010-111 · Question #87
What is the initial American College of Sports Medicine risk stratification of a 57 year old female client who has a blood pressure of 150/70 mm Hg and a total serum cholesterol of 240 mg/dL (6.2…
The correct answer is C. Moderate risk. This 57-year-old female presents with three positive ACSM cardiovascular risk factors, which places her in the Moderate risk stratification category. Moderate risk applies when two or more risk factors are present without known disease or symptoms.
Question
What is the initial American College of Sports Medicine risk stratification of a 57 year old female client who has a blood pressure of 150/70 mm Hg and a total serum cholesterol of 240 mg/dL (6.2 mmol/L)?
Options
- ANo risk
- BLow risk
- CModerate risk
- DHigh risk
How the community answered
(18 responses)- B6% (1)
- C83% (15)
- D11% (2)
Why each option
This 57-year-old female presents with three positive ACSM cardiovascular risk factors, which places her in the Moderate risk stratification category. Moderate risk applies when two or more risk factors are present without known disease or symptoms.
No risk is not a recognized ACSM risk stratification tier; every adult is classified as low, moderate, or high risk.
Low risk requires zero or one positive cardiovascular risk factor; this client presents with at least three, exceeding the low-risk threshold.
The client has three positive ACSM risk factors: age (women 55 or older qualifies; she is 57), hypertension (resting BP of 150/70 mmHg exceeds the 140/90 mmHg threshold), and dyslipidemia (total cholesterol of 240 mg/dL exceeds the 200 mg/dL threshold). Per ACSM guidelines, having two or more positive risk factors with no known cardiovascular, pulmonary, or metabolic disease and no signs or symptoms places an individual in the Moderate risk category.
High risk requires the presence of known or symptomatic cardiovascular, pulmonary, or metabolic disease, none of which are indicated in this client's profile.
Concept tested: ACSM cardiovascular risk stratification with multiple risk factors
Source: https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription
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