A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on evaluation, decreased ROM and strength are noted. You also notice that he is beginning to use accessory muscles to substitute movements and to compensate. These symptoms may indicate:
A. A referred pain from a herniated lumbar disk.
B. Rotator cuff strain or impingement.
C. angina.
D. Advanced stages of multiple sclerosis.
All of the following are special considerations inprescribing exercise for the client with arthritis EXCEPT:
A. The possible need to splint painful joints forprotection.
B. Periods of acute inflammation result in decreased pain and joint stiffness.
C. The possibility of gait abnormalities as compensation for pain or stiffness.
D. The need to avoid exercise of warm, swollenjoints.
The MINIMAL duration of exercise necessary to achieve improvements in health for deconditioned individuals is:
A. 20 minutes continuously.
B. 30 minutes continuously.
C. Multiple sessions of more than 10 minutes in duration throughout the day.
D. Two sessions of 20 minutes throughout the day.
If total daily caloric consumption is 2,400 kcal and the total fat in that diet is 30%, how many grams of fat per day would be consumed?
A. 80.
B. 70.
C. 90.
D. 75.
What is the optimal approach for long-term management of body weight?
A. Hypocaloric diet.
B. Daily aerobic exercise.
C. Resistance training.
D. A low-fat, high-fiber diet and daily physical activity.
Which of the following statements about injury reporting is NOT correct?
A. A process for injury reporting, backed up with a form, should be developed.
B. The process to be used and the accompanying forms must be part of the PandP manual.
C. Injury reporting forms must be kept under lock and key, just like data records.
D. A physician should sign every injury report form that is filed.
What are some of the common sales "rules" in promoting your fitness program?
A. Selling memberships at any cost is key.
B. You know more than they do, so be aggressive.
C. Honesty and an understanding of the needs of the potential member are always the best way.
D. Long-term agreements make more money than short-term agreements.
A 150-pound male sets the treadmill speed at 5.0 mph and a 5.2% grade. Calculate his MET value.
A. 36.57 METs.
B. 10.45 METs.
C. 12.25 METs.
D. Not enough information to answer the question.

A. Left atrial enlargement and LVH.
B. Right atrial enlargement and right ventricular hypertrophy.
C. Left anterior fascicular block and left posterior h,scicular block.
D. Subendocardial ischemia and infarction
The P wave on the ECG can be:
A. Negative
B. Positive
C. Isoelectric
D. Either positive or negative