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Question # 4

Which fat-soluble vitamin is important for bone formation?

A.

Vitamin A.

B.

Vitamin D.

C.

Vitamin E.

D.

Vitamin K.

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Question # 5

What common medication taken by clients with end-stage renal disease requires careful management for those undergoing hemodialysis?

A.

Antihypertensive medication.

B.

Lithium.

C.

Cholestyramine.

D.

Cromolyn sodium.

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Question # 6

What is the optimal approach for long-term management of body weight?

A.

Hypocaloric diet.

B.

Daily aerobic exercise.

C.

Resistance training.

D.

A low-fat, high-fiber diet and daily physical activity.

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Question # 7

Women are likely to be deficient in both calcium and iron, because

A.

They tend to consume less overall energy than men.

B.

They tend to consume less dairy products.

C.

They tend to consume less protein from meat sources.

D.

All of the above.

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Question # 8

Which of the following is a method of strength and power training that involves an eccentric loading of muscles and tendons followed immediately by an explosive concentric contraction?

A.

Super sets.

B.

Split routines.

C.

Plyometrics.

D.

Periodization.

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Question # 9

Osteoporosis is more prevalent in

A.

Women who have never been pregnant.

B.

African-American women.

C.

Women who are involved in activities that place stress on the wrists, hips, or lum bosacral region.

D.

Postmenopausal women.

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Question # 10

Which of the following diseases is NOT typically associated with obesity?

A.

Diabetes.

B.

Skin cancer.

C.

Coronary artery disease.

D.

Colon cancer.

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Question # 11

Controlling pool water temperature (83-88°F), avoiding jarring and weight- bearing activities, and avoiding movement in swollen, inflamed joints are special considerations for exercise in

A.

Clients after atherectomy.

B.

Clients with angina.

C.

Clients with osteoporosis.

D.

Clients with arthritis.

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Question # 12

A comprehensive patient care plan is necessary for effective program management, because it

A.

Is required by federal law.

B.

Provides a "road map" for interventions.

C.

Is a requirement for insurance reimbursement.

D.

Provides raw data for analysis in CQI or outcomes assessment.

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Question # 13

Which of the following statements about a clinical exercise rehabilitation program's mission statement is NOT correct?

A.

Perhaps the most important feature of the mission statement is its clarity or understandability.

B.

The mission statement should elucidate the program's goals.

C.

There should be a different mission statement for each program or, perhaps, even a different mission statement for each component of a program.

D.

A program's mission statement generally is fixed.

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Question # 14

During the cool-down phase of an exercise session, clients should be encouraged to

A.

Rehydrate.

B.

Decrease the intensity of activity quickly to decrease cardiac afterload.

C.

Limit the cool-down period to 5 minutes.

D.

Increase the number of isometric activities.

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Question # 15

Which of the following statements regarding exercise for persons with controlled cardiovascular disease is TRUE?

A.

Resistance exercise training is dangerous and should be avoided.

B.

A physician-supervised exercise test is not necessary to establish exercise intensity.

C.

Anginal pain is normal during exercise, and participants should be pushed through the pain.

D.

Exercise intensity should be set at an HR of 10 bpm less than the level at which signs/symptoms were evidenced during an exercise test.

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Question # 16

Which of the following statements regarding exercise for the elderly is FALSE?

A.

A decrease in maximal HR is responsible for reductions in the maximal oxygen consumption as we age.

B.

A loss of fat-free mass is responsible for the decrease in muscular strength as we age.

C.

The ACSM recommends a cardiorespiratory training intensity of 50% to 70% of HRR for older adults.

D.

Resistance exercise training is not recommended for older adults.

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Question # 17

When determining the intensity level, the RPE is a better indicator than percentage of maximal HR for all of the following groups EXCEPT

A.

Individuals on -blockers.

B.

Aerobic classes that involve excessive arm movement.

C.

Individuals older than 65 years.

D.

Individuals involved in high-intensity exercise.

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Question # 18

In a budget for a clinical exercise rehabilitation program, all of the following are examples of variable expenses EXCEPT

A.

ECG electrodes.

B.

Temporary wages.

C.

Rental fees for the facility space.

D.

Consultant fees.

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Question # 19

Special precautions for clients with hypertension include all of the following EXCEPT:

A.

Avoiding muscle strengthening exercises that involve low resistance.

B.

Avoiding activities that involve the Valsalva maneuver.

C.

Monitoring a client who is taking diuretics for arrhythmias.

D.

Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.

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Question # 20

The eating habits of an athlete involved in long distance running should differ from those of a sedentary individual of the same body weight in what way?

A.

The athlete should reduce fat intake to 10% of total calories.

B.

The athlete should increase protein intake to threefold the RDA.

C.

The athlete should have a greater intake of grains, fruits, vegetables, and lean sources of protein.

D.

There should be no change in calories.

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Question # 21

Using the original Borg scale, it is recommended that the exercise intensity elicit an RPE within the range of

A.

8 to 12.

B.

12 to 16.

C.

14 to 18.

D.

6 to 10.

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Question # 22

All of the following are special considerations inprescribing exercise for the client with arthritis EXCEPT

A.

The possible need to splint painful joints forprotection.

B.

Periods of acute inflammation result in decreased pain and joint stiffness.

C.

The possibility of gait abnormalities as compensation for pain or stiffness.

D.

The need to avoid exercise of warm, swollenjoints.

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Question # 23

A target HR equivalent to 85% of HRR for a 25year-old male with a resting HR of 75

bpm would be equal to

A.

195 bpm.

B.

166 bpm.

C.

177 bpm.

D.

102 bpm.

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Question # 24

The safety of resistance exercise is dependent on all of the following except

A.

Having a personal trainer.

B.

Proper breathing.

C.

Speed of movement.

D.

Body mechanics.

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Question # 25

Capital budgets

A.

Reflect the costs of implementing a program.

B.

Reflect the costs to operate a program.

C.

Are not necessary with fitness programs.

D.

Are part of the balance sheet in financial reports.

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Question # 26

What do budgets determine?

A.

Fitness equipment costs.

B.

If a company is making or losing money.

C.

Viability, identification of problems, and a plan for the future of a program.

D.

Assets and liabilities of the financial plan.

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Question # 27

What is the relative oxygen cost of bench stepping at a rate of 24 steps per minute up a l0-inch stepping box? The individual weighs 140 pounds.

A.

12.91 mL . kg-1 . min-1

B.

14.61 mL . kg-1 . min-1

C.

16.41 mL . kg-1 . min-1

D.

22.89 mL . kg-1 . min-1

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Question # 28

Right-axis deviation may be caused by

A.

Acute pericarditis.

B.

Right atrial enlargement.

C.

Chronic obstructive pulmonary disease.

D.

Cardiomyopathy.

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Question # 29

At what running speed would you set a level treadmill at to elicit an Vo2 of 40 mL .

kg-1 . min-1?

A.

5.0 mph

B.

6.8 mph

C.

18.25 m . min-1

D.

18.25 mph

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Question # 30

What is the relative Yo2 of walking on a treadmill at 3.5 mph and a 10% grade?

A.

181.72 mL . kg-1 . min-1

B.

18.17 mL. kg-1 . min-1

C.

29.76 mL . kg-1 . min-1

D.

27.96 mL . kg-1 . min-1

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Question # 31

Which of the following is an example of participant interaction as part of the supportive role of a manager?

A.

Offering a shoulder on which to cry.

B.

Conducting surveys, and responding to client needs.

C.

Encouraging members to "let go" in exercise classes.

D.

Having members teach classes.

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Question # 32

Which type of financial analysis would be appropriate for a not-for-profit program

that wishes to determine the amount of revenue from program fees needed so that no

other sources of revenue are required to meet the program's expenses?

A.

Break-down analysis.

B.

Break-even analysis.

C.

Profitability analysis.

D.

Margin analysis.

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Question # 33

In response to various stimuli, movements of ions occur, causing the rapid loss of the internal negative potential. This process is known as

A.

Polarization.

B.

Repolarization.

C.

Automaticity.

D.

Depolarization.

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Question # 34

Why should a fitness operator be concerned with state practice laws?

A.

State laws help to identify illegal aliens who may apply for a job in your club.

B.

State laws may control the number of minority employees working at your club.

C.

State laws may affect how much can be charged for a membership.

D.

Many states have practice acts that control the behavior and actions of fitness instructors.

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Question # 35

What is the relative Y02 of walking on a treadmill at 3.5 mph and a 0% grade?

A.

9.38 mL. kg-1 . min-1

B.

12.88 mL . kg-1l . min-1

C.

18.76 mL . kg-1 . min-1

D.

22.26 mL . kg-1 . min-1

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Question # 36

Which of the following is a fixed expense?

A.

Office supplies.

B.

Salaries.

C.

Utilities (e.g., telephone).

D.

Laboratory charge backs for blood work.

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Question # 37

How much weight will the woman (from question 22) lose in 26 weeks if she integrates a 1-mile walk, taken three times per week, into her weight loss program?

A.

3 pounds.

B.

6 pounds.

C.

11 pounds.

D.

15 pounds.

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Question # 38

In the ECG strip shown below, what disorder is indicated?

A.

Acute pericarditis.

B.

Inferior MI.

C.

Posterior MI.

D.

Anterior MI.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St.

Louis, Mosby, 1999, p 91.)

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Question # 39

In the ECG strip shown below, which arrhythmia is indicated?

A.

Atrial flutter.

B.

Atrial fibrillation.

C.

Premature atrial contractions.

D.

Atrial tachycardia.

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Question # 40

Policies and procedures are important in a fitness center, because they

A.

Explain how to use the fitness equipment properly.

B.

Clarify the rights of and risks in being a fitness member.

C.

Are general guidelines for operating a fitness program or department.

D.

Explain the employee insurance plans and how to use them.

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Question # 41

Why would a fitness facility be interested in public relations?

A.

To increase exposure for the facility and sell its services.

B.

To become involved in local politics.

C.

To improve staff morale.

D.

To make the staff work harder.

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Question # 42

What is a subject's work rate in watts if he pedals on a Monark cycle ergometer at 50 rpm at a resistance of 2.0 kiloponds?

A.

50W.

B.

100W.

C.

200W.

D.

300W.

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Question # 43

Why is public relations important to a fitness program?

A.

It helps to promote the program and staff to the public.

B.

It reduces the risk of legal action against your staff.

C.

It lowers your malpractice insurance premium by promoting quality.

D.

It makes sure that your clients are happy and getting what they want.

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Question # 44

A 143-pound woman regularly exercises on a treadmill at a speed of 5.5 mph and a 2% elevation. What is her caloric expenditure?

A.

6.78 kcal . min-1

B.

11.58 kcal· min-1

C.

20.85 kcal. min-1

D.

25.47 kcal· min-1

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Question # 45

If a healthy young man exercises at an intensity of 45 mL. kg-1.min -1 three times per week for 45 minutes each session, how long would it take him to lose 10 pounds of fat?

A.

4 weeks.

B.

7.14 weeks.

C.

16.5 weeks.

D.

19 weeks.

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Question # 46

Digitalis effect refers to

A.

Scooped-out depression of the ST segment produced by digitalis.

B.

Elevation of the PR interval produced by digitalis.

C.

Shortening of the QT interval produced by digitalis.

D.

Prolongation of the QRS complex produced by digitalis.

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Question # 47

In the ECG strip shown below, which arrhythmia is present?

A.

Premature ventricular contractions.

B.

Ventricular tachycardia.

C.

Ventricular trigeminy.

D.

Ventricular bigeminy.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. 51.

Louis, Mosby, 1999, p 167.)

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Question # 48

Examples of program records include

A.

Client progress and outcomes.

B.

Member needs.

C.

Performance of clients on selected exercises.

D.

Member suggestions and any actions taken regarding them.

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