ACSM-CPT Special Populations

Question 1

What exercise modifications should a CPT implement for a client with controlled hypertension?

Accepted Answer

Avoid heavy isometric exercises and Valsalva maneuver; focus on moderate aerobic exercise

Answer

Recommend only high-intensity interval training

Answer

No modifications are needed for controlled hypertension

Answer

Eliminate all forms of resistance training

Question 2

What are the ACSM exercise guidelines for older adults (65+)?

Accepted Answer

150-300 min/week moderate aerobic activity, plus balance and resistance training 2-3 days/week

Answer

Only light stretching 3 times per week

Answer

Vigorous exercise for 60 minutes daily

Answer

No resistance training after age 65

Question 3

What precautions should be taken when training a client with type 2 diabetes?

Accepted Answer

Monitor blood glucose before, during, and after exercise; have fast-acting carbohydrates available

Answer

Exercise should only occur when blood glucose is above 300 mg/dL

Answer

Diabetic clients should never perform resistance training

Answer

No precautions beyond normal are needed

Question 4

What is the recommended approach for prenatal exercise for healthy pregnant women?

Accepted Answer

150 minutes of moderate-intensity aerobic activity per week, avoiding supine positions after first trimester

Answer

Complete bed rest during pregnancy

Answer

Only water-based exercises are safe during pregnancy

Answer

Exercise intensity should increase each trimester

Question 5

What special considerations apply when training a client with osteoporosis?

Accepted Answer

Include weight-bearing and resistance exercises while avoiding excessive spinal flexion and high-impact activities

Answer

Only perform seated exercises

Answer

Focus exclusively on cardiovascular training

Answer

Avoid all resistance training to prevent fractures

Question 6

How should exercise programs be modified for clients with asthma?

Accepted Answer

Include an extended warm-up, monitor symptoms, and have rescue inhaler accessible

Answer

Avoid all exercise to prevent attacks

Answer

Only perform high-intensity sprints

Answer

Exercise exclusively in cold, dry environments