EP-C Case Studies Flashcards
Domain 1: Health and Fitness Assessment
In addition to the given question’s variables, if Mike mentioned to you that he was also recently diagnosed with a pulmonary disorder, such as chronic bronchitis, would you automatically refer him to a physicial form medical clearance?
a. Yes, he must be referred to a physician immediately due to the new recent diagnosis
b. No, he does nto need to be automatically referred for medical clearance
a. Yes, he must be referred to a physician immediately due to the new recent diagnosis
Domain 1: Health and Fitness Assessment
Is a mediacl exam recommended prior to participation in moderate exercise?
a. yes
b. no
b. no
Domain 1: Health and Fitness Assessment
Is a medical exam recommended prior to participation in vigorous exercise?
a. yes
b. no
a. yes
Domain 1: Health and Fitness Assessment
Is exercise testing recommended prior to exercise for participation in vigorous exercise?
a. yes
b. no
b. no
Domain 1: Health and Fitness Assessment
What is Mike’s BMI?
a. 14.43 kg/m^2
b. 39.71 kg/m^2
c. 29.07 kg/m^2
d. 52.62 kg/m^2
Note: BMI - weight (kg) divided by height (m)^2
c. 29.07 kg/m^2
Domain 1: Health and Fitness Assessment
Using the correct answer from question 1, what is Mike’s BMI classification?
a. underweight
b. normal
c. overweight
d. obese
c. overweight
Domain 1: Health and Fitness Assessment
Assuming Mike did complete the 1.5 mi walk/run test in 14 min, please calculate Mike’s estimated maximal VO2max using the below equation.
a. 34.5 mL/kg/min
b. 52.8 mL/kg/min
c. 29 mL/kg/min
d. 38.0 mL/kg/min
VO2max (mL/kg/min) = 3.5 + 483/1.5 mi time (min)
d. 38 mL/kg/min
Using the table (“fitness categories for maximal aerobic power for men and women by age”) from the most recent edition of the guidelines, the 1.5 mi walk/run test would place Mike in which of the following categories?
a. superior
b. good
c. fair
d. poor
d. poor
Domain 1: Health and Fitness Assessment
The push up result for Mike would place him in which of the following fitness categories?
a. excellent
b. very good
c. good
d. fair
a. excellent
Domain 1: Health and Fitness Assessment
The curl up result for Mike would place him in which of the followign fitness categories?
a. above average
b. average
c. below average
d. well below average
b. average
Domain 1: Health and Fitness Assessment
The bench press 1-RM result for Mike would place him in which of the following categories?
a. superior
b. excellent
c. fair
d. poor
b. excellent
Domain 1: Health and Fitness Assessment
The leg press 1-RM result for Mike would place him in which of the following fitness categories?
a. well above average
b. above average
c. average
d. below average
a. well above average
Domain 1: Health and Fitness Assessment
The trunk flexion result for Mike would place him in which fo the following fitness categories?
a. excellent
b. very good
c. good
d. fair
d. fair
Domain 2: Exercise Prescription, Implementation, and Ongoing Support
What is Mr. McCain’s BP classification?
a. Normal
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension
c. stage 1 hypertension
Domain 2: Exercise Prescription, Implementation, and Ongoing Support
Based on his VO2max, Mr. McCain would fall within which of the following fitness categories?
a. superior
b. excellent
c. good
d. fair
c. good
Domain 2: Exercise Prescription, Implementation, and Ongoing Support
Based on the results of the trunk forward flextion (assume the sit and reach box has a zero point at 23 cm) test, Mr. McCain would fall in which of the following fitness categories?
a. excellent
b. very good
c. good
d. fair
b. very good
Domain 2: Exercise Prescription, Implementation, and Ongoing Support
What is Mr. McCain’s target VO2R if prescribing at 60% intensity level?
a. 29.4 mL/kg/min
b. 31.9 mL/kg/min
c. 28.7 mL/kg/min
d. 34.3 mL/kg/min
VO2R= VO2-3.5
Target VO2R = intensity(VO2R) +3.5
c. 28.7 mL/kg/min
VO2R = 45.5 - 3.5 = 42(0.60) = 25.2 + 3.5 = 28.7 mL/kg/min
Domain 2: Exercise Prescription, Implementation, and Ongoing Support
How many kcals would Mr. MCain burn if exercising at the 60% VO2R for 30 min?
a. 90 kcal
b. 396 kcal
c. 454 kcal
d. 560 kcal
L/min = 60%VO2R(Kg)/1000mL
kcal/min = L/min (5 kcal)
kcal= kcal/min (min)
b. 396 kcal
(28.7)(92kg)/1000 = 2.64 L/min(5kcal) = 13.2 kcal/min(30 min) = 396 kcal
Domain 3: Exercise Counseling and Behavioral Strategies
According to the stages of change model or the transtheoretical model of behavior change, which stage is Mrs. Kelly in?
a. precontemplation
b. action
c. maintenance
d. preparation
d. preparation
Domain 3: Exercise Counseling and Behavioral Strategies
Given Mrs Kelly’s fear of developing severe cardiovascular issues, what behavior model would you use to help progress her behavior change?
a. TTM
b. Health belief model
c. Social ecological model
d. self-efficacy model
b. health belief model
Domain 3: Exercise Counseling and Behavioral Strategies
Given that Mrs. Kelly has been unable to maintain her exercise plan, what stratetgy would you use to find out how you can best help her adhere to her program this time and facilitate behavior change?
a. goal setting
b. client-centered approach
c. decisional balance sheet
d. creating an exercise plan for her
b. client-centered approach
Domain 3: Exercise Counseling and Behavioral Strategies
You noticed that Mrs. Kelly has some self-efficacy issues due to her injuries. What is one way you can increase her self-efficacy so she will feel comfortable with her resistance training exercise?
a. include Mrs. Kelly in a small group resistance training session with women of similar age and interests
b. educate her on the benefits of resistance training
c. help her identify her barriers
d. ask what made her successful in the past
a. include Mrs. Kelly in a small group resistance training session with women of similar age and interests
Domain 3: Exercise Counseling and Behavioral Strategies
As Mrs. Kelly begins to have success in her program and enters the maintenance stage of the TTM, what strategies can you use to help her maintain her program?
a. elist social support
b. inform her of the benefits of being active
c. help her replace her bad habits with good ones
d. help her see that the pros outweigh the cons
a. enlist social support
Domain 3: Exercise Counseling and Behavioral Strategies
Based on the initial information given, which of the following would be an appropriate initial goal you would suggest for Mrs. Kelly?
a. decrease caloric intake
b. increase total volume of CV exercise as tolerated until she meets the ACSM recommended amount of a minimum of 150 min of moderate to vigorous intensity activity each week
c. incorporate abdominal exercises into her program
d. becauase she does nto like to work out with her husband, suggest she get a friend to workout with
b. increase total volume of CV exercise as tolerated until she meets the ACSM recommended amount of a minimum of 150 min of moderate to vigorous intensity activity each week
Domain 3: Exercise Counseling and Behavioral Strategies
The model or approach that combines behavioral skill training, cognitive intervention, and lifestyle coaching is which of the following?
a. relapse prevention
b. the social cognitive model
c. the TTM
d. the socioecological model
a. relapse prevention
Domain 4: Legal and Professional
Which of the following types of insurance coverage would be the most relevant in this case?
a. general liability
b. professional liability
c. worker’s comp
d. property
a. General liability
Domain 4: Legal and Professional
Which of the following documents would be the most relevant in Jimmy’s defense?
a. preactivity health screening
b. waiver of liability
c. member agreement
d. personal training agreement
b. waiver of liability
Domain 4: Legal and Professional
Although Jimmy and his staff took no action, which of the following actions would have been appropriate immediately following the incident, given the information we have?
a. call 911
b. holding an all staff meeting
c. contacting his lawyer immediately
d. initiating first aid protocol and complete an incident report
d. initiating first aid protocol and complete an incident report
Domain 4: Legal and Professional
Which of the following activities is most likely to have prevented the injury from occuring?
a. completing and documenting preventive maintenance procedures according to manufacturer’s recommendations
b. training staff on proper spotting techniques
c. ensuring all participants sign a liability waiver
d. developing and using a comprehensive emergency protocol according to ACSM standards
a. completing and documenting preventive maintenance procedures according to manufacturer’s recommendations
Domain 4: Legal and Professional
Which of the following first aid procedures would have been appropriate in this situation?
a. check scene for safety, complete initial assessment, and provide appropriate care
b. check scene for safety, call 911, and complete initial assessment
c. call 911, check scene for safety, and provide appropriate care
d. provide appropriate care and apply ice and direct pressure to injury
b. check scene for safety, call 911, and complete initial assessment
Domain 4: Legal and Professional
Which of the following actions would not have been appropriate according to HIPAA guidelines?
a. completing incident report and sending to insurance carrier
b. obtaining video surveillance of incident ot sending to insurance carrier
c. sending the injured party’s membership agreement to insurance carrier
d. distributing injured party’s medical info to all facility members
