ACSM-CEP EXAM with verified detailed solutions || || || || ||
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 participation health screening process is to identify individuals who: -
|| || || || || || || || || || || || || ||
✔✔- 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 - ✔✔- 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? - ✔✔classifies 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? - ✔✔performing 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 - ✔✔30-39% HRR or VO2R
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2-2.9 METS ||
RPE: 9-11 ||
Mod intensity - ✔✔40-59% HRR or VO2R
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3-5.9 METS ||
RPE 12-13 ||
Vigorous intensity - ✔✔>60% HRR or VO2R || || || || || ||
RPE >14 ||
> 6 METS || ||
Risk stratifications for individuals with CVD: LOWEST RISK - ✔✔- functional capacity > 7
|| || || || || || || || || || || || || ||
METS
Risk stratifications for individuals with CVD: MODERATE risk - ✔✔- 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
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- Rest ejection fraction 40-49%
|| || || ||
Risk stratifications for individuals with CVD: HIGHEST risk - ✔✔- 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 - ✔✔Frequency || ||
Intensity
Time
Type
Volume
Progression
Frequency - ✔✔moderate-intensity aerobic exercise 5 days a week OR
|| || || || || || || || ||
vigorous aerobic exercise done at least 3 days a week
|| || || || || || || || ||
Intensity - ✔✔moderate and/or vigorous is recommended for most adults
|| || || || || || || || ||
Time - ✔✔30-60 min of purposeful moderate exercise OR
|| || || || || || || ||
20-60 if vigorous
|| ||
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 participation health screening process is to identify individuals who: -
|| || || || || || || || || || || || || ||
✔✔- 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 - ✔✔- 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? - ✔✔classifies 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? - ✔✔performing 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 - ✔✔30-39% HRR or VO2R
|| || || || || || ||
2-2.9 METS ||
RPE: 9-11 ||
Mod intensity - ✔✔40-59% HRR or VO2R
|| || || || || ||
3-5.9 METS ||
RPE 12-13 ||
Vigorous intensity - ✔✔>60% HRR or VO2R || || || || || ||
RPE >14 ||
> 6 METS || ||
Risk stratifications for individuals with CVD: LOWEST RISK - ✔✔- functional capacity > 7
|| || || || || || || || || || || || || ||
METS
Risk stratifications for individuals with CVD: MODERATE risk - ✔✔- 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 - ✔✔- 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 - ✔✔Frequency || ||
Intensity
Time
Type
Volume
Progression
Frequency - ✔✔moderate-intensity aerobic exercise 5 days a week OR
|| || || || || || || || ||
vigorous aerobic exercise done at least 3 days a week
|| || || || || || || || ||
Intensity - ✔✔moderate and/or vigorous is recommended for most adults
|| || || || || || || || ||
Time - ✔✔30-60 min of purposeful moderate exercise OR
|| || || || || || || ||
20-60 if vigorous
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