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010-111 · Question #212

010-111 Question #212: Real Exam Question with Answer & Explanation

The correct answer is A. 2. Applying ACSM CVD risk factor criteria identifies 3 positive risk factors and 1 negative risk factor, yielding a net total of 2.

Question

A 50-year-old woman who quit smoking 5 months ago with a BP of 120/90 mmHg, a BMI of 29 kg/m2, a LDL of 135 mg/dL, and a HDL of 70 mg/dL wants to start an exercise program. How many net positive risk factors does she have?

Options

  • A2
  • B3
  • C4
  • D5

Explanation

Applying ACSM CVD risk factor criteria identifies 3 positive risk factors and 1 negative risk factor, yielding a net total of 2.

Common mistakes.

  • B. A net of 3 would result from failing to subtract the negative risk factor conferred by her HDL of 70 mg/dL, which exceeds the 60 mg/dL protective threshold.
  • C. A net of 4 would require an additional positive risk factor such as age >=55 (she is 50) or obesity with BMI >=30 (hers is 29), neither of which is met.
  • D. A net of 5 is not supported by the data and would require counting multiple risk factors that are either absent or below the ACSM thresholds.

Concept tested. ACSM CVD risk factor stratification and net positive calculation

Reference. https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription

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