ACSM Certified Personal Trainer (CPT) — Question 2

Your client is a 59 year old sedentary female with a body mass index of 33 kg/m2. She has no history of heart disease herself, but her mother had a myocardial infarction at the age of 66. She is an ex-smoker who quit 15 years ago, blood pressure is consistently 135/85 mm Hg, total cholesterol is 180 mg/dL (4.6 mmol/L) with an HDL level of 30 mg/dL (0.8 mmol/L), and blood glucose is 100 mg/dL (5.6 mmol/L). She has come to you for advice because she wishes to improve her overall health and fitness.

How many risk factor thresholds for coronary artery disease does this client possess?

Answer options

• A. Two
• B. Three
• C. Four
• D. Five

Correct answer: B

Explanation

The client exhibits three risk factors: obesity (BMI of 33 kg/m2), low HDL cholesterol (30 mg/dL), and elevated blood pressure (135/85 mm Hg). The family history of myocardial infarction does contribute to risk but is not counted as a threshold in this context. Therefore, the correct answer is B, indicating three risk factors.