Nasm-Cpt Study Guide : Domain 2 : Assessments :

Front 1

What does the Physical activity readiness questionnaire (PAR-Q) determine?

What does it Identify?

What is to be done if a client answers YES to 1 or more questions?

Back 1

Determines safety/risk of exercising.

Identifies individuals who need medical evaluation.

They must be referred to a physician.

Hint 1

3 points

Front 2

What are some elements of personal, occupational, & family medical history?

Back 2

Sitting/standing for a long time.

Repetitive movement patterns.

Dress shoes. Mental stress.

Past injuries/surgeries.

Medications. Chronic conditions

Hint 2

7 points (

Front 3

Extended periods of sitting can lead to

Back 3

Tight hip flexors.

Rounding of shoulders.

Forward (migrating) head.

Hint 3

There are 3.

Igor can’t do a straddle.

Front 4

What can repetitive movement patterns create?

Back 4

Pattern overload.

Hint 4

(Arms constantly OH, construction, painting)

Front 5

Having your arms constantly OH, being in construction, or painting can lead to what?

Back 5

A tight latissimus dorsi.

Weak rotator cuff.

Hint 5

Sore back.

Unfit shoulders.

Front 6

Dress shoes constantly leave feet in what position?

What problems can they lead to?

Back 6

Plantarflexed position.

Tight Gastrocnemius & soleus.

Decreased dorsiflexion.

Over pronation (flat feet).

Hint 6

Think of what heels do.

2 tight & overly flat.

Front 7

Mental stress can cause

Back 7

Elevated heart rate, blood pressure, & ventilation at rest & when exercising.

Abnormal breathing patterns that cause imbalances in the neck, shoulders, chest, & low back.

Hint 7

Elevation & Hyperventilation.

Front 8

Past injuries/surgeries can be a strong predictor of

Back 8

Future risk of injury.

Front 9

Ankle sprains decrease

Back 9

Neural control to the gluteus medias & maximus.

Hint 9

My butt does what it wants.

Front 10

Knee injuries decrease

Back 10

Neural control to muscles that stabilize the kneecap.

Hint 10

Loose knee.

Front 11

Non-contact knee injuries are often the result of

Back 11

Hip or ankle dysfunction.

Hint 11

Above or below.

Front 12

Low back pain can cause

Back 12

Decreased neural control of core stabilization muscles.

Hint 12

A drop in posture.

Front 13

Shoulder injuries can lead to

Back 13

Altered neural control of the rotator cuff.

Hint 13

A change.

Front 14

Common medications can

Back 14

Effect exercise performance.

Front 15

Chronic/medical conditions

Back 15

Hypertension & other cardiovascular conditions.

Cardiorespiratory conditions.

Diabetes. Stroke. Cancer.

Hint 15

5 major types.

Front 16

Cardiorespiratory assessments are

Back 16

Submaximal tests that estimate VO2max, determining cardiorespiratory exercise starting point.

Rockport walk test. YMCA 3-min step test.

Hint 16

Estimate. Where to begin.

Front 17

Calculating maximal HR : straight percentage method & regression formula :

Back 17

S%M : HRmax=220-age (easiest,less accurate)

RF : HRmax=208 - (0.7 X age) (more accurate)

Hint 17

Just subtract.

Subtract less & multiply.

Front 18

How is the YMCA 3-min step test performed?

Back 18

96 steps/min on 12” step, for 3 mins.

Within 5 secs of stopping take recovery pulse for 60 secs.

Match recovery pulse & assign proper HR zone.

Hint 18

How to perform, what to take after.

Match & assign.

Front 19

HR zones 1, 2, & 3 : HRmax :

Back 19

Zone 1 (poor/fair): 65-75%

Zone 2 (avg/good): 76-85%

Zone 3 (very good): 86-90%

Hint 19

A low of 65 & high of 90, zone begins where other ends.

1st is the worst, 3rd is the best.

Front 20

How is the Rockport walk test performed?

Back 20

Record weight. Walk 1 mile.

Record time, immediately taking HR.

Calculate VO2 score, match with age/sex.

Assign to proper HR zone.

Hint 20

Calculate, match, assign.

Front 21

Radial pulse is measured with

Back 21

2 fingers on the wrist below the thumb, on the side of the arm.

Front 22

Carotid pulse is measured on

Back 22

On the neck; not a preferred method to use on clients.

Front 23

What is Resting heart rate (RHR)?

How do you determine RHR?

Back 23

Heart rate when the body is not physically active.

Take your pulse in the morning for 3 mornings & averaging the readings.

Front 24

Static postural assessment-optimal posture : Shoulders in anterior(front), lateral(side), & posterior (back) views

Back 24

Ant : level, not elevated or rounded.

Lat : normal kyphotic curve, not excessively rounded.

Pos : level, not elevated or rounded.

Hint 24

Lv ; kyphotic ; lv.

All not.

Front 25

Static postural assessment-optimal posture : Head/Neck in anterior(front), lateral(side), & posterior (back) views

Back 25

Ant : neutral, not tilted/rotated.

Lat : Neutral, not migrating forward.

Pos : neutral, not tilted/rotated.

Front 26

What is the average RHR? (Male, female, & typical)

Back 26

male = 70bpm

Female = 75bpm

Typical = 70-80bpm

Front 27

What should trainers do before taking blood pressure?

Back 27

Take a professional course before using with clients.

Front 28

What are the 2 readings of blood pressure?

Back 28

Systolic

Diastolic

Front 29

What is Systolic pressure?

What is a healthy reading?

Back 29

Top number; pressure within the arteries after the heart contracts.

Healthy = less than 120mm Hg

Hint 29

After contraction.

Front 30

Static postural assessment-optimal posture : Feet in anterior(front), lateral(side), & posterior (back) views

Back 30

Ant : straight & parallel, not flattened/externally rotated.

Lat : neutral, leg vertical at right angle to sole of foot.

Pos : heels are straight & parallel, not pronated.

Hint 30

Straight & ; neutral ; heels &.

All not.

Front 31

Static postural assessment-optimal posture : Knees in anterior(front), lateral(side), & posterior (back) views

Back 31

Ant : in line with toes, not adducted/internally rotated.

Lat : neutral, not flexed/hyperextended.

Pos : neutral, not adducted/internally rotated.

Hint 31

In line ; neutral ; neutral. All not.

Not toward midline.

Front 32

Static postural assessment-optimal posture : LPHC in anterior(front), lateral(side), & posterior (back) views

Back 32

Ant : level.

Lat : neutral, not anteriorly or posteriorly rotated.

Pos : level.

Hint 32

Lv ; neutral, not ; lv.

Front 33

What muscles are shortened/overactive in Pronation Distortion Syndrome?

Back 33

Biceps femoris (short head)

IT-Band. Gastrocnemius.

Hip flexor complex. Adductors.

Peroneals. Soleus.

Hint 33

BIG HAPS

Front 34

What muscles are lengthened/underactive in Pronation Distortion Syndrome?

Back 34

Gluteus maximus/medius.

Anterior/Posterior tibialis.

Hint 34

GGAP

Front 35

What muscles are shortened/overactive in lower crossed Syndrome?

Back 35

Hip flexor complex. Adductors.

Latissimus dorsi. Erector Spinae.

Gastrocnemius. Soleus.

Hint 35

HA LEGS

Front 36

What muscles are lengthened/underactive in lower crossed Syndrome?

Back 36

Internal obliques. Transverse abdominis.

Gluteus maximus/medius.

Anterior/Posterior tibialis.

Hint 36

IT GGAP

Front 37

What muscles are shortened/overactive in upper crossed Syndrome?

Back 37

Sternocleidomastoid. Levator scapulae.

Upper trapezius. Teres major.

Scalenes. Subscapularis.

Pectoralis major/minor.

Latissimus dorsi.

Hint 37

SLUT SSPL

Front 38

What muscles are lengthened/underactive in upper crossed Syndrome?

Back 38

Deep cervical flexors.

Teres Minor. Rohomboids.

Infraspinatus. Middle/Lower trapezius.

Serratus Anterior.

Hint 38

D TRIMS

Front 39

Cholesterol

Back 39

Blood lipids associated with cardiovascular disease & obesity.

Hint 39

Red lips.

Front 40

High density lipoprotein (HDL)

Back 40

Good cholesterol.

Hint 40

Happy

Front 41

Low density lipoprotein (LDL)

Back 41

Bad cholesterol.

Hint 41

Sad

Front 42

What is a healthy total cholesterol level?

Back 42

Less than 200mg/dL.

Front 43

Overweight

Back 43

A BMI of 25-29.9, or 25lbs over the recommended weight for their height.

Hint 43

<30

Front 44

Obesity

Back 44

A BMI of 30 or more.

Hint 44

Over Rack.

Front 45

Skinfold measurements use

Back 45

Caliper to measure subcutaneous fat.

Front 46

The 4 skinfold measurements sites

Back 46

Biceps (vertical fold).

Triceps (vertical fold).

Subscapular (45° fold).

Iliac crest (45° fold).

Hint 46

2 up/down, 2 degrees below ma.

Front 47

Durnin-Wormsley formula

Back 47

Add total of measurements and compare to the solutions table to determine body fat %.

Hint 47

Putting together 4 skin fold measurements.

Front 48

Fat mass =

Back 48

Body fat % X scale weight.

Hint 48

Multiply SW

Front 49

Lean body mass =

Back 49

Scale weight - fat mass

Hint 49

SW Subtract

Front 50

Bioelectrical impedance

Back 50

Conducts electrical current through the body to estimate fat content.

Hint 50

Fat

Front 51

The benchpress test estimates

Back 51

1-rep max; upper body maximal strength.

Front 52

The squat test estimates

Back 52

1-rep max ; lower body maximal strength.

Front 53

The push-up test assesses

Back 53

Upper extremity muscular endurance.

Front 54

LEFT test assesses

Back 54

Agility, acceleration/deceleration, & NM control.

Hint 54

Speed.

Front 55

The overhead squat assessment (OHSA) assesses

Back 55

Dynamic posture to identify movement dysfunction & muscle imbalances.

Hint 55

Problems with how you stand.

Front 56

What is the preferred cardio assessment for those with obesity?

What modifications should be considered?

How should they perform the push-up test?

Back 56

The Rockport walk test.

Single-leg balance instead of the single-leg squat assessment.

On knees or with bench.

Front 57

Underwater weighing

Back 57

Used in exercise physiology labs; lean mass sinks, fat mass floats; dry weight compared to underwater weight.

Hint 57

Where is it used?

I drown, Respushia lives.

Compare.

Front 58

Circumference measurements assess

Back 58

Girth changes in the body; not accurate estimate of fatness.

Hint 58

Changes

Front 59

Where do you take circumference measurements?

Back 59

Neck. Chest. Biceps.

Waist. Hips. Calves.

Hint 59

6 sites.

Front 60

Waist-to-hip-ratio

Back 60

Divide waist circumference measurement by the hip measurement.

Front 61

What waist-to-hip-ratio increases risk of obesity-related disease in men & women?

Back 61

Men : 0.95

Women : >0.80

Hint 61

Passing test scores.

Front 62

What is Body mass index (BMI)?

What was it not designed for?

Back 62

A person’s weight compared to their height; not designed to assess fat.

Hint 62

Comparison.

Front 63

The risk of chronic disease increases with a BMI of

Back 63

25 or greater.

Front 64

During pregnancy, what assessments should be avoided?

What modification should be made?

What change should be made for the OHS?

Back 64

Power & speed assessments

Push-ups on knees; single leg squat instead of single-leg balance.

Reduction of ROM.

Front 65

The shark skill test assesses

Back 65

Lower extremity agility & NM control.

Front 66

Fitness professionals do NOT

Back 66

Diagnose medical conditions.

Prescribe/provide treatment/rehabilitation for an injury/disease.

Prescribe diets.

Provide counseling (mental health)

Hint 66

4 points.

Front 67

Reassessment should happen :

Back 67

Every 4wks or when major changes in programming occur.

when a client has shown significant signs of improvement.

If a client is identifying new goals.

if the client has major lifestyle changes (diet, smoking cessation, job change)

Hint 67

4 points.

Time/change. Getting better.

Something new. Huge change.

Front 68

Single-leg squat assesses

Back 68

Ankle proprioception, Core strength, hip joint stability.

Hint 68

ACH

Front 69

Pulling assessment assesses

Back 69

Movement efficiency & potential muscle imbalances during pulling movements.

Hint 69

How good you move & problems.

Front 70

Pushing assessment assesses

Back 70

Movement efficiency & potential muscle imbalances during pushing movements.

Hint 70

How good you move & problems.

Front 71

Gait assessment assesses

Back 71

Movement efficiency & potential muscle imbalances during running & walking.

Hint 71

How good you move & problems.

Front 72

Pronation distortion syndrome is a postural distortion syndrome characterized by

Back 72

Foot pronation (flat feet)

Adducted & internally rotated knees (knock knees).

Front 73

Lower crossed syndrome is a postural distortion syndrome characterized by

Back 73

Anterior tilt to the pelvis (arched lower back).

Front 74

Upper crossed syndrome is a postural distortion syndrome characterized by

Back 74

Forward head and rounded shoulders.

Front 75

Diastolic

Back 75

Bottom number; pressure within the arteries when the heart is resting & filling with blood.

Healthy : less than 80mm Hg.