ACSM CEP Test: General UPDATED
ACTUAL Exam Questions and CORRECT
Answers
NCEP healthy lipid guidelines - CORRECT ANSWER - -LDL <100 mg
-Total cholesterol < 200 mg
-HDL > or equal to 40 mg
TG level < 150 mg
Decreased HR at given intensity would reduce - CORRECT ANSWER - Myocardial
oxygen consumption
Patients with peripheral arterial disease should exercise to leg pain level - CORRECT
ANSWER - 3 with intermittent rest periods
Most common ECG change in Subendocardial ischemia - CORRECT ANSWER - ST-
segment depression
Associated with exercise-induced myocardial ischemia - CORRECT ANSWER - -Angina
pectoris
-ST-segment depression
-Impaired left ventricular function
RPP - CORRECT ANSWER - -Measure of stress put on cardiac muscle (myocardial
oxygen demand)
-HR x systolic blood pressure
3 major determinants of myocardial oxygen consumption - CORRECT ANSWER --
Contractility
,-HR
-Intramyocardial tension
Exercise training does NOT slow progression of - CORRECT ANSWER - osteoarthritis
Chronic exercise training has greatest benefit on lowering _____ and increasing _______ -
CORRECT ANSWER - -TG
-HDL
A coronary artery stent carries a ________ rate of revascularization than does PTCA -
CORRECT ANSWER - -Lower
-Stent (25% failure rate)
-PTCA (30-50%)
Beta blockers effect on exercise - CORRECT ANSWER - -Anginal threshold by reducing
myocardial oxygen demand
-BP also reduced by reduction in CO
-Reduction in total peripheral resistance
-Do NOT produce ST-segment changes on RESTING ECG
ECG monitoring after exercise - CORRECT ANSWER - -Immediately, then every 1-2 min
for 5 min of recovery or until exercise-induced changes are at a baseline
Best test to determine ejection fraction at rest and during exercise - CORRECT
ANSWER - -Multiple-gated acquisition (MUGA) (blood pool imagery) study
-Technetium-99m is injected into blood stream
Major signs and symptoms suggestive of CVD, Pulmonary, or Metabolic disease - CORRECT
ANSWER - -*Angina*
-Shortness of breath at rest or with mild exertion
, -Dizziness or syncope
-Orthopnea or paroxysmal nocturnal dyspnea
-Ankle edema
-Palpitations or tachycardia
-Intermittent claudication
-Known heart murmur
-Unusual fatigue or shortness of breath with usual activities
Lowest risk (in patients with CVD) - CORRECT ANSWER - -Resting Ejection fraction
greater than 50%
-Functional Capacity greater or equal to 7 METS
Mod risk (in patients with CVD) - CORRECT ANSWER - Function capacity < 5 METS
Resting ejection fraction 40-49%
Mild to mod silent ischemia (<2mm ST depression away from baseline)
High risk (in patients with CVD) - CORRECT ANSWER - -High level silent ischemia
(ST-seg depression > or equal to 2mm from baseline) during testing
-Resting EF: <40%
-Presence of angina <5 METS
HR recovery response after exercise testing: Abnormal response - CORRECT ANSWER -
-less than or equal to 12 bpm at 1 min (walking in recovery)
-Or less than or equal to 22 bpm at 2 min (supine position in recovery)
ST segment depression during GXT: Abnormal ECG response - CORRECT ANSWER --
Greater or equal to 1mm of horizontal or downsloping ST 60-80 ms beyond J point suggests
myocardial ischemia q
ACTUAL Exam Questions and CORRECT
Answers
NCEP healthy lipid guidelines - CORRECT ANSWER - -LDL <100 mg
-Total cholesterol < 200 mg
-HDL > or equal to 40 mg
TG level < 150 mg
Decreased HR at given intensity would reduce - CORRECT ANSWER - Myocardial
oxygen consumption
Patients with peripheral arterial disease should exercise to leg pain level - CORRECT
ANSWER - 3 with intermittent rest periods
Most common ECG change in Subendocardial ischemia - CORRECT ANSWER - ST-
segment depression
Associated with exercise-induced myocardial ischemia - CORRECT ANSWER - -Angina
pectoris
-ST-segment depression
-Impaired left ventricular function
RPP - CORRECT ANSWER - -Measure of stress put on cardiac muscle (myocardial
oxygen demand)
-HR x systolic blood pressure
3 major determinants of myocardial oxygen consumption - CORRECT ANSWER --
Contractility
,-HR
-Intramyocardial tension
Exercise training does NOT slow progression of - CORRECT ANSWER - osteoarthritis
Chronic exercise training has greatest benefit on lowering _____ and increasing _______ -
CORRECT ANSWER - -TG
-HDL
A coronary artery stent carries a ________ rate of revascularization than does PTCA -
CORRECT ANSWER - -Lower
-Stent (25% failure rate)
-PTCA (30-50%)
Beta blockers effect on exercise - CORRECT ANSWER - -Anginal threshold by reducing
myocardial oxygen demand
-BP also reduced by reduction in CO
-Reduction in total peripheral resistance
-Do NOT produce ST-segment changes on RESTING ECG
ECG monitoring after exercise - CORRECT ANSWER - -Immediately, then every 1-2 min
for 5 min of recovery or until exercise-induced changes are at a baseline
Best test to determine ejection fraction at rest and during exercise - CORRECT
ANSWER - -Multiple-gated acquisition (MUGA) (blood pool imagery) study
-Technetium-99m is injected into blood stream
Major signs and symptoms suggestive of CVD, Pulmonary, or Metabolic disease - CORRECT
ANSWER - -*Angina*
-Shortness of breath at rest or with mild exertion
, -Dizziness or syncope
-Orthopnea or paroxysmal nocturnal dyspnea
-Ankle edema
-Palpitations or tachycardia
-Intermittent claudication
-Known heart murmur
-Unusual fatigue or shortness of breath with usual activities
Lowest risk (in patients with CVD) - CORRECT ANSWER - -Resting Ejection fraction
greater than 50%
-Functional Capacity greater or equal to 7 METS
Mod risk (in patients with CVD) - CORRECT ANSWER - Function capacity < 5 METS
Resting ejection fraction 40-49%
Mild to mod silent ischemia (<2mm ST depression away from baseline)
High risk (in patients with CVD) - CORRECT ANSWER - -High level silent ischemia
(ST-seg depression > or equal to 2mm from baseline) during testing
-Resting EF: <40%
-Presence of angina <5 METS
HR recovery response after exercise testing: Abnormal response - CORRECT ANSWER -
-less than or equal to 12 bpm at 1 min (walking in recovery)
-Or less than or equal to 22 bpm at 2 min (supine position in recovery)
ST segment depression during GXT: Abnormal ECG response - CORRECT ANSWER --
Greater or equal to 1mm of horizontal or downsloping ST 60-80 ms beyond J point suggests
myocardial ischemia q
