CSEP-CEP EXAM 4 CERTIFICATION
EVALUATION 2026 FULL QUESTIONS WITH
SOLUTIONS
◉ 1. Which of the following results from use of a beta-blocker?
A) A blunted heart rate response to exercise
B) An increase in resting blood pressure
C) Increased myocardial contractility
D) None of the above Answer: "A
Beta-blockers are in the class of medications called beta-adrenergic
and work by blocking the hormone epinephrine. As a result, they
reduce blood pressure and heart rate and are prescribed for a
number of cardiovascular issues, such as angina, abnormal rhythms,
high blood pressure, etc."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 2. The QRS wave of the electrocardiogram (ECG) tracing
represents which of the following mechanical events?
A) Atrial depolarization
B) Ventricular depolarization
,C) Atrial contraction
D) Ventricular contraction Answer: "B
The mechanical event signalled by the QRS wave is ventricular
depolarization. The QRS wave is the ventricular depolarization that
is the signal of ventricular contraction."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 3. A 66-year-old client has been referred to you for a functional
capacity evaluation (FCE). The client's medical history includes an
old compression fracture at the L2 level sustained as the result of a
fall, osteoporosis at this level (L2), and a blood pressure reading of
170/94 mmHg. During the FCE pre-screening, the client reports that
they underwent surgery 4 weeks ago. How do you proceed?
A) Proceed with the FCE if the client's resting blood pressure is
below 154/90 mmHg.
B) Given the nature of the surgery, proceed with the FCE, but avoid
any testing that would aggravate the area.
C) Ask the client to wait in the lobby while you obtain a copy of their
most recent lumbar spine X-rays to confirm the compression
fracture has healed before proceeding with the lifting tasks of the
FCE.
D) Speak to the physician and clarify the clearance to proceed with
the FCE. Answer: "D
,Without more information in the referral concerning the surgery, the
safest course of action would be to postpone any aspect of the
assessment until you have had a chance to speak with the physician
to clarify clearance for the FCE."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 4. Which of the following is an acceptable client action during
spirometry?
A) The two largest measures are within 0.15 L of one another.
B) The client coughs during the first second of exhalation.
C) The client exhales rapidly but terminates exhalation early.
D) The client exhales fully but not rapidly. Answer: "A
For valid trials to count, they need to be within 0.15 L of each other,
according to American Thoracic Society guidelines. Coughing during
spirometry, failing to exhale as rapidly as possible, or failing to
exhale for 6 seconds would lead you to omit the trial and complete
another one."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 5. Asthma is the most common chronic condition of childhood. As
a CSEP-CEP working with young hockey players, you are informed
, that one of your players has exercise-induced bronchoconstriction
(EIB). What do you suggest?
A) Recommend beta-2 agonists as a rescue medication 15-30
minutes before the youth exercises.
B) Suggest non-pharmacological interventions, such as a longer
duration for the warm-up or use of a mask to warm air on
inhalation, and then monitor response.
C) Suggest they no longer continue to play ice hockey because it is a
health risk that you do not want to be responsible for.
D) Both A and B. Answer: "B
A CSEP-CEP can only recommend the athlete take their medication
as prescribed. Given the information in the question, there is no
mention of medication, and a CSEP-CEP cannot prescribe
medication. Without a physician prescription, prescribing a longer
warm-up or use of a mask and monitoring symptoms is the only
correct answer within the CSEP-CEP Scope of Practice."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 6. In which situation must a client be medically cleared before
participating in a fitness evaluation and/or exercise program?
A) If the client indicates that they experience occasional dizziness
when they quickly change their posture
EVALUATION 2026 FULL QUESTIONS WITH
SOLUTIONS
◉ 1. Which of the following results from use of a beta-blocker?
A) A blunted heart rate response to exercise
B) An increase in resting blood pressure
C) Increased myocardial contractility
D) None of the above Answer: "A
Beta-blockers are in the class of medications called beta-adrenergic
and work by blocking the hormone epinephrine. As a result, they
reduce blood pressure and heart rate and are prescribed for a
number of cardiovascular issues, such as angina, abnormal rhythms,
high blood pressure, etc."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 2. The QRS wave of the electrocardiogram (ECG) tracing
represents which of the following mechanical events?
A) Atrial depolarization
B) Ventricular depolarization
,C) Atrial contraction
D) Ventricular contraction Answer: "B
The mechanical event signalled by the QRS wave is ventricular
depolarization. The QRS wave is the ventricular depolarization that
is the signal of ventricular contraction."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 3. A 66-year-old client has been referred to you for a functional
capacity evaluation (FCE). The client's medical history includes an
old compression fracture at the L2 level sustained as the result of a
fall, osteoporosis at this level (L2), and a blood pressure reading of
170/94 mmHg. During the FCE pre-screening, the client reports that
they underwent surgery 4 weeks ago. How do you proceed?
A) Proceed with the FCE if the client's resting blood pressure is
below 154/90 mmHg.
B) Given the nature of the surgery, proceed with the FCE, but avoid
any testing that would aggravate the area.
C) Ask the client to wait in the lobby while you obtain a copy of their
most recent lumbar spine X-rays to confirm the compression
fracture has healed before proceeding with the lifting tasks of the
FCE.
D) Speak to the physician and clarify the clearance to proceed with
the FCE. Answer: "D
,Without more information in the referral concerning the surgery, the
safest course of action would be to postpone any aspect of the
assessment until you have had a chance to speak with the physician
to clarify clearance for the FCE."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 4. Which of the following is an acceptable client action during
spirometry?
A) The two largest measures are within 0.15 L of one another.
B) The client coughs during the first second of exhalation.
C) The client exhales rapidly but terminates exhalation early.
D) The client exhales fully but not rapidly. Answer: "A
For valid trials to count, they need to be within 0.15 L of each other,
according to American Thoracic Society guidelines. Coughing during
spirometry, failing to exhale as rapidly as possible, or failing to
exhale for 6 seconds would lead you to omit the trial and complete
another one."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 5. Asthma is the most common chronic condition of childhood. As
a CSEP-CEP working with young hockey players, you are informed
, that one of your players has exercise-induced bronchoconstriction
(EIB). What do you suggest?
A) Recommend beta-2 agonists as a rescue medication 15-30
minutes before the youth exercises.
B) Suggest non-pharmacological interventions, such as a longer
duration for the warm-up or use of a mask to warm air on
inhalation, and then monitor response.
C) Suggest they no longer continue to play ice hockey because it is a
health risk that you do not want to be responsible for.
D) Both A and B. Answer: "B
A CSEP-CEP can only recommend the athlete take their medication
as prescribed. Given the information in the question, there is no
mention of medication, and a CSEP-CEP cannot prescribe
medication. Without a physician prescription, prescribing a longer
warm-up or use of a mask and monitoring symptoms is the only
correct answer within the CSEP-CEP Scope of Practice."
Excerpt From: Canadian Society for Exercise Physiology (CSEP).
"CSEP Clinical Exercise Physiologist (CSEP-CEP) Certification and
Study Guide - 1st Edition." Apple Books.
◉ 6. In which situation must a client be medically cleared before
participating in a fitness evaluation and/or exercise program?
A) If the client indicates that they experience occasional dizziness
when they quickly change their posture
