010-111 Question #88: Real Exam Question with Answer & Explanation

The correct answer is D. High risk, submax testing. ACSM guidelines recommend physician supervision for high-risk clients during both submaximal and maximal exercise testing due to their elevated probability of adverse cardiovascular events. Lower risk categories do not require supervision for submaximal testing.

Question

What risk stratification would physician supervision be recommended during exercise testing?

Options

ALow risk, max testing
BLow risk, submax testing
CModerate risk, submax testing
DHigh risk, submax testing

Explanation

ACSM guidelines recommend physician supervision for high-risk clients during both submaximal and maximal exercise testing due to their elevated probability of adverse cardiovascular events. Lower risk categories do not require supervision for submaximal testing.

Common mistakes.

A. Low-risk clients do not require physician supervision for maximal exercise testing per ACSM guidelines, as their probability of an adverse event is very low.
B. Low-risk clients do not require physician supervision for submaximal testing either, as their risk profile does not warrant medical oversight.
C. Moderate-risk clients require physician supervision only during maximal exercise testing, not submaximal testing, making this an incorrect threshold for mandatory physician presence.

Concept tested. ACSM physician supervision guidelines by risk level and test type

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

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