010-111 Question #216: Real Exam Question with Answer & Explanation

The correct answer is C. He experiences chest discomfort with exertion. The AHA/ACSM Pre-participation Screening Questionnaire distinguishes between cardiovascular risk factors and cardiovascular symptoms - only the presence of a symptom triggers the requirement for a medically qualified facility or physician referral.

Question

When proctoring the AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire to a new client, you learn that he may need to use a facility with a medically qualified staff or need a physician's referral. What sole aspect of his history would put him in that category?

Options

AHis blood cholesterol level is 250mg/dL (6.5 mmol/L)
BHis blood pressure is 160/90 mm Hg
CHe experiences chest discomfort with exertion
DHe smokes 1 pack of cigarettes per day

Explanation

The AHA/ACSM Pre-participation Screening Questionnaire distinguishes between cardiovascular risk factors and cardiovascular symptoms - only the presence of a symptom triggers the requirement for a medically qualified facility or physician referral.

Common mistakes.

A. A total cholesterol of 250 mg/dL (6.5 mmol/L) is a CVD risk factor but not a symptom, and the AHA/ACSM screening framework reserves the highest-level referral requirement for symptomatic individuals, not those with risk factors alone.
B. Blood pressure of 160/90 mm Hg represents stage 2 hypertension and is a notable risk factor, but as an asymptomatic finding it does not by itself meet the criterion for requiring medically qualified staff or a physician referral.
D. Smoking one pack per day is a significant CVD risk factor but is not a symptom of cardiovascular disease, so it does not trigger the physician referral or medically qualified staff requirement under this screening tool.

Concept tested. AHA/ACSM pre-participation symptom-based referral criteria

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

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