ACSM-EP Health Appraisal & Risk Assessment 2

Question 1

A 58-year-old male client reports a resting blood pressure of 142/92 mmHg on two separate occasions. According to ACSM guidelines, how should this be classified?

Accepted Answer

Stage 1 hypertension

Answer

A resting BP of 140-159/90-99 mmHg on two separate occasions is classified as Stage 1 hypertension per ACSM/ACC/AHA guidelines.

Question 2

When performing a preparticipation health screening, which finding would place a previously sedentary client in the 'HIGH' risk category without physician clearance?

Accepted Answer

Known cardiovascular disease with stable symptoms

Answer

Known cardiovascular, metabolic, or renal disease places a client in the HIGH risk category regardless of current symptoms.

Question 3

Which component of the ACSM preparticipation screening algorithm determines whether medical clearance is needed for a new vigorous-intensity exercise program?

Accepted Answer

Current physical activity level and presence of known disease or signs/symptoms

Answer

The ACSM 2015 updated algorithm uses current exercise participation status combined with known disease or signs/symptoms to determine medical clearance needs.

Question 4

A client reports experiencing exertional chest discomfort that resolves with rest. This symptom is considered a ACSM major sign or symptom suggestive of which condition?

Accepted Answer

Cardiovascular or pulmonary disease

Answer

Chest discomfort with exertion that resolves at rest is a classic anginal symptom suggesting underlying cardiovascular or pulmonary disease.

Question 5

During a health history review, a 45-year-old woman reports her father had a heart attack at age 55. How does this factor into ACSM cardiovascular risk stratification?

Accepted Answer

It counts as a positive risk factor for family history of CVD

Answer

First-degree relative with CVD before age 55 (male) or 65 (female) is a positive ACSM cardiovascular disease risk factor.

ACSM Practice Test

ACSM Practice Test

ACSM-EP Health Appraisal & Risk Assessment 2