ACSM-CEP EXAM QUESTIONS AND ANSWERS GRADED A+

ACSM-CEP EXAM QUESTIONS AND ANSWERS GRADED A+ What is the exercise participation health screening process based on? - the individual's current level of physical activity - the presence of signs or symptoms and/or known CV, metabolic, or renal disease - desired exercise intensity Goals of the ACSM participation health screening process is to identify individuals who: - who should receive medical clearance before initiating an exercise program or increasing the frequency, intensity, and/or volume of their current program - individuals with clinically significant disease(s) who may benefit from participating in a medically supervised exercise program - individuals with medical conditions that may require exclusion from exercise programs until those conditions are better controlled 2 stage process of screening - need for medical clearance before initiating or progressing exercise programming is determined using the updated and revised ACSM screening algorithm-- > in presence of health care professional - if indicated during screening, medical clearance should be sought from the appropriate health care provider What does the screening algorithm do? classifies individuals who do or do not currently participate in regular exercise - GOAL: identify those unaccustomed to regular physical exertion b/c exercise may place disproportionate demands on the CV system and increase risk of complications what is exercise participation? performing planned, structured PA at least 30 min at moderate intensity on at least 3 days a week for at least the last 3 months light intensity exercise 30-39% HRR or VO2R 2-2.9 METS RPE: 9-11 Mod intensity 40-59% HRR or VO2R 3-5.9 METS RPE 12-13 Vigorous intensity >60% HRR or VO2R RPE >14 > 6 METS Risk stratifications for individuals with CVD: LOWEST RISK - functional capacity > 7 METS Risk stratifications for individuals with CVD: MODERATE risk - presence of angina or other significant symptoms (unusual SOB, lightheadedness, or dizziness occurring only at high levels of exercise (> 7 METS) - mild to mod ischemia during exercise testing or ST segment depression < 2 mm from baseline - functional capacity <5 METS - Rest ejection fraction 40-49% Risk stratifications for individuals with CVD: HIGHEST risk - presence of complex ventricular dysrhythmias during exercise testing or recovery - presence of angina or other significant symptoms (unusual SOB, light-headedness, dizziness at low levels of exertion ( < 5 METS during recovery) FITT-VP Frequency Intensity Time Type