ACSM's Certification Review 3rd edition
p. 27 Chapter 1, question 22, B is the correct answer
(See figure 1-22 p. 24)
p. 44 Chapter 2, question 16, both C & D are correct answers. Chronic aerobic training has no impact on maximal HR.
p. 47 Chapter 3, Section II. Age-Related Physiologic Changes in Children, A. Cardiopulmonary Function:
Correction to 2: Cardiac output at any given submaximal oxygen consumption (VO2) is HIGHER in adults than in children.
p. 62 Chapter 3, question 2, correct answer D
p. 107 Chapter 6 Section II. B. 1. A. shoud read: The risk of death during or immediately after an exercise test is 1/10,000.
p. 111 Chapter 6, Table 6-4 (Standardized Description of Skinfold Sites and Procedures): Under Skinfold Sites on left hand side of table, Chest should be listed under Biceps--next to the Chest/Pectoral Diagonal fold procedure description.
p. 122 Chapter 6, Figure 6-5, Neck and Trunk Flexibility Screening: The third and fourth image decriptions should read 'Vertebral Flexion' and 'Vertebral Extension'.
p. 124 Chapter 6, Table 6-11, Indications for Terminating Exercise Testing: the last line under Absolute Indications should read "ST elevation (+1.0 mm) in leads without diagnostic Q-waves (other than V1 or aVR)
p. 127 Chapter 6, answer to question 4: age should not be considered a risk factor
p. 151 Chapter 7, answer to question 19: both B and D are correct answers
p. 183 Chapter 9, 5. c. should read 25% - 35% of total energy for children ages 4-18 years.
p. 194 Chpater 9, question 18, A) should read: A) 0.8 g/kg body weight.
p. 194 Chapter 9, question 25, D is the correct answer. Question should read: Which is the most rapidly depleted energy source for high-intensity aerobic exercise activity?
p. 217 Chapter 11, Table 11-1 Summary of Metabolic Calculations. Corrections are underlined below.
VO2 = (0.1 . S) + (1.8 . S . G) + 3.5
Treadmill and Outdoor Running
VO2 = (0.2 . S) + (0.9 . S . G) + 3.5
VO2 = (0.2 . f) + (1.33 . 1.8 . H . f) + 3.5
p. 228 Chapter 11, question 9, D is the correct Answer
p. 235 Chapter 11, Case 1, Step D, the body weight should read 75 instead of 50.
mL . kg-1 . min-1 = (1.8 x 720 / 75) + (3.5) + (3.5)
p. 266 Appendix A, question 28, the question has been changed to read:
At what level is high-density lipoprotein considered a positive risk factor in the development of cardiovascular disease?
Correct answer: <40 mg . dL-1 (1.04 mmol . L-1)
p. 266 Appendix A, question 29, both A & C are correct answers
p. 266 Appendix A, question 31, the correct answer is C
p. 106 Chapter 6, Table 6-2. Age has been added to the list of positive risk factors.Below is the CVD Risk Factor Table from ACSM's Guidelines for Exercise Testing and Prescription 8th ed.
|POSITIVE RISK FACTORS||DEFINING CRITERIA|
|Age||Men ≥45 yr; Women ≥55 yr|
|Family History||Myocardial infarction, coronary revascularization, or sudden death before 55 yr of age in father or other male first-degree relative, or before 65 yr of age in mother or other female first-degree relative|
|Cigarette Smoking||Current cigarette smoker or those who quit within the previous 6 months or exposure to environmental tobacco smoke|
|Sedentary Lifestyle||Not participating in at least 30 min of moderate intensity (40%-60% VO2R) physical activity on at least three days of the week for at least three months (20,23)|
|Obesitya||Body mass index ≥30 kg . m2 or waist girth ≥102 cm (40 inches) for men and ≥88 cm (35 inches) for women (2)|
|Hypertension||Systolic blood pressure ≥140 mm Hg and/or diastolic ≥90 mm Hg, confirmed by measurements on at least two separate occasions, or on antihypertensive medication (10)|
|Dyslipidemia||Low-density lipoprotein (LDL-C) cholesterol ≥130 mg . dL-1 (3.37 mmol - L-1) or high-density lipoprotein (HDL-C) cholesterol <40 mg . dL-1 (1.04 mmol - L-1) or on lipid-lowering medication. If total serum cholesterol is all that is available use ≥200 mg . dL-1 (5.18 mmol - L-1) (3)|
|Prediabetes||Impaired fasting glucose (IFG) = fasting plasma glucose ≥100 mg . dL-1 (5.50 mmol - L-1) but _126 mg . dL-1 (6.93 mmol - L-1) or impaired glucose tolerance (IGT) = 2-hour values in oral glucose tolerance test (OGTT) ≥140 mg . dL-1 (7.70 mmol - L-1) but <200 mg . dL-1 (11.00 mmol - L-1) confirmed by measurements on at least two separate occasions (8)|
|NEGATIVE RISK FACTOR|
|High-serum HDL cholesterol†||≥60 mg . dL-1 (1.55 mmol - L-1)|
† Note: It is common to sum risk factors in making clinical judgments. If HDL is high, subtract one risk factor from the sum of positive risk factors, because high HDL decreases CVD risk.
aProfessional opinions vary regarding the most appropriate markers and thresholds for obesity; therefore, allied health professionals should use clinical judgment when evaluating this risk factor.