ACSM
010-111 · Question #159
010-111 Question #159: Real Exam Question with Answer & Explanation
The correct answer is B. Moderate risk. With three positive CAD risk factors and no known cardiovascular, pulmonary, or metabolic disease or major symptoms, this client is classified as moderate risk under ACSM stratification.
Question
Your client is a 59 year old sedentary female with a body mass index of 33 kg/m2. She has no history of heart disease herself, but her mother had a myocardial infarction at the age of 66. She is an ex- smoker who quit 15 years ago, blood pressure is consistently 135/85 mm Hg, total cholesterol is 180 mg/dL (4.6 mmol/L) with an HDL level of 30 mg/dL (0.8 mmol/L), and blood glucose is 100 mg/dL (5.6 mmol/L). She has come to you for advice because she wishes to improve her overall health and fitness. What initial American College of Sports Medicine risk stratification does this client fall into?
Options
- ALow risk
- BModerate risk
- CHigh risk
- DVery high risk
Explanation
With three positive CAD risk factors and no known cardiovascular, pulmonary, or metabolic disease or major symptoms, this client is classified as moderate risk under ACSM stratification.
Common mistakes.
- A. Low risk requires no more than one positive CAD risk factor; this client has three confirmed positive factors, exceeding the single-risk-factor ceiling for low-risk classification.
- C. High risk requires the presence of known cardiovascular, pulmonary, or metabolic disease OR major signs or symptoms such as chest pain, dyspnea at rest, or syncope - this client has neither despite having multiple risk factors.
- D. Very high risk is not a category within the standard ACSM three-tier pre-exercise risk stratification framework, which designates only low, moderate, and high risk.
Concept tested. ACSM pre-exercise cardiovascular risk stratification classification
Reference. https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription
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