ACSM Health Assessment 3

Question 1

Which anthropometric measurement best predicts visceral fat accumulation and associated metabolic risk?

Accepted Answer

Waist circumference

Answer

Waist circumference is the single best anthropometric predictor of visceral adiposity and associated cardiovascular and metabolic disease risk.

Question 2

During a health interview, a client mentions she takes a beta-blocker medication. How will this most likely affect her exercise heart rate response?

Accepted Answer

Heart rate will be blunted during exercise

Answer

Beta-blockers inhibit sympathetic stimulation of the heart, attenuating the heart rate rise during exercise and making HR-based intensity monitoring less accurate.

Question 3

What does a positive Trendelenburg sign during a functional movement screen indicate?

Accepted Answer

Weakness of the hip abductors on the weight-bearing side

Answer

A positive Trendelenburg sign (pelvis drops on the non-weight-bearing side) indicates weakness of the hip abductors, primarily the gluteus medius, on the stance limb.

Question 4

During orthostatic blood pressure assessment, a clinically significant drop is defined as a decrease in systolic BP of at least how many mmHg upon standing?

Accepted Answer

20 mmHg

Answer

Orthostatic hypotension is defined as a drop of ≥20 mmHg systolic (or ≥10 mmHg diastolic) within 3 minutes of standing from a supine position.

Question 5

Which spirometry value is used to determine obstructive vs. restrictive pulmonary disease and is expressed as a ratio?

Accepted Answer

FEV1/FVC ratio

Answer

The FEV1/FVC ratio distinguishes obstructive disease (ratio <0.70) from restrictive disease (low FVC but normal or elevated ratio).

ACSM Practice Test

ACSM Practice Test

ACSM Health Assessment 3