MES Chronic Disease Management & Exercise Prescription 2

Question 1

Which outcome measure is most appropriate for tracking functional progress in a client with Parkinson's disease enrolled in an exercise program?

Accepted Answer

Timed Up and Go (TUG) test

Answer

The Timed Up and Go test measures functional mobility, balance, and fall risk — outcomes directly relevant to Parkinson's disease management.

Question 2

In clients with metabolic syndrome, which exercise combination most effectively addresses insulin resistance and dyslipidemia simultaneously?

Accepted Answer

Combination of moderate aerobic training and resistance training

Answer

Combined aerobic and resistance training improves insulin sensitivity through GLUT-4 upregulation while also reducing triglycerides and improving HDL cholesterol.

Question 3

What is the primary exercise consideration for a client who underwent a coronary artery bypass graft (CABG) surgery 8 weeks ago?

Accepted Answer

Sternal precautions limiting upper extremity loading until sternotomy heals

Answer

Sternal precautions typically restrict upper extremity loading for 6–12 weeks post-CABG to allow the sternotomy incision to heal and prevent wound dehiscence.

Question 4

Which exercise modification is most appropriate for a client with peripheral neuropathy who reports reduced foot sensation?

Accepted Answer

Seated or supported exercises that reduce fall risk and foot stress

Answer

Reduced foot sensation impairs balance and injury awareness, making seated or supported exercises safer to prevent falls and undetected skin breakdown.

Question 5

For a client with osteoporosis, which exercise type should be avoided due to high spinal fracture risk?

Accepted Answer

Forward trunk flexion under load (e.g., loaded crunches, toe touches)

Answer

Loaded spinal flexion creates excessive anterior compressive forces on osteoporotic vertebrae, significantly elevating the risk of compression fractures.

MES - ACE Medical Exercise Specialist Practice Test

MES - ACE Medical Exercise Specialist Practice Test

MES Chronic Disease Management & Exercise Prescription 2