TheoryACSM EP Exercise Phys Prep Study Guide
Study for the ACSM EP Exercise Phys Prep with exam topics, practice questions, a free PDF, video walkthrough and timed mock exam links.
How to study for ACSM EP Exercise Phys Prep
- Read the topic list so you know what the exam is likely to cover.
- Answer the free practice questions and read every explanation.
- Download the PDF for offline review.
- Use timed mock exams when your untimed practice feels comfortable.
Topics to review
- The core topics and terminology you'll be tested on
- Rules, standards and best-practice procedures
- Real-world scenarios and how to respond
- Common mistakes and how to avoid them
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Q1Which of the following factors would classify an athlete as requiring special monitoring during high-intensity training?
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✓ Correct answer: Significant silent ischemia
Answer: Significant silent ischemia Athletes with significant silent ischemia are at a high risk for cardiac events during high-intensity training. Silent ischemia represents heart muscle ischemia without accompanying symptoms, making it especially dangerous. Similarly to clients in general health assessments, athletes need careful screening to minimize the risk of severe cardiac events. Key factors indicating high risk include: Risk Factor Left ventricular ejection fraction < 40% Survivor of cardiac arrest or sudden death Complex ventricular dysrhythmias MI or cardiac surgery complicated by cardiogenic shock Abnormal hemodynamics with exercise Significant silent ischemia Symptoms of angina pectoris, dizziness, light-headedness, or dyspnea at low levels of exercise Maximal functional capacity of less than 5.0 METs Clinically significant depression or depressive symptoms The other options mentioned generally indicate low to normal risk and do not warrant special monitoring.
Q2During the Rockport One-Mile Walk Test, what is the recommended course setting for the walk?
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✓ Correct answer: Level course
Answer: Level course. Cardiorespiratory Fitness (CRF) can be assessed through various step tests, field tests, and submaximal VO2 prediction tests. The Rockport One-Mile Walk Test is designed to help the exercise physiologist determine VO2 max. The exercise physiologist should ensure the test is performed on a level course to maintain consistency and accuracy.
Q3When conducting the Harvard Step Test, what should the metronome be set to for male clients?
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✓ Correct answer: 96
Answer: 96 beats per minute The Harvard Step Test is designed to measure cardiovascular fitness by having participants step up and down on a platform set at a specified height. A metronome is highly recommended during this test to maintain a consistent stepping pace. For males, the metronome should be set to 96 beats per minute, whereas for females, it should be set to 88 beats per minute. Participants step up and down continuously for 5 minutes, after which the pulse rate is measured. The recovery heart rate is then used to determine the participant's fitness level. For males, the fitness index can be calculated using the following formula: $$\text{Fitness Index} (\text{FI}) = \frac{D \times 100}{2 \times HR}$$ where $$D$$ is the duration of the test in seconds and $$HR$$ is the heart rate after the test.
Q4What is the duration of the walking portion in the Rockport One-Mile Walk Test for estimating cardiorespiratory fitness in adults?
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✓ Correct answer: 1 mile
Answer: 1 mile The Rockport One-Mile Walk Test is designed to be a simple and effective way to estimate an adult's cardiorespiratory fitness. After a proper warm-up, the client is instructed to walk one mile as fast as possible while maintaining a steady pace. Their heart rate and time taken to complete the walk are measured and used to estimate VO2 max.
Q5Which muscle group is primarily involved in stabilizing the pelvis during lateral movements?
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✓ Correct answer: Gluteus medius
The Gluteus medius is primarily responsible for stabilizing the pelvis during lateral movements. It plays a crucial role in movements such as side steps and balancing on one leg. Other muscles involved in hip stabilization include: Muscle Function Tensor fasciae latae Assists in hip abduction and medial rotation Psoas major Flexes the hip and spine Rectus femoris One of the quadriceps; extends the knee and flexes the hip
Q6If a client has hypertension, they are at an increased risk for a cardiac event. Which of the following best defines hypertension?
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✓ Correct answer: Systolic blood pressure $$\geq 140$$ mm Hg or diastolic blood pressure $$\geq 90$$ mm Hg
Answer: Systolic blood pressure $$\geq 140$$ mm Hg or diastolic blood pressure $$\geq 90$$ mm Hg Hypertension is defined by elevated blood pressure readings and is a major risk factor for cardiovascular diseases. Specifically, a systolic blood pressure of $$\geq 140$$ mm Hg or a diastolic blood pressure of $$\geq 90$$ mm Hg indicates hypertension.
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