American College of Lifestyle Medicine (ACLM) Practice Test

These questions are part of the practice quiz. Start practicing

• The DM CHIP program is described as a lifestyle medicine intervention that improved which parameters?
• Walking the dog (brisk walking) is an example of approximately how many METs?
• Which dietary pattern is associated with the greatest reduction in type 2 diabetes risk?
• In the Ornish Heart Study, control group followed which guideline?
• Which cells are responsible for the awakening cortisol spike?
• Which foods are highly processed and not recommended?
• Which statement best describes the precontemplation stage?
• A Daily Value (DV) of sodium of 5% or less is considered what?
• Positivity resonance is described as a shared state of positive emotion resonating between two or more individuals that broadens and builds.
• Leptin is described as which of the following?
• Higher levels of worthwhile ratings are associated with which outcomes?
• A very low-calorie diet has what effect on liver triglyceride content?
• What is the normal range for 25-hydroxy vitamin D in the material?
• What is the magnesium dosage listed?
• FITT, used in exercise prescription, stands for which four components?
• The primary objective of using skinfold thickness measurements is:
• PHQ-2 screening asks about the frequency of which two depressive symptoms over the past two weeks?
• In the VLCD study, responders had lower levels of which markers compared to non-responders?
• Which short-chain fatty acid produced by colonic bacteria from legume fiber improves insulin sensitivity?
• A Daily Value (DV) sodium of 20% or more is considered what?
• Which study reported a 5-year duration and 48 patients with lifestyle changes for coronary disease?
• In the Lyon Diet Heart Study, for how many months were participants followed?
• Which statement best describes why load-bearing exercise is important for bone health?
• Americans fail to sufficiently consume which of the following?
• In the Portfolio Diet study (JAMA 2003), what was the LDL reduction for the portfolio diet group?
• Which statement best defines an asymptote?
• Which food is an excellent source of provitamin A carotenoids?
• Elimination diets for ADHD are effective in approximately what fraction of children with ADHD (>40% symptom reduction)?
• Which item is not part of PERMA's five building blocks?
• Which ethnic group is reported to have about 50% risk of developing type 2 diabetes among those born after 2000?
• What is the relationship between heart rate variability (HRV) and stress?
• When a clinician uses a righting reflex by adopting an expert stance to urge change, what outcome is most likely?
• Which item is not included in the Lifestyle Vital Signs?
• What was a notable outcome of the Ornish Lifestyle Heart Trial?
• What effect did Lim's 600-calorie diet have on type 2 diabetes parameters?
• In the DASH diet study, by how much did blood pressure decrease?
• What directly connects the central clock to other tissues and organs to entrain circadian rhythms?
• What does BMD stand for in bone health assessment?
• Sleep disruption and short sleep duration are correlated with higher risk of which cancers?
• Which unit is used for the second metric in the two-question Physical Activity Vital Sign (minutes per day or other)?
• What is the recommended minimum weekly frequency for starting resistance training?
• Which description best characterizes moderate-intensity physical activity?
• What stance did the FDA take regarding foods containing plant sterols in relation to coronary heart disease risk?
• Which cooking method increases AGE formation the most?
• The cortisol awakening response has been linked to the onset of which disorders?
• How much higher are the overall annual medical expenditures for people diagnosed with diabetes compared with those without diabetes?
• Which statement accurately describes carnitine's role?
• Which volume is considered a standard serving of wine?
• According to ACSM guidelines, how should exercise duration be increased over time?
• Health coaching with a positive psychology emphasis has been shown to decrease patient-reported symptoms by what percent?
• Approximately what percent of US adults have diabetes?
• What was the outcome of the Direct study with an 800 calorie diet over 12 months?
• Which best defines triglyceride?
• Older adults aged 65 and older should aim to complete physical activity at what level compared with adults?
• Which testing interval is best to monitor response to treatment?
• Within USDA Dietary Guidelines, which category accounts for the most sodium intake in a standard diet?
• GEMINAL dietary pattern uses what percentage of calories from fat?
• Prediabetes prevalence across racial and ethnic lines is generally:
• Which statement best describes STOPBANG?
• In the CHIP program, which factor most contributes to cost reductions for diabetic participants in a workplace setting?
• Type 1 diabetes can also develop ________, the primary mechanism in type 2 diabetes, increased insulin requirements and elevated HbA1C, especially with increased weight.
• MVPA stands for which of the following?
• Which of the following is a characteristic of populations in the Blue Zones Project?
• Positivity resonance in positive psychology refers to which phenomenon?
• Which statement best describes the long-term effectiveness of hypnotic medications compared with CBT?
• Which item is NOT part of STOPBANG?
• In the Portfolio Diet study, which statement correctly describes the comparison of LDL reductions between portfolio diet and statin groups?
• According to the 2013 Guidelines for the Management of Overweight and Obesity in Adults, what is the daily calorie range for women and for men?
• Cortisol awakening response occurs within how long after awakening?
• The Esselstyn plant-based diet for coronary artery disease is claimed to do which of the following?
• Lifestyle interventions reduce the progression of prediabetes to diabetes by approximately what percent?
• The ABCD method of behavior change is best described as:
• What was the Framingham Heart Study designed to assess?
• The most appropriate starting point for an introductory resistance-training program is:
• Which option lists the five building blocks of well-being described by PERMA in positive psychology?
• In a study of very low-calorie diet responders, which parameter did not differ between responders and non-responders?
• The prevalence of prediabetes in the United States is highest among which racial and ethnic groups?
• Which statement best describes vigorous-intensity exercise in terms of talking?
• Which certification is required as a prerequisite for becoming an ACSM Certified Personal Trainer?
• Which of the following is not assessed by the PHQ-4?
• Which statement best describes the relationship between fruit and vegetable intake and happiness?
• Which volume is considered a standard serving of beer?
• What was the follow-up duration in the Portfolio Diet study?
• Eight weeks of mindful training is associated with which neuroanatomical changes?
• Which food group is included in the USDA Dietary Guidelines but not in the Canada Food Guide?
• Which type of canned green beans is best to recommend?
• A cognitive distortion where a patient views a single event as part of an endless pattern of defeat is called:
• In the Lyon Diet Heart Study, what effect did the Mediterranean diet have on the risk of a recurrent heart attack in people with heart disease?
• As of 2021, what is the leading cause of death in the United States?
• In positive psychology, which concepts are reinforced to support lifestyle changes?
• In HIIT, how long do the high-intensity intervals typically last?
• How does positive psychology differ from paradigms that strengthen weaknesses?
• Which dairy product is listed as reducing saturated fat in the material?
• What caloric range was prescribed in the Lookahead diet?
• What does 25-hydroxy vitamin D (calcidiol) reflect?
• In the context of weight loss, what daily caloric deficit is recommended for slow and consistent weight loss?
• The Ornish intensive lifestyle change program includes which components?
• The PHQ-2 assesses the frequency of which two core depressive symptoms?
• For vegan individuals, which tests are considered best secondary assessments of micronutrient status?
• According to the DIETFITS trial, which group might benefit from a low-carbohydrate diet?
• MBSR was developed by Jon Kabat-Zinn at the University of Massachusetts Medical Center in which decade?
• In labeling, what does No-salt-added imply?
• Which statement is least effective in preventing cardiovascular disease?
• Which food is NOT listed as calcium-rich in the provided list?
• What percentage of primary care visits are related to stress and lifestyle?
• Which statement reflects how positive affect influences health behaviors in coaching programs?
• By 2050, approximately 100 million Americans are projected to have type 2 diabetes, which is about what fraction of the US population?
• Which statement best describes a potential health concern associated with hydrogenated oils?
• What was observed in Dean Ornish’s study on prostate cancer reversal?
• 1-800-QUIT-NOW is a phone line used for smoking cessation. It is operated by which organization?
• According to the American Heart Association, what is the maximum daily added sugar allowance for women?
• Lifestyle vital signs include which components?
• Palmitic acid (16:0) has which structural formula?
• What is the mechanism by which exercise can reduce the risk of developing type 2 diabetes?
• DASH diet is described as which type of eating plan?
• According to the data, consumption of eggs and red meat at certain thresholds is associated with increased diabetes risk. Which statement is true?
• Which factors are considered risk factors in the Framingham study?
• Which statement about the DASH diet is true?
• Which statement describes folate (vitamin B9) effects on depression management?
• Healthy People 2030 is best described as which of the following?
• Provitamin A carotenoids are defined as which?
• What is the purpose of the 'Developing Discrepancy' technique in motivational strategies?
• In bone health, loading forces refer to mechanical stresses from activities that stimulate bone remodeling. Which option best describes this concept?
• What is the Vitamin D dosage?
• Entrainment in circadian physiology refers to what?
• What percent of US adults have prediabetes?
• Shifted-focus reflection is defined as:
• Which vitamin is accessible from the diet as a previtamin and provitamin and is of concern for those not meeting the RDA?
• In quitting smoking, most of the risk reduction occurs within the first five years. Approximately what percentage decrease is observed in that period?
• What core emphasis characterizes positive psychology?
• Biking at a moderate pace (12 mph) is approximately how many METs?
• What is the most common barrier to other physicians providing exercise advice to their patients?
• How is physician activity defined?
• Which statement best describes vigorous-intensity activity?
• What is the primary intention of the Dietary Guidelines?
• What is the recommended approach to dietary fats for cardiovascular risk reduction?
• Which dietary pattern provides the greatest reduction in type 2 diabetes risk compared to omnivore diets?
• The primary outcome measured during the 6-minute walk test (6MWT) is:
• For patients who do not regularly drink alcohol, when can the AUDIT-C be performed?
• Which nutrient has a prescription dosage in micronutrition as cited?
• An increase in which MET-hours per week range provides the greatest reduction in risk for colon cancer, diabetes, and cardiovascular disease?
• Dietary fiber is defined as ...
• What cardiac adaptations may result from HIIT?
• Which factor is associated with higher likelihood of achieving good HbA1c control and hypertension control?
• What is the central clock in the brain that regulates melatonin secretion?
• Which statement about adipokines is true?
• In the 5 A's framework for addiction and lifestyle medicine, what is the correct order?
• Which factor is associated with increased inflammation?
• What is the daily dosage of Vitamin B2 (Riboflavin)?
• Major depressive disorder and cardiac disease: which statement is true?
• Which micronutrients are associated with lowering blood pressure?
• What has been shown to improve endothelial function, leading to better vasodilation and blood pressure regulation, thus benefiting cardiovascular health and reducing risk for cardiovascular events and mortality?
• Which mood outcome is associated with fruit/vegetable intake?
• Which line lists the five building blocks of well-being in PERMA?
• Butyrate is best described as which of the following?
• Cortisol Awakening Response (CAR) is defined as:
• Which is the final step in the 5 A's framework?
• Short-chain fatty acids produced by gut bacteria have metabolic effects such as ...
• Increased dietary fiber affects insulin sensitivity by increasing production of which metabolite by gut bacteria?
• A standard drink contains approximately how many grams of pure alcohol?
• High intensity running at approximately 11 mph (17.5 km/hr) is approximately how many METs?
• In the Portfolio Diet study by Jenkins, which statement is true?
• Which statement is NOT true about bone-strengthening activities?
• According to positive psychology, resilience is built by maintaining a healthy ratio of which elements?
• What is a fundamental focus of positive psychology compared to traditional approaches?
• The PHQ-4 screens for which pair of symptom domains?
• Heightened sympathetic nervous system activity results in reduced vasodilation; which option best describes this effect?
• The saturated fatty acid with 14:0 is known as which?
• Positive psychology also acknowledges the value of which elements to foster resilience?
• In circadian physiology, what is entrained by food anticipation?
• What is the purpose of an elimination diet?
• Which fatty acid source was emphasized in the Lyon Diet Heart Study (seeds and nuts)?
• In Social Cognitive Theory, what is a central construct?
• Can EPA and DHA be synthesized from linolenic acid with high efficiency?
• What is considered the best source of vitamin K?
• Substituting meat with which foods reduces diabetes risk?
• In the DIETFITS trial, weight loss between a healthy low-fat diet and a healthy low-carbohydrate diet over a daily deficit of 600 calories was:
• Carnitine is which of the following?
• What nap duration is considered restorative and optimal?
• 1-800-QUIT-NOW is operated by which organization?
• In the GEMINAL study by Ornish, which finding was reported?
• After 10 years of not smoking, a former smoker's risk of lung cancer decreases to about what percentage of a current smoker's risk?
• Preformed vitamin A (retinol) is found in which sources?
• Calcidiol is another name for which vitamin D metabolite?
• Discontinuation of which medication would be most likely to improve his Vitamin B12 status?
• Approximately what percent of the US population (adults and children) have diabetes?
• What is the recommended daily fiber intake for men and women?
• What was the observed change in arterial plaque stenosis in the Ornish program after five years?
• Which of the following is a calcium-rich food?
• Sleep deprivation can contribute to increased hunger due to changes in which hormones?
• The largest amount of sodium in the diet comes from which foods?
• What is a physiatrist?
• How many days per week should muscle-strengthening activities be performed?
• EPA sources: which is true?
• When prescribing balance exercises, which approach is recommended first?
• Mindfulness leads to which of the following effects on psychological symptoms?
• Which mechanism is a proposed mood-enhancing effect of physical activity related to psychology?
• What are the recommended vitamin A intakes for adults? Women 14+ and Men 14+.
• A person who pays the right to live in a residence owned by someone else is a:
• A dose–response curve suggests that relative risk of premature mortality begins to asymptote at approximately what amount of MVPA per week?
• What was the Lookahead diet outcome for diabetes mellitus type 2 after following the program?
• Lauric acid is also known as which alternative name?
• Which of the following is NOT listed as an adverse childhood event (ACE) in the material?
• Which dietary source is rich in carnitine?
• For vegan individuals, which tests are considered the best secondary assessments of micronutrient status?
• Which diet pattern is linked to lowering cardiovascular risk by emphasizing plant foods and fish?
• CHD is the abbreviation for which condition?
• Which oil is recommended for cooking to lower LDL cholesterol?
• The Perceived Stress Scale is described as a 10-item questionnaire evaluating symptoms of stress on a 5-point scale over the past month. Which option best describes it?
• What is a reported effect of the Fasting Mimicking Diet on immune cells?
• Sleep deprivation reduces the duration of which sleep stage?
• Which statement best describes the therapeutic alliance?
• What is the zinc dosage?
• Advanced glycation end products (AGEs) are formed in foods and linked to chronic diseases; roasting and broiling at high temperatures promote their formation; they are associated with oxidative stress and inflammation.
• What does the Fagerström Test for Nicotine Dependence assess?
• What best summarizes the relationship between physical activity and mood?
• Mindfulness affects pain perception by which mechanism?
• Which social habit is listed as a Blue Zones characteristic that promotes longevity?
• The righting reflex refers to attempts to use an expert stance to urge patients into change, which is likely to elicit what response?
• To shift sleep pattern later by going to sleep later and waking up later, which dietary change is suggested?
• NIH data indicate average daily vitamin A intake for adult men and women is which of the following?
• What does a dynamometer measure?
• According to 2013 guidelines, what waist circumference defines abdominal obesity?
• The AUDIT-C is described as a tool that should be performed at every visit for patients that regularly consume alcohol but annually for non-regular drinkers. True or False?
• According to the source, what percentage of smokers are killed by tobacco products?
• Which hormone increases hunger?
• Melatonin treatment is most effective when traveling across more than how many time zones?
• Which dietary pattern is recommended to reduce ASCVD risk factors?
• Which adverse event was reported with the portfolio diet in the Portfolio Diet study?
• A tenet is best defined as which of the following?
• The main target of the US Dietary Guidelines recommendations?
• What does RAE stand for in vitamin A measurement?
• DASH (Dietary Approaches to Stop Hypertension) diet results in what?
• The induction phase of ITLC is typically administered in what setting and uses what approach?
• Which of the following is NOT listed as a proposed mechanism for mood enhancement from physical activity?
• Which statement best describes the role of the Dietary Guidelines in health?
• Self-efficacy is influenced by four factors. Which list correctly identifies them?
• In the Diabetes Prevention Program, after about 2.7 years, the incidence of diabetes was reduced by what percentages for intensive lifestyle intervention and metformin, respectively?
• In the ABCD method, which component corresponds to disputing the negative thinking?
• What term describes an animal that eats both plants and animals?
• How many days of fasting and refeeding are described in the Fasting Mimicking Diet?
• Which are clarifying questions to increase accuracy of a 24-hour dietary recall?
• What is the calcium prescription dosage?
• A thorough dietary assessment should include which of the following aspects beyond foods and amounts?
• Which activities have the largest impact on improving bone strength?
• What is the relationship between social media use and mood as described?
• Mindfulness-Based Stress Reduction (MBSR) typically lasts how many weeks?
• Approximately how many participants with type 2 diabetes were enrolled in the Lookahead study?
• MDD increases cardiac risk by what percent in patients with coronary artery disease?
• In the ABCD method, what does A stand for?
• Which statement about palm oil fat composition is true?
• Which statement best describes the induction phase of Intensive Therapeutic Lifestyle Change (ITLC)?
• Healthy People 2030 provides tools and resources aimed at improving health indicators for which groups?
• The GEMINAL pilot study studied intensive nutrition and lifestyle treatment using which diet?
• Myristic acid is a saturated fatty acid with 14:0. Which structural formula represents it?
• What folic acid dosage is listed?
• In the Portfolio Diet study, what was the CRP reduction in the portfolio diet group?
• Sleep loss is associated with which metabolic impairment?
• Which of the following is one of the four items assessed by the PHQ-4?
• What is the daily dosage of Vitamin B6 (pyridoxine)?
• Processed meats are associated with a higher risk of which cancer?
• Which statement best describes the relationship between major depressive disorder and heart disease?
• In exercise science, MET stands for:
• Lauric acid is a 12-carbon saturated fatty acid. How is this chain length designated?
• The STOPBANG screening tool is used to assess risk for which condition?
• Which pregnancy-related outcome is associated with more favorable results?
• Which organization is associated with the 2013 guidelines for overweight and obesity management in adults?
• Which oil has the highest combined percentage of the saturated fats myristic and palmitic acids?
• Which foods account for the largest sodium intake in a typical diet?
• Which stage involves more specific plans, such as setting a start date?
• Which fatty acid is the primary saturated fat in coconut oil?
• Which substance is an adipokine that plays a role in the pathogenesis of diabetes?
• In a 22-week study comparing vegan diet to ADA diet for type 2 diabetes, vegan diet improved which outcomes?
• Which AUDIT-C item asks about the frequency of drinking?
• Jumping rope is approximately how many METs?
• What percentage of US adults with diabetes are unaware that they have diabetes?
• Which lifestyle practices have been shown to reduce recurrence of atrial fibrillation?
• How many Leading Health Indicators are designated in Healthy People 2030?
• What is the maximum possible PHQ-2 total score?
• In Hambrecht's CAD study, what was a primary outcome of comparing exercise to angioplasty?
• In type 2 diabetes, exercise improves glucose uptake in muscle by stimulating which glucose transporter?
• The term "ruminating" means to do which of the following?
• What is the typical process of an elimination diet?
• What is the World Health Organization's maximum percentage of total calories that should come from added sugars?
• The PA Vital Sign provides an example such as which activity to illustrate moderate to strenuous exercise?
• How many servings of fruits and vegetables per day are recommended in the material?
• What is the effect of adding 60 minutes per week of exercise on all-cause mortality?
• In the DIETFITS trial, which factor was explored as a potential predictor of diet response?
• Which statement best describes the dietary factor associated with increased diabetes risk?
• How many states is the 1-800-QUIT-NOW line available in?
• Which stage of change is characterized by a more generic discussion of health risks?
• What are the most effective follow-up times after the quit date has been set?
• When is the most appropriate time to recheck hemoglobin A1c?
• The AUDIT-C consists of three questions covering which topics?
• Which activities are non-load bearing and good for people with osteoarthritis, particularly for bone health?
• In the vegan versus ADA study, what percentage of subjects reduced medication use with the vegan diet?
• The DASH dietary pattern stands for what?
• Alpha-linolenic acid (ALA) is ...
• Which program is highlighted as a diabetes prevention intervention showing clear benefits in preventing diabetes?
• In depression relapse prevention, CBT has been shown to be more effective than antidepressant medications.
• Butyrate improves blood sugar control through which mechanism?
• Which type of experience has the strongest influence on self-efficacy beliefs?
• What components does a typical Mindfulness-Based Stress Reduction (MBSR) program involve?
• In Social Cognitive Theory, mastery experiences are a key source of which construct?
• Which cooking method is associated with AGE formation?
• What does the Perceived Stress Scale (PSS) assess?
• Compared with placebo and portfolio diet, which group achieved the largest CRP reduction in the Portfolio Diet study?
• According to the material, major depressive disorder requires at least how many of the listed symptoms present for more than two weeks?
• HIIT stands for which type of training?
• The two-question Physical Activity Vital Sign includes which two items?
• What is the relationship between baseline grip strength and mortality over a 10-year period?
• Sleep deprivation often leads to decreased levels of which hormone, contributing to increased hunger?
• Which statement best describes the relationship between adipose tissue and type 2 diabetes?
• The progression of diabetes is marked by major changes in what?
• How often should the AUDIT-C be performed for patients who regularly consume alcohol?