
According to the current 2005 dietary guidelines for Americans .
The elderly and individual with dark skin are at greater risk of low vitamin D concentrations than other populations
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 ?
Moderate
Three
Obesity sedentary lifestyle hypercholesterolemia
An intake of additional protein calories above an average individual daily requirement will result in which of the following ?
A conversion to fat and stored as triglyceride
Which of the following is not true regarding a properly administered informed consent form ?
It released the faculty and personnel from liability
Correct order of an effective program planning model
Needs assessment , program planning, program implementation, program evaluation
A routine pattern of adhering to and documenting compliance with fitness industry guidelines is often an effective guard against_____
Negligence
What is the role of high density lipoprotein in the blood?
Transports cholesterol
Which of the following is a potential danger of long term consumption of high protein diet?
Calcium is drawn from the bones and exerted in urine
What term best describes accurate record keeping a safe exercise environment and proper supervision
Risk management
Which legal team is defined as failure to conform ones conduct to generally accepted standard or duty
Negligence
What effect should a bronchodilator have on your asthmatic client ?
Decrease airway resistance
Your client reports ankle edema? What should you look for?
Swelling
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?
Contemplation
What of the following is the formula for calculating heart rate reserve?
Clients max HR - RHR
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
8
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
185lbs
When doing a push on on the floor the motion at the elbow joint is called________ and the type of muscle action is called_____
Flexion
Eccentric
An appropriate exercise to develop muscle endurance for the _____ is _____
Wrist flexors one set of 15 reps of wrist curls at low resistance
A client exercising at a level 15 on the BORG rating of perceived exertion scale is likely to describe the exercise as _______
HARD
The acsms recommended exercise prescription for developing and maintain muscular strength and endurance for health and fitness includes a minimum of ….
1 set 8-12 reps using 8-10 exercises that train major muscle groups of the lower and upper body
The valsalva maneuver may elicit which of the following physiological responses during the concentric phase of a resistance training repetition ?
Increased intrathoracic pressure and increased systolic blood pressure
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%
142 beats / min
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 ?
Specificity
Which of the following muscles groups must be strengthened in order to maintain a healthy back?
Abdominal , hip extensions , erector spinae
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 ?
Plyometrics
What is the hearts predominant pacemaker ?
Sinoatrial mode
The recommended initial treatment for an acute joint injury is the application of which of the following ?
Compression and cold
What is your best course of action when you have evidence that one of your clients has an eating disorder?
Refer client to medical professional
Warning sign of anorexia nervosa?
Preferring to eat in isolation
An athlete is heavy endurance training should maintain a daily carbohydrate Intake that is approx. what percentage of his total energy intake?
65%
A client is 5’3 tall weighs 130lbs after calculating her BMI she falls into what category?
Normal
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?
4-6 sets of 6-12 reps at 85%
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?
The bar is sweetened wit a monosaccharide
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?
Omission
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?
1 pound
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 ?
Administer sugar
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?
625
Which of the following exercises is contraindicated by ACSM?
Unsupported hip/ trunk flexion
Which of the following locations is most sensitive to the barorceptor reflex when palpating the pulse of an exercise client?
Carotid artery
Correct sequence of events when starting the process for exercise prescription for a new client?
Obtain medical history , have the client perform a risk factor assessment administer fitness tests interpret the days prescribe exercise
Info about the personal habits of the client including alcohol caffeine and tobacco consumption is typically include in what document?
Medical history
Client pre participation screening procedure should be _____
Valid cost effective and time efficient
Which of the following is a limiting factor when using body mass index to determine obesity and disease risk?
Fat and lean tissue weights are not differentiated
