Personal Trainer Case Studies Flashcards
Doman 1: Initial Client Consultation and Assessment
Bill should be characterized as meeting all defining criteria for ACSM risk factors for atherosclerotic cardiovascular disease except:
a. hypertension
b. obesity
c. sedentary lifestyle
d. family history
d. family history
Doman 1: Initial Client Consultation and Assessment
According to his history and goals, your next session would occur when?
a. immediately, including high intensity exercise
b. immediately, only for resistance training
c. after meeting with the dietician
d. after medical clearance has been obtained
d. after medical clearance has been obtained
Doman 1: Initial Client Consultation and Assessment
Based on Bill’s fasting glucose level, he would be classified as
a. normal
b. prediabetic
c. hypoglycemic
d. diabetic
b. prediabetic
Doman 1: Initial Client Consultation and Assessment
What would be Bill’s estimated maximum HR (using the formula 220-age)?
a. 145 bpm
b. 158 bpm
c. 186 bpm
d. cannot be determined
b. 158 bpm
Doman 1: Initial Client Consultation and Assessment
Based on Bill’s lipid profile, he would be classified as
a. normal
b. hyperlipidemic
c. dyslipidemic
d. at risk for atherosclerosis
c. dyslipidemic
Domain 2 Case Study 1: Exercise Programming and Implementation
Which of the following is an appropriate frequency, intensity, time, and type (FITT) exercise prescription for Marie?
a. Continue with current aerobic program of moderate intensity running for 150-225 min/wk. Use resistance bands, machines, and body weight exercises in place of free weights and perform high repitition sets (12-15 reps) to moderate fatigue at 40-60% of estimated 1-RM. Include at least 10 min 2-3 d/wk of flexibility exercise
b. Decrease current aerobic program to a maximum of 150 min/wk. Include resistance exercises targeting large muscle groups at a frequency of 3 d/wk and intensity of 50-80% of estimated 1-RM; 3 sets of 8-10 reps using free weights should be performed. Include at least 10 min 2-3 d/wk of flexibility exercise.
c. Continue with current aerobic program of moderate intensity running for 150-225 min/wk. Include resistance exercises targeting large muscle groups at a frequency of 3 d/wk and intensity 50-80% of estimated 1-RM; 3 sets of 8-10 reps using free weights should be performed. Include at least 10 min 2-3 d/wk of flexibility exercise.
d. Decrease current aerobic program to a maximum of 150 min/wk. Use resistance bands, machines, and body weight exercises in place of free weights and perform high rep sets (12-15 reps) to moderate fatigue at 40-60% of estimated 1-RM. Include at least 10 min 2-3 d/wk of flexibility exercise.
a. Continue with current aerobic program of moderate intensity running for 150-225 min/wk. Use resistance bands, machines, and body weight exercises in place of free weights and perform high repitition sets (12-15 reps) to moderate fatigue at 40-60% of estimated 1-RM. Include at least 10 min 2-3 d/wk of flexibility exercise
Domain 2 Case Study 1: Exercise Programming and Implementation
Which of the following would be a safe exercise testing assessment for Marie if she has an uncomplicated pregnancy?
a. submax cycle ergometer testing; YMCA cycle ergometer protocol
b. maximal treadmill test using a Bruse protocol
c. submax treadmill test using a modified Balke protocol
d. both A and C
d. both A and C
All of the following are appropriate exercise modifications during pregnancy for Marie except
a. swim, cycle, or elliptical trainer if low back pain or joint pain occur
b. transition from using free weights to weight machines and resistance bands
c. decrease aerobic activity from moderate-vigorous to light activity only
d. run on a treadmill or track instead of a sidewalk
c. decrease aerobic activity from moderate-vigorous to light activity only
Domain 2 Case Study 1: Exercise Programming and Implementation
Which of the following is an appropriate method of monitoring exercise intensity for Marie?
a. %HRR or %HR max (i.e., target HR)
b. The talk test
c. %VO2R (i.e., target VO2)
d. Rating of perceived exertion (RPE)
e. both B and D
e. both B and D
Domain 2 Case Study 1: Exercise Programming and Implementation
All of the following are warning signs to terminate exercise during pregnancy except
a. severe dizziness or headache
b. chest pain
c. calf pain or swelling
d. increased fetal movement
d. increased fetal movement
Domain 2 Case Study 2: Exercise Programming and Implementation
Based on Roger’s profile, the initial phase of his resistance training program should include (all RPE values refer to a 10-point scale)
a. training each muscle group for 3-6 sets with 3-5 reps at a high intensity of >/=85% of 1-RM per set, with a rest interval of 5 min between sets at an RPE of 8-9
b. training each muscle group for 2 sets with 15-25 reps at a low intensity of </=50% of 1-RM per set , with a rest interval of 1 min between sets at an RPE of 3-4
c. training each muscle group for 2-4 sets with 8-12 reps at a moderate to high intensity of >60%-80% of 1-RM per set, with a rest interval of 3-5 min between sets at an RPE of 7-8
d. training each muscle group for >/= 1 set with 10-15 reps at a moderate intensity of 60-70% of 1-RM per set, wth a rest interval of 2-3 min between sets at an RPE of 5-6
d. training each muscle group for >/= 1 set with 10-15 reps at a moderate intensity of 60-70% of 1-RM per set, wth a rest interval of 2-3 min between sets at an RPE of 5-6
Domain 2 Case Study 2: Exercise Programming and Implementation
During the first 4 wk, Roger’s aerobic exercise program should include everything below except
a. >/= 5 d/wk at an intensity of 40%-75% of VO2R or HRR
b. Exercises performed primarily in an upright or standing position
c. an initial exercise HR and MET range of approximately 146-170 bpm and 7-7.8 METs respectively
d. a gradual weekly increase in exercise volume
c. an initial exercise HR and MET range of approximately 146-170 bpm and 7-7.8 METs respectively
Domain 2 Case Study 2: Exercise Programming and Implementation
Roger wants to achieve an exercise volume of 1,000 MET-min/wk. How long must each of his aerobic exercise sessions last if he is working at an exercise intensity of 5 METs 5 times per week? How many kcals would he expend at the end of the week if he did this?
a. 20 min/session; 831 kcal/wk
b. 40 min/session; 1,670 kcal/wk
c. 60 min/session; 2,494 kcal/wk
d. 80 min per session; 3,325 kcal/wk
b. 40 min/session; 1,670 kcal/wk
Convert METs to kcal/min: kcal/min= (METs)(3.5 mL/kg*min)(kg)/(1000)(5)
Domain 2 Case Study 2: Exercise Programming and Implementation
Which initial resistance training workout will best enable Roger to safely enhance his muscle function and perform better during his follow up fitness assessments?
a. Bicep curls, triceps pushdowns, knee extensions, chest flys, sit ups, lateral shoulder raises, front shoulder raises, straight leg raises and reverse sit ups, weighted side bends, accompanied by posterior shoulder and standing floor touch stretches
b. Straight leg deadlifts, barbell rows, barbell squats, roman chair sit ups, barbell bench press, bent over rear shoulder dumbbell raises, standing barbell bicep curls, overhead dumbbell triceps extensions, Russian twists, accompanied by posterior shoulder and standing toe touch stretches
c Machine hack squats, prone ham curls, seated machine trunk rotation, seated machine back extensions, seated machine scapular rows (cable), standing barbell shoulder press, barbell lunges, lying barbell triceps press, decline barbell press, preacher barbell bicep curl, accompanied by prone trunk rotation and knee hig and supine double knee hug stretches
d. Wall squats, body weight lunges, supine stability ball ham curls, standing cable chest press, cable scapular row in standing, machine shoulder press, latissimus dorsi pull downs, opposite arm-leg raises (bird dogs) in quadruped position, modified side bridges (side plank) with knees flexted, prone planks from the knees, accompanied by hip flexor and pectoral stretches
d. Wall squats, body weight lunges, supine stability ball ham curls, standing cable chest press, cable scapular row in standing, machine shoulder press, latissimus dorsi pull downs, opposite arm-leg raises (bird dogs) in quadruped position, modified side bridges (side plank) with knees flexted, prone planks from the knees, accompanied by hip flexor and pectoral stretches
Domain 2 Case Study 2: Exercise Programming and Implementation
Roger wants to begin playing competative 3 on 3 basketball (approx. an 8-MET activity) as an enjoyable means of attaining some of his goals. His maximal aerobic capacity is approximately 9 METs and his initial training intensity range will be between 60% and 80% of VO2 reserve or HRR. What is the corresponding MET range for him as he begins in his exercise program over the first 4 wk? Is basketball within this range?
a. Between 2.8 and 4.4 METs; no, basketball exceeds his current prescribed intensity range
b. Between 3.8 and 5.4 METs; yes, basketball is within his prescribed intensity range
c. between 4.8 and 6.4 METs; yes, basketball within his prescribed intensity range
d. between 5.8 and 7.4 METs; no, basketball exceeds his current prescribed intensity range
d. between 5.8 and 7.4 METs; no, basketball exceeds his current prescribed intensity range
Domanin 3 Study 1: Exercise Leadership and Client Education
What is her weight class based on her BMI?
a. overweight
b. class 1 obesity
c. class 2 obesity
d. class 3 obesity
c. class 2 obesity
Domanin 3 Study 1: Exercise Leadership and Client Education
Barbara would like to lose the minimal amount of weight to achieve a BMI that puts her in the “normal” weight category. How much weight will she need to lose to achieve this goal? Choose the closest answer.
a. 42 lb
b. 68 lb
c. 75 lb
d. 86 lb
b. 68 lb
Domanin 3 Study 1: Exercise Leadership and Client Education
Barbara calculated that she has reduced her caloric intake by 200 kcal/day. At this rate, with no additional energy expenditure, how many pounds will she lose in 1 wk?
a. 0.4 lb
b. 0.6 lb
c. 0.8 lb
d. 1.0 lb
a. 0.4 lb
3,500 kcal in 1 lb; she is reducing 1400 kcal/wk; divide 1400 by 3,500
Domanin 3 Study 1: Exercise Leadership and Client Education
What would Barbara’s recommended caloric deficit each day need to be in order to meet ACSM’s guidelines for weight loss?
a. 150-300 kcal
b. 250-500 kcal
c. 500-1,000 kcal
d. 750-1,250 kcal
c. 500-1,000 kcal
ACSM rec: lose 1-2 lb/wk; caloric def of 3,500-7,000/wk or 500-1,000/day
Domanin 3 Study 1: Exercise Leadership and Client Education
Weight loss would be an example of what type of motivation for barbara? Keeping up with her grandson would be what type of motivation?
a. extrinsic and intrinsic
b. extrinsic and extrinsic
c. intrinsic and intrinsic
d. intrinsic and extrinsic
a. extrinsic and intrinsic
Domanin 3 Study 2: Exercise Leadership and Client Education
What is Carl’s BMI?
a. 35.4 kg/m2
b. 28.1 kg/m2
c. 31.8 kg/m2
d. 22.2 kg.m2
c. 31.8 kg/m2
Domanin 3 Study 2: Exercise Leadership and Client Education
What is his BMI classification?
a. normal
b. underweight
c. overweight
d. class 1 obesity
d. class 1 obesity
Domanin 3 Study 2: Exercise Leadership and Client Education
You evaluate Carl’s readiness to change and according to the transtheoretical model of behavoior change, what stage of readiness is Carl currently experiencing?
a. action
b. preparation
c. contemplation
d. maitenance
b. preparation
Domanin 3 Study 2: Exercise Leadership and Client Education
In order to help Carl become successful at his behavioral change, what strategy can you use to move Carl to the next stage?
a. make a list of activities Carl likes so he won’t get bored with his exercise
b. teach Carl about the benefits of regular exercise
c. emphasize self-liberation by helping Carl make a firm commitment to a goal and a start date
d. have Carl list hte places around his home where he can be active (i.e., the park)
c. emphasize self-liberation by helping Carl make a firm commitment to a goal and a start date
