Page 1 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
Study online at https://quizlet.com/_deh7kz
1. normal values bg BG > 100 fasting A1C 5.7%
tri, ldl, hdl DM A1C >6.5
>126 fasting
triglycerides >150
Total >200
LDL >100
HDL >40
<60 negative risk fx (good) subtract negative
helps remove other forms of cholesterol in blood stream
(uptakes) decrease risk fx
2. Hypertension normal- less than 120(S) less than 80(D)
Prehypertension- 120-129 80-89
or on hypertension medications
stage 1: 140-159 /90-99 on 2 separate measurements
stage 2 >160/>100
stage 3-over 180/120 hypertensive crisis
3. Lipids <100 LDL optimal
>190 very high (statin)
total cholesterol <200
>250 very high
Hdl <40 low
>60 good negative risk factor
triglycerides <150
>500
4. diabetes Type 1- autoimmune destruction of beta cells in pancreas
(produces insulin) (external insulin)
Type 2- lifestyle insulin resistant skeletal muscle, adipose
tissue, and liver (excess caloric intake requiring more
frequent insulin release(decrease BG) body becomes re-
sistant to insulin or cannot enter the cell or use it properly)
gestational diabetes- pregnant women
5. diabetes and ex- -Promotes movement of glucose into the cell
ercise -Lowers blood glucose
-Lowers insulin needs
-enhances insulin sensitivity; cellular uptake of glucose
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
,Page 2 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
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that facilitates improved blood glucose control
beware of hypoglycemia in type 1; external insulin; con-
sume carbohydrates before exercise if low b.g.
6. PFT (pulmonary FVC forced vital capacity(total amount of air exhaled)
function test) FEV1 forced expiratory volume 1 sec(amount of air you
can force from lungs 1 sec)
Fev1/FVC-proportion of a personals vital capacity(FVC)
that they are able to expire in 1 sec (FEV1)
can help identify the presence of restrictive or obstruction
respiratory abnormalities
normal 70-80% 65% older than 65
less than 70% (COPD, restrictive pattern)
60-69% moderate
50-59% moderately severe
35-49% severe
>34 severe obstruction/restrictive problem
7. Comprehensive Informed consent and exercise preparticipation screen-
health fitness ing
evaluation Preexercise evaluation
Resting measurements
Circumference measurements and body composition
analysis
CRF, muscular fitness and flexibility measurements
Risk versus potential benefits of health related physical
fitness testing
8. BMI weight/ht(in) 2
18.5 underweight
18.5-25 normal
25-29.9 overweight
over 30 obese
30-34.9 stage I
35-39.9 stage II
over 40 stage III
220 lb 6ft 2 in
100/74 in
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
,Page 3 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
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100/1.88 2
30.86
9. Measurement waist circumference
40 in 102 cm men
35 in 88 cm F
10. Cardiac muscle type 1 fibers (slow-twitch)
(myocardium) small, short, branched (mononucleated) (one)
continuous involuntary contractions
calcium induced calcium release
less developed sarcoplasmic reticulum
no terminal cisternae
t-tubules over z-line
allows for delayed onset and prolonged contraction of
cardiac muscle
allow to fill for next cardiac cycle
11. Cardiac muscle intercalated disc- connect muscle fibers
desmosomes-hold muscle fiber together
gap junctions- rapidly conduct action potentials
12. cardiac muscle have much longer refractory period relative to skeletal
muscle
to fill for next cardiac cycle
13. Hemodynamics the forces involved in circulating blood throughout the
body
HR
BP
Vascular resistance (diameter) constriction increased
pressure dilate decreased pressure/ resistance
14. cardiovascular spontaneous rhythmicity- SA node generates and spread
regulation action potential (electrical activity)
(intrinsic) contractility- the greater the stretch the greater the con-
traction (frank starling)
15. Frank-Starling Greater EDV results in a more forceful contraction
Mechanism Due to stretch of ventricles
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
, Page 4 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
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16. cardiovascular parasympathetic nervous system- cranial nerve X (vagus
regulation nerve) release ACH at SA node; causes K+ channels to
(extrinsic) open K+ exits cell (hyperpolarization) decrease HR and
contractility below 100
Sympathetic nervous system- release norepinephrine
causes CA+ to enter cell (depolarize) increase HR and
contractility
Endocrine system- adrenal gland secretes cate-
cholamines (E;NE) increase HR and contractility
17. cardiorespirato- The ability of the circulatory and respiratory systems
ry fitness to supply oxygen-rich blood to skeletal muscles during
sustained physical activity. the ability to perform large
muscle, dynamic, moderate to vigorous-intensity exercise
for prolonged periods of time
18. Mets the equivalent of workload/ exertion
the measure of exercise intensity based on oxygen con-
sumption resting 3.5 ml/kg/min 1 met
relative/3.5 = mets
19. RPE rating of perceived exertion how hard an indivudal is
working
11-14 moderate intensity
over 17 vigorous
20. VO2 max the maximum amount of oxygen the body can take in and
use during exercise. measurement of CRF
21. Myocardial sup- Cardiovascular diseases (CAD)
ply and demand physical activity/exertion
altered Beta Blockers
Nitroglycerin
22. Informed con- ensure the participant knows and understands the pur-
sent pose and risk associated with the test or exercise pro-
gram. should be verbally explained and give the patient
the opportunity to ask questions or clarify if needed.
responsibilities of the patient. if the test is needed for
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
Study online at https://quizlet.com/_deh7kz
1. normal values bg BG > 100 fasting A1C 5.7%
tri, ldl, hdl DM A1C >6.5
>126 fasting
triglycerides >150
Total >200
LDL >100
HDL >40
<60 negative risk fx (good) subtract negative
helps remove other forms of cholesterol in blood stream
(uptakes) decrease risk fx
2. Hypertension normal- less than 120(S) less than 80(D)
Prehypertension- 120-129 80-89
or on hypertension medications
stage 1: 140-159 /90-99 on 2 separate measurements
stage 2 >160/>100
stage 3-over 180/120 hypertensive crisis
3. Lipids <100 LDL optimal
>190 very high (statin)
total cholesterol <200
>250 very high
Hdl <40 low
>60 good negative risk factor
triglycerides <150
>500
4. diabetes Type 1- autoimmune destruction of beta cells in pancreas
(produces insulin) (external insulin)
Type 2- lifestyle insulin resistant skeletal muscle, adipose
tissue, and liver (excess caloric intake requiring more
frequent insulin release(decrease BG) body becomes re-
sistant to insulin or cannot enter the cell or use it properly)
gestational diabetes- pregnant women
5. diabetes and ex- -Promotes movement of glucose into the cell
ercise -Lowers blood glucose
-Lowers insulin needs
-enhances insulin sensitivity; cellular uptake of glucose
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
,Page 2 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
Study online at https://quizlet.com/_deh7kz
that facilitates improved blood glucose control
beware of hypoglycemia in type 1; external insulin; con-
sume carbohydrates before exercise if low b.g.
6. PFT (pulmonary FVC forced vital capacity(total amount of air exhaled)
function test) FEV1 forced expiratory volume 1 sec(amount of air you
can force from lungs 1 sec)
Fev1/FVC-proportion of a personals vital capacity(FVC)
that they are able to expire in 1 sec (FEV1)
can help identify the presence of restrictive or obstruction
respiratory abnormalities
normal 70-80% 65% older than 65
less than 70% (COPD, restrictive pattern)
60-69% moderate
50-59% moderately severe
35-49% severe
>34 severe obstruction/restrictive problem
7. Comprehensive Informed consent and exercise preparticipation screen-
health fitness ing
evaluation Preexercise evaluation
Resting measurements
Circumference measurements and body composition
analysis
CRF, muscular fitness and flexibility measurements
Risk versus potential benefits of health related physical
fitness testing
8. BMI weight/ht(in) 2
18.5 underweight
18.5-25 normal
25-29.9 overweight
over 30 obese
30-34.9 stage I
35-39.9 stage II
over 40 stage III
220 lb 6ft 2 in
100/74 in
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
,Page 3 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
Study online at https://quizlet.com/_deh7kz
100/1.88 2
30.86
9. Measurement waist circumference
40 in 102 cm men
35 in 88 cm F
10. Cardiac muscle type 1 fibers (slow-twitch)
(myocardium) small, short, branched (mononucleated) (one)
continuous involuntary contractions
calcium induced calcium release
less developed sarcoplasmic reticulum
no terminal cisternae
t-tubules over z-line
allows for delayed onset and prolonged contraction of
cardiac muscle
allow to fill for next cardiac cycle
11. Cardiac muscle intercalated disc- connect muscle fibers
desmosomes-hold muscle fiber together
gap junctions- rapidly conduct action potentials
12. cardiac muscle have much longer refractory period relative to skeletal
muscle
to fill for next cardiac cycle
13. Hemodynamics the forces involved in circulating blood throughout the
body
HR
BP
Vascular resistance (diameter) constriction increased
pressure dilate decreased pressure/ resistance
14. cardiovascular spontaneous rhythmicity- SA node generates and spread
regulation action potential (electrical activity)
(intrinsic) contractility- the greater the stretch the greater the con-
traction (frank starling)
15. Frank-Starling Greater EDV results in a more forceful contraction
Mechanism Due to stretch of ventricles
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
, Page 4 of 44.
(Exams Guide For ACSM CEP EXAM: Verified Questions & Answers, 2026 update A+ Grade)...
ACSM CEP EXAM
Study online at https://quizlet.com/_deh7kz
16. cardiovascular parasympathetic nervous system- cranial nerve X (vagus
regulation nerve) release ACH at SA node; causes K+ channels to
(extrinsic) open K+ exits cell (hyperpolarization) decrease HR and
contractility below 100
Sympathetic nervous system- release norepinephrine
causes CA+ to enter cell (depolarize) increase HR and
contractility
Endocrine system- adrenal gland secretes cate-
cholamines (E;NE) increase HR and contractility
17. cardiorespirato- The ability of the circulatory and respiratory systems
ry fitness to supply oxygen-rich blood to skeletal muscles during
sustained physical activity. the ability to perform large
muscle, dynamic, moderate to vigorous-intensity exercise
for prolonged periods of time
18. Mets the equivalent of workload/ exertion
the measure of exercise intensity based on oxygen con-
sumption resting 3.5 ml/kg/min 1 met
relative/3.5 = mets
19. RPE rating of perceived exertion how hard an indivudal is
working
11-14 moderate intensity
over 17 vigorous
20. VO2 max the maximum amount of oxygen the body can take in and
use during exercise. measurement of CRF
21. Myocardial sup- Cardiovascular diseases (CAD)
ply and demand physical activity/exertion
altered Beta Blockers
Nitroglycerin
22. Informed con- ensure the participant knows and understands the pur-
sent pose and risk associated with the test or exercise pro-
gram. should be verbally explained and give the patient
the opportunity to ask questions or clarify if needed.
responsibilities of the patient. if the test is needed for
4/6/2026, 6:37:36 PM 2026/04/06 2026/04/06
