- | P a g e
pg. 1
ACSM CEP EXAM AND STUDY GUIDE NEWEST 2025
TEST BANK| COMPLETE 650 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+| ACSM CLINICAL
EXERCISE PHYSIOLOGIST EXAM PREP|| NEW!!
Which of the following is a reversible pulmonary condition caused by some type of irritant (e.g., dust, pollen) and characterized by bronchial airway narrowing, dyspnea, coughing and, possibly hypoxia and hypercapnia?
- Emphysema.
- Bronchitis.
- Asthma.
- Pulmonary vascular disease. - Correct Answer - C) Asthma.
A supraventricular ectopic rhythm that results from a focus of automaticity located in the bundle of His is an example of
- Ventricular arrhythmia.
- Junctional arrhythmia.
- Atrioventricular block.
- Premature ventricular contraction. - Correct Answer - B) Junctional
arrhythmia.
Cardiac impulses originating in the sinoatrial node and then spreading to both atria, causing atrial depolarization, is represented on the electrocardiogram as a 1 / 4
- | P a g e
pg. 2
- P wave.
- QRS complex.
- ST segment.
- T wave. - Correct Answer - A) P wave.
For previously sedentary individuals, a 20% to 30% reduction in all- cause mortality can be obtained from physical activity with a daily energy expenditure of
- 50 to 80 kcal/day.
- 80 to 100 kcal/day.
- 150 to 200 kcal/day.
- >400 kcal/day. - Correct Answer - C) 150 to 200 kcal/day.
Exercise has been shown to reduce mortality in people with coronary artery disease. Which of the following mechanisms is NOT responsible?
- The effect of exercise on other risk factors.
- Reduced myocardial oxygen demand at rest and at submaximal
- Reduced platelet aggregation.
- Decreased endothelial-mediated vasomotor tone. - Correct Answer -
- Decreased endothelial-mediated vasomotor tone.
workloads.
Which behavioral change model is often used in cardiac rehabilitation and diabetes management programs because it suggests that individuals 2 / 4
- | P a g e
pg. 3 who perceive they are susceptible to serious disease are more likely to engage in behaviors to prevent the health problem from occurring?
- Motivational interviewing
- Social cognitive theory
- Disease observation model
- Health belief model - Correct Answer - D) Health belief model
Which of the following treatment strategies are most commonly used in patients with multiple-vessel disease who are not responding to other treatments?
- Percutaneous transluminal coronary angioplasty.
- Coronary artery stent.
- Coronary artery bypass graft surgery.
- Pharmacologic therapy. - Correct Answer - C) Coronary artery
bypass graft surgery.
Healthy, untrained individuals have an anaerobic threshold at approximately what percentage of their maximal oxygen consumption ()?
A) 25%.
B) 55%.
C) 75%.
- 95%. - Correct Answer - B) 55%.
- / 4
- | P a g e
pg. 4 Which of the following medications reduces myocardial ischemia by lowering myocardial oxygen demand, is used to treat typical and variant angina, but has NOT been shown to reduce postmyocardial infarction mortality?
- β-adrenergic blockers.
- Niacin.
- Aspirin.
- Nitrates. - Correct Answer - D) Nitrates.
A 35-year-old female client asks the Exercise Specialist to estimate her energy expenditure. She weighs 110 lb and pedals the cycle ergometer at 50 rpm with a resistance of 2.5 kp for 60 minutes. The Specialist should report which of the following caloric values?
- 250 calories.
- 510 calories.
- 770 calories.
- 1,700 calories. - Correct Answer - B) 510 calories.
The cardiac rehabilitation's Medical Director orders a prerehabilitation electrocardiogram on a 50-year-old man. The Exercise Specialist performing the ECG notes the machine error message reads artifact in the precordial lead V4. To correct the artifact, an Exercise Specialist would check which of the following lead positions for adhesive contact?
- Fourth intercostal space, left sternal border.
- Fourth intercostal space, right sternal border.
- Midaxillary line, fifth intercostal space.
- / 4