ACSM – CEP TEST QUESTIONS WITH VERIFIED SOLUTIONS

What is used as a preparticipation health screening tool by a professional for the general (non-clinical) population? The ACSM algorithm Sedentary Known CV, metabolic, or renal disease No signs or sx Is medical clearance recommended? At what intensity? Medical clearance is recommended Light-moderate, progress as tolerated Brainpower Read More Sedentary No known CV, metabolic, or renal disease No signs or sx Is medical clearance recommended? At what intensity? Medical clearance is not necessary Light to moderate, progress to vig Sedentary Known CV, metabolic, or renal disease Has sign or sx Is medical clearance recommended? At what intensity? Medical clearance is recommended Light-moderate, progress as tolerated Active No known CV, metabolic, or renal disease No signs or sx Is medical clearance recommended? At what intensity? Medical clearance is not necessary Light to vigorous Active Known CV, metabolic, or renal disease No signs or sx Is medical clearance recommended? At what intensity? Medical clearance is not necessary for light to moderate, but necessary before vigorous Active Known CV, metabolic, or renal disease Has sign or sx Is medical clearance recommended? At what intensity? Discontinue exercise and seek clearance before continuation Definition for active vs sedentary Exercised for at least 30 min/day, 3 days/wk for last 3 months Light intensity VO2R and HRR 30-39% HRR or VO2R Light intensity METs 2-2.9 METs Light intensity RPE RPE 9-11 Moderate intensity HRR or VO2R 40-59% HRR or VO2R Moderate intensity METs 3-5.9 METs Moderate intensity RPE RPE 12-13 Vigorous intensity VO2R or HRR ≥ 60% HRR or VO2R Vigorous intensity METs ≥ 6 METs Vigorous intensity RPE RPE ≥ 14 CV disease cardiac, peripherovascular, or cerebrovascular disease Metabolic disease Any 3 out of 5 of the following: -increased waist circumference (M ≥ 40in, W ≥ 35in) -increased triglycerides ≥ 150 mg/dL -decreased HDL (M 40mg/dL, W 50) -increased BP (SBP ≥ 130 or DBP ≥ 85) -increased fasting glucose ≥ 100mg/dL Signs and symptoms suggestive of CV, renal, and metabolic disease -pain/discomfort in neck, chest, jaw, arms -SOB at rest or w/mild exertion -dizziness or syncope -orthopnea or paroxysmal nocturnal dyspnea -ankle edema -palpitations or tachycardia -intermittent claudication -known heart murmur -unusual fatigue or SOB w/usual activities What is used as a preparticipation health screen in absence of a professionals help? The 2014 PAR-Q+ What is used as a pre-participation screening tool by a professional for cardiac rehab and other medical fitness facilities? AACVPR risk stratification AACVRP lowest risk components during exercise test and recovery -no complex ventricular dysrhythmias -no angina or other sig sx -normal hemodynamics -functional capacity ≥ 7 METs PT case: Normal ECG and asymptomatic resting HR 60 resting BP 130/60 peak HR 90 peak BP 150/65 fxnal capacity = 8 METs what risk category according to AACVRP? Lowest AACVRP lowest risk components at rest -no complex ventricular dysrhythmias -resting EF ≥ 50% -uncomplicated MI or revascularization -no CHF -no signs or sx of post-event/procedure ischemia -no clinical depression *must have all of these* lowest risk EF ≥ 50% Pt case: Resting EF = 50% normal ECG fxnal capacity 7 METs what risk category according to AACVRP? lowest Pt case: Normal ECG resting HR 60 resting BP 130/60 peak HR 90 peak BP 150/65 fxnal capacity = 8 METs *angina reported at peak what risk category according to AACVRP? Moderate *sx at ≥ 7 METs only AACVPR moderate risk components during exercise test and recovery -angina or other sx only when ≥ 7 METs -mild-moderate silent ischemia (ST↓ 2 mm) -functional capacity 5 METs angina or sig sx (unusual SOB, dizziness, or light-headedness) at what WL qualifies a clinical pt for moderate risk? high risk? only occurring at high levels of exertion (≥ 7 METs) occurring at low levels or exertion or during recovery (5 METs) What are considered significant symptoms by the AACVRP standards? -angina -unusual SOB -dizziness -light-headedness What amount of silent ischemia qualifies a clinical pt for moderate risk? high risk? mild-moderate silent ischemia (ST↓ 2 mm) high levels of silent ischemia (ST↓ ≥ 2 mm) What functional capacity qualifies a clinical pt for moderate risk? 5 METs Pt case: 1.5 mm of ST depression functional capacity is 4 METs no symptoms what risk category according to AACVRP? moderate AACVPR moderate risk EF EF 40-49% AACVPR high risk components during exercise test and recovery -complex ventricular dysrhythmias -angina or other sig sx at 5 METs -abnormal hemodynamics (ie flat or ↓ SBP w/↑ WL or severe post-exe hypotension) -high levels of silent ischemia (ST↓ ≥ 2 mm) Pt has a complex ventricular dysrhythmia during an exercise test. what risk category? high pt's SBP does not respond to increased WLs, what risk category? high pt's SBP decreased with increased WLs, what risk category? high pt's BP drops severely post-exercise. What risk category would that place them? high Pt case: normal ECG normal hemodynamic response no sx clinical depression what risk category according to AACVRP? high AACVPR high risk components at rest -complex dysrhythmias -resting EF 40% -complicated MI or revascularization -CHF -signs or sx of post-event/procedure ischemia -clinical depression -hx of cardiac arrest or sudden death