ACSM CPT. TEST BANK. EXAM QUESTIONS w/ ANSWERS. Latest Update, Exam predictor.

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ACSM CPT. TEST BANK. EXAM QUESTIONS w/ ANSWERS. Latest Update, Exam predictor. Which of the following forms may be used if a Health/Medical History Evaluation form is not readily available? a) ... Personal-Trainer Client Agreement b) PAR-Q c) Informed Consent d) Health Fitness Assessment - ✔✔b Which of the following statements is the MOST accurate regarding strength training in the lumbo-pelvic region? a) Supine double leg raises should be avoided, but prone double leg raises are beneficial for clients who have low-back pain. b) Full ROM spinal movements with an external load are best performed shortly after rising from bed. c) Pelvic stabilization forces the lumbar muscles to be the primary trunk extensors, thereby providing the overload stimulus for strengthening. d) Low-back exercises have the most beneficial effect when in the transverse plane. - ✔✔c Movement resulting in an increase of the joint angle, usually moving posteriorly in the sagittal plane is called __________. a) Rotation b) Extension c) Abduction d) Flexion - ✔✔b Scoliosis is defined as: a) Posterior deviation of the spine. b) Medial deviation of the spine. c) A combination of kyphosis and lordosis. d) Lateral deviation of the spine. - ✔✔d For men, a 3-site skinfold assessment is taken on the ________ side of the body at the ________. a) Left; triceps, suprailium, and thigh b) Left; chest, abdomen, and thigh c) Right; chest, abdomen, and thigh d) Right; triceps, suprailium, and thigh - ✔✔c The most common manifestation of muscle injury is ________. a) Hyperplasia b) Hypertrophy c) Dyspnea d) Delayed onset muscle soreness - ✔✔d Which of the following is a sign or symptom suggestive of cardiovascular disease? a) Discomfort in the neck and jaw after carrying a heavy suitcase for a several minutes b) Shortness of breath after climbing several flights of stairs c) Dull pain in the low back while touching the toes d) Dizziness after quickly moving from a lying to standing position - ✔✔a Which of the following is a chronic benefit of regular cardiovascular exercise? a) Decreased capillary density in skeletal muscle b) Increased heart rate and blood pressure at a given submaximal intensity c) Decreased maximal oxygen uptake resulting from both central and peripheral adaptations d) Increased exercise threshold for the onset of disease signs and symptoms - ✔✔d Your client has been performing cardiovascular exercise for 30 to 60 minutes, 3 times per week. During your 3 month assessment you would expect her submaximal heart rate to: a) Decrease by 10% b) Stay the same c) Increase by 10% d) Decrease by 50% - ✔✔a Which of the following is an example of a short bone? a) Tarsal b) Ulna c) Sphenoid d) Ethnoid - ✔✔a Which of the following is the MOST important rationale for a cool-down phase? a) Prevents blood glucose levels from dropping below pre-exercise levels b) Minimizes muscle adhesions and post-exercise soreness c) Elevates plasma levels of β-endorphins d) Prevents blood pooling in the extremities - ✔✔d The intensity of work is represented by ________, amount of force is represented by ________, and displacement is represented by ________. a) Torque; velocity of motion; acceleration of motion b) Torque; acceleration; exercise selected c) RPE; resistance; exercise selected d) RPE; resistance; ROM - ✔✔d What muscle group is strengthened when a client performs side-lying leg lifts? a) Internal rotation b) Adductors c) External rotation d) Abductors - ✔✔d Your client notices that he is able to perform several resistance exercises with more weight and a few more repetitions after the first two weeks of training. Which of the following BEST explains these training effects? a) Muscle capillary density b) Aerobic enzyme changes c) Anaerobic enzyme changes d) Neural adaptations - ✔✔d Which sport is performed primarily in the aerobic-oxidation system? a) 100-meter swim b) Cycling c) Gymnastics d) 200- to 440-meter dash - ✔✔b A client who states that he or she can participate confidently in an exercise program: a) Has good self-efficacy related to exercise. b) Is intrinsically motivated. c) Has very strong self-esteem. d) Is in the contemplation stage of behavior change. - ✔✔a A heart murmur that is clinically significant may be indicative of: a) Anemia. b) Hypertension. c) Valvular heart disease. d) Shortness of breath. - ✔✔c Which of the following does NOT require an exercise test or a medical supervised test? a) An individual with renal disease wishing to participate in moderate-intensity exercise b) An individual with metabolic disease wishing to participate in moderate-intensity exercise c) An individual with two risk factors wishing to participate in vigorous-intensity exercise d) An individual with two risk factors wishing to participate in moderate-intensity exercise - ✔✔d Intermittent claudication refers to: a) Pedal pulse pressures that vacillate between strong and weak. b) A constant pain that is felt in the anterior compartment of the lower leg. c) Pain that occurs in the lower extremities during walking and disappears after stopping. d) Fluid buildup around the ankle joints during weight bearing. - ✔✔c Which of the following muscles are involved in protraction of the scapulothoracic joint? a) Rhomboids and serratus anterior b) Trapezius and pectoralis minor c) Serratus anterior and pectoralis minor d) Trapezius and rhomboids - ✔✔c In which environmental condition is it MOST important to replace body fluids?? a) Exercising in both heat and cold b) Exercising in humidity c) Exercising in heat d) Exercising in the cold - ✔✔c Which document acknowledges an "assumption of risk" with regard to the participation in physical activity? a) Liability waiver b) Informed Consent c) Medical Release d) Behavioral Contract - ✔✔b Palpitations are BEST defined as: a) A slowing down of heart rate that occurs during cool down. b) A sudden increase of heart rate during exertion. c) A heart rate that exceeds 100 beats per minute. d) An uncomfortable rhythm of heart beats or forceful heart beats. - ✔✔d The muscles involved in a dumbbell fly and cable fly are the: a) Latissimus dorsi and teres major b) Pectoralis major and anterior deltoid c) Anterior deltoid and latissimus dorsi d) Teres major and pectoralis major - ✔✔b The volume of blood pumped by the heart in liters per minute is defined as__________. a) Cardiac output b) Diastolic blood pressure c) Systolic blood pressure d) Stroke volume - ✔✔a To build a successful client relationship, you should: a) Use a client-centered approach. b) Offer excellent customer service and hospitality. c) Provide unsolicited advice for motivation. d) Demonstrate your knowledge and professionalism frequently. - ✔✔a What is a potential outcome of maintaining a professional presence and disposition when training clients? a) Staff will be more willing to refer potential clients to you. b) Staff will be more willing to ask for feedback regarding training. c) Earnings may increase as clients and managers see the value of your skills. d) Maintaining a professional presence may also help generate clients, as this is also a form of advertising. - ✔✔d The following statement is a definition of ________: As the body adapts to a given stimulus, an increase in the stimulus is required for further adaptations and improvements. a) Progressive overload b) Specificity of training c) Law of attraction d) SAID Principle - ✔✔a Because of recent death in his family, a client begins to consider beginning an exercise program. This is known as: a) Action. b) Contemplation. c) Preparation. d) Precontemplation. - ✔✔b Which rotator cuff muscle internally rotates the shoulder joint? a) Subscapularis b) Supraspinatus c) Supraspinatus d) Teres minor - ✔✔a Which of the following is/are a resilient, semi-rigid form of connective tissue that reduces the friction and absorbs some of the shock in synovial joints? a) Fascia b) Ligaments c) Tendons d) Cartilage - ✔✔d Which of the following is a symptom suggestive of pulmonary disease? a) Tightness in the ankles that occur after walking several blocks b) General feeling of fatigue after walking the dog c) An increase in heart rate with an increase in walking intensity d) Shortness of breath after quickly crossing the street in a residential area - ✔✔d A low to high diagonal chop using a medicine ball takes place in: a) The frontal plane. b) The sagittal plane. c) Multiple planes. d) The transverse plane. - ✔✔c Which group of muscles function to extend the hip joint? a) Gluteus medius and hamstrings b) Piriformis and gluteus maximus c) Gluteus maxmimus and hamstrings d) Gluteus maximus and gluteus medius - ✔✔c Running is done predominately in what plane of movement? a) Sagittal b) Horizontal c) Transverse d) Frontal - ✔✔a Marti is performing unilateral standing calf raises with a dumbbell held in the ipsilateral hand. You cue her to stand up tall and lean back slightly while performing the exercise to ________ and make the exercise ________, thereby increasing efficiency. a) Lengthen the lever arm; more difficult b) Shorten the lever arm; more difficult c) Lengthen the lever arm; easier d) Shorten the lever arm; easier - ✔✔a Which of the following is MOST accurate regarding Goal Setting Theory? a) Goals actually provide little intrinsic and extrinsic motivation b) Goals provide guidance to trainers on the type of expert guidance required c) Goals bring focus and energy toward the desired behavior d) Goals become secondary to the process of reaching them - ✔✔c Your client is a 30-year-old male who has not been active in the last few months. He has completed all the forms, and you observe that he does not have any risk factors. He reports that he experienced some shortness of breath while playing a pick-up basketball game this weekend, something he hasn't done in a year. You should: a) Require that he undergo fitness assessments with medical supervision. b) Ask him to obtain medical clearance before you begin training. c) Perform the appropriate assessments and plan on an exercise program that gradually increases in intensity. d) Refer him to a respiratory therapist for testing and exercise guidelines. - ✔✔c Ron is training for leg muscle hypertrophy on the squat. He believes that by utilizing an explosive, rapid repetition speed he will increase the amount of work he is doing and thus "overload his quads better." He wants to know if his rationale is correct. Which of the following is the MOST accurate response? a) He is incorrect in his approach and rationale, as he should be training using a constant repetition speed to maximize muscle work. b) He is incorrect in his approach and rationale, as he is using too much momentum in his training and should maximize acceleration in order to maximize work. c) He is correct in his rationale and should try to increase his repetition speed. d) He should continue to train using a rapid lifting technique to attain his goal, but his rationale is incorrect as he is increasing torque, not work. - ✔✔a Which of the following decreases efficiency during resistance training? a) Acceleration torque production b) Mechanical disadvantage c) Biomechanical angle velocity d) Torsional maximization - ✔✔b Clients will have an understanding of their risk factors based on what theory of behavior change? a) Theory of planned behavior b) Transtheoretical model of change c) Social cognitive theory d) Health belief model - ✔✔d Respectively, lateral flexion and axial rotation are produced by which of the following muscles during unilateral contraction? a) Piriformis; semispinalis b) Iliopsoas; erector spinae c) Erector spinae; multifidus d) Rectus abdominis; mid-trapezius - ✔✔c Exchange of blood gases and other nutrients within various tissues occur in the ____________. a) Veins b) Arteries c) Capillaries d) Arterioles - ✔✔c To fully stretch the quadriceps, the hip joint must be ________ and the knee joint ________. a) flexed; flexed b) flexed; extended c) extended; flexed d) extended; extended - ✔✔c Which joint movement occurs in the transverse plane? a) Abduction b) Internal rotation c) Adduction d) Flexion - ✔✔b Which of the following assesses the number of pros and cons perceived about adopting and maintaining an activity? a) Process of change b) Decisional balance c) Operant conditioning d) Self-efficacy - ✔✔b A lumbar vertebrae is an example of a ________ bone. a) Short b) Flat c) Sesamoid d) Irregular - ✔✔d A Personal Trainer-Client Agreement must include which of the following policies that also assists with motivation? a) Duration b) Scheduling c) No-show d) On-time - ✔✔c Which of the following muscles exerts an upward pull on the posterior surfaces of the pelvis resulting in a neutral pelvic position? a) Hip flexors b) Erector spinae c) Hamstrings d) Rectus abdominis - ✔✔b Performing a squat with a board placed under the heels results in which of the following? a) Lengthened gastrocnemius and soleus b) Assists in establishing neutral spine c) Increased force requirements of the quadriceps d) Minimized patellofemoral joint forces - ✔✔c The volume of blood pumped by the heart in liters per minute is defined as__________. a) Stroke volume b) Diastolic blood pressure c) Cardiac output d) Systolic blood pressure - ✔✔c Which of the following BEST fosters exercise adherence and progression toward the client's goal? a) Helping clients focus on never missing a session b) Setting several progressive goals on a weekly basis c) Setting a few attainable short-term goals d) Keeping clients focused on their primary long-term goals - ✔✔c Which of the following is a negative risk factor? a) Body mass index >30 b) Blood pressure 135/80 mm Hg c) Women >45 years d) High-density lipoprotein 60 mg·dL-1 - ✔✔d During the concentric phase of extension at the knee joint, the ________ work as an agonist and the ________ work as the antagonist. a) Gastrocnemius, iliopsoas b) Quadriceps, hamstrings c) Hamstrings, quadriceps d) Iliopsoas, gastrocnemius - ✔✔b The quadruped (birddog) exercise functions to strengthen which of the following muscles? a) Transverse abdominis and quadratus lumborum b) Multifidus and erector spinae c) Rectus abdominis and obliques d) Latissimus dorsi and teres major - ✔✔b Which of the following common characteristics are reported by those experiencing symptoms consistent with coronary artery disease? a) "Heaviness" b) "Beating" c) "Pounding" d) "Light-headed" - ✔✔a Which of the following is the MOST important rationale for a cool-down phase? a) Elevates plasma levels of β-endorphins b) Minimizes muscle adhesions and post-exercise soreness c) Prevents blood glucose levels from dropping below pre-exercise levels d) Prevents blood pooling in the extremities - ✔✔d Which of the following provides for an ideal stress on the bone to promote positive adapations in the bone? a) Plyometric training b) Swimming c) Indoor cycling d) Indoor rowing - ✔✔a Which of the following is not a chronic benefit of regular cardiovascular exercise? a) Decreased exercise threshold for the onset of disease signs and symptoms b) Decreased heart rate and blood pressure at a given submaximal intensity c) Increased maximal oxygen uptake resulting from both central and peripheral adaptations d) Increased capillary density in skeletal muscle - ✔✔a Ankle edema may be indicative of which of the following? a) Congestive heart failure b) Claudication c) Anterior compartment syndrome d) Posterior compartment syndrome - ✔✔a Which movement occurs in the frontal plane? a) Extension at the hip b) Elevation of the of the scapula c) Supination at the wrist d) Flexion at the elbow - ✔✔b Which of the following indicates that a client-centered approach is being used? a) The client is talking more than the Personal Trainer. b) The Personal Trainer is helping the client make connections between risk factors and health. c) The client is speaking at a normal pace. d) The Personal Trainer is asking closed-end questions. - ✔✔a During the initial client-contact process, you find that your potential client would rather work with a trainer of another gender. You should: a) Provide a complimentary session to demonstrate your professional competence. b) Discuss your experience, training style, and educational background to make the client more comfortable with you. c) Refer the client to another personal trainer who would be more compatible. d) Ask the client to sign up for an initial block of training sessions first. - ✔✔c To measure progress toward goals, reassessments should be performed: a) As frequently as possible to elicit intrinsic motivation. b) After approximately 4 to 6 weeks to better reflect a training effect. c) On a weekly basis to measure steady progress. d) When the client needs to improve upon exercise adherence. - ✔✔b Higher levels of cardiovascular fitness are associated with: a) Lower mortality rates b) Increased HR and SBP at submaximal work rates c) Lower MET capacity d) Increased HR and SBP at maximal work rates - ✔✔a Which of the following is MOST accurate regarding the socioecological model? a) Ecological mapping often discourages physical activity. b) Gradual changes in behavior are linked to social support. c) Support is mainly provided through knowledge and skills. d) Behavior change is linked to relationships, environment, and community. - ✔✔d Flexion, extension, adduction, abduction, internal rotation, and external rotation are possible joint actions found in the: a) Carpal-metacarpal joint b) Wrist joint c) Saddle joint d) Hip joint - ✔✔d A typical chronic response to improved cardiorespiratory fitness is an increase in: a) Resting heart rate b) Diastolic blood pressure c) Maximal heart rate d) Maximal oxygen consumption - ✔✔d A 48-year-old female client has very tight gastrocnemius muscles. To facilitate permanent changes in the length of these muscles, in what position should the foot be placed and for what duration? a) Everted position for 2 to 3 minutes b) Dorsiflexed position for 60 seconds c) Plantarflexed position for 30 to 40 seconds d) Inverted position for 30 to 40 seconds - ✔✔b Which of the following cardiac variables will increase as a result of regular aerobic training at a submaximal effort? a) Blood lactate b) Exercise heart rate c) Systolic blood pressure d) Arteriovenous oxygen difference - ✔✔d Which of the following is an example of an enarthrodial joint? a) Acromioclavicular b) Glenohumeral c) Radiounlar d) Carpal-metacarpal - ✔✔b Muscular strength is defined as: a) The amount of motor units recruited in 8 to 12 reps. b) The ability to apply a force repeatedly over time. c) The number of muscle spindles recruited during a maximal contraction. d) A one-time maximal force that may be exerted and is localized to a joint or muscle group. - ✔✔d Which of the following best summarizes the effect of regular exercise on dyslipidemia? a) Triglyceride levels are reduced for up to 36 hours following exercise. b) Exercise may have a favorable result in increasing the total cholesterol to HDL-C ratios c) Exercises increases LDL-C levels d) Regular exercise can increase HDL cholesterol levels. - ✔✔d An overweight individual expresses motivation to lose weight after the birth of his son. He is in which stage of change? a) Preparation b) Precontemplation c) Action d) Contemplation - ✔✔d Which exercise results in the greatest amount of torque from the muscles of the shoulder joint? a) Shoulder shrugs, using 50 lb dumbbells, elbows extended b) Lateral raises in the frontal plane to 90°, humeral abduction with 30 lb dumbbells, elbows flexed 90° c) Shoulder shrugs, using 85 lb dumbbells, with elbows extended d) Lateral raises in the frontal plane to 90°, humeral abduction with 30 lb dumbbells, elbows extended - ✔✔d A sedentary lifestyle is defined as NOT participating in at least: a) 30 minutes of moderate intensity activity, at least 3 days per week, for at least 3 months. b) 30 minutes of moderate intensity activity, at least 5 days per week, for at least 3 months. c) 75 minutes of moderate intensity activity, at least 5 days per week, for at least 3 months. d) 75 minutes of moderate intensity activity, at least 3 days per week, for at least 3 months. - ✔✔a Active listening allows a Personal Trainer to do which of the following effectively? a) Plan out the client's initial exercise program while expressing genuineness b) Record detailed notes about the client's exercise history and preferences c) Formulate responses and counterpoints to the client's beliefs and concerns d) Gain a better understanding of the client in order to facilitate rapport and program design - ✔✔d Which of the following BEST describes the primary difference between standing and seated calf raises? a) The seated calf raise targets the soleus, while the standing calf raise targets the gastrocnemius and invertors. b) The seated calf raise targets the muscle primarily responsible for power in the lower leg, while the standing calf raise targets the muscle primarily responsible for endurance. c) Seated calf raises emphasize the soleus muscle, while the standing calf raise emphasizes the gastrocnemius muscle. d) Seated calf raises emphasize the gastrocnemius muscle, while the standing calf raise emphasizes the soleus muscle. - ✔✔c Following the initial client contact, what are the next steps after the client has completed and returned all forms to you? a) Recommend appropriate personal training packages. b) Discuss expectations. c) Conduct client consultation. d) Review paperwork and clarify goals. - ✔✔d The ulna bone is ________ to the humerus bone. a) Distal b) Posterior c) Proximal d) Anterior - ✔✔a The elbow can performs movements in which plane? a) Transitional b) Frontal c) Sagittal d) Horizontal - ✔✔c With a New Year's resolution to become more active, a 32-year-old male wants to get your feedback before he begins the exercise program he drafted for himself. He is in which stage of change? a) Action b) Contemplation c) Precontemplation d) Preparation - ✔✔d A lateral lunge is performed in which plane of movement? a) Horizontal b) Frontal c) Transverse d) Sagittal - ✔✔b Which of the following is a similar site for both a male and a female when performing a 3-site skinfold test? a) Abdomen b) Supraliac c) Chest d) Thigh - ✔✔d Pronation of the wrist joint occurs in: a) The frontal plane. b) Multiple planes. c) The sagittal plane. d) The transverse plane. - ✔✔d Strength gains during early phases of resistance training are largely due to changes in the: a) Nervous system b) Myofilaments c) Respiratory system d) Sarcomeres - ✔✔a A proper cool-down allows the body to help remove ________. a) Creatine b) Pyruvate c) Lactate d) Carbon dioxide - ✔✔c The _________ is responsible for collecting blood from the lungs and pumping it to the body. a) Left atrium and left ventricle b) Left atrium and right ventricle c) Right atrium and left ventricle d) Right atrium and right ventricle - ✔✔a Which of the following is an acute response to exercise? a) Reduced blood flow to the gut b) Reduced resting heart rate c) Reduced body fat d) Reduced resting blood pressure - ✔✔a The gastrocnemius, soleus, and plantaris are located in which lower leg area? a) Superficial posterior compartment b) Posterior tibial compartment c) Deep posterior compartment d) Anterior tibial compartment - ✔✔b The feeling of chronic muscular fatigue is a sign of: a) Increased VO2 max b) Lactic acid accumulation. c) Increased oxygen uptake. d) Overuse. - ✔✔d Please refer to client profile below: 45-year-old male Mother has hypertension Father had coronary bypass surgery at age 59 Quit smoking 20 years ago Walks dog 1 to 2 times per day, for 10 minutes per walk BMI: 29 kg/m2 Blood Pressure: 132/86 mm Hg Total serum cholesterol: 216 mg·dL-1 LDL cholesterol: 138 mg·dL-1 HDL cholesterol: 48 mg·dL-1 Fasting plasma glucose: 94 mg·dL-1 Goals: Lose 20 lb; increase muscle st [Show More]

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