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Q24. What is an appropriate initial weight loss goal for an obese individual desiring weight reduction?

10%initial body weight in first 6 months.

20 pounds in 2 months.

5 pounds per week for the first 6 weeks, then weight maintenance.

BMI of less than 18.5.

Q25. An appropriate exercise for improving the strength of the low back muscles are

Straight leg lifts.

Parallel squats.

Spinal extension exercises.

Sit-ups with feet anchored.

Q26. In the ECG shown on the following page, which of the following conduction abnormalities is indicated?

RBBB.

Third-degree AV block.

First-degree AV block.

Mobitz I.

Q27. Diets high in saturated fat can lead to elevations in blood ______ concentration, which may increase risk of heart disease. Optimal concentrations of this blood lipoprotein are___

Very LDL-C, <120 mg/dL.

LDL-C, <125 mg/dL.

HDL-C, >30 mg/dL.

LDL-C, <100 mg/dL.

Q28. A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on evaluation, decreased ROM and strength are noted. You also notice that he is beginning to use accessory muscles to substitute movements and to compensate. These symptoms may indicate

A referred pain from a herniated lumbar disk.

Rotator cuff strain or impingement.

angina.

Advanced stages of multiple sclerosis.

Q29. 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.

12.91 mL . kg-1 . min-1

14.61 mL . kg-1 . min-1

16.41 mL . kg-1 . min-1

22.89 mL . kg-1 . min-1

Q30. 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?

Break-down analysis.

Break-even analysis.

Profitability analysis.

Margin analysis.

Q31. The manager’s role in staff education is

Valuable, because it looks good to the owners.

To create many opportunities for educating the staff.

To let the staff handle their own education but also to encourage it.

Not very valuable, because member retention and sales are the key to any program.

Q32. Athletes who exercise in the heat and humidity have a special need for fluid replacement.
Current guidelines suggest that athletes should

Consume 16 to 24 fluid ounces of water for every pound of weight lost.

Drink nothing but alcoholic beverages after engaging in exercise.

Avoid drinking water after exercise because of the danger of cramps.

Eat salt tablets with every meal during the hot summer months.

Q33. Which of the following medical conditions is NOT part of the female athlete triad?

Disordered eating.

Osteoporosis.

Amenorrhea.

Anemia.

Q34. Which of the following issues would you include in discharge education instructions for a client with congestive heart failure to avoid potential emergency situations related to this condition at home?

Record body weight daily, and report weight gains to a physician.

Note signs and symptoms (e.g., dyspnea, intolerance to activities of daily living), and report them to a physician.

Do not palpate the pulse during daily activities or periods of light- headedness, because an irregular pulse is normal and occurs at various times during the day.

Both A and B.

Q35. Examine the six extremity leads shown in the figure below. What is the appropriate mean QRS axis?

-30°.

60°.

90°.

120°.

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St Louis, Mosby, 1999, p 55.)

Q36. Which fat-soluble vitamin is important for bone formation?

Vitamin A.

Vitamin D.

Vitamin E.

Vitamin K.

Q37. A client with type 1 diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result of 253 mgldL (14 mmol/L). A urine test is positive for ketones before her exercise session. What action should you take?

Allow her to exercise as long as her glucose is not greater than 300 mgldL (17 mmol/L).

Not allow her to exercise this session, and notify her physician of the findings.

Give her an extra carbohydrate snack, and wait 5 minutes before beginning exercise.

Readjust her insulin regimen for the remainder of the day to compensate for the high morning glucose level.

Q38. In response to various stimuli, movements of ions occur, causing the rapid loss of the internal negative potential. This process is known as

Polarization.

Repolarization.

Automaticity.

Depolarization.

Q39. Do fitness instructors need management skills?

Only if they wish to become floor supervisors or program managers.

Yes, because of the natural progression of advancement into management.

Yes, because as instructors, they manage client programs and manage the floor with the clients.

No, because they will be trained in management if they become managers.

Q40. What are some of the common sales “rules” in promoting your fitness program?

Selling memberships at any cost is key.

You know more than they do, so be aggressive.

Honesty and an understanding of the needs of the potential member are always the best way.

Long-term agreements make more money than short-term agreements.

Q41. All of the following factors are important to consider when determining exercise intensity EXCEPT

An individual’s level of fitness.

The risk of cardiovascular or orthopedic injury.

Any previous history participating in organized sports.

Individual preference and exercise objectives.

Q42. What condition can cause ST-segment elevation?

Digitalis toxicity.

Hypocalcemia.

Hypokalemia.

Acute pericarditis.

Q43. The P wave on the ECG can be

Negative

Positive

Isoelectric

Either positive or negative

Q44. The recommended cardiorespiratory endurance exercise training program for older individuals should be

40% to 60% of maximum HR, 20 to 30 minutes continuously, 3 days per week.

50% to 70% of HRR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

40% to 60% of maximum HR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

50% to 70% of HRR, 20 to 30 minutes continuously, 3 days per week

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