ACSM CEP 2026 QUESTIONS AND ANSWERS SURE
A+
✔✔FITT for Children and Adolescents - ✔✔Aerobic
F: Daily
I: Moderate (w/ noticeable changes in HR and
breathing.) to Vigorous (substantial increases in
HR and breathing). Include vigorous at least 3
days/week.
T: Part of ≥ 60 min/day
T: Enjoyable and developmentally appropriate
Resistance
F: ≥ 3 days/week
I: Use of Bodyweight as resistance or 8-15 reps of
submaximal reps of an exercise to moderate
fatigue with good form
T: Part of ≥ 60 min/day
T: Muscle strengthening activites can be
unstructured (playing on playground equipment)
or structured ( weights, resistance bands)
Bone Strengthening
F: ≥ 3 days/week
,I: N/A
T: Part of ≥ 60 min/day
T: Running, jumping, sports, etc
✔✔Enviromental considerations - ✔✔climate, enviromental concerns in relation to
exercise
✔✔high altitude exercise - ✔✔in high altitude partial pressure of oxygen is lower
resulting in decreased arterial oxygen levels (fatigue,SOB)
compensatory response is to increase ventilation(breathing rate) and cardiac output
physical performance declines with increasing altitude
decrease intensity for exercise if not acclimated
✔✔high altitude exposure - ✔✔greater than 1 week significant altitude acclimization
occurs
✔✔altitude illness - ✔✔Caused by diminished oxygen in the air at high altitudes on the
central nervous system and pulmonary system
rapid ascent to high altitudes. acute mountain sickness, high altitude cerebral edema,
high altitude pulmonary edema
✔✔Heat related emergencies - ✔✔heat cramp-feeble, localized wandering muscle
cramps
heat exhaustion- elevated HR and respiratory rate, low BP, wet pale skin,
heat syncope- brief episode of fainting
heat stroke- >104F most severe disorientation, dizziness, nausea, vomiting
✔✔What special population is most susceptible to cold environments - ✔✔MS
exacerbate symptoms hot humid weather / fever
cold/ hot can make symptoms worse
✔✔Cardiac Rehabilitation - ✔✔a medically supervised program to help cardiac patients
recover quickly, improve function of patients with heart disease. and prevent future
cardiac events
coordinated, multifaceted intervention, designed to reduce risk, foster healthy behaviors
and compliance, risk factor modifications, reduce disability, and promote an active
lifestyle
phase 1-inpatient right after event
phase 2-comprehensive outpatient medically supervised exercise sessions
Phase 3-maintanence program
✔✔criteria for eligibility of cardiac rehab - ✔✔Recent MI/ acute coronary syndrome
within 12 month
CABG
PCI w or w/o stent placement
, stable angina
heart valve replacement or repair
HFrEF
heart transplant
✔✔AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation -
✔✔Parameters for inpatient Cardiac Rehabilitation
no new or recurrent chest pain in previous 8 hrs.
stable or falling creatine kinase and troponin levels
no indication of decompensated heart failure (resting dyspnea)
normal cardiac rhythm and stable ECG for previous 8 hr
✔✔contraindications for inpatient cardiac rehab - ✔✔- Unstable angina
- Uncontrolled HTN >180/>110
- Orthostatic BP drop of >20 mmHg w/ Sx
- Significant aortic stenosis
- Uncontrolled atrial/ventricular arrhythmias
- Uncontrolled sinus tach
- Uncompensated HF
- 3rd degree AV block w/o pacemaker
- Active pericarditis or myocarditis
- Recent embolism
- Acute thrombophlebitis
- Aortic dissection
- Acute illness
- Uncontrolled diabetes
- Severe orthopedic conditions
- Other metabolic conditions
- Psych disorder
✔✔Outpatient cardiac rehabilitation - ✔✔medical and surgical hisotry including most
recent cardiovascular event, comorbidities, and other pertinent medical history
physical examination emphasis on cardiopulmonary and musculoskeletal systems
review of recent cardiovasculat test and procedures. 12 lead ecg, coronary angiogram,
echo, stress test, cardiac surgeries pci, pacemaker/ ICD implantation
current medications
CVD risk factors
✔✔Goals of Cardiac Rehabilitation - ✔✔develop and assist patient to implement safe
and effective formal exercise and lifestyle PA program
provide appropriate supervision and monitoring to detect change in clinical status
provide ongoing surveillance to the patients health care providers
return patient to vocational and recreational activities or modify these activities based on
pt clinical status
provide patient and spouse/family education to optimize secondary prevention(risk fx
modification)
A+
✔✔FITT for Children and Adolescents - ✔✔Aerobic
F: Daily
I: Moderate (w/ noticeable changes in HR and
breathing.) to Vigorous (substantial increases in
HR and breathing). Include vigorous at least 3
days/week.
T: Part of ≥ 60 min/day
T: Enjoyable and developmentally appropriate
Resistance
F: ≥ 3 days/week
I: Use of Bodyweight as resistance or 8-15 reps of
submaximal reps of an exercise to moderate
fatigue with good form
T: Part of ≥ 60 min/day
T: Muscle strengthening activites can be
unstructured (playing on playground equipment)
or structured ( weights, resistance bands)
Bone Strengthening
F: ≥ 3 days/week
,I: N/A
T: Part of ≥ 60 min/day
T: Running, jumping, sports, etc
✔✔Enviromental considerations - ✔✔climate, enviromental concerns in relation to
exercise
✔✔high altitude exercise - ✔✔in high altitude partial pressure of oxygen is lower
resulting in decreased arterial oxygen levels (fatigue,SOB)
compensatory response is to increase ventilation(breathing rate) and cardiac output
physical performance declines with increasing altitude
decrease intensity for exercise if not acclimated
✔✔high altitude exposure - ✔✔greater than 1 week significant altitude acclimization
occurs
✔✔altitude illness - ✔✔Caused by diminished oxygen in the air at high altitudes on the
central nervous system and pulmonary system
rapid ascent to high altitudes. acute mountain sickness, high altitude cerebral edema,
high altitude pulmonary edema
✔✔Heat related emergencies - ✔✔heat cramp-feeble, localized wandering muscle
cramps
heat exhaustion- elevated HR and respiratory rate, low BP, wet pale skin,
heat syncope- brief episode of fainting
heat stroke- >104F most severe disorientation, dizziness, nausea, vomiting
✔✔What special population is most susceptible to cold environments - ✔✔MS
exacerbate symptoms hot humid weather / fever
cold/ hot can make symptoms worse
✔✔Cardiac Rehabilitation - ✔✔a medically supervised program to help cardiac patients
recover quickly, improve function of patients with heart disease. and prevent future
cardiac events
coordinated, multifaceted intervention, designed to reduce risk, foster healthy behaviors
and compliance, risk factor modifications, reduce disability, and promote an active
lifestyle
phase 1-inpatient right after event
phase 2-comprehensive outpatient medically supervised exercise sessions
Phase 3-maintanence program
✔✔criteria for eligibility of cardiac rehab - ✔✔Recent MI/ acute coronary syndrome
within 12 month
CABG
PCI w or w/o stent placement
, stable angina
heart valve replacement or repair
HFrEF
heart transplant
✔✔AACVPR American Association of Cardiovascular and Pulmonary Rehabilitation -
✔✔Parameters for inpatient Cardiac Rehabilitation
no new or recurrent chest pain in previous 8 hrs.
stable or falling creatine kinase and troponin levels
no indication of decompensated heart failure (resting dyspnea)
normal cardiac rhythm and stable ECG for previous 8 hr
✔✔contraindications for inpatient cardiac rehab - ✔✔- Unstable angina
- Uncontrolled HTN >180/>110
- Orthostatic BP drop of >20 mmHg w/ Sx
- Significant aortic stenosis
- Uncontrolled atrial/ventricular arrhythmias
- Uncontrolled sinus tach
- Uncompensated HF
- 3rd degree AV block w/o pacemaker
- Active pericarditis or myocarditis
- Recent embolism
- Acute thrombophlebitis
- Aortic dissection
- Acute illness
- Uncontrolled diabetes
- Severe orthopedic conditions
- Other metabolic conditions
- Psych disorder
✔✔Outpatient cardiac rehabilitation - ✔✔medical and surgical hisotry including most
recent cardiovascular event, comorbidities, and other pertinent medical history
physical examination emphasis on cardiopulmonary and musculoskeletal systems
review of recent cardiovasculat test and procedures. 12 lead ecg, coronary angiogram,
echo, stress test, cardiac surgeries pci, pacemaker/ ICD implantation
current medications
CVD risk factors
✔✔Goals of Cardiac Rehabilitation - ✔✔develop and assist patient to implement safe
and effective formal exercise and lifestyle PA program
provide appropriate supervision and monitoring to detect change in clinical status
provide ongoing surveillance to the patients health care providers
return patient to vocational and recreational activities or modify these activities based on
pt clinical status
provide patient and spouse/family education to optimize secondary prevention(risk fx
modification)
