ACSM – CEP questions with verified answers
What is used as a preparticipation health screening tool by a professional for the
general (non-clinical) population? Ans✓✓✓-The ACSM algorithm
Sedentary
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is recommended
Light-moderate, progress as tolerated
Sedentary
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is not necessary
Light to moderate, progress to vig
Sedentary
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is recommended
Light-moderate, progress as tolerated
,Active
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is not necessary
Light to vigorous
Active
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is not necessary for light to
moderate, but necessary before vigorous
Active
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Discontinue exercise and seek clearance before
continuation
Definition for active vs sedentary Ans✓✓✓-Exercised for at least 30 min/day, 3
days/wk for last 3 months
,Light intensity VO2R and HRR Ans✓✓✓-30-39% HRR or VO2R
Light intensity METs Ans✓✓✓-2-2.9 METs
Light intensity RPE Ans✓✓✓-RPE 9-11
Moderate intensity HRR or VO2R Ans✓✓✓-40-59% HRR or VO2R
Moderate intensity METs Ans✓✓✓-3-5.9 METs
Moderate intensity RPE Ans✓✓✓-RPE 12-13
Vigorous intensity VO2R or HRR Ans✓✓✓-≥ 60% HRR or VO2R
Vigorous intensity METs Ans✓✓✓-≥ 6 METs
Vigorous intensity RPE Ans✓✓✓-RPE ≥ 14
CV disease Ans✓✓✓-cardiac, peripherovascular, or cerebrovascular disease
Metabolic disease Ans✓✓✓-Any 3 out of 5 of the following:
-increased waist circumference (M ≥ 40in, W ≥ 35in)
-increased triglycerides ≥ 150 mg/dL
-decreased HDL (M < 40mg/dL, W < 50)
, -increased BP (SBP ≥ 130 or DBP ≥ 85)
-increased fasting glucose ≥ 100mg/dL
Signs and symptoms suggestive of CV, renal, and metabolic disease Ans✓✓✓--
pain/discomfort in neck, chest, jaw, arms
-SOB at rest or w/mild exertion
-dizziness or syncope
-orthopnea or paroxysmal nocturnal dyspnea
-ankle edema
-palpitations or tachycardia
-intermittent claudication
-known heart murmur
-unusual fatigue or SOB w/usual activities
What is used as a preparticipation health screen in absence of a professionals
help? Ans✓✓✓-The 2014 PAR-Q+
What is used as a pre-participation screening tool by a professional for cardiac
rehab and other medical fitness facilities? Ans✓✓✓-AACVPR risk stratification
AACVRP lowest risk components during exercise test and recovery Ans✓✓✓--no
complex ventricular dysrhythmias
-no angina or other sig sx
-normal hemodynamics
-functional capacity ≥ 7 METs
What is used as a preparticipation health screening tool by a professional for the
general (non-clinical) population? Ans✓✓✓-The ACSM algorithm
Sedentary
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is recommended
Light-moderate, progress as tolerated
Sedentary
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is not necessary
Light to moderate, progress to vig
Sedentary
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is recommended
Light-moderate, progress as tolerated
,Active
No known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is not necessary
Light to vigorous
Active
Known CV, metabolic, or renal disease
No signs or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Medical clearance is not necessary for light to
moderate, but necessary before vigorous
Active
Known CV, metabolic, or renal disease
Has sign or sx
Is medical clearance recommended?
At what intensity? Ans✓✓✓-Discontinue exercise and seek clearance before
continuation
Definition for active vs sedentary Ans✓✓✓-Exercised for at least 30 min/day, 3
days/wk for last 3 months
,Light intensity VO2R and HRR Ans✓✓✓-30-39% HRR or VO2R
Light intensity METs Ans✓✓✓-2-2.9 METs
Light intensity RPE Ans✓✓✓-RPE 9-11
Moderate intensity HRR or VO2R Ans✓✓✓-40-59% HRR or VO2R
Moderate intensity METs Ans✓✓✓-3-5.9 METs
Moderate intensity RPE Ans✓✓✓-RPE 12-13
Vigorous intensity VO2R or HRR Ans✓✓✓-≥ 60% HRR or VO2R
Vigorous intensity METs Ans✓✓✓-≥ 6 METs
Vigorous intensity RPE Ans✓✓✓-RPE ≥ 14
CV disease Ans✓✓✓-cardiac, peripherovascular, or cerebrovascular disease
Metabolic disease Ans✓✓✓-Any 3 out of 5 of the following:
-increased waist circumference (M ≥ 40in, W ≥ 35in)
-increased triglycerides ≥ 150 mg/dL
-decreased HDL (M < 40mg/dL, W < 50)
, -increased BP (SBP ≥ 130 or DBP ≥ 85)
-increased fasting glucose ≥ 100mg/dL
Signs and symptoms suggestive of CV, renal, and metabolic disease Ans✓✓✓--
pain/discomfort in neck, chest, jaw, arms
-SOB at rest or w/mild exertion
-dizziness or syncope
-orthopnea or paroxysmal nocturnal dyspnea
-ankle edema
-palpitations or tachycardia
-intermittent claudication
-known heart murmur
-unusual fatigue or SOB w/usual activities
What is used as a preparticipation health screen in absence of a professionals
help? Ans✓✓✓-The 2014 PAR-Q+
What is used as a pre-participation screening tool by a professional for cardiac
rehab and other medical fitness facilities? Ans✓✓✓-AACVPR risk stratification
AACVRP lowest risk components during exercise test and recovery Ans✓✓✓--no
complex ventricular dysrhythmias
-no angina or other sig sx
-normal hemodynamics
-functional capacity ≥ 7 METs
