ACSM Clinical Exercise Physiologist Exam 2022 with complete solution

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ACSM Clinical Exercise Physiologist Exam 2022 with complete solution Factors for a valid VO2 Max? -Answer- RER > 1.1 Lactate >8mmol/L RPE>18 Plateu in VO2 HR @ age predicted max Drug has half life of 4 hours. IF given 1000mg, what concentration is left after 12 hours. -Answer- 125mg Can HR max be changed with training? -Answer- NO How many factors must we see for Valid Vo2 max test? -Answer- 3 RER vs RQ -Answer- 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? -Answer- Stroke volume because heart gets bigger (NOT MAX HR) Lactates main job is to _______________ and does not cause -Answer- buffer Ph, muscle fatigue Client DOES NOT regularly exercise, when do they need clearance? -Answer- - Have a chronic disease - Have a chronic disease and S/S Client DOES regularly exercise, when do they need clearance? -Answer- Only if they have S/S Acute EXSC affect on leukocytes? -Answer- INC concentration Gold std for diagnosing cardiac issues -Answer- Cardiac catheterization ST segment elevation vs depression -Answer- Elevation: Myocardial infarction Depression: ischemia 2 cases when you should not do a regular exsc stress test: -Answer- - Client uses Beta Agonist - Client uses dipyridamole (a vasodilator) What BP level contraindicated during exsc test -Answer- 250/115 Patient w/ CAD will exhibit what symptom relating to HR and BP after EXSC? -Answer- VERY slow to return to resting levels Primary cause of type 2! diabetes? -Answer- Inflammation S/S of diabetes mellitus: -Answer- Polydipsia (thirst) Polyuria (urination) Polyphagia (hunger) Which diabetic medications is contraindicated for exercise? -Answer- Insulin (if exercising at peak insulin effect) When programming EXSC for clinical population, what variables should be progressed first? -Answer- Frequency, then duration, then intensity *When adjusting intensity, duration should be dropped back to baseline Primary cause of obesity -Answer- Hypercaloric Diet Obesity BMI classifications -Answer- >30 = OBESE 30-34=mild 34-39=moderate >40=morbid waist circumference -Answer- > 40 Males >35 Females INCREASED RISK What type of adiposity is most inflammatory? -Answer- Central (visceral) adiposity Most effective method for losing weight? -Answer- Surgical intervention NIH's weight loss goal for obese individuals (what is clinically significant) -Answer- 5-10% What is exercises effect on weight loss? -Answer- LITTLE TO NONE! BMI qualifications for pharmacotherapy/surgery -Answer- Pharma: BMI >27 w/comorbidities BMI >30 Surgery: BMI>35-39 w/comorbidities BMI>40 Average weight loss with bariatric surgery? -Answer- 25% BP classifications -Answer- Normal: 120/80 Elevated: 120-129/80 St 1 Hypertension: 130-139/80-89 St 2 Hypertension: >140/>90 Which physiological variable has greatest impact on BP? -Answer- Blood vessel radius Atherosclerosis vs. Arteriosclerosis -Answer- Athero: Thickening (Via damage to media of BV being patched by LDL cholesterol)

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