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ACSM Clinical Exercise Physiologist Exam Study Guide Solutions

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ACSM Clinical Exercise Physiologist Exam Study Guide Solutions 1 MET = - ANSWER-3.5 ml/kg/mig 1 large box - ANSWER-5mm or 0.2 seconds 1 small box - ANSWER-1mm or 0.04 sec 1 Rep Max (1RM) Procedure - ANSWER-1.) warm up with sub max reps (40-60% RM) 2.) 3-5 reps moderate wt (70-80% RM) 3.) 2 m...

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ACSM Clinical Exercise Physiologist

Exam Study Guide Solutions

1 MET = - ANSWER✔✔-3.5 ml/kg/mig

1 large box - ANSWER✔✔-5mm or 0.2 seconds

1 small box - ANSWER✔✔-1mm or 0.04 sec

1 Rep Max (1RM) Procedure - ANSWER✔✔-1.) warm up with sub max reps (40-60% RM)

2.) 3-5 reps moderate wt (70-80% RM)

3.) 2 min rest then estimated max attempt

4.) 3-5 min rest attempt with added weight until achieved in 3-5 tries

5.) once attempt failed- attempt weight between last 2

Intraventricular conduction delay - ANSWER✔✔-- wide QRS = >0.1

- refers to disturbances in the intraventricular propagation of supraventricular impulses resulting in

changes in the QRS complex either in morphology or duration, or both

- abnormal activation the ventricle cause by conduction delay

Indicators of an old MI - ANSWER✔✔-- Abnormal/significant Q waves

- 1 box wide of > 1/3 of R-wave

Absolute Contraindications to Exercise Testing - ANSWER✔✔-1. recent change in ECG

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2. unstable angina

3. uncontrolled dysrhythmia causing sxs

4. symptomatic severe AS

5. uncontrolled HF w/ sxs

6. acute PE or pulmonary infarct

7. acute myocarditis/pericarditis

8. suspected / known dissecting aneurysm

9. acute systemic infection

***Risk of testing outweigh the benefits***

Absolute indications to Terminate Exercise Testing - ANSWER✔✔-1. Drop in SBP > 10 mmHg w/ increased

workload

2. Moderately severe angina

3. Increase in Dizziness

4. signs of poor perfusion

5. technical difficulties

6. Sustained V-TAch

7. ST elevation (+1mm) in leads w/o Q waves

Blood Glucose Management with exercise - ANSWER✔✔-- Requires balance between hepatic glucose

production, peripheral glucose uptake, combined with effective insulin response

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- Continuous monitoring

- Regular PA

Dangers of BS of 250-300 mg/dl - ANSWER✔✔-- Urinary Ketones form as a result of ineffective fat

metabolism that contribute to diabetic ketoacidosis

Ideal blood glucose post Exercise - ANSWER✔✔-> 80 mg/dl

Ideal Blood Glucose before exercise - ANSWER✔✔-> 100 mg/dl

Normal BP response to Exercise - ANSWER✔✔-- Progressive increase in SBP with workload until plateau

in peak exercise

- No change or slight decrease in SP

Bi-ventricular pacemaker - ANSWER✔✔-Deliver innovative therapy- cardiac resynchronization

Used for CHF to decrease symptoms and increase function

Benefits of PA as motivation - ANSWER✔✔-- decrease mortality

- decrease risk of metabolic disease

- weight control

- decrease depression and anxiety

- increase body image and self -esteem/ efficacy

- increase ability to do ADL's

Bradychardia - ANSWER✔✔-HR < 50 BPM

Bundle Branch Block - ANSWER✔✔-- Wide QRS

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- usually result from disease in BB's or Ventricular abnormalities, drug use, or electrolyte imbalance

Chronotropic Incompetence - ANSWER✔✔-- HR fails to increase with increased workload

- achieving <85 % age predicted max HR

- achieving <62% of age predicted max HR on beta blockers

- Predictive of CAD and increased risk of mortality

EKG Changes from metabolic diseases - ANSWER✔✔-- Hypothyroidism: Decreased sinus rate

- Hyperthyroidsm: Increased sinus rate

- Obesity: Increased resting HR, BP; Increased PR, QRS, and QT intervals

- Hypothermia: J-point deflection

EKG lead placement: V1 and V2 - ANSWER✔✔-Right and Left Sternal border at the 4th intercostal space

EKG lead placement: V3 - ANSWER✔✔-Midpoint between V2 and V4

EKG Lead placement: V4 - ANSWER✔✔-Mid-clavicular line at 5th intercostal space

EKG lead placement: V5 - ANSWER✔✔-Anterior axillary line

EKG lead placement: V6 - ANSWER✔✔-Mid-axillary line, horizontal to V4 and V5

Effect of Exercise on dyslipidemia - ANSWER✔✔-- decrease triglycerides, LDL, total cholesterol

- increase HDL

- can cause angina or claudication

- increase lipoprotein enzyme activity

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