Certified Travel Counselor (CTC) Practice Exam

What is the BEST initial program design for a client with low-risk coronary artery disease starting a muscular-training program?

1. Using free weights (40-60% of 1-RM), complete one set of exercises for all major muscle groups

2. Using selectorized machines (40-60% of 1-RM), complete 2-3 sets of exercises for all major muscle groups

3. Using free weights (65-80% of 1-RM), complete one set of exercises for all major muscle groups

4. Using selectorized machines (65-80% of 1-RM), complete one set of exercises for all major muscle groups

The correct answer is: Using free weights (40-60% of 1-RM), complete one set of exercises for all major muscle groups

The initial program design focusing on using free weights at 40-60% of one-repetition maximum (1-RM) while completing one set of exercises for all major muscle groups is particularly suitable for a client with low-risk coronary artery disease. This approach emphasizes safety and gradual progression, which is crucial for clients with a history of heart conditions, as it allows for careful monitoring of their response to exercise. Using free weights helps in engaging stabilizing muscles, enhancing coordination and functional movement patterns, which can be beneficial for overall strength development and mobility. Furthermore, the moderate intensity of 40-60% of 1-RM ensures that the exercises are challenging without being overwhelming, making it ideal for beginners or those returning to exercise after a health issue. One set per muscle group is a manageable entry point, allowing the client to adapt to the new training regimen without excessive fatigue or risk of injury. In contrast, other strategies that include higher intensities, multiple sets, or reliance solely on selectorized machines may not align as well with the initial training needs of someone with low-risk coronary artery disease. Such options could impose additional stress on the cardiovascular system or lead to excessive fatigue, which would be counterproductive in the early stages of a training program. Therefore