PrepU Q's Flashcards
Which energy system is predominantly utilized for a 100- meter sprint?
Creatine phosphate
The AHA/ACSM health / fitness facility Preparticipation screening questionnaire assessed health status by evaluating:
Cardiovascular risk factors
What is a common risk factor that is associated with exercise?
Injuries at the knee or foot
Anatomical position of the human body is when the body is…
Erect Feet together Upper limbs positioned at the side of the body Palms of the hands facing forward Thumbs facing away from the body Fingers extended
Best description of shoulder impingement?
Compression of the tendons in the subacromial space with shoulder joint motion
What should be avoided in hypertensive clients?
Isometric ( static) muscle contractions
What is associated with a higher risk of cardio metabolic disease?
Android obesity
What form discusses the risks and benefits of performing assessments and exercise?
Informed consent
A self guided screening questionnaire that focuses on symptoms of HEART DISEASE and MUSCULOSKELETAL PROBLEMS needing evaluation before beginning any exercise program is:
Physical Activity Readiness Questionnaire
PAR-Q+
What is a symptom suggestive of pulmonary disease?
Shortness of breath after quickly crossing the street in a residential area
What is a positive risk factor?
Regular exposure to tobacco smoke
The 3 primary systems of the body that are activated and affected by stress include the CARDIOVASCULAR, ENDOCRINE , and:
Immune system
Clients who learn to become intrinsically motivated to exercise do so for what reason?
They feel better when they do so
In active listening, repeating what was heard back to the speaker ensures:
The message was interpreted accurately
A client that hangs an exercise adherence calendar in a prominent spot is demonstrating:
Stimulus control
Sending a reminder of a training session via email to your client may help with:
Avoiding relapse
What will increase the likelihood that a new client will continue working with the EP-C?
Designing a program that is productive and enjoyable
What is an example of appraisal support?
A spouse who praises your client on the progress that has been made
A distinct advantage of using free weights versus machines is that they:
Promote kinesthetic awareness
Some of the most important work of the EP-C is establishing RAPPORT, CREATING A COMFORTABLE ENVIRONMENT, and:
Inspiring client motivation
What is an accurate statement regarding risk classification?
Recommended reflects the notion that a medical examination, exercise test , and physician supervision is recommended in the preparticipation health screening process
You observe an exaggerated outward curve of the thoracic spine. This postural deviation is known as:
Kyphosis
What best describes the scapular or scaption plane?
30 degrees anterior to the frontal plane
Movement toward the midline in the transverse plane describes what term?
Horizontal adduction
A certified exercise physiologist may begin immediately training what type of client?
A 42 year old female client who has lumbar lordosis
Explanation: this client is not at any risk threshold for age or health condition. Thus training,ay begin immediately without medical clearance
Your new client is ready to start training next week. You provide her with a service introduction packet which must include, at minimum, what forms?
1) Health/ medical history evaluation
2) Medical clearance form
3) Informed consent
These forms must be completed prior to training
What is the recommended facility policy and procedure regarding an automated external defibrillator ( AED)?
Rehearse the use of the AED regularly
What is a benefit of acclimatization of exercise to a cold environment?
Maintenance of hand and foot temperature
After assessing blood pressure in both arms, you notice the reading is much higher in one arm. You should:
Use the higher pressure
Explanation: the higher pressure should be used when there is consistent interarm difference
To minimize error in assessing blood pressure, the client must :
Refrain from smoking cigarettes or ingesting caffeine for at least 30 min preceding the measurement
To maximize safety and effectiveness in exercise programming, facility managers should:
Ensure that members receive a formal and comprehensive orientation
The pain the occurs in muscles with inadequate blood supply because they are stressed by exercise is referred to as:
Intermittent claudication
Explanation: usually results from atherosclerosis
A characteristic sign of heart failure or bilateral chronic venous insufficiency is:
Bilateral ankle edema
Explanation: most evident at night
What is a critical aspect of proper risk management?
Documentation
Explanation: EP-C should maintain accurate records of a clients responses to
1) testing and training
2) changes in reported health status
3) and how these are communicated to appropriate health care providers
The exercise impact of the use of digitalis by clients with congestive heart failure is:
Increased exercise capacity
Explanation: typically increases capacity in the CHF ( congestive heart failure) patient
The relationship between physical activity and risk of developing cardiovascular disease can be best described as:
A dose response relationship
Explanation: as greater levels of PA were associated with reduced risks of developing CVD
One of the most Important components of physical activity behavior change in social cognitive theory is :
Self efficacy
The science that applies the study of forces to living organisms is:
Biomechanics
Certified exercise physiologists gear workouts to address client concerns. Education is an important component in order to:
Make sessions more meaningful for clients
Explanation: most clients have a specific area of concern
Clients will have an understanding of their risk factors based on what theory of behavior change?
Health belief model
What is a component of a well stated goal that will help ensure program satisfaction?
Time bound (t)
Explanation: use the smart goal approach for effective goal setting
Smart Measurable Attainable Realistic Time bound
Progressive muscle relaxation involves tensing and relaxing key muscle groups in order to:
Reduce muscle tension and anxiety
ACSM risk classification defines moderate exercise as:
40% to less than 60% Vo2R
What theory of behavior change places a great emphasis on the clients thoughts and feelings?
Social cognitive theory
Explanation: clients who believe they can perform a prescribed exercise program, meet goals, or overcome challenges have higher levels of self efficacy and outcome expectations
Your new youth client, age 11, doesn’t meet the required minimum level of cardiovascular exercise. The best way to proceed is:
Gradually increase activity intensity and duration until minimum levels are achieved
The ability to achieve stability through change is referred to as:
Allostasis
In stress management research, the acronym GAS refers to:
General adaptation syndrome
Explanation: was coined to describe the stereotypical response pattern of stress
Providing a client physical, adjustment during a stretch supports what learning mode?
Kinesthetic
Explanation: kinesthetic learners are most successful when engaged with movement and physical experience
Public relations ,as opposed to advertising , communicates information to potential customers;
At a more emotional level
What is an example of a SMART goal?
Walk the dog twice a day, for at least 15 mins, for 2 weeks
One of the ways therapeutic massage aids in stress management is by:
Slowing secretion of stress hormones
What is an example of an appropriate cue for correcting a client on exercise technique?
“ well done. Now check your knee alignment.”
Explanation: phrase all cues positively
What is a normal response to acute bout of cardio respiratory exercise?
Increase in systolic pressure
What is the maximum number of consecutive rest days between exercise sessions for diabetic clients?
2
Explanation: acsm recommends 3-7 days per week of exercise of aerobic activity for diabetics because of the relatively brief exercise induced Improvements in insulin action
Good advice to your clients about diet while traveling is to:
Pack your own nutrient dense foods for the trip
Proper hydration during exercise ensures:
Improved cardiac output
Explanation: optimal hydration also includes improvement in cardiac stoke volume as well
Based on the USDA 2010 Dietary Guidlines for Americans, Myplate recommends how much of your plate should be fruits and veg at each meal?
Half
Consider the following program:
Perform a total of 6 exercises, 1 from each of the following areas: hips & legs, chest,back, shoulders, low back, abdominals
1-2 sets
8-12 reps
2-3 times per week
What level client is best suited for this program?
Beginner
Explanation: given the lower overall volume is ideal for a beginner
What does the 1RM bench press assess?
Strength of the muscles involved in arm extension
Explanation: best weightlifting test for predicting total dynamic strength is the 1RM bench press
What is the recommend repetition range for a healthy older adult?
10-15
Explanation: allows for strength gains without putting 2 much load on the body
What is the primary advantage of the increase in blood volume that results from chronic aerobic exercise?
Enhanced oxygen delivery to working muscles
Your client has been performing cardiovascular exercise for 30 to 60 min, 3 times per week. During your 3 month assessment you would expect her submaximal heart rate to:
Decrease by 10% (overtime )
What is the most commonly used over the counter drug for individuals with cardiovascular disease?
Aspirin
Explanation: does not pose any concerns for exercise prescription
Healthy weight loss of 1 to 2lbs per week is the appropriate weight loss recommendation for clients. This would equate to a daily calorie reduction of:
500- 1000 calories
Chronic stress impacts the cardiovascular system and has been associated with enlarged hearts and:
Hypertension
Explanation: unresolved chronic stress profoundly affects the heart, blood vessels and blood composition
In the self determination theory of behavior change intrinsic motivation refers to
Inherent willingness to engage in physical activity
It is important To use theories and models for physical activity because
They help provide understanding of health behavior adoption and maintenance
What cardio respiratory variable requires the most attention during the early stages of an exercise program
Intensity
Explanation: because intensity can make for a positive or negative exercise experience , as well as an effective or ineffective training session, it must be appropriately based on the person’s assessments and fitness levels
Exercise prescription para meters for clients with osteoporosis include which respective recommendations for frequency, intensity, and duration?
3 to 5 days, 40 to 59% VO2Max, for 30 to 60 minutes
Child athletes tend to be at greater risk of developing serious heat illness because
Young athletes have fewer sweat glands and produce less sweat per gland
Your client notices that he is able to perform several resistance exercises with more weight and a few more repetitions after the first two weeks of training. Which of the following best explains these training effects?
Neural adaptations
Explanation: part of the strength gain resulting from strength training is attributed to changes in the nervous system. This is especially true during the early stages of strength training
What principle can help reduce the risk of over training?
Periodization
Explanation: It is a phasic manipulation of the training variables volume, intensity, frequency, and rest intervals as a means of optimizing desired physiological outcomes while concurrently reducing the incidence of over training
The most common way to assess the perception of chronic stress level is by use of the
Perceived stress scale ( it is the 10 item questionnaire)
The 2007 update to an ACSM/CDC recommendation for activity focused on the frequency recommendation; instead of “most, preferably all, days of the week,” The update was changed to
Five days each week
What is the most influential source of self efficacy
?
Past performance experience
A client is exercising once a week and slowly increases to twice a week over the course of a month. This is consistent with which theory of behavior change?
Small change model
Explanation: promotes positive behavior changes and maintenance
Your client is having difficulty performing a strength exercise after you have demonstrated and provided verbal cues. You decide to demonstrate what he is doing and then contrast with the proper technique. He immediately perform the exercise correctly. Based on this, you should focus on teaching the client exercise primarily through
Visual cues
Explanation: very effective for clients who are having difficulty with proper positioning
What is true regarding obesity?
Obesity is associated with several comorbidities
Explanation: Comorbidities include …
Insulin resistance
Decreased growth hormone
Increased cholesterol synthesis & excretion
Increased incidence of all cause mortality