What is the ACE certified Personal Trainer’s MOST appropriate response?

A new client reports a history of chest tightness with physical exertion.

What is the ACE certified Personal Trainer’s MOST appropriate response?
A . Perform a maximal bicycle ergometer exercise test to assess the chest tightness before beginning any program.
B . Perform a submaximal bicycle ergometer exercise test to assess the chest tightness.
C . Require that the client obtain medical clearance from a physician before beginning any program.
D . Design a slowly progressing exercise regimen.

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Answer: B