Archive for February 2018

Individuals participating in a non-medically based supervised weight loss program should reduce their caloric intake by _____ kilocalories per day, and reduce their dietary fat intake to less than _____ percent of their total caloric intake.

Individuals participating in a non-medically based supervised weight loss program should reduce their caloric intake by _____ kilocalories per day, and reduce their dietary fat intake to less than _____ percent of their total caloric intake. 





A. 500 to 1000 kilocalories; 30%
B. 1250 to 1500 kilocalories; 35%
C. 1500 to 1750 kilocalories; 30%
D. 2000 to 2200 kilocalories; 40%




Answer: A

What is a warning sign of anorexia nervosa?

What is a warning sign of anorexia nervosa? 




A. Eating when depressed
B. Prefering to eat in isolation
C. Visits to the bathroom following meals
D. Frequent gains and losses in body weight



Answer: B

A client at your fitness center complains of a headache and seems disoriented appears ashen and has moist, cold skin. You know from his health history that he has Type II diabetes. Which of the following steps do you take after you call for medical assistance?

A client at your fitness center complains of a headache and seems disoriented appears ashen and has moist, cold skin. You know from his health history that he has Type II diabetes. Which of the following steps do you take after you call for medical assistance? 



A. Administer insulin.
B. Administer sugar.
C. Administer water.
D. Administer nothing... wait until emergency medical services arrive.



Answer: B

Which four extrinsic risk factors may be associated with an increased risk of musculoskeletal injury ?

Which four extrinsic risk factors may be associated with an increased risk of musculoskeletal injury ? 




A. Restricted range of motion, previous injury, adverse environmental conditions, faulty equipment
B. Adverse environmental conditions, muscle weakness and imbalance, body composition, faulty equipment
C. Excessive Load on the body, training errors, adverse environmental conditions, faulty equipment
D. Bony alignment abnormalities, joint laxity, training errors, faulty equipment



Answer: C

Which of the following recommendations would you make to your client who plans on playing tennis on a very hot and humid afternoon?

Which of the following recommendations would you make to your client who plans on playing tennis on a very hot and humid afternoon? 




A. Consume 2 - 3 salt tablets per hour.
B. Consume 2 - 3 grams of protein per kilogram of body weight.
C. Consume fluids at temperatures of 15 to 22.2 degrees Celsius (59-72 degrees Fahrenheit).
D. Consume 5 - 6 grams of carbohydrates per kilogram of body weight.



Answer: C

What is the correct spotting technique for the barbell lunge?

What is the correct spotting technique for the barbell lunge? 




A. Keep hands close to client's hips/waist or torso at all times.
B. Keep hands near the barbell.
C. Place arms underneath your client's arms.
D. Keep hands on client's hips/waist or torso at all times.



Answer: A

What is the correct spotting technique of the seated barbell shoulder press?

What is the correct spotting technique of the seated barbell shoulder press? 



A. Keep hands in an alternate grip position on the bar.
B. Wrap your arms around and underneath your client's arms.
C. Keep hands underneath your client's elbows and assist only when necessary.
D. Keep hands in an alternate grip position close to the bar, and assist only when necessary.



Answer: D

What is the correct spotting technique for the barbell flat bench press?

What is the correct spotting technique for the barbell flat bench press? 



A. Keep your hands on the client's elbows.
B. Keep both hands on the bar at all times.
C. Keep your hands close to the bar without touching it.
D. Hands held at your sides in a ready position, with your elbows flexed at a 45-degree angle.



Answer: C

What is the correct hand placement when spotting the dumbbell fly exercise?

What is the correct hand placement when spotting the dumbbell fly exercise? 




A. Close to your clients biceps without touching them.
B. Close to the dumbbells or wrists of your client without touching them.
C. Maintaining contact behind your clients elbows on the descent of the dumbbells.
D. Hands held at your sides in a ready position, with your elbows flexed at a 45-degree angle.



Answer: B

Your client is wearing a heart rate monitor while performing a 1.5 mile run to assess aerobic capacity. During the test, your client reaches 85% of her age-predicted heart rate maximum. With this information, you should _____.

Your client is wearing a heart rate monitor while performing a 1.5 mile run to assess aerobic capacity. During the test, your client reaches 85% of her age-predicted heart rate maximum. With this information, you should _____. 




A. continue the test until she reaches 100% of her age-predicted heart rate maximum
B. terminate the test for safety purposes
C. continue the test if there is otherwise no reason to believe that the client has reached aerobic capacity
D. terminate the test if you continue to observe a steady increase in heart rate with increasing workload



Answer: C

As described by the American College of Sports Medicine, proper technique during the push-up test involves _____.

As described by the American College of Sports Medicine, proper technique during the push-up test involves _____. 




A. timing the number of push-ups performed in two minutes
B. requiring both female and male subjects to use the toes as the pivotal point of movement
C. allowing a slight (20?) elbow flexion at the "top" of the movement
D. stopping the test when the subject strains forcibly



Answer: D

For the comparison of body mass index (BMI) and plethysmography body composition assessment techniques, which of the following statements is correct?

For the comparison of body mass index (BMI) and plethysmography body composition assessment techniques, which of the following statements is correct? 




A. Plethysmography is inferior to BMI because of the difficulties associated with determination of lung volume.
B. BMI is inferior to plethysmography because it does not account for lean/fat mass in its calculation.
C. Plethysmography is superior to BMI because it accounts for the hydration state of the client.
D. BMI is superior to plethysmography because its standard error of estimate for predicting percent body fat is usually lower.



Answer: B

Which of the following points should NOT be included in an Informed Consent document regarding fitness testing?

Which of the following points should NOT be included in an Informed Consent document regarding fitness testing? 



A. Statement that the patient has been given an opportunity to ask questions about procedures
B. Reminder that the client is free to stop the test at any point
C. Warning that death could result from participation
D. Identical language for both diagnostic and prescriptive tests



Answer: D

Which of the following structures are important to anterior/posterior postural observation and analysis?

Which of the following structures are important to anterior/posterior postural observation and analysis? 




A. Vertebral column for scoliosis and scapula for balance
B. Glenohumeral joint for balance and elbow/wrist for alignment
C. Vertebral column for balance and elbow/wrist for rotation
D. Glenohumeral joint for rotation and scapula for balance



Answer: A

Which of the following screening mechanisms would best optimize safety during exercise testing and aid in the development of a safe and effective exercise prescription?

Which of the following screening mechanisms would best optimize safety during exercise testing and aid in the development of a safe and effective exercise prescription? 




A. Postural analysis and bone density screening
B. Health history screening to determine risk stratification
C. PAR-Q form and prudent goal setting
D. Health history screening to identify metabolic syndrome



Answer: B

Client pre-participation screening procedures should be _____.

Client pre-participation screening procedures should be _____. 




A. valid and include fitness testing at the first meeting
B. pre-approved by a physician and cost effective
C. valid, cost effective and time efficient
D. pre-approved by a physician and include fitness testing at the first meeting



Answer: C

Which of the following is a limiting factor when using the body mass index (BMI) to determine obesity and disease risk?

Which of the following is a limiting factor when using the body mass index (BMI) to determine obesity and disease risk? 




A. Body density must be computed or estimated first.
B. Skinfold thicknesses must be measured first.
C. Fat and lean tissue weights are not differentiated.
D. Underestimates individuals with above average muscle mass.



Answer: C

Which of the following is the correct sequence of events when starting the process for exercise prescription for a new client?

Which of the following is the correct sequence of events when starting the process for exercise prescription for a new client? 




A. Obtain a medical history, have the client perform a risk factor assessment, interpret the data, prescribe exercise, give lifestyle counseling.
B. Obtain a medical history, have the client perform a risk factor assessment, administer fitness tests, interpret the data, prescribe exercise.
C. Have the client perform a risk factor assessment, obtain a medical history, administer fitness tests, prescribe exercise and interpret the data.
D. Have the client perform a fitness assessment, obtain a medical history, give lifestyle counseling, interpret the data, prescribe exercise.



Answer: B

What was the purpose of the original Borg Scale of Perceived Exertion?

What was the purpose of the original Borg Scale of Perceived Exertion? 



A. To estimate oxygen consumption during exercise
B. To determine the level of fatigue during exercise
C. To estimate systolic and diastolic blood pressure during exercise
D. To estimate subject's immediate intrinsic motivation during exercise


Answer: B

Which of the following risk factors for coronary heart disease enables you to subtract one risk factor from the total amount of positive risk factors?

Which of the following risk factors for coronary heart disease enables you to subtract one risk factor from the total amount of positive risk factors? 




A. Body Mass Index < 30 kg/m2
B. High serum HDL cholesterol > 60 mg/dl (1.6mmol/L)
C. Fasting blood glucose of < 110mg/dL (6.1 mmol/L)
D. A former cigarette smoker who stopped more than six months ago.



Answer: B

What is the anatomical reference for the waist circumference measurement?

What is the anatomical reference for the waist circumference measurement? 




A. The maximal circumference between the chest to just below the gluteal fold.
B. Two centimeters below the umbilicus.
C. Narrowest part of the torso, above the umbilicus, and below the xiphoid process.
D. At the level of the umbilicus.



Answer: C

What is the appropriate sequence for fitness testing?

What is the appropriate sequence for fitness testing? 




A. Flexibility, cardiorespiratory endurance, muscular fitness, body composition
B. Cardiorespiratory endurance, flexibility, muscular fitness, body composition
C. Body composition, cardiorespiratory endurance, muscular fitness, flexibility
D. Body composition, flexibility, cardiorespiratory endurance, muscular fitness



Answer: C

What is the difference between absolute and relative contraindication?

What is the difference between absolute and relative contraindication? 




A. Relative contraindications are acute where absolute contraindications are chronic.
B. Absolute contraindications consist of risk/benefit analysis whereas relative contraindications do not.
C. Absolute contraindications prevent the individual from participating in some testing and participation whereas relative contraindications do not allow any participation in exercise testing or prescription.
D. Absolute contraindications prevent the individual from any/all exercise testing and prescription whereas relative contraindications allow for some testing and participation.



Answer: D

Mr. Smith wishes to enroll in your exercise program. Preliminary evaluation revealed the following information:

Mr. Smith wishes to enroll in your exercise program. Preliminary evaluation revealed the following information: 

Age = 50 years Resting heart rate = 78 beats/min
Weight = 198 lb (90 kg) Resting blood pressure = 162/94 mm
H. Height = 70 inches (178 cm) Body fat = 30%
Blood chemistry:
Total cholesterol = 240 mg/dl (6.21 mmol/L)
HDL cholesterol = 34 mg/dl (0.88 mmol/L)
Triglycerides = 180 mg/dl (2.03 mmol/L)
Glucose = 98 mg/dl (5.55 mmol/L)
Family history and current habits:
Father died of heart attack at 90 years of age
Hypertensive mother died at age 84
Smokes a pipe after dinner each evening
Smokes cigarettes (25-30 per day)
Reports too much work and is struggling to meet deadlines Currently doing moderate exercise
No medications at present
According to ACSM stratification guidelines, Mr. Smith has which of the following coronary artery disease risk factors?


A. Hypertension, obesity, high total cholesterol:HDL ratio.
B. Smoking, probable diabetes, high blood pressure.
C. Smoking, high total cholesterol, aggressive type A personality.
D. Hypertension, high total cholesterol, smoking.



Answer: D

What are the most commonly used modes for cardiovascular exercise testing?

What are the most commonly used modes for cardiovascular exercise testing? 




A. Treadmill, cycle ergometer, and stair climber
B. Treadmill, cycle ergometer, and bench stepping
C. Treadmill, rowing ergometer, and bench stepping
D. Treadmill, cycle ergometer, and rowing ergometer.



Answer: B

What is the standard site for the measurement of the subscapular skinfold?

What is the standard site for the measurement of the subscapular skinfold? 




A. Directly over the inferior angle of the scapula.
B. One centimeter below the inferior angle of the scapula.
C. Five centimeters below the inferior angle of the scapula.
D. Five centimeters to the left of the inferior angle of the scapula.



Answer: B

The risk of developing a myocardial infarction increases when there is a family history of myocardial infarction or sudden death before the ages of:

The risk of developing a myocardial infarction increases when there is a family history of myocardial infarction or sudden death before the ages of: 



A. 50 years of age in a first-degree female relative; 60 years of age in a first-degree male relative
B. 50 years of age in any male relative; 60 years of age in any female relative
C. 55 years of age in a first-degree male relative; 65 years of age in a first-degree female relative
D. 55 years of age in any male relative; 65 years of age in any female relative


Answer: C

A sedentary 48 year old male with controlled hypertension has hired you to assist him with beginning a marathon training program. Which level of pre-participation screening must a certified Personal Trainer require?

A sedentary 48 year old male with controlled hypertension has hired you to assist him with beginning a marathon training program. Which level of pre-participation screening must a certified Personal Trainer require? 




A. Medical health history questionnaire only.
B. PAR-Q form would be adequate information to begin.
C. No screening is needed as he is considered low risk due to his age.
D. Medical examination performed by his physician before he begins.



Answer: D

Who should obtain a physician's clearance before starting an exercise program?

Who should obtain a physician's clearance before starting an exercise program? 




A. Every individual who is beginning an exercise program.
B. Sedentary individuals who are going to perform vigorous exercise.
C. Those who are considered low risk and perform only moderate exercise.
D. Men who are younger than 45 years of age and women who are younger than 55 years of age.



Answer: B

Your new client is a 42 year old male who is a stock broker. His health history revealed the following: total cholesterol 185 mg/dL (4.7 mmol/L) , HDL 32 mg/dL (0.8 mmol/L), LDL 110 mg/dL (2.8 mmol/L), resting blood pressure 138/80 mm Hg, waist circumference 98 centimeters. What is his initial risk stratification?

Your new client is a 42 year old male who is a stock broker. His health history revealed the following: total cholesterol 185 mg/dL (4.7 mmol/L) , HDL 32 mg/dL (0.8 mmol/L), LDL 110 mg/dL (2.8 mmol/L), resting blood pressure 138/80 mm Hg, waist circumference 98 centimeters. What is his initial risk stratification? 




A. Low risk
B. Moderate risk
C. High risk
D. Only a physician can determine this clients risk stratification



Answer: A

What does waist to hip ratio assess?

What does waist to hip ratio assess? 




A. Frame size
B. Weight relative to height
C. Distribution of body weight
D. The amount of subcutaneous fat



Answer: C

What is the initial American College of Sports Medicine risk stratification of a 57 year old female client who has a blood pressure of 150/70 mmh and a total serum cholesterol of 240 mg/dL (6.2 mmol/L)?

What is the initial American College of Sports Medicine risk stratification of a 57 year old female client who has a blood pressure of 150/70 mmh and a total serum cholesterol of 240 mg/dL (6.2 mmol/L)? 




A. No risk
B. Low risk
C. Moderate risk
D. High risk



Answer: C

Your client is telling you about his progress during the past week. You do not quite understand what the client is trying to convey. You restate what the client just told you and ask him/her if that is correct. Which of the following terms define the communication strategy described in the above scenario?

Your client is telling you about his progress during the past week. You do not quite understand what the client is trying to convey. You restate what the client just told you and ask him/her if that is correct. Which of the following terms define the communication strategy described in the above scenario? 




A. advising
B. reflecting
C. probing
D. diverting



Answer: B

Case study: After demonstrating a variety of weight training exercises to a new client, you ask if she has any questions. The client does not have any questions even though you observe her performing an exercise with improper form. After re-teaching the exercise, you should then reframe your questions to be more specific in order to __________________________.

Case study: After demonstrating a variety of weight training exercises to a new client, you ask if she has any questions. The client does not have any questions even though you observe her performing an exercise with improper form. After re-teaching the exercise, you should then reframe your questions to be more specific in order to __________________________. 




A. check for safety
B. demonstrate their mistake
C. demonstrate your knowledge
D. check for understanding



Answer: D

An individual participates regularly in his workplace fitness program because he earns a discount on his health insurance premium for doing so. For this individual, the discount is an example of ________ .

An individual participates regularly in his workplace fitness program because he earns a discount on his health insurance premium for doing so. For this individual, the discount is an example of ________ . 




A. Relapse prevention
B. Intrinsic motivation
C. Self-monitoring.
D. Extrinsic motivation



Answer: D

Stimulus control as a behavioral strategy to enhance exercise adherence can best be described as:

Stimulus control as a behavioral strategy to enhance exercise adherence can best be described as: 




A. utilizing environmental cues to remind participants to maintain their commitment to exercise.
B. establishing realistic expectations and avoiding overly pessimistic or optimistic expectations.
C. developing a behavioral contract, signed by the participant that formalizes their commitment to exercise.
D. orienting participants to the advantages and disadvantages of exercise.



Answer: A

When discussing strategies for changing physical activity habits with clients, it is usually best to:

When discussing strategies for changing physical activity habits with clients, it is usually best to: 




A. give strong and clear advice about what works based on your professional experience.
B. assist clients to formulate their own behavior change strategies based on what has worked for them before.
C. refer clients to a behavioral psychologist for expert advice.
D. emphasize knowledge of the health benefits of exercise.



Answer: B

Which of the following factors affect intensity of lower body plyometric drills?

Which of the following factors affect intensity of lower body plyometric drills? 




A. speed, height of the drill, and body weight
B. speed, range of motion, and reaction time
C. strength of the athlete, points of contact, and flexibility
D. strength of the athlete, height of the drill, and reaction time



Answer: A

General guidelines to follow when prescribing resistance training exercise to the client with arthritis include which of the following?

General guidelines to follow when prescribing resistance training exercise to the client with arthritis include which of the following? 



A. regimens with a frequency of 2-3 days per week
B. intensities that never exceed body weight
C. regimens with a frequency of no more than once per week
D. machine (as opposed to free weight) modes only



Answer: A

Which of the following statements is correct regarding the warm-up and cool-down components of the exercise training session?

Which of the following statements is correct regarding the warm-up and cool-down components of the exercise training session? 




A. Warm-up should last twice as long as cool-down.
B. Cool-down should approximate an intensity that is between 40 and 60% of VO2R
C. Warm-up need not involve cardiorespiratory activity if the conditioning phase of the exercise session involves resistance training.
D. Cool-down during the exercise session can be eliminated if at least 10 minutes of stretching is performed instead.



Answer: B

An exercise prescription for your pregnant client should include _____.

An exercise prescription for your pregnant client should include _____. 



A. exercise occurring no more than three times per week
B. avoidance of moderate intensity resistance training
C. dynamic, rhythmic activities that use the large muscle groups
D. team sports such as basketball, soccer, and racquet sports



Answer: C

With respect to the exercise prescription for children (defined as < 13 years), it can be said that _____.

With respect to the exercise prescription for children (defined as < 13 years), it can be said that _____. 




A. adult guidelines for resistance training can generally be applied
B. treadmill exercise is not a suitable mode of testing
C. exercise should be limited to 3-4 d ? wk-1
D. vigorous activity should be avoided in this population



Answer: A

Case Study: A female client expresses an interest in joining a recreational crew team. She hires you to train her to withstand the demands of the sport. You design a resistance training program that includes low reps, 4-6 sets of high intensity squats and seated row within a comprehensive resistance training program. You gradually increase her sets and load/intensity. In addition, you have included sprints and long distance swimming in her overall program plan. Which of the following training principles have you incorporated?

Case Study: A female client expresses an interest in joining a recreational crew team. She hires you to train her to withstand the demands of the sport. You design a resistance training program that includes low reps, 4-6 sets of high intensity squats and seated row within a comprehensive resistance training program. You gradually increase her sets and load/intensity. In addition, you have included sprints and long distance swimming in her overall program plan. Which of the following training principles have you incorporated? 



A. specificity, reversibility and variation
B. overload, adaptability and strength
C. specificity, overload and variation
D. overload, strength and specificity



Answer: C

Case Study: Your new client is a 38-year old female that wants to be able to participate in a 3-day charity walk. Her ultimate goal is to gradually improve her cardiovascular fitness. Which of the following exercise programs should you initially prescribe to best meet your client's needs?

Case Study: Your new client is a 38-year old female that wants to be able to participate in a 3-day charity walk. Her ultimate goal is to gradually improve her cardiovascular fitness. Which of the following exercise programs should you initially prescribe to best meet your client's needs? 




A. 3-5 days a week, 20-60 minutes in duration, 40-85% HRR
B. 3-5 days a week, progressing from 1-3 hours in duration, 60-85% HRR
C. 5-7 days a week, 20-60 minutes in duration, 35-50% HRR
D. 5-7 days a week, progressing from 1-3 hours in duration, 35-50%



Answer: A
Subscribe to: Posts (Atom)