CSEP-CEP Questions and Answers
A+ Graded (2025)
What .are .the .5 .circumference .points? .- .CORRECT .ANSWER-- .Arm .(midpoint
.between .acromian .and .olecranon) .
- .Waist .(midpoint .of .iliac .crest .and .ribs)
- .Hip .(furthest .protrusion .of .glutes)
- .Thigh .(midpoint .of .inguinal .crease .and .patella)
- .Calf .(furthest .protrusion)
Describe .the .pros .and .cons .of .skinfold .measurements .- .CORRECT .ANSWER-
Pros: .accurate .for .leaner .subjects, .multiple .equations .for .different .populations
Cons: .high .rate .of .user .error, .taking .repeated .measurements .can .increase .error,
.can .be .impacted .by .physical .activity .(level .of .water .in .muscles)/ .environment
.(cold/hot .weather), .shouldn't .be .used .for .obese .clients
Describe .skinfold .protocol .- .CORRECT .ANSWER-Explain .the .purpose .of .the .test
Explain .the .test .procedures
Measure .skinfolds .on .right .side .of .body .at .eye .level
Lift .fold .1 .cm .above .desired .site, .place .calipers .directly .over .desired .site
Position .calipers .perpendicular .to .site .of .measurement .
Administer .2 .trials .within .1mm
Measure .skinfolds .in .rotational .order
DO .NOT .REMOVE .FINGERS .PINCHING .WHILE .MEASURING
What .are .the .7 .skinfold .sites? .- .CORRECT .ANSWER-- .Tricep .(midpoint .of
.acromian .and .olecranon)
- .Bicep .(belly .of .bicep)
- .Scapula .(3cm .inferior)
- .Waist .(3cm .superior .of .iliac .crest)
- .Stomach .(3cm .lateral .and .1cm .inferior .of .belly)
- .Thigh .(midpoint .of .inguinal .crease .and .prox .patella)
- .Calf .(widest .medial .point)
Describe .the .pros .and .cons .of .bioelectrical .impedance .- .CORRECT .ANSWER-
Pros: .easy .to .use, .fairly .reliable, .quick .results
Cons: .can .be .impacted .by .client .age, .water .level, .cannot .be .used .with .people
.with .pacemakers
,Describe .the .pros .and .cons .of .DEXA .- .CORRECT .ANSWER-Pros: .very .reliable,
.can .highlight .fat .distribution
Cons: .movement .may .disrupt .image, .expensive, .exposure .to .radiation
Describe .the .process .of .taking .BP .- .CORRECT .ANSWER-1. .Locate .and .palpate
.radial .pulse
2. .Close .valve .and .increase .pressure .to .70 .mmHg
3. .Slowly .increase .pressure .further .until .pulse .disappears
4. .Position .earpieces .of .stethoscope .in .line .with .auditory .canals
5. .Place .diaphragm .of .stethoscope .over .brachial .pulse
6. .Close .valve .and .increase .pressure .to .20-30 .mmHg .above .systolic .estimate
7. .Release .pressure .slowly
8. .Note .pressure .of .first .Korotkoff .sound .(systolic)
9. .Note .measurement .of .Phase .V .diastolic .pressure
10. .Continue .deflating .cuff .for .at .least .10 .mmHg.
11. .Continue .listening .for .further .sounds
12. .Record .Systolic .and .Diastolic .values
13. .Repeat .and .compare .to .1st .trial
14. .Correctly .classify .resting .blood .pressure
What .are .the .stages .of .BP? .- .CORRECT .ANSWER-Normal .- .<120/<80
Prehypertension .- .120-139/80-89
Stage .1- .140-159/90-99
Stage .2 .- .> .160/100
Hypertensive .crisis .>180/110
Describe .the .normal .and .abnormal .HR .response .to .exercise .- .CORRECT
.ANSWER-Normal: .increase .in .HR .depending .on .what .type .of .exercise
Abnormal: .sudden .increase .in .HR, .increase .in .HR .with .no .increase .in .CO
Describe .the .normal .and .abnormal .BP .response .to .exercise .- .CORRECT
.ANSWER-Normal: .increase .in .systolic .BP . and .a .slight .increase .in .diastolic .BP
Abnormal: .no .increase .in .BP, .severe .hypotension .post .exercise, .large .increase
.in .DBP
What .is .mean .arterial .pressure? .- .CORRECT .ANSWER-Average .pressure .in
.arteries .during .one .cardiac .cycle .(65-110)
5 .lead .EKG .- .CORRECT .ANSWER-Green .- .right .lower .ribs
White .- .right .inferior .to .clavicle .
Black .- .left .inferior .to .clavicle .
Red .- .left .lower .ribs
Brown .- .4th .intercostal .space
Signs .of .an .MI .on .a .ECG? .- .CORRECT .ANSWER-Downsloping .ST .segment .and
.pathologic .Q .waves
What .are .the .segments .of .the .EKG? .- .CORRECT .ANSWER-QRS .complex .-
.ventricular .depolarization
,P .- .atrial .depolarization .
T .- .ventricular .repolarization .
ST .segment .- .time .between .ventricular .depolarization .and .repolarization
Length .of: .QRS .complex, .PR .interval, .QT .interval, .RR .interval .- .CORRECT
.ANSWER-PR .- .0.12-0.2
QRS .- .0.08-0.1
QT .- .0.4-0.43
RR .- .0.6-1
What .are .some .normal .ECG .changes .during .exercise? .- .CORRECT .ANSWER-
Decreased .R-R .interval
P .wave .magnitude .increase
Decreased .PR .interval
What .are .the .time .frames .of .the .boxes .on .an .ECG? .- .CORRECT .ANSWER-Small
.box .is .0.04 .seconds
Big .box .is .0.2 .seconds
Describe .the .process .of .Spirometry .- .CORRECT .ANSWER-1. .Breathe .normally
2. .Inspire .completely .and .rapidly .with .a .pause .of .≤2 .s .at .TLC
3. .Expire .with .max .effort .until .no .air .can .be .expelled .while .maintaining .upright
.posture
4. .Inspire .with .maximal .effort .until .completely .full
5. .Repeat .instructions .as .necessary, .coaching .vigorously
6. .Repeat .for .a .minimum .of .3 .maneuvers, .usually .no .more .than .8 .for .adults
Contraindications .for .Spirometry .- .CORRECT .ANSWER-- .MI/eye/sinus/ear
.surgery .within .1-week
- .Uncontrolled .hypertension
- .Significant .arrhythmia
- .Recent .concussion
- .Late .term .pregnancy
- .Syncope .related .to .expiration/coughing
- .Avoid .vaping/smoking/exercise .within .1 .hour
- .Avoid .intoxicants .8 .hours .prior
What .is .FVC? .- .CORRECT .ANSWER-Forced .vital .capacity, .total .volume .the
.patient .can .force .ably .exhale .in .one .breath
What .is .FEV1? .- .CORRECT .ANSWER-Forced .expiratory .volume .in .1 .second
What .is .the .difference .between .the .2 .largest .values .in .Spirometry .testing? .-
.CORRECT .ANSWER-FVC .- .<0.150L
FEV1 .- .<0.150L
What .can .the .client .not .do .during .Spirometry .testing? .- .CORRECT .ANSWER-
Cannot .cough .during .expiration
, Normal .breaths .per .minute .- .CORRECT .ANSWER-12-16
What .are .the .cut .points .for: .TLC, .RV, .ERV, .IRV, .TV? .- .CORRECT .ANSWER-TLC:
.6L
RV: .1.2L
ERV: .0.7-1.2L
IRV: .1.9-3.3L
TV: .0.5L
Tidal .volume .and .size .- .CORRECT .ANSWER-Amount .of .air .moving .in .and .out .of
.lungs .in .a . normal .breath .(500mL)
Inspiratory .reserve .volume .and .size .- .CORRECT .ANSWER-Amount .of .air .that
.can .be .inhaled .following .a .normal .inhalation .(1900-3200mL)
Expiratory .reserve .volume .and .size .- .CORRECT .ANSWER-Amount .of .air .that .can
.be .forcefully .exhaled .after .a .normal .breath .(700-1000mL)
Residual .volume .and .size .- .CORRECT .ANSWER-Air .remaining .in .lungs .that
.prevents .collapse .(1200mL)
Forced .vital .capacity .- .CORRECT .ANSWER-Volume .of .gas .that .can .be .exhaled
.as .forcefully .and .rapidly .as .possible .after .a .maximal .inspiration
Vital .capacity .- .CORRECT .ANSWER-TV .+ .IRV .+ .ERV
Inspiratory .capacity .- .CORRECT .ANSWER-TV .+ .IRV
Functional .Residual .Capacity .- .CORRECT .ANSWER-RV .+ .ERV
What .is .the .order .of .fitness .tests .that .should .be .used? .- .CORRECT .ANSWER-
Non-fatiguing .tests
Agility .tests
Max .power .tests
Sprint .tests
Local .muscular .endurance .tests
Anaerobic .tests
Aerobic .tests
What .are .some .common .functional .fitness .tests? .- .CORRECT .ANSWER-8 .foot .up
.and .go
30 .second .arm .curl
Grip .strength
10 .m .walk .test
1 .foot .balance
6 .minute .walk .test
What .are .some .contraindications .of .performing .an .exercise .stress .test? .-
.CORRECT .ANSWER-Acute .MI .(4 .days)
A+ Graded (2025)
What .are .the .5 .circumference .points? .- .CORRECT .ANSWER-- .Arm .(midpoint
.between .acromian .and .olecranon) .
- .Waist .(midpoint .of .iliac .crest .and .ribs)
- .Hip .(furthest .protrusion .of .glutes)
- .Thigh .(midpoint .of .inguinal .crease .and .patella)
- .Calf .(furthest .protrusion)
Describe .the .pros .and .cons .of .skinfold .measurements .- .CORRECT .ANSWER-
Pros: .accurate .for .leaner .subjects, .multiple .equations .for .different .populations
Cons: .high .rate .of .user .error, .taking .repeated .measurements .can .increase .error,
.can .be .impacted .by .physical .activity .(level .of .water .in .muscles)/ .environment
.(cold/hot .weather), .shouldn't .be .used .for .obese .clients
Describe .skinfold .protocol .- .CORRECT .ANSWER-Explain .the .purpose .of .the .test
Explain .the .test .procedures
Measure .skinfolds .on .right .side .of .body .at .eye .level
Lift .fold .1 .cm .above .desired .site, .place .calipers .directly .over .desired .site
Position .calipers .perpendicular .to .site .of .measurement .
Administer .2 .trials .within .1mm
Measure .skinfolds .in .rotational .order
DO .NOT .REMOVE .FINGERS .PINCHING .WHILE .MEASURING
What .are .the .7 .skinfold .sites? .- .CORRECT .ANSWER-- .Tricep .(midpoint .of
.acromian .and .olecranon)
- .Bicep .(belly .of .bicep)
- .Scapula .(3cm .inferior)
- .Waist .(3cm .superior .of .iliac .crest)
- .Stomach .(3cm .lateral .and .1cm .inferior .of .belly)
- .Thigh .(midpoint .of .inguinal .crease .and .prox .patella)
- .Calf .(widest .medial .point)
Describe .the .pros .and .cons .of .bioelectrical .impedance .- .CORRECT .ANSWER-
Pros: .easy .to .use, .fairly .reliable, .quick .results
Cons: .can .be .impacted .by .client .age, .water .level, .cannot .be .used .with .people
.with .pacemakers
,Describe .the .pros .and .cons .of .DEXA .- .CORRECT .ANSWER-Pros: .very .reliable,
.can .highlight .fat .distribution
Cons: .movement .may .disrupt .image, .expensive, .exposure .to .radiation
Describe .the .process .of .taking .BP .- .CORRECT .ANSWER-1. .Locate .and .palpate
.radial .pulse
2. .Close .valve .and .increase .pressure .to .70 .mmHg
3. .Slowly .increase .pressure .further .until .pulse .disappears
4. .Position .earpieces .of .stethoscope .in .line .with .auditory .canals
5. .Place .diaphragm .of .stethoscope .over .brachial .pulse
6. .Close .valve .and .increase .pressure .to .20-30 .mmHg .above .systolic .estimate
7. .Release .pressure .slowly
8. .Note .pressure .of .first .Korotkoff .sound .(systolic)
9. .Note .measurement .of .Phase .V .diastolic .pressure
10. .Continue .deflating .cuff .for .at .least .10 .mmHg.
11. .Continue .listening .for .further .sounds
12. .Record .Systolic .and .Diastolic .values
13. .Repeat .and .compare .to .1st .trial
14. .Correctly .classify .resting .blood .pressure
What .are .the .stages .of .BP? .- .CORRECT .ANSWER-Normal .- .<120/<80
Prehypertension .- .120-139/80-89
Stage .1- .140-159/90-99
Stage .2 .- .> .160/100
Hypertensive .crisis .>180/110
Describe .the .normal .and .abnormal .HR .response .to .exercise .- .CORRECT
.ANSWER-Normal: .increase .in .HR .depending .on .what .type .of .exercise
Abnormal: .sudden .increase .in .HR, .increase .in .HR .with .no .increase .in .CO
Describe .the .normal .and .abnormal .BP .response .to .exercise .- .CORRECT
.ANSWER-Normal: .increase .in .systolic .BP . and .a .slight .increase .in .diastolic .BP
Abnormal: .no .increase .in .BP, .severe .hypotension .post .exercise, .large .increase
.in .DBP
What .is .mean .arterial .pressure? .- .CORRECT .ANSWER-Average .pressure .in
.arteries .during .one .cardiac .cycle .(65-110)
5 .lead .EKG .- .CORRECT .ANSWER-Green .- .right .lower .ribs
White .- .right .inferior .to .clavicle .
Black .- .left .inferior .to .clavicle .
Red .- .left .lower .ribs
Brown .- .4th .intercostal .space
Signs .of .an .MI .on .a .ECG? .- .CORRECT .ANSWER-Downsloping .ST .segment .and
.pathologic .Q .waves
What .are .the .segments .of .the .EKG? .- .CORRECT .ANSWER-QRS .complex .-
.ventricular .depolarization
,P .- .atrial .depolarization .
T .- .ventricular .repolarization .
ST .segment .- .time .between .ventricular .depolarization .and .repolarization
Length .of: .QRS .complex, .PR .interval, .QT .interval, .RR .interval .- .CORRECT
.ANSWER-PR .- .0.12-0.2
QRS .- .0.08-0.1
QT .- .0.4-0.43
RR .- .0.6-1
What .are .some .normal .ECG .changes .during .exercise? .- .CORRECT .ANSWER-
Decreased .R-R .interval
P .wave .magnitude .increase
Decreased .PR .interval
What .are .the .time .frames .of .the .boxes .on .an .ECG? .- .CORRECT .ANSWER-Small
.box .is .0.04 .seconds
Big .box .is .0.2 .seconds
Describe .the .process .of .Spirometry .- .CORRECT .ANSWER-1. .Breathe .normally
2. .Inspire .completely .and .rapidly .with .a .pause .of .≤2 .s .at .TLC
3. .Expire .with .max .effort .until .no .air .can .be .expelled .while .maintaining .upright
.posture
4. .Inspire .with .maximal .effort .until .completely .full
5. .Repeat .instructions .as .necessary, .coaching .vigorously
6. .Repeat .for .a .minimum .of .3 .maneuvers, .usually .no .more .than .8 .for .adults
Contraindications .for .Spirometry .- .CORRECT .ANSWER-- .MI/eye/sinus/ear
.surgery .within .1-week
- .Uncontrolled .hypertension
- .Significant .arrhythmia
- .Recent .concussion
- .Late .term .pregnancy
- .Syncope .related .to .expiration/coughing
- .Avoid .vaping/smoking/exercise .within .1 .hour
- .Avoid .intoxicants .8 .hours .prior
What .is .FVC? .- .CORRECT .ANSWER-Forced .vital .capacity, .total .volume .the
.patient .can .force .ably .exhale .in .one .breath
What .is .FEV1? .- .CORRECT .ANSWER-Forced .expiratory .volume .in .1 .second
What .is .the .difference .between .the .2 .largest .values .in .Spirometry .testing? .-
.CORRECT .ANSWER-FVC .- .<0.150L
FEV1 .- .<0.150L
What .can .the .client .not .do .during .Spirometry .testing? .- .CORRECT .ANSWER-
Cannot .cough .during .expiration
, Normal .breaths .per .minute .- .CORRECT .ANSWER-12-16
What .are .the .cut .points .for: .TLC, .RV, .ERV, .IRV, .TV? .- .CORRECT .ANSWER-TLC:
.6L
RV: .1.2L
ERV: .0.7-1.2L
IRV: .1.9-3.3L
TV: .0.5L
Tidal .volume .and .size .- .CORRECT .ANSWER-Amount .of .air .moving .in .and .out .of
.lungs .in .a . normal .breath .(500mL)
Inspiratory .reserve .volume .and .size .- .CORRECT .ANSWER-Amount .of .air .that
.can .be .inhaled .following .a .normal .inhalation .(1900-3200mL)
Expiratory .reserve .volume .and .size .- .CORRECT .ANSWER-Amount .of .air .that .can
.be .forcefully .exhaled .after .a .normal .breath .(700-1000mL)
Residual .volume .and .size .- .CORRECT .ANSWER-Air .remaining .in .lungs .that
.prevents .collapse .(1200mL)
Forced .vital .capacity .- .CORRECT .ANSWER-Volume .of .gas .that .can .be .exhaled
.as .forcefully .and .rapidly .as .possible .after .a .maximal .inspiration
Vital .capacity .- .CORRECT .ANSWER-TV .+ .IRV .+ .ERV
Inspiratory .capacity .- .CORRECT .ANSWER-TV .+ .IRV
Functional .Residual .Capacity .- .CORRECT .ANSWER-RV .+ .ERV
What .is .the .order .of .fitness .tests .that .should .be .used? .- .CORRECT .ANSWER-
Non-fatiguing .tests
Agility .tests
Max .power .tests
Sprint .tests
Local .muscular .endurance .tests
Anaerobic .tests
Aerobic .tests
What .are .some .common .functional .fitness .tests? .- .CORRECT .ANSWER-8 .foot .up
.and .go
30 .second .arm .curl
Grip .strength
10 .m .walk .test
1 .foot .balance
6 .minute .walk .test
What .are .some .contraindications .of .performing .an .exercise .stress .test? .-
.CORRECT .ANSWER-Acute .MI .(4 .days)
