ACSM-EP Exercise Testing & Prescription 2

Question 1

Which equation is used by ACSM to estimate oxygen consumption during level treadmill walking?

Accepted Answer

VO2 = 3.5 + (0.1 × speed) + (1.8 × speed × grade)

Answer

The ACSM walking equation is VO2 = 3.5 + (0.1 × speed) + (1.8 × speed × fractional grade), where speed is in m/min.

Question 2

A 55-year-old male has a resting HR of 68 bpm and a measured maximal HR of 162 bpm. Using the Karvonen method, what is his target HR at 70% intensity?

Accepted Answer

133 bpm

Answer

Karvonen: HRR = 162 − 68 = 94; 70% HRR = 0.70 × 94 = 65.8; target HR = 65.8 + 68 ≈ 134 bpm (closest = 133 bpm).

Question 3

During a graded exercise test, a patient's systolic BP drops 10 mmHg below standing rest despite increasing workload. The EP's best action is to:

Accepted Answer

Terminate the test immediately

Answer

Exertional hypotension (SBP falling ≥10 mmHg below standing rest with symptoms or signs of ischemia) is an absolute indication to stop the GXT.

Question 4

Which training principle states that adaptations are specific to the muscles, energy systems, and movement patterns used during training?

Accepted Answer

Specificity (SAID)

Answer

The SAID principle (Specific Adaptation to Imposed Demands) dictates that training effects mirror the physiological demands placed on the body.

Question 5

For a previously sedentary adult beginning aerobic training, ACSM recommends an initial exercise intensity range of approximately:

Accepted Answer

40–59% HRR

Answer

ACSM recommends 40–59% HRR (moderate intensity) as an appropriate starting range for deconditioned individuals beginning aerobic training.

ACSM Practice Test

ACSM Practice Test

ACSM-EP Exercise Testing & Prescription 2