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Continuing Education Self-Test: Credits Provided by American College of Sports Medicine

doi: 10.1249/
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To participate in this program, you must read the designated feature articles carefully, answer the test questions, obtain a passing grade (a minimum score of 60%), and complete the credit evaluation form. After answering the questions, turn to the bottom of the Table of Contents to score your exam. To receive credit verification, fill out and sign the form on page 47, confirming that you have read the materials and obtained a minimum passing score. Select the best answer for each of the following by placing an "x" in one box for each question.

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CEC Self-Test #1: Making Molehills Out of Mountains: Maintaining High Performance at Altitude page 15

by Anne L. Friedlander, Ph.D., Barry Braun, Ph.D., FACSM, and Juan Marquez, B.A.

1. Which of the following physiologic adaptations do not occur immediately upon arriving at altitude?

A. Increased release of stress hormones

B. Increased ventilation

Decreased heart rate

C. Increased blood pressure

2. What strategy can be used to reduce acute mountain sickness (AMS) symptoms?

A. Climb only 2,500 m per day.

B. Consume a relatively high-fat diet.

C. Engage in intense exercise immediately upon arrival to more quickly adapt to altitude.

D. Under the care of your physician, take acetazolamide before ascending to altitude.

3. How soon should you arrive at altitude before a competition?

A. 2 to 3 weeks

B. 1 to 6 hours

C. 15 to 45 minutes

D. 48 to 72 hours

4. What component of your nutrition should increase significantly when going up to altitude?

A. Protein intake

B. Carbohydrate intake

C. Dietary salt intake

D. None of the above

5. Who is most likely to benefit from taking iron supplements before going up to altitude?

A. A 28-year-old male athlete who regularly consume large amounts of fish and meat

B. Athletes whose iron levels are normal but want to ensure that they have more than enough iron to benefit from all the adaptations at altitude

C. Vegetarians whose diets contain high levels of broccoli, kale, spinach, and other leafy green vegetables

D. A 20-year-old female vegetarian going up to altitude in 8 days

6. Who is least likely to experience AMS?

A. A young fit athlete who is competing at altitude for the first time

B. A young fit athlete with a decreased ventilatory response to altitude

C. An older athlete with a strained knee that significantly slows him/her down

D. An older athlete who experienced AMS 5 years ago

7. Which type of activity would probably show the smallest decrement in performance (or even improvement) at high altitude?

A. Prolonged cycling race

B. 100-m sprint

C. Running a marathon

D. Hiking/trekking

8. How much water should you drink at altitude?

A. None. You don't want to become a victim of AMS.

B. About the same amount you would drink at sea level

C. Approximately 3 to 5 liters per day, although it can vary from person to person

D. 16 ounces of cold water

9. What strategies will help a cyclist improve his/her performance at an upcoming race in the mountains (high altitude)?

A. Spend 4 hours a day in a tent simulating very high altitudes for a month before the competition.

B. Go on a couple camping trips in the mountains during the weeks before the competition.

C. Eat plenty of carbohydrates while at altitude.

D. Go up to altitude 2 days before the competition.

E. All of the above

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CEC Self-Test #2: Resistance Training for Cardiac Patients: Maximizing Rehabilitation page 22

by Paul Sorace, M.S., RCEP, CSCS, Peter Ronai, M.S., RCEP, CSCS*D, NSCA-CPT, and James R. Churilla, Ph.D., M.P.H., RCEP, CSCS

1. Which of the following is not a benefit cardiac patients can achieve from resistance training (RT)?

A. Increased muscular strength and endurance

B. Modification of coronary risk factors

C. Enhancement of functional independence

D. Increased sarcopenia

2. The minimum time course for initiating RT in cardiac patients who had a transcatheter procedure is ________

A. 3 weeks.

B. 4 weeks.

C. 5 weeks.

D. 6 weeks.

3. Which of the following is an absolute contraindication for RT in cardiac patients?

A. Diabetes at any age

B. Major risk factors for coronary artery disease

C. Unstable coronary heart disease

D. Low functional capacity (<4 METs)

4. Which of the following is not a method to avoid excessive rises in blood pressure?

A. Single-limb upper extremity training

B. Gripping weights/handles tightly

C. Monitoring rate pressure product

D. Exhaling during the exertion (lifting) phase

5. All of the following strategies are considered RT safety precautions except

A. restricting overhead arm motions for 4 to 6 weeks in patients receiving implantable cardioverter defibrillators/pacemakers.

B. allowing the sternum to heal sufficiently before starting RT.

C. encouraging trunk flexion in patients with osteoporosis.

D. encouraging exercise in the scapular plane in clients with shoulder impingement.

6. Which strategy is not appropriate when developing a new RT program?

A. Perform two sets initially and progress to three if patient/client is stable.

B. Perform 8 to 10 exercises for the major muscle groups.

C. Use a rate of perceived exertion (Borg Scale) of 11 to 13 for monitoring intensity.

D. Increase resistance by 5% when the patient/client can comfortably complete 12 to 15 repetitions.

7. Exercise professionals planning to implement RT programs for cardiac patients who completed cardiac rehabilitation should

A. develop an exercise prescription based solely on their past experiences working with this special population.

B. evaluate each cardiac patient on an individual basis using their knowledge, skills, abilities, and experiences working with this special population.

C. use 8 to 12 different RT exercises, and set the initial resistance at 60% to 80% of their one repetition maximum.

D. prescribe lower body resistance exercises only for the first 12 months.

8. A primary concern for the exercise professional developing a global (aerobic and RT) exercise prescription for the open-heart surgery patient within 4 to 6 weeks after their surgery would be

A. functional capacity (V˙O 2max).

B. attendance record in phase II cardiac rehabilitation.

C. duration of most recent stress test.

D. sternal precautions.

9. Which of the following would be essential in a fitness and rehabilitation facility that serves the cardiac patient who completed cardiac rehabilitation?

A. Aerobic and RT exercise equipment and a professionally trained staff

B. A stress testing center with a full-time physician

C. A diabetes center and lipid clinic

D. A full-time dietitian

(Answers can be found at the bottom of the Table of Contents.)



To receive credit, mail this page with check or money order payable in U.S. dollars in the amount of $15 (ACSM and ACSM Alliance members) or $20 (nonmembers).

American College of Sports Medicine

Department 6022

Carol Stream, IL 60122-6022

(A $25 fee will be assessed on all returned checks.) Fed ID #23-6390952 Expires December 31, 2009



© 2008 American College of Sports Medicine