ACSM Personal Trainer Certification Practice Exam

What is an absolute contraindication of exercise testing?

1. Stable coronary artery disease

2. Unstable angina

3. Controlled hypertension

4. General fatigue

The correct answer is: Unstable angina

Unstable angina is considered an absolute contraindication for exercise testing because it signifies a high risk of serious cardiovascular events. Unstable angina refers to chest pain that occurs at rest, is of new onset, or occurs with increasing frequency or intensity. This condition indicates that the heart is not receiving adequate blood supply due to coronary artery disease, making the individual vulnerable to heart attacks or other complications during physical stress. Therefore, attempting to perform an exercise test could exacerbate the condition, leading to dire consequences. In contrast, stable coronary artery disease, controlled hypertension, and general fatigue do not conditionally prevent an exercise test from being conducted. Individuals with stable coronary artery disease can often participate in exercise testing with appropriate monitoring, and controlled hypertension can be managed in a way that allows for safe participation in exercise assessments. General fatigue, while a concern, would typically not classify as an absolute contraindication but may warrant a careful assessment of the individual's overall health and readiness for testing.