Exercise Science: Chapter 12-15

A 44 year old sedentary individual is planning on beginning a moderate intensity exercise program under the supervision of a personal trainer. They are asymptomatic and does not have any known chronic diseases. According to the ACSM preparticipation screening recommendations which of the following is most appropriate for this individual. 

Medical clearance is recommended prior to beginning an exercise program

A graded exercise test is recommended prior to beginning an exercise regimen

Medical clearance is not necessary prior to beginning an exercise program

Referral to a qualified health care provider for a complete medical examination is required prior to beginning an exercise program

• Medical clearance is recommended prior to beginning an exercise program

• A graded exercise test is recommended prior to beginning an exercise regimen

• Medical clearance is not necessary prior to beginning an exercise program

• Referral to a qualified health care provider for a complete medical examination is required prior to beginning an exercise program

Answer explanation

Your new client is a 42 year old male with a BMI of 26.3. He does not currently perform any leisure time physical activity  and has a sedentary occupation. He is a non smoker. His resting blood pressure is 136/98mmhg, his fasting blood glucose is 94, LDL cholesterol 170, HDL 45. He has no known diseases, no family history of chronic diseases, and does not report any major symptoms of disease. How many risk factors does he have for CVD?

• 1

• 2

• 3

• 4

Answer explanation

According to the updated ACSM pre participation screening recommendations for which of the following scenarios is medical clearance recommended?

• Asymptomatic individual without known cardiovascular metabolic or renal disease does not participate in regular exercise but wants to begin a low to moderate intensity exercise.

• Asymptomatic with known metabolic disease, does not participate in regular exercise, wants to begin a low to moderate intensity workout

• Asymptomatic, without known disease, exercises regularly, wants to participate with vigorous activity

• Asymptomatic, with know cardiovascular disease would like to continue participation in a regular moderate intensity exercise program

Answer explanation

The phrase assumption of risk refers to 

• Allowing a client to perform an activity or exercise that is contraindicated

• An agreement to compensate for injuries resulting from a fitness assessment

• The participant is voluntarily accepting the known dangers of exercise participation

• The responsibility one accepts for another person who is involved in high risk activity

Answer explanation

Which of the following is considered to be a controllable risk factor for cardiovascular disease?

• BMI 18.9-28.5

• Resting systolic blood pressure of less than 130

• Men over 45, women over 55

• No participation in moderate intensity activity for at least 3 months

Answer explanation

Which of the following forms is utilized to communicate the known risks and dangers associated with exercise participation?

• Health and lifestyle questionnaire

• Parq

• informed consent

• Medical clearance form

Answer explanation

Your client is 5 feet 7 inches tall and weighs 166 pounds. Based on the information provided what is the current BMI classification?

• Underweight

• Normal

• Overweight

• obese

Answer explanation

Calculate the waist to hip ratio for an individual having a waist circumference of 34 inches and hip circumference of 37 inches

• 0.83

• 1.10

• 0.92

• 0.88

Answer explanation

When measuring blood pressure the first of two or more Korotkoff sounds represents the 

• Systolic blood pressure

• Rate pressure product

• Diastolic blood pressure

• Cardiac output

Answer explanation

During the initial health screening with a new client you determine their resting heart rate to be 102. To confirm this measurement you decided to reassess the clients resting heart rate the following morning. The client is asked to refrain from caffeinated beverages and physical activity for at least 30 minutes After sitting quietly for 10 minutes the resting heart rate is 100. Based on this which is the best course of action?

• Refer the client to a more experienced personal trainer

• Encourage the client to begin a moderate intensity exercise program to help lower resting heart rate

• Encourage the client to sign up for a yoga class to help with relaxation

• Advise the client to visit their physician for additional medical evaluation

Answer explanation