ACSM-CEP EXAM REVISED 2023.
What is the exercise participation health screening process based on?
- the individual's current level of physical activity
- the presence of signs or symptoms and/or known CV, metabolic, or renal disease
- desired exercise intensity
Goals of the ACSM part...
What is the exercise participation health screening process based on? - ANSWER- the individual's
current level of physical activity
- the presence of signs or symptoms and/or known CV, metabolic, or renal disease
- desired exercise intensity
Goals of the ACSM participation health screening process is to identify individuals who: - ANSWER- who
should receive medical clearance before initiating an exercise program or increasing the frequency,
intensity, and/or volume of their current program
- individuals with clinically significant disease(s) who may benefit from participating in a medically
supervised exercise program
- individuals with medical conditions that may require exclusion from exercise programs until those
conditions are better controlled
2 stage process of screening - ANSWER- need for medical clearance before initiating or progressing
exercise programming is determined using the updated and revised ACSM screening algorithm--> in
presence of health care professional
- if indicated during screening, medical clearance should be sought from the appropriate health care
provider
What does the screening algorithm do? - ANSWERclassifies individuals who do or do not currently
participate in regular exercise
,- GOAL: identify those unaccustomed to regular physical exertion b/c exercise may place
disproportionate demands on the CV system and increase risk of complications
what is exercise participation? - ANSWERperforming planned, structured PA at least 30 min at moderate
intensity on at least 3 days a week for at least the last 3 months
light intensity exercise - ANSWER30-39% HRR or VO2R
2-2.9 METS
RPE: 9-11
Mod intensity - ANSWER40-59% HRR or VO2R
3-5.9 METS
RPE 12-13
Vigorous intensity - ANSWER>60% HRR or VO2R
RPE >14
> 6 METS
Risk stratifications for individuals with CVD: LOWEST RISK - ANSWER- functional capacity > 7 METS
Risk stratifications for individuals with CVD: MODERATE risk - ANSWER- presence of angina or other
significant symptoms (unusual SOB, lightheadedness, or dizziness occurring only at high levels of
exercise (> 7 METS)
- mild to mod ischemia during exercise testing or ST segment depression < 2 mm from baseline
,- functional capacity <5 METS
- Rest ejection fraction 40-49%
Risk stratifications for individuals with CVD: HIGHEST risk - ANSWER- presence of complex ventricular
dysrhythmias during exercise testing or recovery
- presence of angina or other significant symptoms (unusual SOB, light-headedness, dizziness at low
levels of exertion ( < 5 METS during recovery)
FITT-VP - ANSWERFrequency
Intensity
Time
Type
Volume
Progression
Frequency - ANSWERmoderate-intensity aerobic exercise 5 days a week OR
vigorous aerobic exercise done at least 3 days a week
Intensity - ANSWERmoderate and/or vigorous is recommended for most adults
Time - ANSWER30-60 min of purposeful moderate exercise OR
20-60 if vigorous
- <20 min of exercise per day can be beneficial
,Type - ANSWERRegular, purposeful exercise that involves major muscle groups and is continuous and
rhythmic
Volume - ANSWER> 500-1,000 MET-min a week
Pattern - ANSWERone continuous session per day or in multiple sessions of >10 min
Progression - ANSWERadjust exercise duration, frequency, and intensity
Progressive overload - ANSWERto improve CRF, individual must exercise at a level greater than
accustomed to induce adaptation
--> EP-C should not increase all variables simultaneously; SMALL incremental progression allows the
body to adapt--> reduces risk of overuse injuries
Reversibility Principle - ANSWERThe physical benefits of exercise are lost through disuse or inactivity.
SAID principle - ANSWERSpecific adaptations to imposed demands: principle that states the body will
adapt to specific demands that are placed on it.
Heart rate reserve (HRR) method - ANSWERA method of calculating target cardiorespiratory endurance
exercise intensity based on a percentage range of heart rate reserve, which is the difference between
resting heart rate and maximum heart rate.
Target HR formula - ANSWER[(Maximum HR- Resting HR) x % intensity desired] + Resting HR
peak heart rate method - ANSWERMaximum HR = 220 - age in years
,Once HRmax has been determined, EP-C may assign a target HR by following the formula: -
ANSWERTarget HR = Maximum HR x % intensity desired
Peak VO2 method - ANSWERmust have measured or estimated VO2max.
Underweight is classified as a body mass index of - ANSWER<18.5
when measuring regional body circumferences, an average of duplicate measures is used provided that
hose measurements do not differ by more than - ANSWER5 mm
the demarcation point of a very high health risk for young women when using waist-to-hip ratio (WHR) -
ANSWER>0.86
criterion measure of cardiorespiratory fitness - ANSWERmaximal volume of O2 consumed per unit time
(VO2max)
, When estimating VO2max using the YYMCA cycle ergometer protocol, which best describes the
relationship between heart rte >110 bon and 85% age-predicted HRmax or 70% heart rate reserve -
ANSWERLinear
Unique variable to the Rockport One Mile Fitness Walking Test's regression equation to estimate
VO2max - ANSWERgender
Suggested work rate for a deconditioned, female individual performing the Astrand-rhyming cycle
ergometer protocol - ANSWER300 or 450 kg/m/min (50 or 70)
How long is the queens college step test performed for? - ANSWER3 minutes
Which of the following is not a general category for clinical exercise testing? - ANSWERimplementation
ones that are:
-prognosis
-evaluation
-diagnosis
Which of the following is considered the gold standard to objectively measure exercise capacity -
ANSWERMaximal exercise test using indirect calorimetry
Whose legal responsibility is it to supervise the clinical exercise laboratory and interpret all clinical
exercise testing results in a diagnostic setting? - ANSWERthe supervision physician
graded exercise protocol most widely used in the US in a clinical setting? - ANSWERBruce treadmill
protocol
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