Practice Exam - Take 1 Flashcards
Bob is a 45-year-old man who quit smoking 2 months ago. He has not participated in any exercise program in 2 years. His body mass index (BMI) is 32. What are the exercise testing recommendations according to risk stratification based on his cardiovascular disease risk factors?
a. Moderate risk, doctor’s supervision needed.
b. Low risk, medical exam not necessary.
c. Moderate risk, medical exam necessary before vigorous exercise.
d. High risk, medical exam before moderate exercise.
d. High risk, medical exam before moderate exercise.
Explanation: Since Bob is over 45 years old, it has been less than 6 months since he quit smoking and he also has a BMI of 32, he has 3 points on the risk stratification scale. Note that since Bob has a BMI above 25, you have to assume prediabetes which makes him symptomatic. Based on these factors, Bob is considered high risk, therefore he needs to have a medical examination prior to beginning an exercise program.
Your client has a sedentary lifestyle and has noticed her health steadily declining. In what stage of the Transtheoretical Model of Behavior Change would your client begin to consider the activity and identify implications of inactivity while remaining sedentary?
a. Contemplation
b. Preparation
c. Precontemplation
d. Action
a. Contemplation
Explanation: The contemplation stage is when a person is still sedentary but starts to consider the activity. They are, however, still not ready to commit to making change.
When checking a client’s heart rate, what is a commonly palpated site?
a. Femoral artery
b. Jugular vein
c. Radial artery
d. Tibial artery
c. Radial artery
Explanation: The pulse can only be felt on arteries, and the most common sites are the carotid artery in the neck and the radial artery on the thumb side of the inside of the wrist.
What would be an implication observed while watching your client perform the Apley’s scratch test for shoulder mobility?
a. The ability to reach up the spine with shoulder extension and internal rotation
b. The avoidance of impingement in the moving arm
c. The ability to touch the opposite inferior angle of the scapula
d. The inability to touch the medial border of the contralateral scapula
d. The inability to touch the medial border of the contralateral scapula
Explanation: The Apley’s Scratch Test is to assess simultaneous movements of the shoulder girdle, or primarily, the scapulothoracic and glenohumeral joint. The inability to touch the medial border for the contralateral scapula would be observed as an implication.
The body can be broken down into regions that are prone to be either relatively stable or mobile in terms of the joints that are involved. Which of the following has the correct relationship between the region and its role in joint mobility and stability?
a. Hips - stable
b. Thoracic Spine- mobile
c. Scapulothoracic - mobile
d. Knee - mobile
b. Thoracic Spine- mobile
Explanation: Sensory information can efficiently produce a proper movement sequence only if the joints are in the correct sequence of the stability/mobility relationship. While all joints are required to perform some form of stability and mobility, the knee is more prone to being stable, hips mobile, thoracic spine mobile, and the scapulothoracic region more stable.
Which individual might a muscular power test be inappropriate for?
a. A 30-year-old man who is interested in pushing his physical fitness to the next level.
b. A 13-year-old boy looking to improve soccer performance.
c. A 25-year-old woman looking to improve her body fat percentage and tone.
d. A 56-year-old woman looking to get back into skiing.
d. A 56-year-old woman looking to get back into skiing
Explanation: Power tests are vigorous and can be hard on the body. Not much data exists on power in middle-aged to older adults because it is generally deemed unnecessary unless it is a client’s specific goal.
Which woman has a waist to hip ratio that puts her at risk for obesity-related disease?
a. Jeanie with a ratio of 0.81
b. Emily with a ratio of 0.60
c. April with a ratio of .87
d. Both Jeanie and April
c. April with a ratio of .87
Explanation: A waist to hip ratio greater than 0.86 or higher is considered “at-risk” for women.
Your client has osteoporosis. When designing her exercise program, you may need to avoid which of the following movements?
a. Spinal flexion
b. Pulling exercises from behind the head
c. Adducting or abducting the legs against resistance
d. All of the above
d. All of the above
Explanation: Each of the movements mentioned can be of concern and need to be avoided when designing a training program with a client who has osteoporosis.
How often should Ratings of Perceived Exertion (RPEs) be taken throughout a cardiorespiratory assessment?
a. Once every 3 minutes
b. Once every 30 seconds
c. Once every minute
d. Once every 2 minutes
c. Once every minute
Explanation: RPEs should be taken during the last 5 seconds of every minute of a cardiorespiratory assessment.
In what stage of the client-trainer relationship will the trainer first establish understanding and trust by listening to a new clients questions and concerns regarding her anxiety and insecurity of working out in a new environment?
a. Investigation Stage
b. Rapport Stage
c. Action Stage
d. Contemplation Stage
b. Rapport Stage
Explanation: During the rapport stage, the personal trainer sets the scene for establishing understanding and trust. During this stage the trainer needs the client to believe that their trainer is genuinely interested in what clients have to say.
Which of the following muscles is not responsible for hip extension?
a. Biceps femoris
b. Gluteus Maximus
c. Semitendinosus
d. Gluteus medius
d. Gluteus medius
Explanation: There are four primary muscles that act as hip extensors including the biceps femoris, gluteus maximus, semitendinosus and semimembranosus. The gluteus medius is a hip abductor.
Chronic Obstructive Pulmonary Disease (COPD. is s condition that affects mainly which system?
a. Musculoskeletal
b. Integumentary
c. Cardiovascular
d. Respiratory
d. Respiratory
Explanation: COPD is a common respiratory problem, affecting the lungs and an individual’s oxygen-carrying capacity.
When an anterior pelvic tilt is determined, which muscles should you aim to strengthen through restorative exercise?
a. Hip Flexors and Erector Spinae
b. Rectus Abdominis and Hamstrings
c. Gluteus Maximus and Gluteus Medius
d. Quadriceps and Anterior Tibialis
b. Rectus Abdominis and Hamstrings
Explanation: When an imbalance is determined it is important to strengthen the muscles opposing the action that is occurring. In the case of an anterior pelvic tilt, these muscles are the rectus abdominis and the hamstrings.
Heather is a middle-aged client who is recovering from a shoulder injury. After verifying that she has medical clearance, you have designed an exercise program to emphasize regaining strength and flexibility of her shoulder complex. During an overhead press, Heather is unable to move through a full ROM. What modification can you suggest for this exercise?
a. The shoulder should be positioned 30 degrees posterior to the frontal plane.
b. She should not be exercising the shoulder, because she could cause the muscle to re-tear.
c. The shoulder should be positioned 30 degrees anterior to the frontal plane.
d. The shoulder should be positioned 30 degrees anterior to the sagittal plane.
c. The shoulder should be positioned 30 degrees anterior to the frontal plane.
Explanation: The overhead press exercise can be modified so that the exerciser only moves through a portion of the ROM. The shoulders should be positioned 30 degrees anterior to the frontal plane. This shoulder position helps prevent impingement (pinching) of shoulder structures.
After working with a client in the pool, he trips walking to the locker room. You attend to him and notice he has a minor cut on his foot. The client is safe and able to speak. What is the first thing you should do to help your client with his cut?
a. Put a towel on it and apply pressure to control the bleeding.
b. Locate and take the first aid kit to the client, then put a bandage on the cut.
c. Locate and take the first aid kit to the client, then put on protective gloves.
d. Elevate the foot and put ice on it.
c. Locate and take the first aid kit to the client, then put on protective gloves.
Explanation: When administering first aid, a personal trainer should start by wearing personal protective equipment. Gloves are a universal standard and should be worn in all cases.
Which of the following does NOT fall within the ACE personal trainer’s scope of practice?
a. Rehabilitating a knee injury.
b. Utilizing spotting techniques.
c. Demonstrating exercise methods.
d. Educating clients about health-related topics.
a. Rehabilitating a knee injury.
Explanation: An ACE personal trainer cannot rehabilitate anything.
It is beneficial to set a specific and attainable goal for the amount of yearly income a personal trainer desires. If you were to make a $50,000 annual income in 50 weeks at $40 per session. What would be the number of sessions per week?
a. 30
b. 20
c. 25
d. 35
c. 25
The formula used to figure out how many sessions you will need to obtain per week can be configured by dividing your yearly income goal by how many weeks you are going to work
$50,000/50 weeks = $1,000 per week
To get how many sessions you need to do per week at $40 per session:
$1,000 per week / $40 per session = 25 sessions per week.
To become more efficient with your personal training business you decide to perform a SWOT analysis. What does the O in SWOT stand for?
a. Order
b. Offer
c. Opportunities
d. Open
c. Opportunities
Explanation: The SWOT acronym is a simple tool for conducting a risk assessment. It stands for strengths, weaknesses, opportunities, and threats.
Which of the following goes against safety guidelines?
a. Leaving your client to take a call while they fill out paperwork
b. A client exercising in open-toed shoes
c. Your client drinking their own pre-workout drink during your session
d. Not spotting an exercise performed on a machine.
b. A client exercising in open-toed shoes
Explanation: Clients must wear any necessary protective equipment, including closed-toed shoes.
You plan on taking your client outside for a training session. Before beginning the session, what must you incorporate into your workout plan?
a. You must have the client’s medical release for outside exercise.
b. You must make sure you have cell phone coverage where you intend to exercise.
c. A vehicle must be present in case of emergency.
d. An AED must be included in the equipment taken to the location.
b. You must make sure you have cell phone coverage where you intend to exercise.
Explanation: If an emergency arises, you must be prepared to call 9-1-1. In addition, the trainer should have the client’s emergency information available. The trainer should provide water that will be sufficient for the time, intensity, and temperature during the outdoor workout.
Which of the following is an absolute contraindication to stretching?
a. Presence of osteoporosis
b. Joint swelling
c. Prolonged immobilization of muscles
d. A healing fracture site
d. A healing fracture site
Explanation: While some conditions may pose slight concern and require extra consideration while stretching, a healing fracture site should never be stretched, no matter what.
You are performing the risk-management protocol and are specifying the risks that may be encountered in the areas of instruction, supervision, facilities, equipment, contracts, and business structure. What step of the risk-management protocol are you performing?
a. Risk evaluation
b. Selection of an approach for managing each risk
c. Implementation
d. Risk identification
d. Risk identification
Explanation: The steps of the risk-management protocol are risk identification, risk evaluation, selection of an approach for managing each risk, implementation, and evaluation. The specification of risks in the areas of instruction, supervision, facilities, equipment, contracts, and business structure are all part of risk identification.
You notice that a piece of equipment is not working properly, but have seen others using the piece of equipment with no problems. Which of the following would not be an approach for managing risk?
a. Avoidance
b. Transfer
c. Solve
d. Reduction
c. Solve
Explanation: The approaches to manage and reduce the identified risks are avoidance, transfer, reduction, retention, implementation, and evaluation. Anything that would fall into high risk should be avoided completely.
What should be one of the top priorities when managing your own personal training facility?
a. Protecting your intellectual property
b. Handing out marketing brochures
c. Risk management
d. Making sure all of the funding is in place
c. Risk management
Explanation: Safety and risk management should always be a primary concern for a personal trainer.
Your client has peripheral vascular disease and has been cleared by his doctor to begin an exercise program. What type of intensity should be performed during the client’s workout?
a. Jogging
b. Plyometrics
c. HIIT
d. Swimming
d. Swimming
Explanation: In order to reduce risk, a client with peripheral vascular disease should use non-impact exercise such as swimming, cycling, and other ergometer use. Activities such as walking can be performed, but should be performed with short duration and longer rest periods to improve distance.
What is the minimum amount of time aerobic exercise should last?
a. 30 minutes
b. 20 minutes
c. 45minutes
d. 10 minutes
d. 10 minutes
Explanation: According to ACSM guidelines, a person should perform aerobic activity in bouts of at least 10 minutes in length.
Your client is new to physical activity and performs each exercise as quickly as he can. What would be a proper training tempo for your client to begin within the concentric and eccentric phases of the movement?
a. 4-second concentric phase and 1-second eccentric phase
b. 2-second concentric phase and 3-second eccentric phase
c. 1-second concentric phase and 3-second eccentric phase
d. 2-second concentric phase and 2-second eccentric phase
b. 2-second concentric phase and 3-second eccentric phase
Explanation: The commonly recommended movement speed is 6 seconds per repetition. This involves a 2 to 3-second concentric phase and a 3 to 4-second eccentric phase.