ACSM CEP LATEST FINAL EXAMS QUESTIONS
AND ANSWERS SURE A+
✔✔Kidney Disease Special Considerations - ✔✔1. Progress to greater exercise volume
over time
2. Might not be able to do continuous exercise
3. Resistance- 1 set of 10 reps 70% 1 RM 2x/week
4. Hemodialysis- exss on non dialysis days and not immediately post
-if done during do it during the first half
-Use RPE
-Measure BP in arm without fistula
5. Peritoneal Dialysis:
-May attempt exss with fluid in the abdomen, if it is uncomfy then drain fluid before exss
6. Kidney Transplant:
-During periods of rejection, FITT principle should be reduced but still exss
✔✔Metabolic Syndrome Special Considerations - ✔✔1. Will likely have multiple CVD
risk factors
2. Initial exss at moderate intensity
3. To reduce body weight, increase PA levels to 300 min/week
✔✔MS Special Considerations - ✔✔1. In spastic muscles, increase the frequency and
time of flexibility exercises
, 2. Incorporate functional activities
3. USE RPE
4. During acute exacerbation of symps, decrease exss
5. Commonly used disease modifying meds can have transient side effects
6. Systemic fatigue is common but can be improved
7. Heat sensitivity is common
8. HR and BP my be blunted
9. Some pts. may restrict their daily fluid intake
10. Might have trouble understanding testing and training instructions
11. Watch for signs and symps of Uhthoff Phenomenon
✔✔Osteoporosis Special Considerations - ✔✔1. Difficult to quantify exercise intensity in
terms of bone loading forces
2. No guidelines for contraindications to exss
3. BMD of the spine may appear normal or increased after compression fractures or in
pts with osteo of the spine. Hip BMD is a more reliable indicator for osteo
4. Increased risk for falls
✔✔OW and OB special considerations - ✔✔1. For long term weight loss maintenance
exercise greater than 250 min/week
2. PA 5-7 days/week
3. Moderate to vigorous PA start at 30 min/day then progress
✔✔Parkinson Disease Special Considerations - ✔✔1. Incorporate functional exercises
2. Suffer from ANS dysfunction
3. Some meds further impair ANS functions
4. Cognitive decline and dementia are common neuro symps and can burden training
5. Emphasize fall prevention
6. Avoid dual tasking
7.Pay attention to the development and management of fatigue when performing
resistive exercise
✔✔Pulmonary Disease Special Considerations - ✔✔1. Resistance training (upper body)
important in COPD
2. Train inspiratory muscles
3. Dyspnea rating 4-6 on a 1-10 scale is the recommended exss intensity
4. Measure O2 during exercise to avoid desaturation
5. Supplemental O2 for pts PaO2 ≤55 mmHg or a %SaO2≤88% while breathing room
air
6. In severe COPD, using noninvasive positive pressure ventilation to help with exercise
✔✔Spinal Cord Injury Special Considerations - ✔✔1. Empty bowels and bladder before
exss
2. Skin pressure sores should be avoided at all times
3. Decrease cardio. performance in complete spinal cord injuries
AND ANSWERS SURE A+
✔✔Kidney Disease Special Considerations - ✔✔1. Progress to greater exercise volume
over time
2. Might not be able to do continuous exercise
3. Resistance- 1 set of 10 reps 70% 1 RM 2x/week
4. Hemodialysis- exss on non dialysis days and not immediately post
-if done during do it during the first half
-Use RPE
-Measure BP in arm without fistula
5. Peritoneal Dialysis:
-May attempt exss with fluid in the abdomen, if it is uncomfy then drain fluid before exss
6. Kidney Transplant:
-During periods of rejection, FITT principle should be reduced but still exss
✔✔Metabolic Syndrome Special Considerations - ✔✔1. Will likely have multiple CVD
risk factors
2. Initial exss at moderate intensity
3. To reduce body weight, increase PA levels to 300 min/week
✔✔MS Special Considerations - ✔✔1. In spastic muscles, increase the frequency and
time of flexibility exercises
, 2. Incorporate functional activities
3. USE RPE
4. During acute exacerbation of symps, decrease exss
5. Commonly used disease modifying meds can have transient side effects
6. Systemic fatigue is common but can be improved
7. Heat sensitivity is common
8. HR and BP my be blunted
9. Some pts. may restrict their daily fluid intake
10. Might have trouble understanding testing and training instructions
11. Watch for signs and symps of Uhthoff Phenomenon
✔✔Osteoporosis Special Considerations - ✔✔1. Difficult to quantify exercise intensity in
terms of bone loading forces
2. No guidelines for contraindications to exss
3. BMD of the spine may appear normal or increased after compression fractures or in
pts with osteo of the spine. Hip BMD is a more reliable indicator for osteo
4. Increased risk for falls
✔✔OW and OB special considerations - ✔✔1. For long term weight loss maintenance
exercise greater than 250 min/week
2. PA 5-7 days/week
3. Moderate to vigorous PA start at 30 min/day then progress
✔✔Parkinson Disease Special Considerations - ✔✔1. Incorporate functional exercises
2. Suffer from ANS dysfunction
3. Some meds further impair ANS functions
4. Cognitive decline and dementia are common neuro symps and can burden training
5. Emphasize fall prevention
6. Avoid dual tasking
7.Pay attention to the development and management of fatigue when performing
resistive exercise
✔✔Pulmonary Disease Special Considerations - ✔✔1. Resistance training (upper body)
important in COPD
2. Train inspiratory muscles
3. Dyspnea rating 4-6 on a 1-10 scale is the recommended exss intensity
4. Measure O2 during exercise to avoid desaturation
5. Supplemental O2 for pts PaO2 ≤55 mmHg or a %SaO2≤88% while breathing room
air
6. In severe COPD, using noninvasive positive pressure ventilation to help with exercise
✔✔Spinal Cord Injury Special Considerations - ✔✔1. Empty bowels and bladder before
exss
2. Skin pressure sores should be avoided at all times
3. Decrease cardio. performance in complete spinal cord injuries
