CCEP EXAM NEWEST 2025 EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
high risk @ moderate & vigorous intensity: what/who is needed - Answers - ✔✔medical
exam, exercise test & MD supervision prior to exercise
moderate risk @ vigorous intensity: what/who is needed - Answers - ✔✔only medical
exam prior to exercise
low risk @ moderate & vigorous intensity: what/who is needed - Answers - ✔✔nothing
moderate risk @ moderate intensity: what/who is needed - Answers - ✔✔nothing
which patients (risk stratified) can be supervised by non-physician health care
professionals if professionals are specifically trained in CET & physician is
readily/immediately available? - Answers - ✔✔all risk groups can be; low risk can be
supervised w/o physician immediately available
who should have PFT's done? - Answers - ✔✔all smokers <45y.o & anyone presenting
with dyspnea
ECG monitoring during test - Answers - ✔✔recorded last 15secs of each stage
BP monitoring during test - Answers - ✔✔measured/recorded last 45secs of each
stage
HR monitoring during test - Answers - ✔✔recorded last 5secs of each stage
ECG monitoring after test - Answers - ✔✔monitored continuously, recorded
immediately post exercise, during last 15secs of 1st minute then every 2 minutes
thereafter
BP monitoring after test - Answers - ✔✔measured & recorded immediately post
exercise then every 2 minutes thereafter
HR monitoring after test - Answers - ✔✔monitored continuously then recorded during
last 5secs of each minute
, technetium (tc) -99m - Answers - ✔✔comparison of rest & stress imaging permits ID of
fixed & reversible perfusion abnormalities as well as differentiation; permits higher does
with less radiation exposure; preferred imaging agent
thallum 201 - Answers - ✔✔circulates myocardium showing images of where
lack/inadequate blood flow is; shows images of inadequate perfusion
dobutamine - Answers - ✔✔elicits wall motion abnormalities by increasing HR &
therefore myocardial O2 demand; infused intravenously with dose increased gradually
until maximal does or endpoint is acheived
adenosine (dipyridamole) - Answers - ✔✔causes maximal coronary vasodilation in
normal epicardial arteries; rest images then compared with imaging obtain after
coronary vasodilation
optimal ExRx - Answers - ✔✔cardiorespiratory fitness (CRF), muscular strength,
muscular endurance, flexibility, body comp, & neuromotor fitness (gradual progression
of volume/intensity)
overload principle - Answers - ✔✔states exercise below minimum intensity will not
challenge body sufficiently to result in changes in physiologic parameters
intensity (light, moderate, vigorous( - Answers - ✔✔light = 30-40%
moderate = 40-60%
vigorous = 60-90%
HRR method - Answers - ✔✔((HRpeak - HRrest) x %intensity) + HRrest
resistance FITT - Answers - ✔✔2-3 days/week
10-15 reps for middle-aged adults
flexibility FITT - Answers - ✔✔2/3 days/week
30-60 secs
pregnancy maximal test: is physician supervision necessary? - Answers - ✔✔for all
pregnant woman, yes.
ABI's (supine prior to exercise) levels - Answers - ✔✔normal >1.0
moderate .8 - .9
mod. severe .5 - .8
severe <.5
ABI's post-exercise - Answers - ✔✔normal No change
moderate >.5
mod. severe >.2
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
high risk @ moderate & vigorous intensity: what/who is needed - Answers - ✔✔medical
exam, exercise test & MD supervision prior to exercise
moderate risk @ vigorous intensity: what/who is needed - Answers - ✔✔only medical
exam prior to exercise
low risk @ moderate & vigorous intensity: what/who is needed - Answers - ✔✔nothing
moderate risk @ moderate intensity: what/who is needed - Answers - ✔✔nothing
which patients (risk stratified) can be supervised by non-physician health care
professionals if professionals are specifically trained in CET & physician is
readily/immediately available? - Answers - ✔✔all risk groups can be; low risk can be
supervised w/o physician immediately available
who should have PFT's done? - Answers - ✔✔all smokers <45y.o & anyone presenting
with dyspnea
ECG monitoring during test - Answers - ✔✔recorded last 15secs of each stage
BP monitoring during test - Answers - ✔✔measured/recorded last 45secs of each
stage
HR monitoring during test - Answers - ✔✔recorded last 5secs of each stage
ECG monitoring after test - Answers - ✔✔monitored continuously, recorded
immediately post exercise, during last 15secs of 1st minute then every 2 minutes
thereafter
BP monitoring after test - Answers - ✔✔measured & recorded immediately post
exercise then every 2 minutes thereafter
HR monitoring after test - Answers - ✔✔monitored continuously then recorded during
last 5secs of each minute
, technetium (tc) -99m - Answers - ✔✔comparison of rest & stress imaging permits ID of
fixed & reversible perfusion abnormalities as well as differentiation; permits higher does
with less radiation exposure; preferred imaging agent
thallum 201 - Answers - ✔✔circulates myocardium showing images of where
lack/inadequate blood flow is; shows images of inadequate perfusion
dobutamine - Answers - ✔✔elicits wall motion abnormalities by increasing HR &
therefore myocardial O2 demand; infused intravenously with dose increased gradually
until maximal does or endpoint is acheived
adenosine (dipyridamole) - Answers - ✔✔causes maximal coronary vasodilation in
normal epicardial arteries; rest images then compared with imaging obtain after
coronary vasodilation
optimal ExRx - Answers - ✔✔cardiorespiratory fitness (CRF), muscular strength,
muscular endurance, flexibility, body comp, & neuromotor fitness (gradual progression
of volume/intensity)
overload principle - Answers - ✔✔states exercise below minimum intensity will not
challenge body sufficiently to result in changes in physiologic parameters
intensity (light, moderate, vigorous( - Answers - ✔✔light = 30-40%
moderate = 40-60%
vigorous = 60-90%
HRR method - Answers - ✔✔((HRpeak - HRrest) x %intensity) + HRrest
resistance FITT - Answers - ✔✔2-3 days/week
10-15 reps for middle-aged adults
flexibility FITT - Answers - ✔✔2/3 days/week
30-60 secs
pregnancy maximal test: is physician supervision necessary? - Answers - ✔✔for all
pregnant woman, yes.
ABI's (supine prior to exercise) levels - Answers - ✔✔normal >1.0
moderate .8 - .9
mod. severe .5 - .8
severe <.5
ABI's post-exercise - Answers - ✔✔normal No change
moderate >.5
mod. severe >.2
