CSEP CEP STUDY 2026 EXAM GUIDED ALL
QUESTIONS AND ANSWERS SURE A+
✔✔What is the GMFCS? - ✔✔Gross Motor Function Classification System
Used in cerebral palsy to classify movement abilities
✔✔Describe the GMFCS scales - ✔✔Level 1 (walks and climbs stairs without
limitations, speed, balance and co-ordination reduced)
Level 2 (walks with limitations, climbs stairs holding on to rail, limitations walking on
uneven surfaces/inclines, in crowds or confined spaces)
Level 3 (walks using hand held mobility device, climbs stairs holding onto railing, may
require self-propelled wheelchair with longer distances, outdoors)
Level 4 (self-mobility with great limitations and may use powered mobility)
Level 5 (Physical impairments restrict voluntary control of movement, no means of
independent mobility, transported in manual wheel chair)
✔✔Describe the physiological exercise response in people with cerebral palsy -
✔✔Decreased aerobic/anaerobic response, muscular endurance
Physical activity increases energy expenditure due to effort needed to voluntary move
rigid or spastic muscles (physical activity is exhausting)
✔✔Describe the influence of exercise on BP and HR in SCI - ✔✔High thoracic and
cervical injuries can induce bradycardia, arterial hypotension, autonomic dysreflexia
HR response is blunted during exercise
,✔✔What are the categories of concussion? - ✔✔Grade 1 (Concussion with confusion
and mental abnormalities lasting less than 15 minutes)
Grade 2 (Concussion with confusion and mental abnormalities lasting more than 15
minutes)
Grade 3 (Concussion with LOC, either brief or prolonged)
✔✔What is a simple concussion? - ✔✔Resolve progressively without complication over
7-10 days
✔✔What is a complex concussion? - ✔✔Persistent symptoms that recur with exercise,
convulsions, prolonged LOC, prolonged cognitive impairment
✔✔What are the symptoms of concussion? - ✔✔Headaches, dizziness, vomiting,
nausea, lack of motor coordination, difficulty balancing, light sensitivity, blurred vision,
double vision, tinnitus, confusion, amnesia, difficulty sleeping, agitation, loss of interest
✔✔Describe the return to play protocol for concussion - ✔✔No activity
Light aerobic exercise
Sport specific exercise
Non contact training drills
Full contact practice
Return to game
✔✔What is Alzheimer's disease? - ✔✔Loss of neurons and synapses in brain,
deposition of amyloid plaques and tau protein tangles that result in neurological decline
✔✔Describe the 4 states of Alzheimer's - ✔✔Stage 1 (early) - may experience mild
cognitive difficulties, still retain independence
Stage 2 (mild) - may function independently; memory lapses (familiar words, object
location); difficulty planning; lack of spontaneity; subtle personality changes;
disorientation to time and date
Stage 3 (moderate) - personality changes; increased memory loss; decreased
independence; impaired cognition; restlessness and agitation; wandering; impaired
judgement; inappropriate social behaviour
Stage 4 (severe) - decreased response to environment; decreased ability to
communicate; decreased awareness of experiences & surroundings; decreased
physical functioning; indifference to food; inability to communicate; seizures
✔✔What is essential tremor? - ✔✔Involuntary rhythmic contractions and relaxations
(twitching movements) of certain muscle groups in body of unknown cause
Occurs during voluntary movements
, ✔✔Exercise for essential tremor - ✔✔Stretching and flexibility training can help relax
tense muscles
RE may help reduce severity of tremor
✔✔Describe the importance of accurate charting and understandable reporting -
✔✔Facilitate safe and quality care; ensure clients have access to up-to-date, accurate
info; ensure continuity of care; demonstrate judgment, reasoning and adherence to
practice standards; meet requirements mandated by organizations
✔✔What is the only controlled act a CSEP-CEP can perform? - ✔✔Finger prick blood
sampling
✔✔In order for a CSEP-CEP to perform a controlled act, what must occur? - ✔✔Must
be delegated to do so by a regulated health professional
Must have the qualifications to perform the act
✔✔What can a CSEP-CEP NOT do? - ✔✔Cannot diagnose based on assessments or
pathology
✔✔Absolute contraindications to exercise testing - ✔✔Recent change in resting ECG
suggesting ischemia, recent myocardial infarction, acute cardiac event
Unstable angina
Uncontrolled cardiac dysrhythmias causing symptoms or hemodynamic compromise
Symptomatic severe aortic stenosis
Uncontrolled symptomatic heart failure
Acute pulmonary embolus or pulmonary infarction
Acute myocarditis or pericarditis
Suspected or known dissecting aneurysm
Acute systemic infection, accompanied by fever, body aches, or swollen lymph glands
✔✔What are the obstructive lung diseases? - ✔✔COPD
Chronic bronchitis
Emphysema
Asthma
Cystic fibrosis
✔✔What is emphysema? - ✔✔Destruction of alveolar walls
✔✔What is chronic bronchitis? - ✔✔Bronchial inflammation resulting in mucus
hyperexcretion and chronic cough
✔✔How is BP affected during pregnancy? - ✔✔Drops during 1st trimester and then
returns to normal
QUESTIONS AND ANSWERS SURE A+
✔✔What is the GMFCS? - ✔✔Gross Motor Function Classification System
Used in cerebral palsy to classify movement abilities
✔✔Describe the GMFCS scales - ✔✔Level 1 (walks and climbs stairs without
limitations, speed, balance and co-ordination reduced)
Level 2 (walks with limitations, climbs stairs holding on to rail, limitations walking on
uneven surfaces/inclines, in crowds or confined spaces)
Level 3 (walks using hand held mobility device, climbs stairs holding onto railing, may
require self-propelled wheelchair with longer distances, outdoors)
Level 4 (self-mobility with great limitations and may use powered mobility)
Level 5 (Physical impairments restrict voluntary control of movement, no means of
independent mobility, transported in manual wheel chair)
✔✔Describe the physiological exercise response in people with cerebral palsy -
✔✔Decreased aerobic/anaerobic response, muscular endurance
Physical activity increases energy expenditure due to effort needed to voluntary move
rigid or spastic muscles (physical activity is exhausting)
✔✔Describe the influence of exercise on BP and HR in SCI - ✔✔High thoracic and
cervical injuries can induce bradycardia, arterial hypotension, autonomic dysreflexia
HR response is blunted during exercise
,✔✔What are the categories of concussion? - ✔✔Grade 1 (Concussion with confusion
and mental abnormalities lasting less than 15 minutes)
Grade 2 (Concussion with confusion and mental abnormalities lasting more than 15
minutes)
Grade 3 (Concussion with LOC, either brief or prolonged)
✔✔What is a simple concussion? - ✔✔Resolve progressively without complication over
7-10 days
✔✔What is a complex concussion? - ✔✔Persistent symptoms that recur with exercise,
convulsions, prolonged LOC, prolonged cognitive impairment
✔✔What are the symptoms of concussion? - ✔✔Headaches, dizziness, vomiting,
nausea, lack of motor coordination, difficulty balancing, light sensitivity, blurred vision,
double vision, tinnitus, confusion, amnesia, difficulty sleeping, agitation, loss of interest
✔✔Describe the return to play protocol for concussion - ✔✔No activity
Light aerobic exercise
Sport specific exercise
Non contact training drills
Full contact practice
Return to game
✔✔What is Alzheimer's disease? - ✔✔Loss of neurons and synapses in brain,
deposition of amyloid plaques and tau protein tangles that result in neurological decline
✔✔Describe the 4 states of Alzheimer's - ✔✔Stage 1 (early) - may experience mild
cognitive difficulties, still retain independence
Stage 2 (mild) - may function independently; memory lapses (familiar words, object
location); difficulty planning; lack of spontaneity; subtle personality changes;
disorientation to time and date
Stage 3 (moderate) - personality changes; increased memory loss; decreased
independence; impaired cognition; restlessness and agitation; wandering; impaired
judgement; inappropriate social behaviour
Stage 4 (severe) - decreased response to environment; decreased ability to
communicate; decreased awareness of experiences & surroundings; decreased
physical functioning; indifference to food; inability to communicate; seizures
✔✔What is essential tremor? - ✔✔Involuntary rhythmic contractions and relaxations
(twitching movements) of certain muscle groups in body of unknown cause
Occurs during voluntary movements
, ✔✔Exercise for essential tremor - ✔✔Stretching and flexibility training can help relax
tense muscles
RE may help reduce severity of tremor
✔✔Describe the importance of accurate charting and understandable reporting -
✔✔Facilitate safe and quality care; ensure clients have access to up-to-date, accurate
info; ensure continuity of care; demonstrate judgment, reasoning and adherence to
practice standards; meet requirements mandated by organizations
✔✔What is the only controlled act a CSEP-CEP can perform? - ✔✔Finger prick blood
sampling
✔✔In order for a CSEP-CEP to perform a controlled act, what must occur? - ✔✔Must
be delegated to do so by a regulated health professional
Must have the qualifications to perform the act
✔✔What can a CSEP-CEP NOT do? - ✔✔Cannot diagnose based on assessments or
pathology
✔✔Absolute contraindications to exercise testing - ✔✔Recent change in resting ECG
suggesting ischemia, recent myocardial infarction, acute cardiac event
Unstable angina
Uncontrolled cardiac dysrhythmias causing symptoms or hemodynamic compromise
Symptomatic severe aortic stenosis
Uncontrolled symptomatic heart failure
Acute pulmonary embolus or pulmonary infarction
Acute myocarditis or pericarditis
Suspected or known dissecting aneurysm
Acute systemic infection, accompanied by fever, body aches, or swollen lymph glands
✔✔What are the obstructive lung diseases? - ✔✔COPD
Chronic bronchitis
Emphysema
Asthma
Cystic fibrosis
✔✔What is emphysema? - ✔✔Destruction of alveolar walls
✔✔What is chronic bronchitis? - ✔✔Bronchial inflammation resulting in mucus
hyperexcretion and chronic cough
✔✔How is BP affected during pregnancy? - ✔✔Drops during 1st trimester and then
returns to normal
