CSEP-CEP Practical Exam with complete solution 2023

CSEP-CEP Practical Exam with complete solution 2023What are the 5 circumference points? - correct answer - Arm (midpoint between acromian and olecranon) - Waist (midpoint of iliac crest and ribs) - Hip (furthest protrusion of glutes) - Thigh (midpoint of inguinal crease and patella) - Calf (furthest protrusion) Describe the pros and cons of skinfold measurements - correct answer Pros: accurate for leaner subjects, multiple equations for different populations Cons: high rate of user error, taking repeated measurements can increase error, can be impacted by physical activity (level of water in muscles)/ environment (cold/hot weather), shouldn't be used for obese clients Describe skinfold protocol - correct answer Explain the purpose of the test Explain the test procedures Measure skinfolds on right side of body at eye level Lift fold 1 cm above desired site, place calipers directly over desired site Position calipers perpendicular to site of measurement Administer 2 trials within 1mm Measure skinfolds in rotational order DO NOT REMOVE FINGERS PINCHING WHILE MEASURING What are the 7 skinfold sites? - correct answer - Tricep (midpoint of acromian and olecranon) - Bicep (belly of bicep) - Scapula (3cm inferior) - Waist (3cm superior of iliac crest) - Stomach (3cm lateral and 1cm inferior of belly) - Thigh (midpoint of inguinal crease and prox patella) - Calf (widest medial point) Describe the pros and cons of bioelectrical impedance - correct answer Pros: easy to use, fairly reliable, quick results Cons: can be impacted by client age, water level, cannot be used with people with pacemakers Describe the pros and cons of DEXA - correct answer Pros: very reliable, can highlight fat distribution Cons: movement may disrupt image, expensive, exposure to radiation Describe the process of taking BP - correct answer 1. Locate and palpate radial pulse 2. Close valve and increase pressure to 70 mmHg 3. Slowly increase pressure further until pulse disappears 4. Position earpieces of stethoscope in line with auditory canals 5. Place diaphragm of stethoscope over brachial pulse 6. Close valve and increase pressure to 20-30 mmHg above systolic estimate 7. Release pressure slowly 8. Note pressure of first Korotkoff sound (systolic) 9. Note measurement of Phase V diastolic pressure 10. Continue deflating cuff for at least 10 mmHg. 11. Continue listening for further sounds 12. Record Systolic and Diastolic values 13. Repeat and compare to 1st trial 14. Correctly classify resting blood pressure What are the stages of BP? - correct answer Normal - <120/<80 Prehypertension - 120-139/80-89 Stage 1- 140-159/90-99 Stage 2 - > 160/100 Hypertensive crisis >180/110 Describe the normal and abnormal HR response to exercise - correct answer Normal: increase in HR depending on what type of exercise Abnormal: sudden increase in HR, increase in HR with no increase in CO Describe the normal and abnormal BP response to exercise - correct answer Normal: increase in systolic BP and a slight increase in diastolic BP Abnormal: no increase in BP, severe hypotension post exercise, large increase in DBP What is mean arterial pressure? - correct answer Average pressure in arteries during one cardiac cycle (65-110) 5 lead EKG - correct answer Green - right lower ribs White - right inferior to clavicle Black - left inferior to clavicle Red - left lower ribs Brown - 4th intercostal space Signs of an MI on a ECG? - correct answer Downsloping ST segment and pathologic Q waves What are the segments of the EKG? - correct answer QRS complex - ventricular depolarization P - atrial depolarization T - ventricular repolarization ST segment - time between ventricular depolarization and repolarization