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Key Facts: Health Exercise Manager Exam

8 subjects

Official written subjects on the KSPO Health Exercise Manager page

https://sqms.kspo.or.kr/info/licenseInfoHexm.kspo

160 minutes

Written examination time: two 80-minute sessions of four subjects each

https://sqms.kspo.or.kr/info/licenseInfoHexm.kspo

40 / 60

Passing standard: 40% per subject (과락) and 60% of the total score

https://sqms.kspo.or.kr/info/licenseInfoHexm.kspo

KRW 25,000

Official written examination fee (general route)

https://sqms.kspo.or.kr/info/commisionInfo.kspo

200 hours

Required general-route training (연수)

https://sqms.kspo.or.kr/info/licenseInfoHexm.kspo

건강운동관리사 (Health Exercise Manager) is South Korea's national exercise-prescription credential administered by KSPO. The written paper covers 8 official subjects, with a 40% per-subject floor and 60% of the total score required, plus practical/oral assessment and 200 hours of training. OpenExamPrep provides an independent 100-question English MCQ practice bank.

Sample Health Exercise Manager Practice Questions

Try these sample questions to review concepts for the Health Exercise Manager exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which energy system serves as the primary source of ATP during a maximal 100-meter sprint lasting approximately 10 seconds?
A.ATP-PCr (phosphagen) system (ATP-PCr 시스템)
B.Fast glycolytic system producing large amounts of lactate (젖산성 해당계)
C.Beta-oxidation of free fatty acids in mitochondria (지방산의 미토콘드리아 베타산화)
D.Oxidative phosphorylation of blood glucose via the Krebs cycle (유산소성 인산화)
Explanation: During all-out, maximal-intensity physical exertion lasting up to 10 to 15 seconds, the ATP-PCr (phosphagen) system provides immediate replenishment of ATP via creatine kinase (크레아틴 키나아제) degrading phosphocreatine without requiring oxygen or producing lactate.
2According to the sliding filament theory (근활주설) of skeletal muscle contraction, what event directly triggers the cross-bridge power stroke?
A.Active uptake of calcium into the sarcoplasmic reticulum by SERCA pumps
B.Binding of calcium ions directly to the thick myosin filament tail
C.Release of inorganic phosphate (Pi) and ADP from the myosin head after actin binding
D.Binding of a new ATP molecule to the detached myosin head
Explanation: In skeletal muscle contraction, once calcium binds to troponin C (트로포닌 C) causing tropomyosin to move, the myosin head binds to actin. The release of inorganic phosphate (Pi) initiates the mechanical power stroke (동력행정), pulling the thin filament toward the center of the sarcomere, followed by the release of ADP.
3Which muscle fiber type is characterized by high mitochondrial density, high myoglobin content, high capillary density, and exceptional resistance to fatigue?
A.Type IIa fast-twitch oxidative-glycolytic fibers (속근 a형)
B.Type IIx fast-twitch glycolytic fibers (속근 x형)
C.Type IIb fast-twitch fatigable fibers (속근 b형)
D.Type I slow-twitch oxidative fibers (지근 섬유)
Explanation: Type I skeletal muscle fibers (slow oxidative) possess abundant mitochondria, high concentrations of oxygen-binding myoglobin, rich capillary networks, and high oxidative enzyme activity, making them highly suited for prolonged, low-intensity postural and endurance tasks without rapid fatigue.
4According to Fick's equation for oxygen consumption, VO2 is determined by the product of which physiological variables?
A.Tidal volume and respiratory rate
B.Heart rate and systemic vascular resistance
C.Stroke volume and systolic arterial blood pressure
D.Cardiac output (Q) and arterial-mixed venous oxygen difference (a-vO2 diff)
Explanation: Fick's principle (픽의 원리) states that oxygen consumption (VO2) equals cardiac output multiplied by the difference in oxygen content between arterial blood and mixed venous blood: VO2 = Q × (a-vO2 diff), or VO2 = (HR × SV) × (CaO2 - CvO2).
5A 70 kg individual exercises at an intensity of 6 METs for 40 minutes. What is the approximate total gross caloric expenditure for this session?
A.147 kcal
B.294 kcal
C.441 kcal
D.588 kcal
Explanation: One MET equals 3.5 mL O2/kg/min. Caloric expenditure in kcal/min = (METs × 3.5 × weight in kg) / 200. Here, kcal/min = (6 × 3.5 × 70) / 200 = 1470 / 200 = 7.35 kcal/min. For 40 minutes: 7.35 kcal/min × 40 min = 294 kcal.
6During progressive incremental exercise, the point at which blood lactate concentration begins to rise exponentially above baseline (typically around 4.0 mmol/L) is officially designated as:
A.Onset of Blood Lactate Accumulation (OBLA / 젖산축적시점)
B.Aerobic base threshold (유산소성 기저역치)
C.Respiratory compensation point for hypocapnia (호흡보상점)
D.Maximal oxygen uptake plateau (최대산소섭취량 정체)
Explanation: The Onset of Blood Lactate Accumulation (OBLA, 젖산축적시점) is standardly defined as the exercise intensity at which blood lactate reaches an absolute concentration of 4.0 mmol/L, reflecting a state where lactate production substantially exceeds clearance capacity.
7What is the primary hemodynamic mechanism explaining the increase in stroke volume during upright aerobic exercise according to the Frank-Starling law of the heart?
A.Decreased end-diastolic ventricular filling volume
B.Profound increase in total peripheral resistance in active working muscles
C.Increased end-diastolic myocardial stretch driven by enhanced venous return (정맥환류량 증가)
D.Reduction in myocardial contractility mediated by parasympathetic dominance
Explanation: The Frank-Starling law (프랑크-스탈링 법칙) states that increased venous return (enhanced by the skeletal muscle pump, respiratory pump, and venoconstriction) expands end-diastolic volume (EDV), lengthening myocardial sarcomeres toward their optimal length and producing a more forceful ventricular contraction to increase stroke volume.
8During acute exercise in a hot and humid environment, which thermoregulatory pathway serves as the primary avenue for heat dissipation from the human body?
A.Radiation of infrared rays to surrounding ambient air (복사)
B.Direct conduction of thermal energy to stationary objects (전도)
C.Evaporation of sweat from the skin surface into the atmosphere (증발)
D.Convective heat transfer via cutaneous blood pooling (대류)
Explanation: During exercise, evaporation (증발) of sweat from the skin surface is the body's most effective and primary avenue for heat dissipation, liberating approximately 0.58 kcal of heat per milliliter of evaporated sweat. When ambient temperature exceeds skin temperature, radiation and conduction can no longer dissipate heat.
9Which respiratory variable represents the fraction of pulmonary ventilation that remains in the conducting airways and does NOT participate in alveolar gas exchange?
A.Anatomical dead space (해부학적 사강)
B.Alveolar ventilation volume (폐포환기량)
C.Inspiratory reserve volume (흡기예비용적)
D.Vital capacity (폐활량)
Explanation: Anatomical dead space (해부학적 사강, approximately 150 mL in healthy adults) represents the volume of air within the nose, pharynx, larynx, trachea, and bronchi where no gas exchange occurs because these structures lack alveoli.
10What is the physiological significance of the Bohr effect (보어 효과) during vigorous muscular exercise?
A.Alveolar oxygen diffusion capacity decreases due to shortened pulmonary capillary transit time
B.Blood lactate is converted directly back into glucose within resting type IIx muscle fibers
C.Myoglobin releases its bound oxygen into the arterial circulation rather than into the mitochondria
D.Hemoglobin's affinity for oxygen decreases due to elevated H+ (acidity) and temperature, promoting O2 unloading in tissues
Explanation: The Bohr effect (보어 효과) describes the rightward shift of the oxyhemoglobin dissociation curve in response to increased hydrogen ion concentration (decreased pH), elevated carbon dioxide (PCO2), and elevated temperature in exercising muscle beds, which weakens hemoglobin's binding affinity for oxygen and facilitates rapid unloading into active muscle fibers.

About the Health Exercise Manager Exam

Health Exercise Manager (건강운동관리사) is South Korea's national qualification for specialists who prescribe and supervise exercise according to an individual's fitness profile, administered by the Korea Sports Promotion Foundation (국민체육진흥공단 / KSPO) under the Ministry of Culture, Sports and Tourism pursuant to Article 11 of the National Sports Promotion Act (국민체육진흥법). When a physician or Korean medicine doctor finds that exercise should accompany treatment, the manager may instruct methods on that referral, excluding physical-therapy rehabilitation and postural-correction referrals reserved under the Medical Service Technologists decree. OpenExamPrep provides an independent 100-question English MCQ study adaptation with Korean sports-science terms, not an official translation or a substitute for the Korean written, practical, or oral examinations.

Exam sponsor: Ministry of Culture, Sports and Tourism / Korea Sports Promotion Foundation (국민체육진흥공단 / KSPO). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Eight official KSPO subjects: 건강·체력평가, 기능해부학(운동역학 포함), 병태생리학, 스포츠심리학, 운동부하검사, 운동상해, 운동생리학, and 운동처방론.

Time Limit

160 minutes total, split into two 80-minute sessions of four subjects each with a scheduled break

Passing Score

40+ per subject (과락 floor) and 60+ overall average out of 100

Exam / Certification Fees

KRW 25,000 written; KRW 45,000 practical/oral; KRW 400,000 general 연수 (KSPO 2026)

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

13 of 100 questions

Exercise Physiology (운동생리학)

Bioenergetics and ATP synthesis, muscular sliding filament theory, cardiac output and oxygen delivery mechanisms, pulmonary gas exchange, endocrine responses during exercise, and environmental adaptations to heat and altitude.

13 of 100 questions

Health & Physical Fitness Assessment (건강·체력평가)

Pre-participation health screening algorithms, PAR-Q+, body composition analysis, VO2max laboratory testing, field tests, 1RM strength evaluation, flexibility goniometry, and balance measurement.

13 of 100 questions

Exercise Prescription Theory (운동처방론)

Principles of exercise training, FITT-VP principles, target heart rate calculations (Karvonen method, %VO2 reserve), and specialized exercise prescription for cardiac rehabilitation, hypertension, metabolic syndrome, and diabetes.

13 of 100 questions

Exercise Stress Testing (운동부하검사)

Clinical indications and contraindications, Bruce and ramp protocols, 12-lead electrocardiogram (ECG) changes during exercise, rate pressure product, blood pressure abnormalities, and criteria for test termination.

12 of 100 questions

Functional Anatomy & Biomechanics (기능해부학·운동역학)

Joint kinematics, origin and insertion of major muscle groups, planes and axes of motion, anatomical lever classes, torque, ground reaction forces, and postural mechanics.

12 of 100 questions

Pathophysiology (병태생리학)

Etiology, clinical manifestations, and exercise pathophysiology of cardiovascular disease, chronic obstructive pulmonary disease (COPD), Type 1 and Type 2 diabetes mellitus, dyslipidemia, osteoarthritis, and osteoporosis.

12 of 100 questions

Exercise Injury & Rehabilitation (운동상해)

Pathology of athletic injuries, acute care protocols (PRICE/POLICE), CPR/AED protocols, rotator cuff tears, ACL/meniscus injuries, lateral ankle sprains, spinal disc herniation, and reconditioning phases.

12 of 100 questions

Sports Psychology (스포츠심리학)

Exercise adherence models, transtheoretical model stages of change, self-efficacy theory, self-determination theory, stress management, anxiety regulation, and behavioral goal setting.

Preparing for the Health Exercise Manager Exam

What You Need to Know

  • Passing score: 40+ per subject (과락 floor) and 60+ overall average out of 100
  • Assessment: Eight official KSPO subjects: 건강·체력평가, 기능해부학(운동역학 포함), 병태생리학, 스포츠심리학, 운동부하검사, 운동상해, 운동생리학, and 운동처방론.
  • Time limit: 160 minutes total, split into two 80-minute sessions of four subjects each with a scheduled break
  • Exam / certification fees: KRW 25,000 written; KRW 45,000 practical/oral; KRW 400,000 general 연수 (KSPO 2026) Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Health Exercise Manager: Suggested Study Strategy

1Study the official 건강·체력평가 outline: physical-activity benefits and risks, pre-participation health screening and risk classification, and health-related fitness testing.
2Calculate Target Heart Rate using the Karvonen Formula: Practice calculating Exercise Target Heart Rate = [(HRmax - HRrest) × %intensity] + HRrest, where HRmax is estimated as 220 - age or measured during peak graded exercise testing.
3Thoroughly review Exercise Stress Test termination criteria: Distinguish absolute indications for stopping a graded exercise test (e.g., ST elevation >1.0 mm, drop in SBP >10 mmHg with other ischemia, sustained ventricular tachycardia, ataxia/dizziness) from relative indications.
4Memorize the 8 official subjects and avoid the 40% subject failure threshold (과락): Because each subject has 20 questions, you must get at least 8 questions right in every single subject; do not neglect challenging domains such as Pathophysiology or Exercise Stress Testing.
5Integrate Functional Anatomy with clinical injury mechanics: Understand the rotator cuff muscles (Supraspinatus, Infraspinatus, Teres minor, Subscapularis), knee ligaments (ACL, PCL, MCL, LCL), and the specific motion planes and torque calculations that trigger or rehabilitate common sports injuries.

Frequently Asked Questions

What is the Health Exercise Manager (건강운동관리사) qualification in South Korea?

It is South Korea's national qualification for specialists who prescribe and supervise exercise based on individual fitness characteristics, administered by KSPO under the Ministry of Culture, Sports and Tourism. On physician or Korean-medicine-doctor referral, holders may instruct exercise methods that accompany treatment, excluding physical-therapy rehabilitation and postural-correction referrals reserved to other licensed professions.

What are the eligibility requirements for the Health Exercise Manager examination?

KSPO's general route requires age 18 or older and a sports-field 전문학사 or higher (including expected 전문학사 or bachelor's graduates), or an MCST-recognized foreign equivalent. Degree or major titles must include 체육, 스포츠, 운동, 건강, or a sports-leader event name; double majors count and minors do not. Coaching experience is not a published substitute for that degree requirement.

What is the structure, question count, and duration of the official written exam?

KSPO lists 8 required written subjects. The paper comprises 160 four-option items, 20 per subject, sat as two 80-minute sessions of four subjects each with a break between them, for 160 minutes of testing. Confirm the current year's session clock on the KSPO notice.

What is the passing score standard for the written examination?

Candidates must score at least 40% (8 out of 20 questions) in each of the 8 subjects to avoid subject disqualification (과락), and achieve an overall average score of at least 60% across all 160 questions (minimum 96 total correct answers).

What are the steps required to receive the full Health Exercise Manager certificate?

Candidates must pass the written examination, then score at least 70% on both the practical and oral examinations, and complete 200 hours of training (연수) at a designated institute. Training requires at least 90% attendance and at least 60% on attitude, instruction, and field-practice evaluations.

How does this OpenExamPrep practice bank support preparation?

This 100-question practice bank is an independent English-language MCQ study adaptation by OpenExamPrep. It is not an official KSPO translation, not a format simulation of the Korean written paper, and not a substitute for practical, oral, or 200-hour training practice.