Client Interview and Screening Flashcards

A client reports taking a beta-blocker medication. How does this affect exercise testing?

Answer: It blunts the heart rate response to exercise

Beta-blockers reduce heart rate at rest and during exercise, making heart-rate-based intensity targets unreliable.

Which body composition assessment site is measured at the midpoint between the iliac crest and the lower rib margin?

Answer: Waist

The waist circumference is measured at the midpoint between the iliac crest and the lowest rib margin for standardized assessment.

A new client mentions she is 10 weeks pregnant. What is the FIRST action the ACE-certified trainer should take?

Answer: Obtain written clearance from her obstetrician

Pregnancy is a special population condition requiring physician clearance before initiating or continuing an exercise program.

During the health-history interview a client reports occasional chest pain when climbing stairs. The trainer should:

Answer: Refer the client to a physician before any exercise testing

Exertional chest pain is a major cardiovascular risk indicator that requires medical evaluation before exercise testing begins.

The PAR-Q+ was designed to replace the original PAR-Q primarily to:

Answer: Better identify individuals who need medical clearance

The PAR-Q+ uses a multi-step process to more accurately identify which clients need physician clearance versus those who can exercise safely.

Which of the following is classified as a positive cardiovascular disease risk factor by ACSM guidelines adopted by ACE?

Answer: Family history of heart disease in a first-degree relative before age 55

Premature CVD in a first-degree male relative before age 55 (or female before 65) is a positive CVD risk factor.

A client's waist-to-hip ratio is 0.97. According to ACE guidelines, this male client's risk classification is:

Answer: High risk

A waist-to-hip ratio above 0.95 in men places them in the high-risk category for metabolic and cardiovascular disease.