ACSM Health Risk Classification Quiz

All of the following are major signs and symptoms of cardiopulmonary disease except?

Unusual fatigue or shortness of breath during activities of daily living
Presence of heart murmur
Intermittent claudication
Tachycardia
Dyslipidemia

All of the following are major signs and symptoms of cardiopulmonary disease except?

Pain and discomfort in the chest, neck, jaw or arms
Shortness of breath at rest or with light activity or while lying down
Dizziness or tendency to pass out (syncope)
Ankle edema
Hypertension

Which of the following correctly describes medical clearance.

A visual examination of the client to determine that there are no obvious medical issues.
A thorough review of the patients health and health history to determine client’s readiness to engage in exercise.
A referral to a healthcare provider to determine steps to take before initiating exercise.
Confirmation that the client is currently under the care of a licensed healthcare practitioner.

The following steps should be taken for a client with no known cardiovascular, metabolic, or renal disease and no signs/symptoms suggestive of these diseases who is currently regularly active.

Can engage in moderate exercise without clearance, but medical clearance is recommended before vigorous exercise.
Obtain medical clearance before any exercise.
Can participate in moderate and vigorous exercise immediately without clearance.
Can participate in moderate exercise immediately and progress to vigorous exercise without medical clearance.

The following steps should be taken for a client with no known cardiovascular, metabolic, or renal disease and no signs/symptoms suggestive of these diseases who is currently not active.

Can engage in moderate exercise without clearance, but should obtain medical clearance before vigorous exercise.
Obtain medical clearance before any exercise.
Can participate in moderate and vigorous exercise immediately without clearance.
Can participate in moderate exercise immediately and progress to vigorous exercise without medical clearance.

The following steps should be taken for a client with known cardiovascular, metabolic, or renal disease who is asymptomatic and currently active.

Can engage in moderate exercise without clearance, but should obtain medical clearance before vigorous exercise.
Obtain medical clearance before any exercise.
Can participate in moderate and vigorous exercise immediately without clearance.
Can participate in moderate exercise immediately and progress to vigorous exercise without medical clearance.

The following steps should be taken for a client with known cardiovascular, metabolic, or renal disease who is asymptomatic and currently inactive.

Can engage in moderate exercise without clearance, but should obtain medical clearance before vigorous exercise.
Obtain medical clearance before any exercise (recommended)
Can participate in moderate and vigorous exercise immediately without clearance.
Can participate in moderate exercise immediately and progress to vigorous exercise without medical clearance.

The following steps should be taken for a client with known cardiovascular, metabolic, or renal disease who is symptomatic and currently active.

Can engage in moderate exercise without clearance, but should obtain medical clearance before vigorous exercise.
Stop exercise and obtain medical clearance before continuing.
Can participate in moderate and vigorous exercise immediately without clearance.
Can participate in moderate exercise immediately and progress to vigorous exercise without medical clearance.

The following steps should be taken for a client with known cardiovascular, metabolic, or renal disease who is symptomatic and currently inactive.

Can engage in moderate exercise without clearance, but should obtain medical clearance before vigorous exercise.
Obtain medical clearance before exercise.
Can participate in moderate and vigorous exercise immediately without clearance.
Can participate in moderate exercise immediately and progress to vigorous exercise without medical clearance.

Larry is a 56 year old male who was an athlete in college, but has been inactive most of his life since college. He was diagnosed with type 2 diabetes last year and he was surprised as he did not feel like his health was that bad although he is overweight. A friend told him about the benefits of high intensity interval training for improving blood sugar control for type 2 diabetes and he is interested in starting this type of exercise program. Which of the following is the appropriate course of action to take?

Start with moderate exercise and obtain medical clearance before progression to vigorous intensity exercise.
Obtain medical clearance before starting exercise.
No medical clearance necessary.
Start with the high intensity interval training and obtain medical clearance if he develops signs/symptoms

Patricia is a 28 year old woman who leads a very active lifestyle. She does zumba twice per week, cycling twice per week, and lifts weights as well. Sometimes when she is exercising she has to stop due to pain in her chest and jaw and she often wakes in the middle of the night due to shortness of breath. She wants to get on a plan to lose some fat and gain some muscle. What is the appropriate course of action?

Continue with exercise program, but monitor client carefully and refer to physician if she develops signs/symptoms during exercise.
Continue with moderate exercise, but obtain medical clearance before engaging in vigorous exercise.
Continue with vigorous exercise, no medical clearance necessary
Stop exercise and obtain medical clearance.

Tim is a 45 year old man who has a a family history of heart disease. He is fairly healthy with no cardiovascular or metabolic diseases and he showed no signs/symptoms of CVD after filling out the PAR-Q. He hasn’t exercised in years. What is the appropriate course of action?

Can begin with moderate intensity exercise and progress to vigorous intensity exercise without medical clearance.
Can begin with moderate and vigorous intensity exercise.
Can begin with moderate intensity exercise and progress to vigorous intensity exercise with medical clearance.
Obtain medical clearance before exercise

Bob is a 72 year old man who is very active and has exercised his whole life. Two years ago he was diagnosed with cardiovascular disease, but that has not slowed him down. He wants to work with a trainer to work on some resistance training, since cardio has been his primary form of exercise throughout life. What is the appropriate course of action to take?

Ask Bob to stop his current exercise and obtain medical clearance.
Can begin with moderate intensity exercise and progress to vigorous intensity exercise with medical clearance sometime in the previous 12 months.
Can begin with moderate and vigorous intensity exercise.
Can begin with moderate intensity exercise and progress to vigorous intensity exercise without medical clearance.

Which of the following correctly describes a positive risk factor for age?

Men ≥ 55 years old and women ≥ 45 years of age
Men ≥ 55 years old and women ≥ 65 years of age
Men ≥ 65 years old and women ≥ 55 years of age
Men ≥ 45 years old and women ≥ 55 years of age

Which of the following correctly describes a positive risk factor for family history?

Myocardial infarction (heart attack), cardiovascular revascularization, or or sudden death in the family (before the age of 45 for father or brother, or before the age of 55 years of age for mother or sister)
Myocardial infarction (heart attack), cardiovascular revascularization, or or sudden death in the family (before the age of 55 for father or brother, or before the age of 65 years of age for mother or sister)
Myocardial infarction (heart attack), cardiovascular revascularization, or or sudden death in the family (before the age of 65 for father or brother, or before the age of 75 years of age for mother or sister)
Myocardial infarction (heart attack), cardiovascular revascularization, or or sudden death in the family (before the age of 65 for father or brother, or before the age of 55 years of age for mother or sister)

Which of the following correctly describes a positive risk factor for smoking?

Current cigarette smoker or quit within the last year or exposure to environmental tobacco smoke.
Current cigarette smoker or quit within the last 6 months.
Current cigarette smoker or quit within the last 6 months or exposure to environmental tobacco smoke.
Current cigarette smoker or quit within the last year.

Which of the following correctly describes a positive risk factor for blood pressure?

Systolic blood pressure of at least 150 mmHg* OR Diastolic blood pressure of at least 90 mmHg* OR Currently taking antihypertensive medications
Systolic blood pressure of at least 130 mmHg* OR Diastolic blood pressure of at least 100 mmHg* OR Currently taking antihypertensive medications
Systolic blood pressure of at least 130 mmHg* OR Diastolic blood pressure of at least 80 mmHg* OR Currently taking antihypertensive medications
Systolic blood pressure of at least 150 mmHg* OR Diastolic blood pressure of at least 100 mmHg* OR Currently taking antihypertensive medications

Which of the following correctly describes a positive risk factor for lipids?

LDL cholesterol of at least 130 mg/dL OR HDL cholesterol lower than 40 mg/dL OR On cholesterol lowering medication IF LDL and HDL are not available then if TOTAL cholesterol is at least 200.
LDL cholesterol of at least 130 mg/dL OR HDL cholesterol lower than 40 mg/dL OR On cholesterol lowering medication.
LDL cholesterol of at least 140 mg/dL OR HDL cholesterol lower than 40 mg/dL OR On cholesterol lowering medication IF LDL and HDL are not available then if TOTAL cholesterol is at least 200.
LDL cholesterol of at least 130 mg/dL OR HDL cholesterol lower than 60 mg/dL OR On cholesterol lowering medication IF LDL and HDL are not available then if TOTAL cholesterol is at least 200.

Which of the following correctly describes a positive risk factor for diabetes?

Fasting glucose greater than 125 mg/dL OR 2 hour glucose at least 200 mg/dL OR HBA1C at least 6.5%
Fasting glucose greater than 125 mg/dL OR 2 hour glucose at least 200 mg/dL OR HBA1C at least 7.5%
Fasting glucose greater than 125 mg/dL OR 2 hour glucose at least 150 mg/dL OR HBA1C at least 6.5%
Fasting glucose greater than 100 mg/dL OR 2 hour glucose at least 200 mg/dL OR HBA1C at least 6.5%

Which of the following correctly describes a positive risk factor for obesity?

BMI at least 30 kg/m2 or WC at least 102 cm (40 inches) for men and 88 cm (35 inches) for women.
BMI at least 35 kg/m2 or WC at least 102 cm (40 inches) for men and 88 cm (35 inches) for women.
BMI at least 30 kg/m2 or WC at least 100 cm (39 inches) for men and 88 cm (35 inches) for women.
BMI at least 30 kg/m2 or WC at least 102 cm (40 inches) for men and 85 cm (32 inches) for women.

You have a new client, who is a 65 year old female. Her mother had a heart attack at 45 years of age, she is currently not exercising, has a BP of 129/86, LDL cholesterol of 140, waist circumference of 36 inches, and HBA1c of 6.7% How many positive risk factors for CVD does she have?

5
4
7
6

You have a new client, who is a 38 year old male, who quit smoking 4 months ago and would like to be more active He started attending a 1 hour spin class 3 times per week, 2 months ago. He has a BP of 141/76, total cholesterol of 198, waist circumference of 36 inches, and HBA1c of 6.4%. His brother had a heart attack at 45 years of age. How many positive risk factors for CVD does he have?

4
5
6
7

You have a new client, who is a 46 year old male, who has been an avid runner (>5 times per week) for the last 5 years. He has a BP of 120/76, total cholesterol of 198, waist circumference of 34 inches, and HBA1c of 6.8%. He has no family history of CVD. How many positive risk factors for CVD does he have?

3
2
4
1

ACSM Health Risk Classification Quiz

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