CSEP-CPT PRACTICAL EXAM
1.PA readiness screening: Although becoming PA is very safe for most
people and yields many health benefits it is important to screen new
clients to identify those who may need more thorough evaluation before
doing a fitness assessment or becoming much more physically active.
The screening process also provides an opportunity for the ET to begin
to gain insights on the clients motivations, aspirations, readiness for
change and knowledge of PA, fitness and health.
No alcohol or vigorous exercise - 6 hrs
No smoking, caffeine or a heavy meal - 2 hrs
2.ASK: 1. Discovery questions
2.Welcome letter
3.AAL-Q (Abilities for active living questionnaire)
4. PAR-Q+
5.PASB-Q (Physical Activity Sedentary Behaviour Questionnaire)
6. FANTASTIC lifestyle checklist
7. PARMED-X for pregnancy
8.Informed consent
* physician physical activity readiness clearance
3.Resting HR: HR is the number if times the heart beats (or contracts)
,usually recorded in beats per minutes (bpm). Resting Hr is considered
an indicator of cardiorespiratory (or aerobic) fitness because it tend to
lower for those who are more aerobically fit. RHR is influenced by
certain medication and nervousness about the assessment.
4.Resting HR instructions: 1. Sit and rest with their feet flat on the floor
and arms on the chair rests for at least 5 minutes
2.Place the diaphragm on the sternum or over the second intercostal
space
3.Manually palpating the radial artery using the index and middle
fingers just distal to the thumb
4.Carotid artery between the larynx and the anterior border of the
sternocleidomas- toid muscle and at the level of the cricoid cartilage
5.Use a 15 second count (multiply by 4 to get beats per minute)
6.If the RHR is >99 bpm ask your client to sit quietly for an additional
five minutes and then repeat
5.Resting BP: Blood pressure is the force of blood against the walls of
the arteries created by the heart as it pumps blood to all parts of the
body. Measured at the brachial artery and expressed in unites of
mmHg.
Systolic BP is the max pressure in the arteries when the heart contracts
during a heart beat.
Diastolic BP is the minimum pressure in the arteries when the heart
relaxes.
, This is the final check to ensure a client is ready to undertake the PA
portions of the assessment.
6.Resting BP instruction: 1. Sit and rest with their feet flat on the floor
and arms on the chair rests for at least 5 minutes
2.Put the cuff on the left upper arm 2-3 cm above the antecubital
space (bend of the elbow) with the lower edge of the cuff level with
the heart.
3.Have the cuff snug so that 2 fingers can be slipped under the top edge
of the cuff.
4.May be beneficial to palpate a brachial pulse with your fingers prior to
applying or pumping the cuff.
5.While taking the radial pulse with one hand rapidly inflate the cuff
until 30-40 mmHg above the point where the radial pressure is no
longer palpable
6.Position the stethoscope diaphragm over the brachial artery
applying minimal pressure (in complete contact with the skin) and
not touching the cuff or tubing.
7.Release the cuff at 2 mmHg/sec
8.The SBP is the first Korotkoff sound
- At this point some blood is able to pass through the arm when the
pressure in the artery rises during systole. The blood flows in spurts as
the pressure in the artery rises above the pressure in the cuff, resulting
in turbulence that produces an audible sound.
9.Keep releasing
1.PA readiness screening: Although becoming PA is very safe for most
people and yields many health benefits it is important to screen new
clients to identify those who may need more thorough evaluation before
doing a fitness assessment or becoming much more physically active.
The screening process also provides an opportunity for the ET to begin
to gain insights on the clients motivations, aspirations, readiness for
change and knowledge of PA, fitness and health.
No alcohol or vigorous exercise - 6 hrs
No smoking, caffeine or a heavy meal - 2 hrs
2.ASK: 1. Discovery questions
2.Welcome letter
3.AAL-Q (Abilities for active living questionnaire)
4. PAR-Q+
5.PASB-Q (Physical Activity Sedentary Behaviour Questionnaire)
6. FANTASTIC lifestyle checklist
7. PARMED-X for pregnancy
8.Informed consent
* physician physical activity readiness clearance
3.Resting HR: HR is the number if times the heart beats (or contracts)
,usually recorded in beats per minutes (bpm). Resting Hr is considered
an indicator of cardiorespiratory (or aerobic) fitness because it tend to
lower for those who are more aerobically fit. RHR is influenced by
certain medication and nervousness about the assessment.
4.Resting HR instructions: 1. Sit and rest with their feet flat on the floor
and arms on the chair rests for at least 5 minutes
2.Place the diaphragm on the sternum or over the second intercostal
space
3.Manually palpating the radial artery using the index and middle
fingers just distal to the thumb
4.Carotid artery between the larynx and the anterior border of the
sternocleidomas- toid muscle and at the level of the cricoid cartilage
5.Use a 15 second count (multiply by 4 to get beats per minute)
6.If the RHR is >99 bpm ask your client to sit quietly for an additional
five minutes and then repeat
5.Resting BP: Blood pressure is the force of blood against the walls of
the arteries created by the heart as it pumps blood to all parts of the
body. Measured at the brachial artery and expressed in unites of
mmHg.
Systolic BP is the max pressure in the arteries when the heart contracts
during a heart beat.
Diastolic BP is the minimum pressure in the arteries when the heart
relaxes.
, This is the final check to ensure a client is ready to undertake the PA
portions of the assessment.
6.Resting BP instruction: 1. Sit and rest with their feet flat on the floor
and arms on the chair rests for at least 5 minutes
2.Put the cuff on the left upper arm 2-3 cm above the antecubital
space (bend of the elbow) with the lower edge of the cuff level with
the heart.
3.Have the cuff snug so that 2 fingers can be slipped under the top edge
of the cuff.
4.May be beneficial to palpate a brachial pulse with your fingers prior to
applying or pumping the cuff.
5.While taking the radial pulse with one hand rapidly inflate the cuff
until 30-40 mmHg above the point where the radial pressure is no
longer palpable
6.Position the stethoscope diaphragm over the brachial artery
applying minimal pressure (in complete contact with the skin) and
not touching the cuff or tubing.
7.Release the cuff at 2 mmHg/sec
8.The SBP is the first Korotkoff sound
- At this point some blood is able to pass through the arm when the
pressure in the artery rises during systole. The blood flows in spurts as
the pressure in the artery rises above the pressure in the cuff, resulting
in turbulence that produces an audible sound.
9.Keep releasing
