ACSM Certified Exercise Physiologist Quiz
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Questions and Answers

What is the minimum academic requirement to become an ACSM Certified Exercise Physiologist?

A bachelor's degree in exercise science or a related filed.

Where can ACSM Certified Exercise Physiologists work?

  • Universities
  • Corporations
  • Hospitals
  • Community settings
  • All of the above (correct)

    • An ACSM-EP's role only involves conducting physical assessments.

    False

    What are the two main things ACSM-EPs are responsible for?

    <p>Conducting physical assessments and creating personalized exercise programs.</p> Signup and view all the answers

    What is the cost for the ACSM Certified Exercise Physiologist exam?

    <p>$279 - $349</p> Signup and view all the answers

    An exercise physiologist is able to work with a wider variety of individuals than a personal trainer.

    <p>True</p> Signup and view all the answers

    What is the acronym PAR-Q, in relation to exercise physiology?

    <p>Physical Activity Readiness Questionnaire.</p> Signup and view all the answers

    What is the name of the organization that provides risk stratification tools?

    <p>American College of Sports Medicine (ACSM).</p> Signup and view all the answers

    What is the estimated time for the ACSM Certified Exercise Physiologist exam?

    <p>225 Minutes</p> Signup and view all the answers

    What is the percentage of the ACSM Certified Exercise Physiologist exam that is dedicated to the Health and Fitness Assessment Domain?

    <p>35%</p> Signup and view all the answers

    What is the name of the condition that occurs when the oxygen supply to the myocardial tissue is lower than demand?

    <p>Myocardial ischemia.</p> Signup and view all the answers

    What condition is often referred to as a "heart attack"?

    <p>Acute Myocardial Infarction</p> Signup and view all the answers

    What condition is characterized by the accumulation of plaque and lesions within the arterial wall?

    <p>Atherosclerosis.</p> Signup and view all the answers

    Type 1 diabetes can be prevented.

    <p>False</p> Signup and view all the answers

    Type 2 diabetes can develop at any age.

    <p>True</p> Signup and view all the answers

    How is type 1 diabetes treated?

    <p>Insulin injections.</p> Signup and view all the answers

    What is the name of the condition that involves a loss of elasticity of the arteries that occurs throughout the lifespan?

    <p>Arteriosclerosis.</p> Signup and view all the answers

    Chronic kidney disease can only be caused by genetics.

    <p>False</p> Signup and view all the answers

    What is the term for a condition or factor that serves as a reason to withhold a certain medical treatment due to the harm that it would cause the patient?

    <p>Contraindication</p> Signup and view all the answers

    An absolute contraindication means that exercise should be avoided completely.

    <p>True</p> Signup and view all the answers

    A relative contraindication means that exercise should always be avoided.

    <p>False</p> Signup and view all the answers

    Which of the following is NOT an absolute contraindication to resistance training/testing?

    <p>Mild hypertension</p> Signup and view all the answers

    What is the term for the maximum weight that can be lifted in a single repetition?

    <p>1 Repetition Maximum (1RM).</p> Signup and view all the answers

    What is the name of the test that measures muscular endurance by having a participant perform as many repetitions as possible of a specific exercise in a set amount of time?

    <p>Maximal Repetition test.</p> Signup and view all the answers

    Which of the following is NOT a test used to assess muscular endurance?

    <p>Sit and reach test</p> Signup and view all the answers

    What is the name of the test that involves measuring the angle of a joint to assess range of motion?

    <p>Goniometry</p> Signup and view all the answers

    The Sit and Reach test is a measure of functional movement.

    <p>False</p> Signup and view all the answers

    What does the acronym FMS stand for?

    <p>Functional Movement Screen.</p> Signup and view all the answers

    Body Mass Index (BMI) is a direct measure of body composition.

    <p>False</p> Signup and view all the answers

    Which of the following assessments is considered a clinical or laboratory technique for measuring body composition?

    <p>Bioelectrical impedance analysis</p> Signup and view all the answers

    Which of the following is NOT a clinical or laboratory technique for measuring body composition?

    <p>Skinfold measurements</p> Signup and view all the answers

    A preparticipation health screening is not important for assessing clients' risk of exercise.

    <p>False</p> Signup and view all the answers

    An informed consent should not be used to ensure clients understand all factors of their involvement and participation.

    <p>False</p> Signup and view all the answers

    What is the term for the process of classifying individuals based on their level of risk during exercise?

    <p>Risk stratification</p> Signup and view all the answers

    Negligence is defined as the failure to exercise appropriate and/or ethical ruled care expected to be exercised amongst specified circumstances.

    <p>True</p> Signup and view all the answers

    Tort law does not include negligence cases.

    <p>False</p> Signup and view all the answers

    An individual's belief in their capacity to execute necessary behaviors to reach a specific goal is referred to as self-efficacy.

    <p>True</p> Signup and view all the answers

    Which stage of the transtheoretical model is characterized by an individual having no intention to be active in the next 6 months?

    <p>Precontemplation</p> Signup and view all the answers

    Which stage of the transtheoretical model is characterized by an individual intending to be regularly active in the next 30 days?

    <p>Preparation</p> Signup and view all the answers

    Cognitive changes in behavior change refer to changes in mindset, while behavioral changes refer to changes in actions.

    <p>True</p> Signup and view all the answers

    The transtheoretical model suggests that individuals in the precontemplation stage are ready to make changes.

    <p>False</p> Signup and view all the answers

    Which of the following is NOT a type of exercise that can be used to promote flexibility?

    <p>Resistance training</p> Signup and view all the answers

    Exercise is not encouraged in healthy pregnant women.

    <p>False</p> Signup and view all the answers

    It is not important to consider contraindications when designing exercise programs for pregnant women.

    <p>False</p> Signup and view all the answers

    Older adults should not engage in resistance training.

    <p>False</p> Signup and view all the answers

    Exercise is not appropriate for individuals with controlled chronic diseases.

    <p>False</p> Signup and view all the answers

    It is not necessary to monitor blood glucose levels before, during, and after exercise for individuals with diabetes.

    <p>False</p> Signup and view all the answers

    Older adults should avoid any type of cardiovascular exercise due to their age.

    <p>False</p> Signup and view all the answers

    It is not important to consider the individual's abilities, needs, and contraindications when designing exercise programs.

    <p>False</p> Signup and view all the answers

    Older adults should not perform resistance training due to their age.

    <p>False</p> Signup and view all the answers

    The FITT-VP principle is a principle that is used to improve the effectiveness of health and fitness professionals.

    <p>False</p> Signup and view all the answers

    The FITT-VP principle stands for Frequency, Intensity, Time, Type, Volume, and Progression.

    <p>True</p> Signup and view all the answers

    Exercise for individuals with asthma should be avoided.

    <p>False</p> Signup and view all the answers

    Study Notes

    ACSM Certified Exercise Physiologist

    • An exercise physiologist is a fitness professional with a bachelor's degree in exercise science.
    • They work in university, corporate, commercial, hospital, and community settings.
    • They conduct complete physical assessments and interpret results to prescribe personalized exercise programs.
    • They work with apparently healthy clients and those with medically controlled diseases.
    • Their goal is to optimize health and quality of life through safe and effective exercise and healthy lifestyle behaviors.

    Requirements

    • A last semester or graduate of an undergraduate degree in exercise science, or a related field.
    • CPR/AED certification.
    • Examination fee ranging from $279 to $349.

    Exercise Physiologist vs. Personal Trainer

    • Exercise physiologists can work with a wider variety of individuals, including clinical and special populations.
    • They assess individual health and ability to exercise before beginning a program.

    Exam Information

    • The exam is 225 minutes long.
    • It consists of 150 items.
    • 125 of the items are scored, and 25 are not scored.
    • The exam contents are divided into performance domains with varying weights: Health and Fitness Assessment (35%), Exercise Prescription and Implementation (35%), Exercise Counseling and Behavior Modification (25%), and Risk Management and Professional Responsibilities (5%).

    Pre-existing Knowledge Content

    • Applied Exercise Physiology (acute and chronic adaptations to exercise).
    • Energy systems/metabolism.
    • Muscle physiology.
    • Muscular force.
    • Joint structure.
    • Lever systems.
    • Biomechanical basics.
    • Balance and stability.
    • Pre-activity screening (PAR-Q, medical history, etc.).

    Exercise Preparticipation Health Screening

    Pathophysiology of CVD

    • CVD = cardiovascular disease.
    • Arteriosclerosis: loss of elasticity in arteries throughout life.
    • Atherosclerosis: accumulation of plaque and lesions within arterial walls.
    • Plaque buildup narrows blood vessels, reducing blood flow.
    • Reduced coronary artery blood flow causes decreased blood flow to heart muscles.
    • Reduced blood flow to heart muscles causes pain and other possible issues.
    • Myocardial ischemia: Oxygen supply to myocardial tissue is less than demand.
    • Angina pectoris: pain in chest, neck, cheeks, jaw, shoulder, upper back, and arms.
    • Acute myocardial infarction (heart attack): prolonged ischemia, leading to myocardial tissue necrosis.
    • CVD can refer to many conditions like heart disease, heart attack, stroke, heart failure, arrhythmia, and heart valve problems.

    Pathophysiology of Diabetes

    • Type 1 diabetes normally diagnosed in children or young adults; it's an autoimmune disorder.
    • Insulin is no longer produced in the body.
    • Type 2 diabetes is normally diagnosed in adults and is often due to lifestyle factors, though insulin is still produced but body is resistant to it.

    Pathophysiology of Renal Disease

    • Chronic kidney disease is a condition.
    • Includes glomeruluses and collecting tubules.

    Pathophysiology Risk Factors

    • Many diabetes and CVD risk factors are similar.
    • Risk factors identification helps to determine potential risk of both conditions or disorders.
    • Identification of these factors is crucial prior to starting an exercise program to prevent contraindications.
    • Informed consent.
    • Exercise preparticipation health screening.
    • Health history.
    • Cardiovascular (CV) risk factor analysis.

    Medical History & CV Risk Factor Analysis

    • Medical history and CV risk factor analysis are necessary for preparticipation health screening, but not solely for reducing acute risk.
    • The presence of CVD risk factors without underlying disease doesn't necessarily indicate significant exercise-related CV risk.
    • Conducting medical and CV screening aids in designing individualized exercise programs to lower associated known health risks.
    • Also critical for identifying any needs for further health or medical referrals.

    Assessing Risk Factors

    • The process of evaluating risk factors is crucial for safe exercise program prescription.

    Exercise Testing for Medical Clearance

    • ACSM no longer recommends the inclusion of exercise testing for medical clearance. This decision is now left to the qualified healthcare provider.
    • Exercise testing is not a reliable predictor of acute cardiac events in asymptomatic individuals.

    American College of Sports Medicine Preparticipation Screening Algorithm

    • The algorithm helps to identify individuals at risk for CV complications during or immediately following aerobic exercise.
    • Resistance training is growing in popularity but there is insufficient evidence to warrant formal prescreening recommendations.
    • Components of Algorithm: classifying individuals concerning participation in regular exercise; identifying individuals with known diseases, signs, or symptoms, or conditions suggestive of such; identifying desired exercise intensity.

    Signs/Symptoms

    • Signs and symptoms like chest discomfort with exertion, unreasonable breathlessness, dizziness, fainting, blackouts, ankle swelling, forceful/rapid/irregular heart rate, burning/cramping lower leg sensations, are considerations for higher risk.

    Summary

    • Preparticipation health screening is crucial to assess clients' exercise risk.
    • Informed consent is essential for client understanding of participation factors.
    • Risk stratification helps determine risk levels and appropriate exercise steps.
    • Negligence means failing to provide appropriate care.
    • Tort law involves both negligence and intentional wrongs resulting in harm.
    • Risk management must include pre-exercise screening, consent forms, contracts, incident reports, emergency plans, and insurance.
    • Program administration should consider facility requirements, budget, hiring, evaluation, promotional/marketing, and procedures.

    Strategies for Behavior Change

    • Building self-efficacy is crucial for belief in capacity to execute behaviors for performance attainments.
    • The transtheoretical model (TTM) has stages like precontemplation, contemplation, preparation, action, maintenance.
    • Cognitive or behavioral changes can occur in each stage.

    Contraindications to Exercise

    • Contraindications are conditions or factors that suggest withholding medical treatment due to potential harm.
    • Absolute contraindications mean the person should not exercise.
    • Relative contraindications mean potential for exercise, but a doctor visit is recommended first.

    Assessing Muscular Fitness

    • Standard tests include 1 RM, 3 RM, 5 RM, or 10 RM.
    • Muscular endurance is assessed by maximum reps over a time period, or how long a contraction can last.
    • Protocols for older adults include the Senior Fitness Test (SFT) – 30 sec. chair stand test (endurance) and single arm curl (strength).

    Assessing Flexibility

    • Goniometry is used to assess range of motion.
    • Sit and reach tests are used to assess flexibility.
    • Functional movement is assessed using the Functional Movement Screen (FMS).

    Assessing Body Composition

    • Body Mass Index (BMI) is a measure of body weight relative to height, crucial for evaluating weight status.
    • Other measurements can include circumference measurements (waist, hips, gluteal fold)
    • Waist-to-hip ratio (WHR).
    • Skinfold measurements provide estimates of body fat percentage.
    • Common sites for skinfold measurements include abdominal, biceps, calf, chest/pectoral, midaxillary, subscapular, suprailiac, thigh, triceps.
    • Clinical and lab techniques include bioelectrical impedance analysis (BIA) (e.g., InBody), hydrostatic weighing, Air displacement plethysmography (BodPod), dual-energy x-ray absorptiometry (DEXA), and magnetic resonance imaging (MRI).

    Weight Management

    • Weight reduction over 3–6 months should target 5–10% total weight loss.
    • Weight loss rate goals should be kept to approximately 1-2 pounds per week.
    • Weighing should occur at the same time each day for accurate measurements.
    • Combine diet and exercise for weight loss.

    Assessing Cardiorespiratory Fitness

    • Important components to understand before choosing tests include client needs, contraindications, abilities, maximal vs. submaximal intensity, clinical vs. field tests, and modality.
    • Protocols to learn about include Astrand-Ryhming and YMCA (cycle ergometer); VO2max protocols like Costil Fox (treadmill). Field tests like the 1.5 mile walk/run, 12 minute walk/run, and Rockport One-Mile Fitness Walking Test.
    • HRmax = maximal heart rate.
    • RHR = resting heart rate.
    • HRR = heart rate reserve (HRmax - RHR).
    • HRmax = 220 – age.
    • HRR = HRmax – RHR.
    • Signs of exercise intolerance can include: higher than expected HR response, SBP not accelerating or not rising at all, DBP changes, hyperventilation, muscle fatigue, dizziness/lightheadedness/incoherence, volitional fatigue, cyanosis/pallor, nausea, inability to maintain protocol or workload.
    • Test termination criteria can include: angina onset, substantial drop in SBP, excessive rise in SBP or DBP, shortness of breath/wheezing/claudication, changes in heart rhythm, subject asks to stop, severe fatigue, equipment failure.

    Exercise Programming

    • ACSM utilizes FITT-VP for exercise programming (Frequency, Intensity, Time, Type, Volume, Progression).
    • Aerobic ExRx frequency should be at least 5 days a week at moderate intensity, or 3 days a week at a high intensity.
    • Aerobic ExRx intensity should be moderate (40-60% HRR or 64-76% HRmax) or vigorous intensity (60-90% HRR or 76-96% HRmax).
    • Aerobic ExRx time should consist of at least 30-60 minutes daily at moderate intensity; 20-60 minutes daily at vigorous intensity (can alternate between moderate and vigorous).
    • Aerobic ExRx type includes continuous rhythmic activity that uses large muscle groups (for example: walking, running, swimming, and cycling).
    • Aerobic ExRx volume should be a target of 1000 kcals per week (500-1000 METs/min/wk) for moderate activity, or 150+ minutes of moderate intensity activity weekly or 75+ minutes of higher intensity activity weekly.
    • Resistance ExRx type include exercises that utilize free weights, machines, stability balls, resistance bands, bodyweight exercises, compound exercises, or isolate exercises.
    • Resistance ExRx volume refers to repetitions per set and sets per session. The recommendations are 2-4 sets of 8-12 repetitions for trained patients, and 1-2 sets of 10-15 repetitions for untrained patients.
    • Exercise progression means gradually increasing frequency, intensity, time, or resistance of exercise.

    Exercise for Special Populations

    • Pregnancy: Exercise is generally encouraged for healthy pregnant women, as it can provide health/fitness benefits for both mother and child. Certain considerations exist (absolute and relative contraindications).
    • Children and adolescents: Exercise programming should take developmental appropriateness into account.
    • Older adults: Exercise program recommendations should be made in view of possible musculoskeletal or cardiovascular concerns/limitations.
    • Exercise in controlled chronic diseases should be tailored to each individual's disease or condition, including contraindications and limitations imposed by the condition.

    Exercise for Specific Conditions

    • CVD: Pre-exercise assessments (ECG, blood pressure, body weight, heart rate, symptoms, and medication compliance) at each session are crucial. Exercise recommendations should include light to moderate intensity aerobic exercise and rhythmic activities using large muscle groups.
    • Arthritis: 3–5 days a week for aerobic activity, 2–3 days for resistance exercises and daily flexibility exercises. Tailor to individual pain levels. Use low-impact/low stress activities or isometric approaches for affected joints initially, then increase to dynamic movements.
    • Diabetes: Monitor blood glucose levels carefully, have someone else present, use caution regarding extreme temperatures, and have access to carbohydrates/sugar.
    • Dyslipidemia: Achieve high caloric expenditure using aerobic activities using large muscle groups.

    Summary

    • ACSM-certified exercise physiologists evaluate and program exercise for various populations, including healthy individuals and those with specific health conditions.
    • Individualized exercise programming is needed to account for different special considerations given for each unique population group and to avoid contraindications.

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    ACSM Certified Exercise Physiologist PDF

    Description

    Test your knowledge on the role of an ACSM Certified Exercise Physiologist. This quiz covers educational requirements, certification details, and the differences between exercise physiologists and personal trainers. Perfect for aspiring fitness professionals or those interested in exercise science.

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