CSEP CEP EVALUATION EXAMS UPDATED SET
QUESTIONS AND ANSWERS SURE A+
✔✔What are some conditions experienced post stroke? - ✔✔Muscle weakness,
numbness, pressure sores, pneumonia, incontinence, apraxia, speech loss, vision loss
and pain
✔✔What is multiple sclerosis? - ✔✔Autoimmune disease that attacks myelin, resulting
in disrupted nerve transmission and nerve damage
✔✔What are the signs and symptoms of MS? - ✔✔Extreme fatigue, lack of
coordination, weakness, tingling, impaired sensation, vision problems, bladder
problems, cognitive impairment and mood changes
✔✔What should you monitor during exercise in a patient with MS? - ✔✔Fatigue levels
✔✔What are the values for blood cholesterol levels? - ✔✔Good - <5.2
Moderate - 5.3-6.2
High - >6.2
✔✔What are the values for blood LDL levels? - ✔✔Good >3.36 mmol/L
Moderate 3.36 - 4.11 mmol/L
High >4.12
,✔✔What is congestive heart failure with reduced LV ejection fraction? - ✔✔Systolic
heart failure; heart does not contract as efficiently, and less blood is pumped out;
ejection faction of less than 40%
✔✔What is congestive heart failure with preserved LV fraction ejection? -
✔✔Percentage of blood volume ejected from left ventricle with each heartbeat / volume
of blood when left ventricle is maximally filled = normal
Abnormal diastolic function as LV has impaired relaxation which impacts filling, may be
a greater increase in systolic BP
✔✔What is aphasia? - ✔✔Wernicke's aphasia - inability to understand language, can
still produce sentences but are incoherent
Broca's aphasia - inability to produce language, but can still understand
✔✔What is dysarthria? - ✔✔Facial muscles used to produce speech are weakened or
paralyzed
✔✔What are some physical deficits associated with stroke? - ✔✔Muscle weakness,
loss of stamina, drop foot (weak dorsiflexors), spasticity, contractures, sensory deficits
(loss of feeling or numbness)
✔✔What are some cognitive deficits associated with stroke? - ✔✔Difficulty
concentrating, following directions, organizing or prioritizing, making decisions,
understanding what is safe, problem-solving, remembering information or events
✔✔What is spasticity? - ✔✔Altered muscle performance with combination of increased
tendon reflex and stiffness; inability to control muscles; no normal fluid movement of
limbs
✔✔What is the significance of HbA1C values? - ✔✔Glycated hemoglobin levels
Higher the value the higher the risk of developing diabetes related complications
Goal is 6.5% or 48mmol/mol
✔✔What should blood glucose be before meals? - ✔✔4.4-7.2 mmol/L if not exercising
✔✔What should blood glucose be after meals? - ✔✔less than 10 mmol/L
✔✔What are some consequences of uncontrolled Type II diabetes? - ✔✔Vision loss,
foot heath (result in amputation), nerve damage, kidney disease, stroke
✔✔How does visceral fat contribute to risk? - ✔✔Excretes adipocytes that can impair
glucose sensitivity
Releases FFA's and inflammatory proteins into blood, sent to liver which increases risk
of dyslipidemia
, ✔✔What is metabolic syndrome? - ✔✔Group of risk factors that increase risk of CVD,
diabetes and all-cause mortality
✔✔What are the criteria for being diagnosed with Metabolic Syndrome? - ✔✔Must have
3 of the 5:
- abdominal obesity (≥ 102 cm men, 88 cm women)
- high BP (≥ 130/85 mm Hg, or on medication)
- high blood glucose (≥ 5.6 mmol/L, or on medication)
- high serum triglycerides (≥ 1.7 mmol/L, or on medication)
- low HDL levels (< 1.0 mmol/L men or < 1.3 mmol/L women)
✔✔How would the presence of a surgical drain impact exercise? - ✔✔Risk of becoming
clogged or infected
May impede mobility
Ensure drain is secured before exercising
Avoid activity that would affect area drain is inserted
✔✔How would the presence of a chest port impact exercise? - ✔✔Infection can occur,
ensure cleanliness
No more than 10bs should be lifted 1 week post insertion, after 1 week, exercise as
normal
✔✔How would the presence of a catheter impact exercise? - ✔✔Ensure catheter is
secured properly during exercise
✔✔How would the presence of an ostomy bag impact exercise? - ✔✔No heavy lifting 3
months post op
After that, no restrictions
✔✔What should be considered when exercising with a patient who uses supplemental
O2? - ✔✔Client is focused on deep breathing, making sure they have enough time to
inhale/exhale and aren't hyperventilating
Can't adjust O2 flow but ensure that it is set to the prescribed level
Watch for signs of respiratory distress during exercise that may indicate something
wrong with supplemental O2
Typically ranges from 94-96%
✔✔What are the consequences associated with a COPD exacerbation? - ✔✔Will
decrease functional capacity (coughing and breathlessness worsens), may feel fatigue
Contributes to higher mortality risk due to decline in lung function
High chance of hospital admission; results in faster disease progression
✔✔What is asthma? - ✔✔Obstructive disease
Long term inflammation of the airways resulting in narrowing
QUESTIONS AND ANSWERS SURE A+
✔✔What are some conditions experienced post stroke? - ✔✔Muscle weakness,
numbness, pressure sores, pneumonia, incontinence, apraxia, speech loss, vision loss
and pain
✔✔What is multiple sclerosis? - ✔✔Autoimmune disease that attacks myelin, resulting
in disrupted nerve transmission and nerve damage
✔✔What are the signs and symptoms of MS? - ✔✔Extreme fatigue, lack of
coordination, weakness, tingling, impaired sensation, vision problems, bladder
problems, cognitive impairment and mood changes
✔✔What should you monitor during exercise in a patient with MS? - ✔✔Fatigue levels
✔✔What are the values for blood cholesterol levels? - ✔✔Good - <5.2
Moderate - 5.3-6.2
High - >6.2
✔✔What are the values for blood LDL levels? - ✔✔Good >3.36 mmol/L
Moderate 3.36 - 4.11 mmol/L
High >4.12
,✔✔What is congestive heart failure with reduced LV ejection fraction? - ✔✔Systolic
heart failure; heart does not contract as efficiently, and less blood is pumped out;
ejection faction of less than 40%
✔✔What is congestive heart failure with preserved LV fraction ejection? -
✔✔Percentage of blood volume ejected from left ventricle with each heartbeat / volume
of blood when left ventricle is maximally filled = normal
Abnormal diastolic function as LV has impaired relaxation which impacts filling, may be
a greater increase in systolic BP
✔✔What is aphasia? - ✔✔Wernicke's aphasia - inability to understand language, can
still produce sentences but are incoherent
Broca's aphasia - inability to produce language, but can still understand
✔✔What is dysarthria? - ✔✔Facial muscles used to produce speech are weakened or
paralyzed
✔✔What are some physical deficits associated with stroke? - ✔✔Muscle weakness,
loss of stamina, drop foot (weak dorsiflexors), spasticity, contractures, sensory deficits
(loss of feeling or numbness)
✔✔What are some cognitive deficits associated with stroke? - ✔✔Difficulty
concentrating, following directions, organizing or prioritizing, making decisions,
understanding what is safe, problem-solving, remembering information or events
✔✔What is spasticity? - ✔✔Altered muscle performance with combination of increased
tendon reflex and stiffness; inability to control muscles; no normal fluid movement of
limbs
✔✔What is the significance of HbA1C values? - ✔✔Glycated hemoglobin levels
Higher the value the higher the risk of developing diabetes related complications
Goal is 6.5% or 48mmol/mol
✔✔What should blood glucose be before meals? - ✔✔4.4-7.2 mmol/L if not exercising
✔✔What should blood glucose be after meals? - ✔✔less than 10 mmol/L
✔✔What are some consequences of uncontrolled Type II diabetes? - ✔✔Vision loss,
foot heath (result in amputation), nerve damage, kidney disease, stroke
✔✔How does visceral fat contribute to risk? - ✔✔Excretes adipocytes that can impair
glucose sensitivity
Releases FFA's and inflammatory proteins into blood, sent to liver which increases risk
of dyslipidemia
, ✔✔What is metabolic syndrome? - ✔✔Group of risk factors that increase risk of CVD,
diabetes and all-cause mortality
✔✔What are the criteria for being diagnosed with Metabolic Syndrome? - ✔✔Must have
3 of the 5:
- abdominal obesity (≥ 102 cm men, 88 cm women)
- high BP (≥ 130/85 mm Hg, or on medication)
- high blood glucose (≥ 5.6 mmol/L, or on medication)
- high serum triglycerides (≥ 1.7 mmol/L, or on medication)
- low HDL levels (< 1.0 mmol/L men or < 1.3 mmol/L women)
✔✔How would the presence of a surgical drain impact exercise? - ✔✔Risk of becoming
clogged or infected
May impede mobility
Ensure drain is secured before exercising
Avoid activity that would affect area drain is inserted
✔✔How would the presence of a chest port impact exercise? - ✔✔Infection can occur,
ensure cleanliness
No more than 10bs should be lifted 1 week post insertion, after 1 week, exercise as
normal
✔✔How would the presence of a catheter impact exercise? - ✔✔Ensure catheter is
secured properly during exercise
✔✔How would the presence of an ostomy bag impact exercise? - ✔✔No heavy lifting 3
months post op
After that, no restrictions
✔✔What should be considered when exercising with a patient who uses supplemental
O2? - ✔✔Client is focused on deep breathing, making sure they have enough time to
inhale/exhale and aren't hyperventilating
Can't adjust O2 flow but ensure that it is set to the prescribed level
Watch for signs of respiratory distress during exercise that may indicate something
wrong with supplemental O2
Typically ranges from 94-96%
✔✔What are the consequences associated with a COPD exacerbation? - ✔✔Will
decrease functional capacity (coughing and breathlessness worsens), may feel fatigue
Contributes to higher mortality risk due to decline in lung function
High chance of hospital admission; results in faster disease progression
✔✔What is asthma? - ✔✔Obstructive disease
Long term inflammation of the airways resulting in narrowing
