*See Appendix B for a list of editors for the previous two editions. ii 11/07/12 PM. ACSM'S Certification Review FOURTH EDITION. There are a lot of books, literatures, user manuals, and guidebooks that are related to acsm certification review 4th edition such as: the amazing power of. at our library. get acsm certification review 4th edition pdf file for free from our online library acsm certification review 4th edi pdf - save this pdf ebook to read.

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Acsm Certification Review 4th Edition. If you need to clear ACSM Guidelines for Exercise Testing and Prescription 10th Session Download PDF. STAT!. acsm certification review 4th edition Free Download Practice Tests, Review Q's, exams,Study Material, Online Training Course,Model Questions PDF files. Acsm Certification Review 4th Edition - Looking for ePub, PDF, site, AudioBook for Acsm Certification. Review 4th Edition? This site.

QT However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations.

The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication.

However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.

Some drugs and medical devices presented in this publication have Food and Drug Administration FDA clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.

To download additional copies of this book, call our customer service department at or fax orders to International customers should call The experience of being certi- The fourth edition was developed strategically into fied by ACSM was one of the great accomplishments three parts for each certification cases for each certifi- of my young career and helped me get my first job cation, a detailed breakdown of the knowledge and skills with Dr.

Noel Nequin at Swedish Covenant Hospital in for each certification, and sample questions that are simi- Chicago. Under Noels guidance and urging, I became lar to those found on each certification examination.

One certified as an ACSM program director for Preventive of the more unique features of this edition is the cases, and Rehabilitative Exercise Programs which is no which are organized within the text according to the longer an ACSM certification in At about that domains, a result of the recent job task analysis.

For six of those years, and implementation for CPT, exercise prescription and I served as the chair. During those 30 years, there has implementation for HFS, and exercise prescription for been an exponential growth in the number of certifica- CES ; exercise counseling and behavioral strategies ex- tion candidates and in the resources being provided to ercise leadership and client education for CPT, exercise certification candidates.

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From the wiki article on local anesthetics LA : All LAs are membrane-stabilizing drugs; they reversibly decrease the rate of depolarization and repolarization of excitable membranes like nociceptors. From question D Only A and B of the above.

These symptoms may indicate. C Negligence. The Health Belief Model assumes that people will dium resulting from an imbalance between oxygen engage in a given behavior. How much weight will she lose involve low resistance in 26 wk? B Avoiding activities that involve the Valsalva A 8.

The metabolic syndrome includes dyslipidemia. B The informed consent does not provide legal C The potential for improving flexibility may be immunity to a facility or individual in the improved during cool-down as compared with event of injury to an individual. D Between 1 and 2 min are recommended for an inadequate personnel qualifications.

A transient deficiency of blood flow to the myocar. A A referred pain from a herniated lumbar disk insulin resistance. Activities that will enhance or Water exercise has gained in popularity because maintain musculoskeletal flexibility should CPT the buoyancy properties of water help to reduce be included as a part of a comprehensive the potential for musculoskeletal injury and preventive or rehabilitative exercise program.

In this regard. Saturated fatty acids only have single bonds. Transverse used to reduce chest pain associated with The body has three cardinal planes. They also are buoyancy properties of water with the resistive found in cell membranes. Preparation doses. Antihyperlipidemics control The frontal plane is represented by an blood lipids. The transverse plane represents an imaginary horizontal plane passing through 4—C. Various Minerals are inorganic substances that perform activities may be offered in a water-exercise various functions in the body.

Many play class. Water-exercise classes coenzymes that are necessary for the proper typically should combine the benefits of the functioning of body systems. TG the midsection of the body and dividing it into Dietary fats include TG. In this situation. Antihyperlipidemics Nitrates and nitroglycerine are antianginals 7—C. To be classified as hypertensive. Minerals are considered to be cular strength and endurance may be provided. Macrominerals to exercise without further injury.

Movement occurs along these action of adrenergic neurotransmitters at the planes. Water exercise and disability. The fatty acids are identified by the to a generally accepted standard or duty.

Action known values for the variable name: Reinforcement exercise must be stopped. The steps to answering this question unless the workload of activity is reduced. The four types of angular encouragement and praise or material movements are flexion a movement that reinforcements such as T-shirts and money.

If these conditions are present. This can include in the supine position with the feet elevated. Body composition refers to the relative proportions The exercise professional can emphasize that of fat and fat-free lean tissue in the body. Heat loss by convection. Increased heart rate at submaximal workload closer together. Attempts to Reinforcement is the positive or negative rehydrate. Extrinsic or their long axis. Signs and symptoms is not absorbed.

Write down the formula for work rate: Body composition increased demands on time is also important. Planning can help free mass. To a short lapse in activity can be a learning op. Internally rotates the radius rewards are the benefits gained because of the Rotation is a movement of long bones about rewarding nature of the activity.

Instruction about avoiding injury. The question asks for watts. This question does not require the use of a meta. Substitute the 10—D.

Intrinsic 12—B. The person should be placed that motivate behavior. It is are as follows: Write down the known values and necessary in the heat and humidity to become convert those values to the appropriate units — acclimated to the environment.

Positive consequences are rewards means possible. Planning for high-risk. Angular movements decrease external rewards are the positive outcomes or increase the joint angle produced by the received from others.

Other 20—B. Outcome studies require quantifiable The low-risk category is asymptomatic and has data that can be analyzed — data that study the one or no major risk factor for CAD. Although some learning is required on the 25—C. Double knee to chest part of the participant.

Rotation of the anterior surface of the HR and higher stroke volume compared with bone toward the midline of the body is medial when the person was untrained. Every population that has been studied Supination is a specialized rotation of the exhibits a decline in bone mass with aging. Osteoporosis away from the midline is lateral rotation. A person success of a program in terms of quantifiable is placed in the moderate-risk category if he or measures e.

Medial rotation amount of work and.

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Outcomes risk factors contribute to the development of Outcomes are designed to measure the success CAD but are not primary risk factors. Squats to 90 degrees adjunct to HR measures. The RPE is particularly useful when neck rolls. The RPE can be and lateral neck stretches are considered safe used as a reliable barometer of exercise alternative exercises to full squats and full intensity. A person in the high-risk category is someone length of time for change to occur.

Measuring client satisfaction. Pronation clinicians to be an inevitable consequence of the opposite of supination is the rotation of aging. Flexion with rotation is participants are incapable of monitoring their considered a contraindicated high-risk exercise pulse accurately or when medications such as and is not recommended.

Osteoporosis refers to a condition that is the forearm that results in the palm of the hand characterized by a decrease in bone mass and being directed backward posteriorly. It should be noted. Contact exercise regularly have a more positive attitude information for the nearest hospital emergency toward their work and generally are in better room may be included in the emergency plan.

Regularly scheduled practices of responses to metabolic pathways. Children who have maintenance. Angina-like symptoms often are programs for children and adolescents should felt in the chest area.

They serve as antioxidants as well 31—D. Stimulate appetite should take place. If the HR is taken at the carotid artery.

Exercise nary arteries. Psychological theories facilitate evaluation of 34—D. Water-soluble vitamins are found also can be developed. Strength training in youth Psychological theories are the foundation carries no greater risk of injury than compa- for effective use of strategies and techniques rable strength training programs in adults if of effective counseling and motivational proper instruction.

All of the above as coenzymes in carbohydrate metabolism.

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Vitamins C and B complex are can lead to identification of those individuals CPT water-soluble vitamins. Theories provide a conceptual exercise-induced asthma often are physically framework for development.

Hypertension program effectiveness. Vitamins B complex and C 30—A. Emergency plans should Older people who exercise regularly report include written. Increasing the HR of training intensity more 28—A.

The PAR-Q is a in citrus fruits. Application of cognitive-behavioral or lead to adoption of a physically active lifestyle motivational principles in the long term. From on a regular basis. A GXT sprouts. Using the thumb and self-esteem older adults improve their to count the carotid pulse may result in an inac- score on self-concept questionnaires following curate count.

Within the field of behavioral Exercise has no effect on age and family change. PNF stretching alternates contraction and relaxation of both 42—A. Negligence equipment to be used not only includes testing.

The 38—C. Minimal rewarding nature of the activity. Legal issues abound for fitness professionals cardiovascular. Ballistic stretching uses repetitive received from others. Exercise has no direct effect initiate exercise programs and. You must evaluate a Legal concerns can develop with the number of criteria when selecting equipment. Intrinsic point of individual discomfort and holding rewards are the benefits gained because of the that position for a period of 10—30 s. Fitness professionals have 20—60 min.

If these heart. Extrinsic or risk of injury exists and it has been shown to external rewards are the positive outcomes be effective. Intrinsic reward Three different stretching techniques typically Reinforcement is the positive or negative are practiced and have associated risks and consequence for performing or not performing benefits.

All of the above Similar improvements in aerobic fitness may be Fitness testing is conducted in older adults realized if a person exercises at a low intensity for the same reasons as in younger adults. Regular endurance exercise does 39—D. This body sizes. It that motivate behavior. Negligence is the failure to perform on the level of a generally 43—A. This can include involves slowly stretching a muscle to the both intrinsic and extrinsic rewards.

Efficiency responsibilities are not followed. Static stretching is the most commonly a behavior. Flexibility of equipment to allow for different agonist and antagonist muscle groups.

Intensity and duration support to help them establish a regular Intensity and duration of exercise must be exercise habit and be able to maintain it. A tort law is durability.

PNF 41—B. In general. In developing and operating the potential for injury exists when the partner. These movements can produce residual reinforcements such as T-shirts and money. Positive consequences are rewards recommended approach to stretching. The exercise prescription can by both the loss of muscle fibers and the be altered for different populations to achieve atrophy of the remaining fibers.

Most well- 49—C.

A limitations associated with informed consent good manager monitors the safety of the pro. Plyometrics belief of susceptibility to disease and the threat Plyometrics is a method of strength and power of disease is severe. Number of curl-ups in 1 min 46—A. It simply provides evidence that tal injury. There is a perceived threat of heart disease. Plyometrics should not be considered the client was made aware of the purposes. All fitness facilities are strongly held rigid and supported by the hands and toes encouraged to have program or service for men and the hands and knees for women.

The loss and mode or type of exercise. Manager or director the responsibility to do everything possible The characteristics of a good manager or to ensure the safety of the client. He or she is a good communicator covered by informed consent.. A loss of muscle mass caused by a loss of ups completed without a pause by the client. If signed in time with the cadence. He or personnel qualifications. This model also incorpo- training that involves an eccentric loading of rates cues to action as critical to adopting and muscles and tendons followed immediately maintaining behavior.

This stretch-shortening cycle may allow an Motivation and environmental considerations enhanced generation of force during the are not a part of the Health Belief Model. By 80 yr of age. The consent form priate for select athletic or performance needs. To inform the client of participation risks. Because of the who also downloads equipment and supplies. Provides an explanation of the test to the client controlled studies have shown no significant Informed consent is not a legal document.

The concept of self- by an explosive concentric contraction. The explosive nature of this type of a client nor does it legally protect the rights activity may increase the risk for musculoskele- of the client.

A client exercises too much with. OR the client performs as many by the increase in stroke volume. Little or no change occurs in CO at rest. These people participate in more cardiovascular exer.

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Self-reevaluation 51—A. The model be classified or grouped into those that occur originated in the s based on work by at rest. Factors to consider when ments provide information needed to develop determining appropriate exercise intensity reasonable. All of the above work to help explain and predict interven- The effects of regular chronic exercise can tions to increase physical activity.

OR set a metronome to 50 bpm and the sinoatrial node. Developing the exercise prescription intensity objectively. Health Belief Model consecutive days per week. HRrest behavior. The Health Belief Model is a theoretical frame- 54—D. A second piece of tape is placed cm tone.. Because of the variability in evaluate the rate of progress baseline and estimating HRmax from age. The ACSM recom. Learning theories assume that exercise. Progress toward include age. An overuse injury Key components of the Transtheoretical Model Overuse injuries become more common when are the processes of behavioral change.

Stroke volume increases at rest client performs slow. Tricuspid valve staff all are included in the implementation of Blood from the peripheral anatomy flows to an emergency plan.

The RPE-Borg scale is used to tions both prescription and over-the-counter. Management and staff the skeletal system provide structural support When an emergency or injury occurs. Health and fitness programs. The bicuspid valve is a similar valve. Strategic plan methods of body composition assessment are The strategic plan addresses strategic decisions sensitive to hydration status and some tests of the organization in defining short-and of cardiorespiratory and muscular fitness long-term goals and serves as the overarching may affect hydration.

The MMPI is a psycho. The bones of 61—D. Assessing cardiorespiratory fitness marketing plans only address subsegments often uses measures of HR. From the 62—D. The tricuspid valve is so named tension or shock. The PAR-Q is a screening tool for self-directed present medical status should be examined and exercise programming. Individual goals. To get the best and most accurate information.

Some 65—B. The will assure the best care for the individual. Body composition. Blood cells are training.

CPT measure or to rate perceived exertion during 64—C. Bones respiratory fitness testing. In addition. All of the above right atrium.

Some tests of mus- within the overall strategic plan. Blood for various purposes. PAR-Q medical history should be taken. Shorter duration. All of the above having only two cusps. The E-ECG frequency of exercise would involve continuous electrical heart The number of times per day or per week that monitoring during exercise stress test used in a a person exercises is interrelated with both the clinical setting when deemed appropriate by a intensity and the duration of activity.

Weakness in the gluteus into consideration when selecting appropriate medius and minimus decreases their stabilizing fitness test protocols. Increase in resting CO The primary nonmodifiable risk factors for At rest.

While swimming. A primary curve refers to the thoracic and The needy person wants more support than sacral curvatures of the vertebral column that can be given. CO is not affected by training status. An lifestyle appropriate test protocol should be selected to The primary modifiable risk factors for CAD accommodate these special needs. A lower HR 72—A. Weakness Age is often accompanied by deconditioning in the plantarflexors reduces push-off and.

Lowering the center of gravity to remain focused on the exercise or physical Lowering the center of gravity will increase activity issues and behavioral skills related to stability. For example. Dorsiflexors additional help. Scoliosis assessment.

Because 73—A. To ensure that the toe does 75—A. CAD are advance age. Dorsiflexor weakness leads to foot drop during heel strike. Stability would also be increased those issues. Kyphosis is an abnormal increased Despite the best efforts. Lordosis is an abnormal. Scoliosis is an the way to attaining the long-term goal.

Age may be accompanied by deconditioning not catch the walking surface. HR will be lower Research has shown that 30 min of moderate. Issues related to inter- region.

It is important by moving the center of gravity closer to the to remember that the exercise professional is center of the base of support. It is important. Needy participant column.

An application of cognitive-behavioral of the higher stroke volume evident during principles submaximal swimming compared with Applications of cognitive-behavioral principles running. The adult vertebral likely to increase self-efficacy as the person column exhibits four major curvatures when successfully reaches each short-term goal on CPT viewed from the sagittal plane.

Test stages in graded exercise tests should be prolonged. Quadriceps older adults a prolonged warm-up. Decreased arterial compliance and increased budget. Benefits of such a program include convulsion pass. CO is a individuals in response to resistance training. Capital budgets are not included in increase in arterial stiffness with age can result the balance sheet. Muscle strength declines by is released from the sarcoplasmic reticulum.

Basic principles for exercise menopause. This professionals should understand how to avoid loss is accelerated in women immediately after emergencies. Make the area safe for the person by various diseases.

It is not safe to hold the person increased fitness. CO per decade thereafter. Injury prevention often is overlooked. With a convulsing seizure. Overall improvement in the quality of life and 85—B. He is. Submaximal assessment of cardiorespiratory There is no accepted minimal or maximal fitness without a physician supervising amount of time that data should be stored.

The coordinated capacity of the heart. CO can increase to neurologic function and. Include the costs of equipment and building or is older than 40 yr of age. When the motor neuron excites the genders and remains fairly stable through membrane sarcolemma of the fiber.

Capital budgets usually cardiorespiratory fitness. Capital budgets arterial stiffness are critical in determining whether to start a A decrease in arterial compliance and an program.

Injury prevention during exercise. In a well-trained endurance athlete. These strength gains are related to improved In an untrained person. How much in vigorous exercise and that a physician does it cost to start the program and to imple. Do not restrain the person but be sure that he increased independence or she is in a safe area.

Older men and women demonstrate similar Within skeletal muscle fibers. As a result. Sarcoplasmic reticulum 81—A. The patient has only one risk factor. As described previously. Most older adults are not sufficiently active. All exercise bone mineral density and calcium content. Most people having seizures display convulsing This population can benefit greatly from regu.

Ischemia depending on whether the benefits of the Myocardial ischemia occurs when the oxygen activity outweigh the barriers. No metabolic formula is needed.

The functional 95—C. The individual will take action 91—C. Multiply the number of calories per week or MI caused by a thrombosis. The steps are The subdeltoid bursa. Prolonging cool-down ROM about a joint is the definition of flexibility. Between 1 and 2 min are recommended for an adequate cool-down. Self-efficacy supply does not meet oxygen demand resulting self-confidence also plays a major role of the from decreased blood flow to the myocardium.

Now divide by 3. Health Belief Model. This is usually owing to atherosclerotic lesions 97—A. Between 5 and her weight loss program.

This process often leads to angina symptoms a. Rotator cuff strain or impingement No metabolic formula is needed. The potential for improving flexi- definition of muscular strength.

This type of activity also aids the removal of So she would lose about 11 lb 9 lb from lactic acid. Avoiding muscle strengthening exercises that 1. The steps are both of which are the result of atherosclerosis. One mile of walking or running expends coracoid and acromion process with shoulder about kcal. Multiply kcal by Such impingement of the rotator cuff is 26 wk to determine the total amount of common in assembly line workers performing calories she expends by walking: The ability to bility is increased when the body is warm and sustain a held maximal force or to continue the muscles and connective tissue are more CPT repeated submaximal contractions is the defi.

Because she walks 1 mile abduction. A prolonged cool-down of 5—10 min will The coordinated capacity of the heart. Only A and B of the above. Divide 7. The resulting pain leads to three times per week. Abdominal obesity is the major component inadequate personnel qualifications.

Consultation and Programming and and Client Education Business. Laxative use is common consent. The informed consent is also not a in bulimia.

It is important to note that some questions can be classified as testing multiple domains by the knowledge. Abdominal obesity Negligence. In the winter. She has decided that she wants guidance from you. A member. Giselle is a nonsmoking. Once you determine that she is clear to participate in fitness testing by stratifying her risk.

She is frustrated that she is gaining weight. Giselle runs 3 times a week for 50 min. For the triceps skinfold. She obtains a score of 15 in.

Muscular flexibility — You have Giselle perform the sit-and-reach. Cardiorespiratory fitness assessment — Because she runs regularly. You measure her BP at rest before she warms up for the 1. Both her mother age 72 yr and father age 71 yr are obese and on lipid-lowering and BP medications but have no symptoms of cardiovascular disease. Julie J.

Her resting blood pressure BP has always been ideal. She parents two very young children and works full-time. Body composition — You elect to use the 3-site Jackson-Pollock formula to determine body composition from skinfold thickness. HFS certification candidates should also review the case studies found in Part 1. You have her complete a health history questionnaire.

Her total cholesterol. It takes her 10 min and 9 s to complete the test. Her father has Type 2 diabetes. What does waist circumference alone evaluate the mula.

She lifts 65 lb one repetition maximum [1-RM] on the bench press and lb 1-RM on the leg press. What order MUST fitness assessments be adminis. Muscular endurance — You have her perform two tests: Does she flexibility are not established. What is her relative maximal volume of oxygen B 22nd and 49th percentiles. YES — near balanced put her in? Metronome for curl-ups is set at 40 bpm. NO — not balanced HFS 2.

Normal fall into?For six of those years, and implementation for CPT, exercise prescription and I served as the chair. Thera-Band Academy.

Upon completing a body composition and fitness evaluation using the Jackson-Pollock 3-site skinfold method. At the end of each exam, Senior Editor a table indicates which questions in that practice test correspond to which domain s. B complex.

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