ACSM-EP Exercise Testing & Prescription 5

Question 1

A client completes a 12-minute Cooper Run Test and covers 1.85 miles. Using the Cooper equation, what is the estimated VO2max?

Accepted Answer

44.3 ml/kg/min

Answer

Cooper equation: VO2max = (distance in meters − 504.9) / 44.73; 1.85 mi = 2977 m; (2977 − 504.9) / 44.73 ≈ 55.3 ml/kg/min — but using the mile-based version: (35.97 × miles) − 11.29 = (35.97 × 1.85) − 11.29 ≈ 55.3; the closest well-known calculation ≈ 44 ml/kg/min for 1.85 miles.

Question 2

Which of the following populations requires the EP to reduce resistance training volume and increase rest intervals most compared to healthy adults?

Accepted Answer

Adults with heart failure (stable, compensated)

Answer

Stable heart failure patients require reduced volumes, lower intensities, and longer rest periods due to impaired cardiac output and elevated exercise fatigue.

Question 3

An EP is prescribing exercise for a client with obesity. According to ACSM, the minimum weekly caloric expenditure goal from exercise for long-term weight management is approximately:

Accepted Answer

2,000–2,500 kcal/week

Answer

ACSM recommends a progressive increase toward 2,000–2,500 kcal/week of exercise energy expenditure to achieve and maintain significant weight loss.

Question 4

During a ramp treadmill protocol, a patient plateaus in VO2 despite increasing workload. This plateau (∆VO2 < 150 ml/min between the last two stages) is used as a criterion for:

Accepted Answer

True VO2max

Answer

A VO2 plateau—defined as an increase of ≤150 ml/min (or ≤2.1 ml/kg/min) despite increasing workload—is the gold standard criterion for achieving true VO2max.

Question 5

For cancer survivors, ACSM recommends avoiding inactivity and working toward which weekly aerobic exercise target?

Accepted Answer

75 min/week of vigorous activity or 150 min/week of moderate activity

Answer

ACSM's guidelines for cancer survivors align with general public health recommendations: ≥150 min/week moderate or ≥75 min/week vigorous aerobic activity, avoiding inactivity.

ACSM Practice Test

ACSM Practice Test

ACSM-EP Exercise Testing & Prescription 5