Prep U ACSM EP-C Exam Practice Questions & Answers

Longitudinal Muscle - Answer A muscle that produces low force and has a high contractile rate is classified as a _________ Dorsiflexion; talus - Answer The ankle's most stable position is in ______ due to the overall shape of the ______ Moderate Risk - Answer During the pre-participation screening your client is determined to have 4 risk factors. This is considered to be: Contraindication - Answer A reason or rationale NOT to perform exercise or testing Rating of Perceived Exertion (RPE) - Answer If difficulties are encountered in calculating percentage VO2max for prescribing exercise intensity in cases of cardiac disease, the EP-C should instead consider flexion; extension - Answer A posterior pelvic tilt produces lumbar _____ and an anterior pelvic tilt produces lumbar _____ transverse plane - Answer Pronation of the radioulnar joint occurs in: Sagittal plane; flexion/extension - Answer The facet joints of the lumbar spine are oriented in the _____ which primarily allows _____ motions Supraliac - Answer Which of the following utilizes a DIAGONAL fold when assessing body composition via skinfold calipers Unable to externally rotate the shoulder joint past 60 degrees - Answer While supine, your client performs ROM on the shoulder joint. She displays tightness in the infraspinatus and teres minor. You were led to this conclusion because the client was: Cardiac Output - Answer Defined as the volume of blood being pumped by the heart in a minute Sagittal Explanation: Hyperlordosis is an exaggerated curvature of the lumbar spine that would be viewed in the sagittal plane. Pg 98 - Answer Deviations in which plane are referred to as hyperlordosis: 4 compartments of the lower limb - Answer 1. Superficial posterior compartment (i.e. posterior tibial compartment on PrepU) (gastrocnemius, soleus, plantaris) 2. Deep posterior compartment (posterior tibialis, flexor hallucis longus, flexor digitorum longus) 3. Lateral compartment -- outside of the leg (peroneus longus, peroneus brevis) 4. Anterior compartment (anterior tibialis, extensor digitorum longus, extensor hallucis longus. 1, 2, 3 are plantarflexion 4 is dorsiflexion Which of the following is MOST accurate regarding exercise testing and pregnant women? - Answer Submaximal exercise testing is more appropriate, however rarely indicated. Aerobic Exercise Training - Answer Which of the following has the greatest effect on the reduction of blood pressure Kinesiology - Answer The study of the mechanics of human movement is called: Dyslipidemia - Answer Total 200 mg/dL or HDL 40 mg/dL or LDL 130 mg/dL horizontal abduction - Answer What joint action of the shoulder is performed during a reverse cable fly or a reverse dumbbell fly extension; sagittal - Answer Concentric contraction of the triceps brachii muscle causes _____ in the _____ plane Total peripheral resistance may drop slightly - Answer During graded exercise, which of the following occurs due to large muscle vasodilation? Conduct a familiarization period of no less than two weeks. - Answer Which of the following is a recommended procedure for administering a 1-RM strength test? Narrow the base of support - Answer To manipulate the intensity and increase the challenge of balance-related training, you should: Decreased body weight - Answer For most clients, a positive effect of consistent energy deficit is: 100% fruit juice - Answer Which of the following counts as part of the fruit group: The correlation between obesity and increased chronic disease risk - Answer One of the MOST important reasons for assessment of your client's body composition is: Color your plate - Answer Which of the following is a key recommendation of the 2010 USDA dietary guidelines gluteus maximus, biceps femoris, semitendinosus, and semimembranosus (Of these 4 muscles the Prep U course only requires the gluteus maximus for the answer to this specific question, but its worth knowing all 4 of the muscles are responsible for the action of hip extension) - Answer Which of the following is responsible for hip extension: Terminate the assessment - Answer You are performing a submaximal treadmill test for your client in which you are gradually increasing the speed and grade. You observe a normal response to heart rate and blood pressure during the first several stages. During the next increase in speed and grade, you observe that SBP drops about 12 mm Hg. You should: Refrain from drinking any caffeinated beverages 30 minutes prior to the assessment. - Answer You are ready to proceed with scheduling a fitness assessment with your client tomorrow. To get the most accurate heart rate response, you instruct your client to: Arteriovenous oxygen difference - Answer Which of the following cardiac variables will increase as a result of regular aerobic training at a submaximal effort? Oriented toward the ceiling. - Answer During the supine rotational stretch, it is important to have the abdomen: Joint pain is minimal - Answer Individuals with arthritis should ideally stretch when: The MOST important reasons for maintaining collaborative relationships with health care professionals - Answer optimize client outcomes and identify risk factors Jumps in place - Answer Which of the following is MOST appropriate for a novice athlete starting plyometric training Modifying the order of exercises - Answer To accomplish progressive overload, increase the intensity and/or volume by increasing resistance, increasing the number of sets/reps exercises, or: Benefit; risk - Answer Pre-participation health screenings during initial client consultation help the EP-C to maximize ______ and minimize _______ risk What would be a good target heart rate range for a moderately trained female, age 42, with a resting heart rate of 60? - Answer 143 to 154 bpm Explanation: Moderately trained individuals may find that 70% to 80% VO2max provides a sufficient training stimulus. p. 403 1:10 - Answer What is the recommended work-to-rest ratio when performing depth jumps: lactate - Answer A proper cool-down allows the body to help remove Terminate the Assessment - Answer You are performing a submaximal treadmill test for your client in which you are gradually increasing the speed and grade. You observe a normal response to heart rate and blood pressure during the first several stages. During the next increase in speed and grade, you observe that SBP drops about 12 mm HG. You should: Plyometric training - Answer Which of the following provides ideal stress on the bone to promote adaptations in the bone: Which of the following assesses anaerobic capacity? - Answer 300-yard shuttle run Explanation: Anaerobic capacity can be assessed with 300-yard shuttlerun and the line drill. p 501 Altering rest intervals - Answer To accomplish progressive overload, increase the intensity and/or volume by increasing resistance, increasing the number of sets/reps/exercises, or: Various modes and components of exercise are safe under appropriate supervision - Answer Which of the following is TRUE regarding exercise training for children and adolescents? Delayed Onset Muscle Soreness (DOMS) - Answer A sedentary overweight or obese person should expect which of the following after training? The formation of plaque in the elastic and smooth lining of the arteries - Answer Which of the following is the mechanism of injury that leads to coronary artery disease? In a thermoneutral environment - Answer The EP-C should protect against a heat injury in the older adult by conducting exercise: The individual has well-controlled blood glucose levels - Answer The EP-C can safely work with a Type 2 diabetic patient Self-selected by the client - Answer According to goal setting theory research, the most effective type of health goals are: EP-Cs do not possess the qualifications to recommend supplements unless they have the appropriate licenses - Answer Which of the following is most accurate regarding EP-Cs recommending supplements to clients Pack your own nutrient-dense foods for the trip - Answer Good advice to your clients about diet while traveling is to: Stroke volume - Answer When exercising in heat, which of the following physiological variables tend to be lower? Myocardial ischemia - Answer A partial impairment of coronary artery blood flow will MOST likely result in: Stop the exercise, and have the client rest in a cool place - Answer During an outdoor training session, your client begins to complain about fatigue and muscle cramping. You should: Extended; flexed - Answer To fully stretch the quadriceps, the hip joint must be _____ and the knee joint ______ Half fruits and vegetables - Answer Per the USDA, the makeup of a healthful plate of food should consist of: Neuromotor - Answer Which type of exercises help improve balance, agility, proprioception, gait, and coordination for the older adult Sagittal - Answer Running takes place in predominately which plane of movement 35% - Answer Per the Centers for Disease Control and Prevention, what percentage of U.S. adults meet the ACSM recommended guidelines for regular moderate-intensity activity? Increase her metabolism with aerobic activity and progressive strength training. - Answer Your 40-year-old female client is ready to get started losing 15 pounds for the new year after being sedentary for about a year. She wants to focus on strength training as she has heard that this will help sculpt her body. You recommend that she: Increase her metabolism with aerobic activity and progressive strength training - Answer Your 40-year-old female client is ready to get starting losing 15 lbs for the new year after being sedentary for about a year. She wants to focus on strength training as she has heard that this will help sculpt her body. You recommend that she: 200 to 300 - Answer Greater amounts of physical activity are likely to be needed to achieve weight loss and prevent weight regain in adults, thus requiring _______ minutes of moderate PA per week Exercise; training - Answer A single exercise session is referred to as resistance _____ , while the combination of many consecutive sessions over time is resistance ______ Aerobic exercise on most or all days of the week, for 30 to 60 minutes, at a low intensity - Answer Which routine would be BEST for a client with hypertension? box jumps - Answer Which of the following exercises is MOST appropriate to improve lower-body power in a basketball player Stop the exercise session, and refer him to his physician - Answer During a treadmill workout at 2.5 mph, your 45 year-old male client who exercises on a regular basis starts to have abnormally uncomfortable awareness of breathing. You should: Maintain proper hydration to avoid heat injuries - Answer Which of the following is the MOST important safety consideration when working with children? Isokinetic - Answer Which of the following muscle actions controls the movement and maintains a constant speed throughout the range of motion? A one-time maximal force that may be exerted and is localized to a joint or muscle group - Answer Muscular strength is defined as: Which of the following BEST determines your client's exercise preferences? - Answer Interview the client before beginning the program When a client flexes the hips and knees from a standing position to a parallel squat, which muscles perform the eccentric action? - Answer Gluteus maximus & quadriceps Which of the following is a SMART goal? - Answer Lose 1-2 lbs per week over the next 10 weeks by following a proper diet and engaging in both aerobic and resistance training Which of the following is the MOST important rationale for a cool-down phase? - Answer Prevents blood pooling in the extremities Which type of stretch would be best for opening up the external rotators of the hips? - Answer Supine hip rotator stretch Internal and external obliques - Answer Which muscles function to rotate the lumbar spine? An ideal exercise to improve the activities of daily living for a client who has back pain would be: - Answer A squat against the wall with a stability ball behind the back The term metabolic rate is defined as: - Answer The rate at which calories are expended Shortness of breath prior to exertion - Answer Exercise should be terminated when a pregnant women shows which of the following signs or symptoms? 8 -12 reps (p.110 ACSM's Exercise Physiologist Textbook 2nd ed) - Answer A 29-year-old male has a bench press weight ratio of 1.48. What rep range would you start him with? Sarcomere (p. 93 Resources for the Exercise Physiologist 2nd ed.) - Answer Which of the following is the smallest contractile unit within a muscle? Which of the following are the alcohol consumption recommendations per the USDA dietary guidelines? - Answer Up to one drink per day for women and two drinks per day for men (p. 205 ACSM's Exercise Physiologist Textbook 2nd ed) Obtain client feedback (p. 380 ACSM's Exercise Physiologist Textbook 2nd ed) - Answer Asking the client questions such as, "Did you feel you worked out hard enough?" and "What was especially challenging today" is the best way to: More than twice the energy of a gram of carbohydrate (p. 177 Resources for the Personal Trainer 5th ed) - Answer As a source of energy fat provides: Pectoralis Major and Anterior Deltoid (p.60 Resources for the Personal Trainer 5th ed) - Answer The muscles involved in the dumbbell fly and the cable fly are: Higher body weight - Answer The negative effects of a lower metabolic rate include which of the following? Preparation - Answer The five stages of change in the trans-theoretical model include precontemplation, contemplation, maintenance, action, and: Heat - Answer Children are more prone to ______ injuries than adults 8-12 - Answer What is the ideal repetition range for an apparently healthy adult who wants to gain muscle hypertrophy? Overuse - Answer The feeling of chronic muscular fatigue is a sign of: Interview the client before beginning the program - Answer Which of the following BEST determines your client's exercise preferences? SAID (specific adaptation to imposed demands) - Answer The training principle that describes the need to swim if you want to get better at swimming, cycle to improve cycling, run to gain skill at running, is: Decrease, decrease - Answer A physiologic adaptation to aerobic conditioning in untrained individuals will result in a/an ______ in resting heart rate and a/an ______ in exercise heart rate at a submaximal effort load; volume - Answer The ______ and ______ of resistance training need to be carefully progressed to limit muscle tissue damage