# Exercise Is Medicine Pre-test

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Although exercise is often purported as beneficial to health and physicians are encouraged to promote it, many are unfamiliar with the current data highlighting exercise as preventative medicine and as a result are unable to provide adequate health promotion in this way. This quiz is meant to test your individual knowledge of the complications of inactivity, the benefits of exercise, and the current American College of Sports Medicine (ACSM) recommendations physicians should be prescribing to their patients based on the Exercise is Medicine Initiative.

• 1.

### What is Metabolic Equivalent of Task (MET), or metabolic equivalent?

• A.

A physiologic measure of the energy cost of physical activity

• B.

The amount of oxygen consumed while sitting at rest

• C.

1 MET = 3.5 ml O2 x kg body weight x min.

• D.

A means of expressing the intensity and energy expenditure of activities in a way comparable among persons of different weight.

• E.

All of the above

E. All of the above
Explanation
The correct answer is "All of the above". The explanation is that the Metabolic Equivalent of Task (MET) is a physiologic measure of the energy cost of physical activity. It is also the amount of oxygen consumed while sitting at rest, and it is expressed as 1 MET = 3.5 ml O2 x kg body weight x min. Additionally, MET is a means of expressing the intensity and energy expenditure of activities in a way that is comparable among persons of different weight. Therefore, all of the given statements are true and encompass the definition of MET.

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• 2.

### To meet the recommended ACSM guidelines, what MET range is recommended?

• A.

• B.

>1000 MET·min·wk

• C.

≥500-1000 MET·min·wk

• D.

≥250-500 MET·min·wk

C. ≥500-1000 MET·min·wk
Explanation
The recommended MET range according to the ACSM guidelines is ≥500-1000 MET·min·wk. This means that individuals should aim to accumulate a minimum of 500 MET·min·wk and can go up to 1000 MET·min·wk to meet the recommended guidelines. MET·min·wk stands for metabolic equivalent of task minutes per week, which is a measure of the energy expenditure during physical activity. This range ensures that individuals engage in a sufficient amount of physical activity to promote health and fitness.

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• 3.

### How much cardiorespiratory training is required to reach the minimum physical activity guidelines according to the ACSM?

• A.

≥30 min·d on ≥5 d·wk for a total of ≥150 min·wk of moderate-intensity cardiorespiratory exercise training

• B.

None

• C.

≥30 min·d on ≥3 d·wk (≥75 min·wk) of low-intensity cardiorespiratory exercise training

• D.

A combination of moderate- and vigorous-intensity exercise to achieve a total energy expenditure of >1000 MET·min·wk

A. ≥30 min·d on ≥5 d·wk for a total of ≥150 min·wk of moderate-intensity cardiorespiratory exercise training
Explanation
The correct answer is ≥30 min·d on ≥5 d·wk for a total of ≥150 min·wk of moderate-intensity cardiorespiratory exercise training. This is because the ACSM recommends at least 150 minutes of moderate-intensity cardiorespiratory exercise training per week, which can be achieved by exercising for at least 30 minutes per day on 5 or more days of the week. Moderate-intensity exercise is beneficial for cardiovascular health and can include activities such as brisk walking, cycling, or swimming.

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• 4.

### Lifestyle disorders including tobacco use, poor diet and “motion deficit disorder,” contribute to what percentage of health care costs?

• A.

10%

• B.

90%

• C.

40%

• D.

25%

C. 40%
Explanation
Lifestyle disorders such as tobacco use, poor diet, and "motion deficit disorder" contribute to 40% of healthcare costs. This means that a significant portion of healthcare expenses is attributed to these unhealthy lifestyle choices. These disorders can lead to various health issues, such as cardiovascular diseases, obesity, and respiratory problems, which require medical treatment and increase healthcare costs. Therefore, addressing and preventing these lifestyle disorders is crucial in reducing healthcare expenses and promoting overall well-being.

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• 5.

### According to the Berg Rating of Perceived Exertion (RPE) Scale, what is the target range for exercise intensity to meet the current ACSM/AHA guildelines?

• A.

>6

• B.

7-11

• C.

12-16

• D.

17-20

C. 12-16
Explanation
According to the Berg Rating of Perceived Exertion (RPE) Scale, the target range for exercise intensity to meet the current ACSM/AHA guidelines is 12-16. This range indicates a moderate level of exertion during exercise, which is recommended for most individuals to improve cardiovascular fitness and overall health. It is important to exercise within this range to ensure that the intensity is appropriate for achieving the desired health benefits without overexertion.

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• 6.

### How do exercise recommendations differ for elderly individuals or those with multiple co-morbidities compared to their more healthy counterparts?

• A.

Less healthy patients should NOT perform resistance training.

• B.

There is no difference.

• C.

Less healthy individuals should NOT perform moderate and/or vigorous intensity exercise.

• D.

Less healthy individuals should only perform low intensity exercise.

B. There is no difference.
Explanation
The correct answer is that there is no difference. This means that exercise recommendations for elderly individuals or those with multiple co-morbidities are not different from their healthier counterparts. This suggests that regardless of health status, exercise recommendations remain the same for all individuals, emphasizing the importance of physical activity for overall health and well-being.

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• 7.

### Regular physical activity:

• A.

Reduces mortality and the risk of recurrent breast cancer by approximately 50%.

• B.

Reduces the risk of developing Alzheimer’s disease

• C.

Lowers the risk of all-cause, cardiovascular, and cancer-specific specific mortality in adults with higher levels of muscle strength

• D.

• E.

All of the above.

E. All of the above.
Explanation
Regular physical activity has been shown to have numerous health benefits. It can reduce mortality and the risk of recurrent breast cancer by approximately 50%. It also lowers the risk of developing Alzheimer's disease. In addition, it has been found to lower the risk of all-cause, cardiovascular, and cancer-specific mortality in adults with higher levels of muscle strength. Furthermore, regular physical activity has been linked to higher academic performance in both children and adults. Therefore, the correct answer is "All of the above."

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• 8.

• A.

25%

• B.

15%

• C.

90%

• D.

• E.

E.
• 9.

### A 55 year old male presents to the clinic for a routine annual exam. He is moderately overweight, has mild hypertension, and osteoarthritis in his knees. According to the ACSM guidelines, what should his physician's exercise recommendations be?

• A.

Brisk walking for 30 mins, 3 times a week

• B.

Resistance exercises for each of the major muscle groups on 2-3 days per week

• C.

Vigorous-intensity cardiorespiratory exercise training for ≥20 min per day on 3 or more days per week

• D.

Both B and C

• E.

Low-intensity cardiorespiratory exercise training for ≥60 min per day on 2 or more days per week

D. Both B and C
Explanation
The physician's exercise recommendations for the 55-year-old male should include resistance exercises for each of the major muscle groups on 2-3 days per week, as well as vigorous-intensity cardiorespiratory exercise training for ≥20 min per day on 3 or more days per week. This combination of exercises will help improve muscle strength and cardiovascular fitness, which are important for managing his weight, hypertension, and osteoarthritis.

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• 10.

### How often do you counsel your patients on exercise?

• A.

• B.

25% of the time

• C.

50% of the time

• D.

>50% of the time

• E.

100% of the time

A.
B. 25% of the time
C. 50% of the time
D. >50% of the time
E. 100% of the time
Explanation
The answer is "100% of the time" because it implies that the person counsels their patients on exercise every single time. This indicates that they consistently prioritize and emphasize the importance of exercise in their counseling sessions with patients.

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• 11.

### How comfortable are you with counseling your patients on exercise?

• A.

Not comfortable at all

• B.

Slightly comfortable

• C.

Somewhat comfortable

• D.

Very comfortable

• E.

Extremely comfortable

A. Not comfortable at all
B. Slightly comfortable
C. Somewhat comfortable
D. Very comfortable
E. Extremely comfortable
Explanation
This question is asking about the level of comfort the respondent has in counseling patients on exercise. The options range from "Not comfortable at all" to "Extremely comfortable." The answer choices allow the respondent to indicate their level of comfort on a spectrum, with "Not comfortable at all" indicating a lack of confidence or knowledge in counseling patients on exercise, and "Extremely comfortable" indicating a high level of confidence and expertise in this area.

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• 12.

### How familiar are you with the current ACSM exercise recommendations?

• A.

Not at all familiar

• B.

Slightly familiar

• C.

Somewhat familiar

• D.

Moderately familiar

• E.

Extremely familiar

A. Not at all familiar
B. Slightly familiar
C. Somewhat familiar
D. Moderately familiar
E. Extremely familiar
Explanation
This question is asking about the respondent's familiarity with the current ACSM exercise recommendations. The options range from "Not at all familiar" to "Extremely familiar," allowing the respondent to indicate their level of knowledge on the topic.

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• Current Version
• Mar 19, 2023
Quiz Edited by
ProProfs Editorial Team
• Mar 29, 2016
Quiz Created by
Mfk24

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