NASM CES FINAL EXAM 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(BRAND NEW 2023!!!) |AGRADE
Recent research pointed out that potential precautions and contraindications for
myofascial rolling have not been thoroughly documented. Therefore, precautions
and contraindications have been taken from which of the following?
Select one:
a. Myofascial rolling literature specific to the medical profession
b. Related myofascial therapies
c. Leading medical textbooks
d. Leading medical experts – ANSWER- Related myofascial therapies
According to recent research, which of the following may lead to increased core
activation during a plank?
Select one:
a. Performing a posterior pelvic tilt
b. Relaxing the hip musculature
c. Retracting and depressing the shoulder blades
d. Isometric ankle plantarflexion – ANSWER- Performing a posterior pelvic tilt
Which of the following describes the ability of different muscles in the body to
work together to allow coordination of global and refined movements?
Select one:
a. Intramuscular coordination
b. Multiplanar coordination
c. Intermuscular coordination
d. Total body coordination – ANSWER- Intermuscular coordination
A client presents with the Janda Upper Crossed Syndrome. Which muscles are
commonly underactive/lengthened?
Select one:
a. Pectorals, biceps, triceps, and levator scapulae
b. Pectorals, scalenes, cervical extensors, and biceps
c. Pectorals, upper trapezius, levator scapulae, and cervical extensors
d. Middle and lower trapezius, rhomboids, and serratus anterior – ANSWERMiddle and lower trapezius, rhomboids, and serratus anterior
Which lower-body muscles are commonly overactive in the Kendall flat-back
posture?
Select one:
a. Gluteus medius, adductors, and quadriceps
b. Gluteus maximus, transversus abdominis, and rectus abdominis
c. Lumbar extensors, hip flexors, quads, and adductors
d. Abdominals, intercostals, internal obliques, and hip extensors – ANSWERAbdominals, intercostals, internal obliques, and hip extensors
What type of muscle contractions are common during the jumping phase of the
depth jump?
Select one:
a. Eccentric
b. Isokinetic
c. Concentric
d. Isometric – ANSWER- Concentric
Which movement assessment utilizes bands or a cable machine to assess horizontal
pushing capabilities?
Select one:
a. Davies test
b. Standing overhead press
c. Loaded push assessment
d. Standing pull assessment – ANSWER- Loaded push assessment
A client has demonstrated feet turn out during assessment. Which of the following
integrate exercises is most appropriate for a beginner client?
Select one:
a. Short foot
b. Step-up to balance
c. Single-leg squat
d. Single-leg balance – ANSWER- Single-leg balance
What is the anatomic action of the longus capitus and longus colli muscles?
Select one:
a. Sidebending of the cervical spine
b. Rotation of the cervical spine
c. Nodding of the chin
d. Extension of the cervical spine – ANSWER- Nodding of the chin
What process describes the ability of the CNS to interpret sensory information as
needed to execute the proper motor response?
Select one:
a. Augmented feedback
b. Knowledge of performance
c. Sensorimotor integration
d. Muscle synergy – ANSWER- Sensorimotor integration
What are the two scientific theories behind myofascial rolling?
Select one:
a. Reduce myofascial restriction and improve “stretch tolerance.”
b. Break myofascial adhesions and relax the muscle.
c. Local blood flow changes and decreased pain
d. Local mechanical and neurophysiological effect – ANSWER- Local mechanical
and neurophysiological effect
Which modality creates a tangential shearing or wringing-towel effect by creating
compression around the muscle group and then adding movements to improve
mobility?
Select one:
a. Myofascial rolling
b. Instrument-Assisted Soft Tissue Mobilization (IASTM)
c. Cupping
d. Myofascial flossing – ANSWER- Myofascial flossing
What type of myofascial intervention is Instrument-Assisted Soft Tissue
Mobilization?
Select one:
a. It is a myofascial technique that is considered part of acupuncture and cupping.
b. It is a specialized technique that uses instruments to provide a mobilizing effect
on the myofascia.
c. It is a type of stretching technique that improves myofascial mobility.
d. It is a type of myofascial rolling technique administered by the fitness
professional. – ANSWER- It is a specialized technique that uses instruments to
provide a mobilizing effect on the myofascia.
What are the common neurophysiological mechanisms of myofascial rolling that
result in decreased pain?
Select one:
a. Roller pressure may create greater myofascial relaxation or “stretch tolerance”
through central nervous system (CNS) afferent input from the Golgi tendon reflex,
gamma loop modulation, and mechanoreceptors.
b. Roller pressure may modulate pain through stimulation of muscle and cutaneous
receptors, afferent central nociceptive pathways (gate theory of pain), and
descending anti-nociceptive pathways (diffuse noxious inhibitory control)
c. Roller pressure may increase viscosity, decrease pain, increase myofascial
restriction, and decrease fluid changes.
d. Roller pressure may increase viscosity, create myofascial restriction, increase
pain, and increase cellular responses. – ANSWER- Roller pressure may modulate
pain through stimulation of muscle and cutaneous receptors, afferent central
nociceptive pathways (gate theory of pain), and descending anti-nociceptive
pathways (diffuse noxious inhibitory control)
What are the key components of the Cumulative Injury Cycle?
Select one:
a. Tissue trauma, inflammation, muscle spasms, and adhesions
b. Adhesion, dysfunction, and surgery
c. Muscle spasms, compensation, and injury
d. Synergistic dominance and movement impairments – ANSWER- Tissue trauma,
inflammation, muscle spasms, and adhesions
Which muscle is thought to be overactive/shortened if the client demonstrates knee
extension during the modified Thomas test?
Select one:
a. Rectus femoris
b. Biceps femoris
c. Psoas
d. TFL – ANSWER- Rectus femoris
What’s the most appropriate muscle to inhibit if a client demonstrates heel rise
during assessment?
Select one:
a. TFL
b. Quadriceps
c. Gluteus medius
d. Anterior tibialis – ANSWER- Quadriceps