ACSM Clinical Exercise Physiologist Exam Already Passed

ACSM Clinical Exercise Physiologist Exam Already Passed Factors for a valid VO2 Max? RER 1.1 Lactate 8mmol/L RPE18 Plateu in VO2 HR @ age predicted max Drug has half life of 4 hours. IF given 1000mg, what concentration is left after 12 hours. 125mg Can HR max be changed with training? NO How many factors must we see for Valid Vo2 max test? 3 RER vs RQ RER: co2 expired/ o2 consumed at mouth RQ: Co2 produced by cell metabolism/ o2 used by tissues What variable caueses VO2 max to increase with training? Stroke volume because heart gets bigger (NOT MAX HR) Lactates main job is to _______________ and does not cause buffer Ph, muscle fatigue Client DOES NOT regularly exercise, when do they need clearance? - Have a chronic disease - Have a chronic disease and S/S Client DOES regularly exercise, when do they need clearance? Only if they have S/S Acute EXSC affect on leukocytes? INC concentration Gold std for diagnosing cardiac issues Cardiac catheterization ST segment elevation vs depression Elevation: Myocardial infarction Depression: ischemia 2 cases when you should not do a regular exsc stress test: - Client uses Beta Agonist - Client uses dipyridamole (a vasodilator) What BP level contraindicated during exsc test 250/115 Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? VERY slow to return to resting levels Primary cause of type 2! diabetes? Inflammation S/S of diabetes mellitus: Polydipsia (thirst) Polyuria (urination) Polyphagia (hunger) Which diabetic medications is contraindicated for exercise? Insulin (if exercising at peak insulin effect) When programming EXSC for clinical population, what variables should be progressed first? Frequency, then duration, then intensity *When adjusting intensity, duration should be dropped back to baseline Primary cause of obesity Hypercaloric Diet Obesity BMI classifications 30 = OBESE 30-34=mild 34-39=moderate 40=morbid waist circumference 40 Males 35 Females INCREASED RISK What type of adiposity is most inflammatory? Central (visceral) adiposity Most effective method for losing weight? Surgical intervention NIH's weight loss goal for obese individuals (what is clinically significant) 5-10% What is exercises effect on weight loss? LITTLE TO NONE! BMI qualifications for pharmacotherapy/surgery Pharma: BMI 27 w/comorbidities BMI 30 Surgery: BMI35-39 w/comorbidities BMI40