NASM CPT Study Guide Deck Flashcards
Nervous System
The body’s communication network
What is this?

Nervous System
Define Central Nervous System
brain and spinal cord; coordinates activity of the body.
What is this?

Central Nervous System
Define Peripheral Nervous System
nerves connecting the CNS to the rest of the body and environment.
What is the nervous system made up of?
Central Nervous System
Peripheral Nervous System
What does this image represent?

The peripheral nervous system
What is the Peripheral Nervous System subdivided into?
Autonomic Nervous System
Somatic Nervous System
What are the functions of the nervous system?
Sensory (changes in the environment)
Integrative (analyze and interpret)
Motor (neuromuscular response)
Define Somatic Nervous System
Part of the peripheral nervous system
Serves outer areas of the body and skeletal muscle
Voluntary control

What is the Autonomic Nervous System?
Involuntary systems (heart, digestion, etc.)
Part of the peripheral nervous system
Divided into Parasympathetic & Sympathetic

What does this image represent?

The autonomic nervous system
What does the Parasympathetic Nervous System do?
Decreases activation during rest and recovery
“rest and digest”

What does the Sympathetic Nervous System do?
Increases activation to prepare for an activity.
“fight or flight”

What is a neuron?
functional unit of the nervous system

What do motor (efferent) neurons do?
Transmit nerve impulses from CNS to effector sites.

What do sensory (afferent) neurons do?
Respond to stimuli; transmit nerve impulses from effector sites to CNS

What do mechanoreceptors do?
sense distortion in body tissues
What do joint receptors do?
respond to pressure, acceleration, and deceleration of joints.

What are golgi tendon organs?
Sense changes in muscle tension.

What are muscle spindles?
Sense changes in muscle length (stretch)

What is a tendon?
connect muscle to bone; provide anchor for muscles to produce force.

What is fascia?
outer layer of connective tissue surrounding a muscle
What are fascicles?
bundle of individual muscle fibers

Describe a muscle fiber
cellular components and myofibrils encased in a plasma membrane
Describe a sarcomere
produces muscular contraction; repeating sections of actin and myosin.

Describe the sliding filament theory.
thick and thin filaments slide past one another, shortening the entire sarcomere.

Describe Type I (slow twitch) muscle tissue
smaller size
fatigue slowly

Describe Type II (fast twitch) muscle tissue
larger size
quick to produce maximal tension
fatigue quickly

What is a motor unit?
one motor neuron and the muscle fibers it connects with
(one motor unit innervates many muscle fibers)

What is neural activation?
contraction of a muscle generated by neural stimulation
What muscles does the local stabilization system consist of, and where do they attach?
attach directly to vertebrae
Consists of: transverse abdominis, internal oblique, multifidus, pelvic floor, diaphragm.
TAIO MPD

What muscles does the global stabilization system consist of, and where do they attach?
attach from pelvis to spine
Consists of: quadratus lumborum, psoas major, external oblique, rectus abdominis, gluteus medius, adductor complex, portions of internal oblique.
QL Ps EO RA GM AC IO
QLP EORAGMACIO

What muscles does the movement system consist of, and where do they attach?
attach spine and/or pelvis to extremities
Consists of: latissimus dorsi, hip flexors, hamstring complex, quadriceps
What does the axial skeleton consist of?
skull, rib cage, and vertebral column

What does the appendicular skeleton consist of?
upper and lower extremities, shoulder and pelvic girdles.

What are the functions of the skeletal system?
supports body
protects organs
allows bodily movement
produces blood
stores minerals

What are skeletal depressions?
aka “fossa”
flattened or indented portions of a bone; can be muscle attachment sites.
What is a bone process?
projection protruding from a bone
muscles, tendons, and ligaments can attach.

What are ligaments?
connects bone to bone
little blood supply
slow to heal.

Define Non-synovial joints
no joint cavity, connective tissue, or cartilage
little to no movement (e.g., sutures of the skull)
Define synovial joints.
held together by joint capsule and ligaments
associated with movement

What are the major types of motion of joints?
roll
slide
spin

Name the hinge joints, and in what plane of motion they work?
elbows, ankles
sagittal plane movement

Name the ball and socket joints and their planes of motion.
shoulders, hips
most mobile, all three planes of motion

What is the endocrine system?
system of glands
secretes hormones to regulate bodily function

What does estrogen influence?
influences fat deposition on hips, buttocks, and thighs
What is growth hormone?

anabolic hormone
responsible for bodily growth up until puberty
What does insulin do?
regulates energy and glucose metabolism in the body

What does the cardiovascular system consist of?
heart, blood, and blood vessels
Describe the cardiac muscle.
shorter, more tightly connected than skeletal muscle; involuntary
What are the atria?
smaller, superior chambers of the heart; receive blood from veins.

What does the right atrium do?
gathers deoxygenated blood returning to the heart

What does the left atrium do?
gathers oxygenated blood from the lungs

What is the Sinoatrial (SA) node and what does it do?
located in right atrium
initiates impulse for heart rate
“pacemaker for the heart”

What are ventricles and what do they do?
larger, inferior (lower) chambers of the heart
pump blood out.
What does the right ventricle do?
pumps deoxygenated blood to lungs

What does the left ventricle do?
pumps oxygenated blood to the body

What do arteries do?
Carry blood away from the heart

What do veins do?
Carry blood back to the heart.

What are arterioles?
small branches of arteries; end in capillaries.

What are capillaries?
smallest blood vessels
site of gas, chemical, and water exchange

What are venules?
very small veins
connect capillaries to veins

What is stroke volume?
amount of blood pumped with each contraction.
What is heart rate?
the rate at which the heart pumps
average untrained adult = 70-80 bpm.
Define cardiac output
volume of blood pumped per minute
heart rate × stroke volume

What does the respiratory system do?
brings in oxygen, removes CO2
What are the primary inspiratory muscles?
—diaphragm, external intercostals.

What are the secondary inspiratory muscles?
scalenes, pectoralis minor, sternocleidomastoid

Describe expiration.
relaxing inspiratory muscles (passive), contracting expiratory muscles (active) to move air out.
What are the expiratory muscles?
internal intercostals, abdominals

What is the Resting oxygen consumption (VO2) formula?
3.5 ml × kg-1 × min-1 = 1 metabolic equivalent (MET)
What is Maximal oxygen consumption (VO2max)?
highest rate of oxygen transport & use at max exertion.
What are bioenergetics?
study of energy in the human body.
What is the anaerobic threshold?
where the body can no longer produce enough energy with normal oxygen intake.
What is Excess post oxygen consumption (EPOC)?
elevation of metabolism after exercise.
Describe the body’s energy systems.

Describe biomechanics.
science concerned with internal and external forces acting on the body
Describe force
influence applied by one object to another
accelerates or decelerates the second object
Describe torque
a force that produces rotation

The closer the load to the point of rotation, the less torque it creates (i.e., bent arm is easier than straight arm)
What is a lever, and what are the three classes?
rigid “bar” that rotates around a stationary fulcrum
1st class—fulcrum in middle (nodding head)
2nd class—resistance in the middle (calf raise)
3rd class—effort in the middle (biceps curl); most common in human limbs.

What is a 1st class lever?
fulcrum in middle (nodding head)

What is a 2nd class lever?
resistance in the middle (calf raise)

What is a 3rd class lever?
effort in the middle (biceps curl); most common in human limbs

Describe the superior anatomic location.
above a POR

Describe the inferior anatomic location.
below a POR

Describe the proximal anatomic location.
nearest to a POR

Describe the distal anatomic location.
farthest from a POR

Describe the contralateral anatomic location.
on the opposite side of the body
Describe the ispilateral anatomic location.
same side of the body
name the 3 planes of motion
frontal
sagittal
transverse
What are the motions in the frontal plane?
Adduction/abduction
Lateral flexion
Eversion/inversion

Give examples of frontal plane exercises
side lunge, lateral raise,
What are the motions in the sagittal plane?
flexion & extension

Give examples of sagittal plane movements.
bicep curl, back squat, deadlift
What are the motions of the transverse plane?
Rotation
Horizontal adduction/abduction

Give examples of transverse plane motion
Throwing, golfing, swinging a bat, trunk rotation
(rotational exercises)
What is flexion?
bending movement
decreases relative angle between segments

What is extension?
straightening movement
increases relative angle between segments.

What are plantarflexion & dorsiflexion?
plantarflexion = extension at the ankle
dorsiflexion = flexion at the ankle

What is horizontal abduction?
transverse plane arm movement from anterior to lateral (e.g. chest flies)
(move away from midline)

Describe horizontal adduction.
transverse plane arm movement from lateral to anterior.

describe internal rotation
rotation toward the middle of the body

describe external rotation
rotation away from midline of body

What is the length-tension relationship?
resting length of a muscle and the tension it can produce at that length

*Visualize a fighter trying to throw a punch into a heavy bag, but they are too close or too far away to land it with optimal force.
Describe force couple
muscles working together to produce movement

Describe the force-velocity curve
as the velocity of a contraction increases, concentric force decreases and eccentric force increases.

What is Neuromuscular efficiency?
ability to produce and reduce force, and stabilize the kinetic chain in all three planes of motion

What is Structural efficiency?
alignment of musculoskeletal system that allows center of gravity to be maintained over a base of support
What is Davis’s law?
soft tissue models along the lines of stress
Describe autogenic inhibition
neural impulses that sense tension are greater than impulses that cause muscles contraction
muscle spindles inhibition

Describe reciprocal inhibition
contracting one muscle & relaxing its antagonist to allow movement

Describe Relative flexibility
tendency of the body to seek the path of least resistance.
Describe pattern overload
consistently repeating the same motion
places abnormal stresses on the body
Postural distortion patterns
predictable patterns of muscle imbalances
Describe altered reciprocal inhibition
inhibition caused by a tight agonist, which in turn decreases neural drive to its functional antagonist.
(aka, altered length-tension)
e.g., hip flexor overactive leads to decreased strength/neural drive to glute max. this leads to synergistic dominance of hamstrings (they take over)
Describe Synergistic dominance
inappropriate (synergistic) muscle takes over the function of a weak/inhibited prime mover
(aka, altered force-couple)
e.g., Inhibition of gluteus maximus may lead to synergistic dominance of the biceps femoris (hamstring) during hip extension.
Describe muscle imbalance
alteration of muscle length surrounding a joint

Describe the cumulative injury cycle
Tissue trauma –> inflammation –> muscle spasm –> adhesions –> alterered neuromuscular control –> muscle imbalance –> cycle continues

Describe stabilization
ability to maintain postural equilibrium and support joints during movement
Describe strength
ability of the neuromuscular system to produce internal tension to overcome an external force.
Describe strength endurance
ability to repeatedly produce high levels of force for prolonged periods
Describe maximal strength
max force production in a single effort
Describe muscular hypertrophy
enlargement of skeletal muscle fibers from resistance training.
Describe Power
ability to produce the greatest force in the shortest time
(max force in shortest amount of time)
What are the 5 phases of the OPT Model?
- Stabilization
- Strength endurance
- Maximal Strength
- Muscular Hypertrophy
- Power

What is motor control?
how the CNS integrates sensory information with previous experiences
What is motor learning?
integration of motor control process through practice
leads to relatively permanent change to produce skilled movement
What is motor development?
the change in motor skill development over a lifespan
Describe sensorimotor integration
nerves & muscles work together to gather & interpret information to produce movement
What are muscle synergies?
groups of muscles recruited by the CNS to produce movement

What is proprioception?
cumulative sensory input from all the mechanoreceptors that sense position and limb movement

What is internal feedback?
the body uses sensory information to monitor movement and react to the environment
What is external feedback?
information from an external source to supplement internal environment (e.g., mirror, PT, etc.)
What is soluble fiber?
Dissolves in water
helps moderate blood glucose; lowers cholesterol

What is insoluble fiber?
doesn’t dissolve in water

What is glucose?
simple sugar
made endogenously (in the body) from carb, fat, protein
main fuel source
What is glycogen?
complex carb used to store energy in the liver & muscles
What’s the difference between glucose and glycogen?
glucose = energy source made in body
glycogen = storage form of glucose
What is the glycemic index?
rate at which certain carb sources raise blood sugar & effect on insulin release
What is considered high GI range?
>70
What is considered low GI range?
<55
Give examples of monounsaturated fat
olive oil
avocado
peanuts
Give examples of polyunsaturated fats
sunflower oil
soy oil
omega 3s
Give examples of saturated fat
dairy
meat
coconut oil
What are the functions of lipids? (think of 8)
- cellular membrance structure & function
- hormone precursor
- cellular signaling
- nutrient regulation
- organ protection
- body insulation (temp regulation)
- prolongs digestion
- aids in satiety

What does saturated fat do in the body?
raises LDL cholesterol
What does trans fat do in the body?
Raises LDL, lowers HDL
What does unsaturated fat do in the body?
Raises HDL cholesterol
Protein = amino acids linked by _________
peptide bonds
What are essential amino acids?
amino acids that must be obtained from food (cannot be manufactured by the body)

Name the essential amino acids
PVT TIM HALL
Phenylalanine
Valine
Threonine
Tryptophan
Isoleucine
Methionine
Histidine
Arginine
Leucine
Lysine

Describe nonessential amino acids
can be manufactured by the body

What is an incomplete protein?
Contains less than all 8 essential amino acids in appropriate ratios
What % of the body is made up of water?
60%
How much water is it recommended that men and women drink per day?
3L for men
2.2L for women
What does dehydration cause?
Affects circulatory function
Decreases performance
Define calorie.
Amount of heat energy required to raise temperature of 1g of water by 1 degree Celsius

What are the protein recommendations for sedentary adults?
0.8g/kg per day
What are the protein intake recommendations for strength athletes?
1.2 - 1.7g/kg per day
What is the recommended protein intake for endurance athletes?
1.2 - 1.4g/kg per day
What is the recommended carb intake?
6-10g/kg per day
What is an ergogenic aid?
Something that aids athletic performance
What does creatine do?
made in the body (endogenous)
increases muscle mass, strength, & anaerobic performance
What are the caffeine recommendations for performance?
3 - 6mg/kg 1 hour before exercise
What is the PAR-Q?
Physical Activity Readiness Questionnaire
determines safety/risk of exercise
identifies those that need medical evaluation
any YES’s = refer to doctor
What can extended periods of sitting lead to?
tight hip flexors
rounded shoulders
forward protruding head
What can repetitive movement patterns lead to?
pattern overload
What can wearing dress shoes lead to?
constant plantarflexion leads to:
tight gastrocnemius, soleus, & Achilles tendon
decreases dorsiflexion & over-pronation
Ankle sprains decrease neural control to…?
gluteus maximus
gluteus medius
Knee injuries decrease neural control to…?
muscles that stabilize kneecap
Non-contact knee injuries are often the result of…?
ankle or hip dysfunction
Low back pain can cause decreased neural control to which group of muscles?
core stabilization muscles
Shoulder injury alters neural control of the…
rotator cuff
How do beta-blockers affect the body?
decrease BP & HR
What are submaximal tests?
assessments to estimate VO2max
help determine cardiorespiratory training starting point
What are the two methods for estimating max heart rate?
HRmax = 220 - age (less accurate)
HRmax = 208 - (0.7 x age) (more accurate)
Describe the YMCA 3 minute step test
96 steps per minute on 12 inch step up (box) for 3 minutes
take recovery pulse within 5 seconds of stopping

Describe the Rockport walk test
Walk 1 mile AFAP
Immediately record HR
Calculate VO2 score

What is radial pulse?
measuring pulse with 2 fingers along right side of arm, in line with the thumb

What is the average HR for men & women?
70-80 bpm
What is systolic BP?
pressure in arteries after heart contracts

What’s a healthy systolic BP?
<120 mm HG

What is diastolic BP?
pressure in arteries when heart rests and filling with blood

What is a healthy diastolic BP?
less than 80 mm Hg

What is pronation distortion syndrome?
foot pronation
knee internal rotation & adduction
(combo of upper & lower crossed syndrome)

What should you look for in pronation distortion syndrome?
do feet flatten and turn out?
do the knees adduct and internally rotate?
Which muscles are overactive/tight/shortened in pronation distortion syndrome? (7)
- peroneals
- gastrocnemius
- soleus
- IT band
- hamstring (biceps femoris short head)
- adductors
- TFL (hip flexor complex)
PIG SHAT

Which muscles are underactive/weak/lengthened in pronation distortion syndrome?
tibia (anterior/posterior tibialis)
vastus medialis (VMO)
Glutes (medius/maximus)
hip external rotators (abductors)

describe lower crossed syndrome
anterior pelvic tilt (arched lower back)
What distinguishes type II muscle fibers from type I muscle fibers?
decreased oxygen delivery
The body’s ability to differentiate between walking on concrete and walking on sand is an example of which function of the nervous system?
Sensory
What is true of type I, or slow-twitch, muscle fibers?
They contain more capillaries, mitochondria, and myoglobin than type II muscle fibers.
What muscles are overactive/tight in lower crossed syndrome?
hip flexor complex (psoas, rectus femoris, tensor fascia latae)
adductor complex
latissimus dorsi
erector spinae
gastrocnemius
soleus

What muscles are underactive/weak in lower crossed syndrome?
gluteus maximus
gluteus medius
transversus abdominus
internal oblique
anterior tibialis
posterior tibialis
PIG TAG - lower crossed syndrome

What is the rep range for the strength endurance phase?
12 to 20 reps at

What is the rep range for the hypertrophy phase?
6-12 reps at 75-85% 1RM

What is the rep range and % 1RM for maximal strength?
1 - 5 reps at 85 - 100% 1RM

What is the rep range and % 1RM for the power phase?
1 to 10 reps at 30-45% 1RM

What is the rep range and intensity for the stabilization phase?
12-20 reps at 50-70% 1RM.
What is the rest time in the muscular endurance and stabilization phase?
0 to 90 seconds
What is the rest time in the hypertrophy phase?
0 to 60 seconds
What is the rest time in the max strength phase?
3 to 5 minutes
What is the rest time in the power phase?
3 to 5 minutes
20 to 30 seconds allows approx __% recovery of ATP and PC
50%
40 secs allows __% recovery of ATP and PC
75%
60 seconds allows approx __ to __% recovery of ATP and PC
85 to 90%
3 minutes allows __% recovery of ATP and PC
100%
Arterioles branch out into vessels know as what?
capillaries
What may be the best measure of cardiorespiratory fitness?
Max O2 consumption
What is the vessel that transport blood from the capillaries toward the heart?
Veins
Deoxygenated blood is pumped from the right ventricle to the lungs through which vessels?
pulmonary arteries
As the velocity of a muscular contraction increases, the ability to produce force increases for which part of the muscle action spectrum?
Eccentric
Scapular elevation refers to what motions of the scapula?
superior
Scapular protraction refers to which movement of the scapula?
abduction
What muscles are overactive/tight in upper crossed syndrome?
upper traps
levator scapulae
sternocleidomastoid
scalenes
lats
teres major
subscapularis
pec major/minor

What muscles are underactive/weak in upper crossed syndrome?
deep cervical flexors
serratus anterior
rhomboids
midde and lower traps
teres minor
infraspinatus

Describe Bioelectrical impedance
conducts electrical current through the body to estimate fat content.

What does the Davies test assess?
assesses upper extremity stability and agility.

What does the shark skill test assess?
assesses lower extremity agility and neuromuscular control

What does the bench press test assess?
estimates 1-rep maximum on overall upper body strength of pressing musculature
What does the squat test assess?
estimates 1-rep squat maximum and overall lower body strength.
What does the push up test assess?
measures muscular endurance of the upper body; primarily pushing muscles.
What does the LEFT test assess?
assesses agility, acceleration, deceleration, and neuromuscular control.
What is corrective flexibility?
increases joint range of motion, improves muscle imbalances, and corrects altered joint motion
autogenic inhibition
use for Phase 1 training.

What is active flexibility?
improves extensibility of soft tissue and increases neuromuscular efficiency;
reciprocal inhibition;
use for Phases 2, 3, and 4 training

What is functional flexibility?
maintains integrated, multiplanar soft tissue extensibility and optimal neuromuscular control;
full ROM; dynamic stretching
use for Phase 5 training.

Describe self-myofascial release
gentle pressure breaks up knots within muscle and helps release unwanted tension
autogenic inhibition
Describe static stretching
passively taking a muscle to the point of tension and holding the stretch for a minimum of 30 seconds
autogenic inhibition.
Describe active-isolated stretching
uses agonists and synergists to dynamically move joints into a range of motion
reciprocal inhibition
Describe dynamic stretching
uses force production and momentum to move joints through full ranges of motion
reciprocal inhibition.
What is a drop set?
Perform a set to failure, remove small percentage of load, then continue with set.

Describe Peripheral heart action training
variation of circuit training; alternates upper- and lower-body exercises to improve circulation

Describe vertical loading
performing exercises on the OPT template one after the other, in a vertical manner down the template
Describe horizontal loading
performing all sets for an exercise or body part before moving on to the next
Describe Stabilization (Phase 1) - tempo, style, etc.
4/2/1 tempo, lower weight, and higher reps in an unstable, but controlled, environment
Describe the Strength phase (Phase 2,3,4) - tempo, intensity, reps, etc.
2/0/2 tempo, moderate to heavy weight, low to moderate reps with full range of motion
Describe the Power phase (phase 5)
Explosive tempo, light weight, moderate reps with full range of motion
What is stage training?
progressive cardio training that ensures continual adaptation and minimizes the risk of overtraining and injury.
Describe Stage I in stage training.
used to improve cardio for apparently healthy sedentary individuals.
- Uses HR zone 1.
- Start slowly, work up to 30-60 minutes of exercise.
Describe Stage II in stage training
for individuals with low-to-moderate cardio fitness who are ready to train at higher intensities.
- Uses HR zone 2 intervals, with zone 1 for recovery.
- 1 minute in zone 2, 3 minutes in zone 1 (1:3 work/rest ratio).
- Progress using 1:2 and eventually 1:1 work-to-rest ratios.
Describe Stage III in stage training
for advanced exercisers with moderately high cardio fitness levels
increases capacity of energy systems needed at the Power Level.
- Uses HR zones 1, 2, and 3.
- Once per week is adequate, with Stage II and Stage I days needed to avoid overtraining.
Describe core exercises in the Stabilization Phase I
Little motion through the spine and pelvis; improves neuromuscular efficiency and intervertebral stability.
e.g., marching, floor bridge, floor prone cobra, plank
Describe core exercises in the Strength Phase
Dynamic eccentric & concentric movements with full range of motion
improves dynamic stabilization, concentric & eccentric strength,& neuromuscular efficiency
e.g., ball crunch, back extension, reverse crunch, cable rotation
Describe core exercises in the Power phase
Full range of motion at functionally applicable speeds; improves rate of force production
e.g., rotation chest pass, med ball pullover throw, oblique throw,
Describe the difference between drawing-in maneuver and bracing.
Drawing-in maneuver—recruit core stabilizers by drawing the navel toward the spine (local stabilization system).
Bracing—contracting abdominals, lower back, and glutes together to stabilize the trunk (global movement system).
What is plyometric (reactive) training?
quick, powerful movements
explosive concentric muscle contraction
What is Amortization (transition) phase?
transition between eccentric (loading) and concentric (unloading) muscle actions during plyometric movements; the faster the switch, the more powerful the concentric action
What’s the difference between speed, agility, and quickness?
Speed = moving in one direction as fast as possible
Agility = ability to accelerate, decelerate, stabilize, and change direction quickly while maintaining posture
Quickness = ability to react and change position with max rate of force production
What is General adaptation syndrome?
how the body responds and adapts to stress
3 stages:
Alarm reaction
Resistance development
Exhaustion
What is the alarm reaction stage?
initial reaction to a stressor, activates protective processes in the body.
What is resistance development?
increased functional ability to adapt to a stressor
more stress is needed to produce a new response
Describe the principle of specificity or specific adaptation to imposed demands (SAID) principle
the body will specifically adapt to the type of demand placed on it
What is mechanical specificity?
the weight and movements placed on the body

What is neuromuscular specificity?
the speed of contractions and exercise selection

What is metabolic specificity?
the energy demand placed on the body.

Describe the FITTE principle
- Frequency - the number of training sessions in a given timeframe
- Intensity - the level of demand that a given activity places on the body
- Time - the length of time an individual is engaged in a given activity
- Type - the type of physical activity being performed •Enjoyment - the amount of pleasure derived from the training session

Describe SMART goals
Specific
Measurable
Attainable
Realistic
Timely

If a client’s feet turn out during the overhead squat assessment, what muscles would be considered underactive?
medial gastroc
medial hamstring
gracilis
sartorius
popliteus
Mm Mm Good, So Perfect
Which assessment measures muscular endurance of the upper body?
push up assessment
What is caused by a tight agonist muscle decreasing the neural drive to its functional antagonist?
altered reciprocal inhibition
Which form of stretching should be used to inhibit muscle spindle activity of a tight muscle before and after physical activity?
Static stretching
In order to most effectively target the tensor fascia latae (TFL) while standing, a client’s back leg should be in which of the following positions?
externally rotated
What is used to increase the extensibility of soft tissues through both autogenic inhibition and reciprocal inhibition?
static stretching
If a client demonstrates an excessive forward lean during the overhead squat assessment, which of the following muscles should be stretched during the client’s warm-up?
GASH
gastrocnemius
abdominal complex
soleus
hip flexor complex

What metrics have a linear relationship during dynamic exercise?
Heart rate and oxygen uptake

What requires a client to perform cardiorespiratory exercise at maximal effort while monitoring ventilation response?
Peak VO2 method

According to the 2008 Physical Activity Guidelines, what is the minimum amount of time per week an individual should engage in physical activity if performed at a moderate-intensity level?
150 minutes
What formula determines a client’s target heart rate during exercise?
Heart rate reserve (HRR) method
(aka Karvonen method)

What is the intensity range that best describes someone just moving into a zone 3 cardiorespiratory training workout?
86-95%

Which level of core training exercise prepares an individual to dynamically stabilize and generate force at more functionally applicable speeds?
core power
A multiplanar single-leg box hop-up with stabilization is categorized as an exercise in which of the following?
balance power
When selecting a balance exercise, what is the most appropriate progression?
Floor
balance beam
half foam roll
foam pad
balance disc
What is another name for plyometric training?
reactive
What types of SAQ drills are most appropriate for Phase 1 training?
those with limited horizontal inertia
When performed at an appropriate tempo, what exercise would offer the best improvement of the power of a client’s pectoralis major?
med ball rotation chest pass
When starting with a brand new client who has never exercised, which resistance training system would be most appropriate?
single sets
A woman is training to improve her running capabilities for an upcoming marathon. She is progressively increasing the distance and time of her runs. Which principle best explains physiological adaptions occuring to the woman’s aerobic energy system?
metabolic specificity

When working with loads exceeding 90 percent of maximum, a client would not exceed a workout volume of?
30 reps
What is the recommended set range for a resistance training exercise when working in the Power Phase?
3-5 sets
For resistance training in Phase 2: Strength Endurance, how many sets per exercise are recommended?
2-4
Which of the following is appropriate when spotting during a bench press?
Select one:
a. Spot at the elbows.
b. Place hands at both ends of the barbell.
c. Wait until the client progresses through the sticking point before providing assistance.
d. Determine the amount of repetitions before performing the set.
D
Resistance should be positioned to resist shoulder horizontal adduction during which of the following exercises?
Select one:
a. Standing cable crunch
b. Standing cable row
c. Standing triceps extension
d. Standing cable chest press
D
What is the most appropriate spotting technique for a dumbbell chest press?
hands close to wrists
What is a correct training strategy for a client with osteoarthritis?
Limit the client to 10 to 12 repetitions per set for Phase 1 of the OPT model.
What factor is used to determine progression when working with a youth client?
postural control
Within how many minutes should a client consume 1.5 g/kg of carbohydrates to maximize glycogen replenishment after exercise?
30 minutes
Which micronutrient should be at low levels or absent in a multivitamin?
calcium
Large doses of beta-carotene intake can cause an increased risk for what?
lung cancer in smokers
What is a behavioral reactant?
when family members pressure or make loved ones feel guilty about exercise, that person may actually respond by exercising less.
What is a nondirective question?
an open-ended question
What are profit centers?
Services that add to the base revenue generator
What cognitive-behavior approach involves throughts influencing behavior?
Association and dissociation
Association occurs when the focus is on internal body feedback (e.g., how their muscles feel).
Dissociation occurs when the focus is on the external environment (e.g., noticing how pretty the scenery is / listening to music while exercising).
Which is the best approach for avoiding activation of the adductors during a floor bridge?
The feet should be hip-width apart and straight ahead
Which assessment tests for speed, explosion, body control, and agility?
LEFT test
Which exercise should be avoided if a client exhibits arms falling forward?
lat pulldown
If a client exhibits arms falling forward during an overhead squat assessment, which cardio activity should be avoided?
treadmill
4/2/1 tempo, lower weight, and higher reps in an unstable, but controlled, environment
Describe Stabilization (Phase 1) - tempo, style, etc.
2/0/2 tempo, moderate to heavy weight, low to moderate reps with full range of motion
Describe the Strength phase (Phase 2,3,4) - tempo, intensity, reps, etc.
Explosive tempo, light weight, moderate reps with full range of motion
Describe the Power phase (phase 5)
Personal trainers have a maximum of how many seconds to make a good first impression?
20 seconds
For hypertensive clients taking medications that will influence heart rate, which of the following methods to establish training heart rate is the most appropriate?
Select one:
a. Age predicted maximum heart rate
b. Karvonen formula
c. Heart rate response
d. Heart rate reserve
C. Heart rate response
Which of the following is part of the marketing mix?
Select one:
a. Prominence
b. Public
c. Place
d. Professionalism
C
The Golgi tendon organ is an essential component of static stretching because:
Select one:
a. it increases muscle spindle activity.
b. it results in reciprocal inhibition.
c. it allows muscle fibers to contract.
d. it allows lengthening of the muscle.
D. it allows lengthening of the muscle
In the Stabilization Endurance Phase, exercises should be performed with what type of intensity?
Low intensity

During the overhead squat assessment, the trainer notices the client’s feet turn out. What stretch should be used to lengthen the overactive muscles?
standing calf stretch
According to the NASM Code of Professional Conduct, a Certified Personal Trainer shall maintain accurate financial, contract appointments, and tax records including original receipts for a minimum of:
4 years
To maintain certification with NASM, the Certified Personal Trainer must earn ___ CEUs within ___ years
2 CEUs within 2 years
What’s the difference between autogenic and reciprocal inhibition?
autogenic inhibition = relaxation in the same muscle that is experiencing tension (e.g., contracting quads while foam rolling)
reciprocal inhibition = relaxation in the opposing muscle that is experiencing tension (e.g., contracting glutes while stretching hip flexor)

What is the recommended rest interval when performing a circuit for Phase 5 resistance training?
3-5 minutes
Which one of the following exercises is classified as a balance-strength exercise?
Select one:
a. Single-leg squat touchdown
b. Single-leg lift and chop
c. Single-leg balance and reach
d. Single-leg hop with stabilization
A.
How many ounces of water should a client consume immediately after exercise for every pound lost?
16-24oz
The ability to react and change body position, with maximum rate of force production, in all planes of motion, and from all body positions during functional activities is known as…?
quickness
What is the FIRST step a fitness professional should take when coming across an emergency situation that will require CPR?
Select one:
a. Activate the EMS system.
b. Check the scene for hazards.
c. Open the airway.
d. Check for circulation.
B. check the scene for hazards
Which of the following is an appropriate intensity when training a client who is obese?
Select one:
a. 20 to 30% of their maximum heart rate
b. 40 to 50% of their maximum heart rate
c. 60 to 70% of their maximum heart rate
d. 85 to 95% of their maximum heart rate
C. 60-70% max heart rate
Which of the following is a sign that a client has completed an accurate one-rep maximum bench press estimation test?
Select one:
a. Your client fails after 8-12 repetitions.
b. Your client fails after 1 repetition.
c. Your client fails at 3 to 5 repetitions.
d. Your client fails right before their arms straighten.
C. failing after 3-5 reps.
Which of the following is a Power Level balance exercise?
Select one:
a. Single-leg box hop-up with stabilization
b. Single-leg throw and catch
c. Single-leg internal and external rotation
d. Single-leg squat touchdown
A. SL box hop up with stabilization
What percent of predicted heart rate maximum is used in zone two of cardiorespiratory training?
76-85%
During which part of the digestive system are protein strands broken down?
Stomach
Which of the following macronutrients should be consumed in the highest percentage for a healthy diet?
Carbs
When assessing your clients resting heart rate, what location provides the most accurate measurement?
radial artery
Which of the following statements is true concerning client goal setting?
Select one:
a. Clients who are certain about what they want to accomplish are less likely to successfully make life changes.
b. A long-term goal keeps the client motivated for a longer period of time.
c. Setting achievable goals at the lower end of a client’s ability will build more confidence when accomplished.
d. Goals should be consistent with a client’s own ideals and ambitions.
d. Goals should be consistent with a client’s own ideals and ambitions.
What is an appropriate number of exercises per body part per session for a client who has the goal of muscular hypertrophy?
2-4
A client has mastered the single-leg squat on the floor. Which of the following is a proprioceptive and challenging progression?
Select one:
a. Single-leg squat on an Airex pad
b. Two-leg squat on floor
c. Two-leg squat on Dyna disc
d. Single-leg squat on a Dyna disc
c. Two-leg squat on Dyna disc
Which of the following ratings of perceived exertion on the Borg Scale would be implemented in a cardio training program for clients wanting to improve their aerobic base?
Select one:
a. 9 to 11
b. 12 to 13
c. 14 to 16
d. 17 to 19
b. 12 to 13
Which of the following is contraindicated when training a client who is pregnant?
Select one:
a. Fitness assessments should be performed using seated or standing exercises.
b. Stabilization Endurance training should be used during the second and third trimesters
c. Exercise should be done in a supine position after the first trimester.
d. Plyometric training may be done in the first trimester.
c. Exercise should be done in a supine position after the first trimester.
Within how many minutes should a client consume 1.5 g/kg of carbohydrates to maximize glycogen replenishment after exercise?
30 minutes
What is triple flexion?
multi-joint exercise that involves flexion at hips, knees, and ankles
What is triple extension?
multi-joint exercise that involves extension at the hip, knee, and ankle
Scapular elevation refers to which of the following motions of the scapula?
Select one:
a. Axial
b. Vertical
c. Transverse
d. Superior
D. superior
What are the muscles of the global stabilization system primarily responsible for?
Transferring loads between the upper and lower extremities
Which movements are the latissimus dorsi responsible for concentrically accelerating?
Select one:
a. Shoulder flexion, abduction, and external rotation
b. Shoulder flexion, abduction, and internal rotation
c. Shoulder extension, adduction, and internal rotation
d. Shoulder extension, adduction, and external rotation
Shoulder extension, adduction, and internal rotation
In which of the following scenarios would energy be mostly derived from anaerobic metabolism?
Select one:
a. When an athlete is in a steady state or at rest
b. When an athlete reduces the duration of an activity
c. When an athlete begins an activity
d. When an athlete experiences temporary fatigue
c. When an athlete begins an activity
What is the phenomenon called when prolonged Golgi tendon organ stimulation provides an inhibitory action to muscle spindles?
autogenic inhibition
Which body composition assessment is most appropriate for an obese client?
circumference measurement
A waist-to-hip ratio over ___ puts a female client at risk for a number of diseases?
0.80
Which assessment tests for speed, explosion, body control, and agility?
pro shuttle test
During a single-leg squat assessment your client’s knees move inward, which of the muscles would most likely be overactive?
Select one:
a. Medial hamstrings
b. Vastus medialis oblique (VMO)
c. TFL
d. Gluteus medius
TFL
Which assessment measures muscular endurance of the upper body?
push up assessment
What phase is this?

Phase 1 Stabilization Endurance
What phase is this?

Phase 2 Strength Endurance
What phase is this?

Phase 3 Hypertrophy
What phase is this?

Phase 4 Max Strength
What phase is this?

Phase 5 Power
Which of the following would be appropriate at the Power Level (Phase 5) of the OPT model or before athletic competition?
Select one:
a. Relative flexibility
b. Corrective flexibility
c. Active flexibility
d. Functional flexibility
functional flexibility
When performing the static latissimus dorsi ball stretch, which of the following is a correct body position?
Select one:
a. Anteriorly rotated pelvis
b. 90° horizontally abducted humerus
c. 90° internally rotated humerus
d. Posteriorly rotated pelvis
posteriorly rotated pelvis
Which of the following is about having an attitude of genuine interest in seeking a clients perspective?
Select one:
a. Asking questions
b. Active listening
c. Summarizing
d. Reflecting
active listening
What are the two types of fitness goals?
process & product
Which movements are the latissimus dorsi responsible for concentrically accelerating?
Select one:
a. Shoulder extension, adduction, and internal rotation
b. Shoulder extension, adduction, and external rotation
c. Shoulder flexion, abduction, and external rotation
d. Shoulder flexion, abduction, and internal rotation
a. Shoulder extension, adduction, and internal rotation
The Rockport walk test is used to determine which of the following?
Select one:
a. Heart rate reserve (HRR)
b. Metabolic equivalent (MET)
c. VO2 reserve
d. Estimated oxygen consumption
D. estimated oxygen consumption
When performing an active kneeling hip flexor stretch, internally rotating the rear leg will place a greater stretch on which muscle?
psoas
How many muscles make up the global stabilization system?
7
Which of the following would be most useful in determining shoulder complex compensations?
Select one:
a. Shark skill test, anterior view
b. Overhead squat assessment, anterior view
c. L.E.F.T. test, lateral view
d. Pushing assessment, lateral view
d. pushing assessment, lateral view
Which of the following exercises is also a dynamic stretch?
Select one:
a. Active latissimus dorsi ball stretch
b. Single-leg squat touchdown
c. Step-up to balance
d. Static 90/90 hamstring stretch
B. single leg squat touchdown
When working with a pregnant client which of the following assessments is most appropriate?
Select one:
a. Bench press
b. Shark skill test
c. Davies test
d. Single-leg squat
D. single leg squat
What type of support is given when someone supports their child in starting an exercise program?
Parental
Creating a list of motivating key words (e.g., fast, go, focus) to replace negative thoughts is an example of what?
Select one:
a. Positive self-talk
b. Affirmations
c. Remodeling
d. Reflecting
A. positive self talk