ACE Special Population Considerations 3

Question 1

Which of the following is a contraindication to exercise during pregnancy according to ACOG guidelines?

Accepted Answer

Placenta previa diagnosed after 26 weeks

Answer

Placenta previa after 26 weeks is an absolute contraindication to exercise due to the high risk of hemorrhage.

Question 2

A client with multiple sclerosis (MS) reports increased fatigue and symptom exacerbation during hot weather. What should the trainer do?

Accepted Answer

Exercise in a cool environment and monitor for Uhthoff's phenomenon

Answer

Uhthoff's phenomenon causes temporary MS symptom worsening with heat, so cool environments and cooling strategies are essential.

Question 3

When designing a program for a client with fibromyalgia, what is the best initial approach?

Accepted Answer

Start with very low-intensity exercise and progress slowly based on tolerance

Answer

Fibromyalgia clients are highly sensitive to exercise load, so starting at low intensity with gradual progression minimizes flare-ups.

Question 4

What is the primary concern when a client with peripheral arterial disease (PAD) experiences claudication pain during walking?

Accepted Answer

Reduced blood flow to the muscles causes ischemic pain that limits exercise

Answer

Claudication in PAD results from insufficient arterial blood flow to working muscles, causing ischemic pain during activity.

Question 5

A client with Down syndrome is cleared for exercise. Which precaution is MOST critical before engaging in cervical spine loading exercises?

Accepted Answer

Screening for atlantoaxial instability

Answer

Atlantoaxial instability is common in Down syndrome and can cause spinal cord injury with certain neck movements.

ACE - Personal Trainer Exam Practice Test