CSEP-CPT practical exam Questions
and answers, 100% Accurate, rated A+
PA readiness screening - ✔✔-Although becoming PA is very safe for most people and yields many health
benefits it is important to screen new clie
...
CSEP-CPT practical exam Questions
and answers, 100% Accurate, rated A+
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
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
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.
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 sternocleidomastoid 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
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.
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
- Thumping sounds continue to be heard as long as the pressure in the cuff is between the systolic and
diastolic pressure
10. The DBP is determined when the sounds cease to be tapping and become fully muted or muffled
(fourth/fifth Korotkoff sound)
- This is occurs when the pressure drops below diastolic pressure (the cuff no longer provides any
restriction allowing the blood to flow to become smooth again with no turbulence)
* If the BP is >144/94 mmHg wait 5 minutes and then repeat - record to the nearest 2mmHg
Body composition assessment - ✔✔-Assessing body weight and body fat distribution is as important as
excess body fat (particularly around the abdomen) signals increase risks of a variety of health problems
including Type 2 diabetes, hypertension, dyslipidemia, coronary artery disease, stroke, osteoarthritis
and some forms of cancer.
BMI - ✔✔-Indirect measure of body fatness correlated with health risks. Does not distinguish between
fat mass and fat free mass and provides no information on the distribution of body fat.
Correlation between BMI and body fatness can vary for gender and age (at the same BMI women tend
to have more body fat and older people have higher body fat than younger, trained athletes have higher
BMI because of muscularity rather than body fatness)
BMI=weight(kg)/height(m2)
Height measurement - ✔✔-1. Position the tape vertically against a wall
2. Ask the client without footwear to stand erect against the wall, feet together, arms by their side,
heels touching the back wall, looking straight forward, standing as tall as possible with feet flat on the
floor.
3. Place the square on the head depressing the hair
4. Measurement is taken on a deep breath
5. Mark the measurement to the nearest 0.5cm
Weight measurement - ✔✔-1. Stand without footwear and minimal clothing
2. Stand on the scale
3. Record to the nearest 0.1kg
Waist circumference - ✔✔-Visceral abdominal fat is a more important determinant of health outcomes
than overall body fatness.
Increased WC are more likely to have hypertension, Type 2 diabetes, dyslipidemia, and metabolic
syndrome.
High WC puts you at an elevated risk of coronary events except class 2/3 obesity because you are
already at an extremely high risk.
High WC in normal BMI people is also a risk.
WC measurement - ✔✔-1. Standing shoulder width apart and arms crossed over the chest.
2. Start on the right side of the body
3. Take at the superior edge of the illiac crest (palpate the upper right hip bone)
4. Inferior edge of the tape should be along this line.
5. Make sure the tape is snug without causing indentation
6. Measure to the nearest 0.5cm
Aerobic fitness assessment - ✔✔-Cardiorespiratory fitness is one of the most important determinants of
health. Reflects the efficiency of an individuals heart, lungs and blood vessels in transporting O2 to
working muscles and the muscles ability to use that oxygen to do work. Refers to an individuals ability to
syustain physical effort over a period of time and ability to respond to emergencies.
* use the RPE to assist in developing a personalized physical activity prescription especially if HR
determination is not likely
Aerobic fitness test TERMINATION criteria - ✔✔-1. Reaches the ceiling HR (85% of HRmax)
2. Asks to stop
3. Shows signs of physiological distress (begins to stagger, complain of dizziness, extreme leg pain,
nausea, chest pain or facial pallor)
4. Cannot maintain the cadence (for the mCAFT, and Cycle ergometer)
5. Completes Stage 8 of mCAFT
Active recovery procedure - ✔✔-1. Once the test finishes continue moving for 3 minutes at a light
intensity
2. Record HR at every minute of active recovery
3. Complete another 2 minutes of light recovery if the client is not sufficiently recovered
4. Measure HR and BP once the client is seated at 1 and 3 minutes
5. If after 3 minutes the clients values are below (HR >99 and BP >94/144mmHg) you can move on to
musculoskeletal testing
6. If levels have not come down continue sitting for another 2 minutes and measure HR and BP again.
7. If levels remain high above pre screening cuff offs postpone the rest of the assessment.
Modified Canadian Aerobic Fitness Test (mCAFT) - ✔✔-1. Multistage test to estimate VO2max
2. Ages 15-69
3. Complete 3 minute stages at a predetermined speed depending on age and gender
4. Begin with a 2 step sequence (beginning stage is a intensity of 65-70% of average aerobic level of
someone 10 years older than yourself)
5. Steps are 20.3cm high and 40.6cm
5. HR is taken at the end of each stage
6. Stages
20-29 female - 3
30-39 female - 3
40-49 female - 4
20-29 male - 4
30-39 male - 3
40-49 male - 3
mCAFT instructions - ✔✔-1. Describe the purpose and demonstrate (have client practice)
2. Calculate 85% HRmax
3. Step dont run, doesn't matter which foot you lead with
4. Both feet need to get on the top step and fully extend the leg with the back upright
5. Concentrate on the wall in front of you
6. STEP-STEP-UP-STEP-STEP-DOWN
7. Step along side the client if they have balance issues to prevent falls
8. Stop at the bottom and remain motionless when the music stops
9. Continue until >85%HRmax
10. At the start of stage 7 for males and 8 for females switch to the 40.6cm step
11. Calculate estimate VO2max
= [17.2 + (1.29 x O2cost) - (0.09 x weight kg) -(0.18 x age years)]
12. Record the score and associate health benefit rating on the client information sheet
Treadmill walking test (Ebbeling) - ✔✔-1. Single stage treadmill sub maximal walking test to estimate
VO2max
2. Low risk, non athletic adults
3. Age 20-59
4. Good for those who prefer walking or experience knee pain when jogging or running
Treadmill walking test instructions - ✔✔-1. Explain the purpose and how it is conducted
2. Calculate 50% and 70% HRmax
3. Ask client to concentrate on the wall infront of them while walking
4. Warm up for 4 minutes at 0% grade and a speed that keeps the HR in between 50-70% (3.4-4.0mph)
Adjust the speed if HR is not within the range after the first minute
5. After the warm up increase the grade to 5%
6. Continue walking for another 4 minutes
7. Record the HR every minute
8. Steady state is reached when HR variation is <5bpm
9. If the HR is >5bpm between the 3rd and 4th minute extend the walk another minute
10. SSHR is the average of the last two minutes of the walking stages
11. Calculate the estimate VO2max
= 15.1 + (21.8 x speed mph) - (0.327 x SSHR bpm) - (0.263 x speed mph x age) + 0.00504 x SSHR bpm x
age) + (5.98 for males)
12. Record the score and associate health benefit rating on the client information sheet
One mile walk (Rockport) - ✔✔-1. Submaximal test to estimate VO2max
2. Age 20-69
3. Sedentary or older clients
4. Walk 1.6km as fast as possible (inside lane of a 400m track)
One mile walk (Rockport) instructions - ✔✔-1. Explain the purpose of the test
2. Have the client walk at a light/moderate pace for 3 minutes (warm up)
3. Following those 3 minutes begin walking as fast as possible
4. Record the HR at the final minute of walking
5. Record the time in minutes
6. Estimate VO2 max
= equation
7. Record the score and associated health benefit rating on the client information sheet
Cycle ergometer test (YMCA) - ✔✔-1. Submaximal bike test used to measure estimated VO2max
2. Age 15-69
3. 3 or more consecutive 3 minute workloads
4. designed to raise your HR to between 110 bpm and 85% HRmax for 2 workloads
Cycle ergometer test (YMCA) instructions - ✔✔-1. Explain the purpose of the test
2. Calculate 85% HRmax
3. Set the metronome at 50 bpm
4. Set the cycle ergometers 1st workload at 150 kpm/min (0.5kp or 25 watts) 1W=6kpm/min
5. Have the client pedal at 50rpm for 3 minutes
6. Record HR at the end of each minute
7. SSHR is the average of the HR taken during the 2nd and 3rd minute of each workload (if HR differs by
>5bpm extend the workload period by 1 minute)
8. HR during the last minute of the 1st workload determines the land sequence for subsequent workload
periods
HR <80bpm - 125W, 150W, 175W (2.5kp, 3kp, 3.5kp)
HR 80-90 - 100W, 125W, 150W (2kp, 2.5kp, 3kp)
HR 90-100 - 75W, 100W, 125W (1.5kp, 2kp, 2.5kp)
9. Continue increasing the workload until the clients SSHR is within 10bpm of the 85%HRmax
10. Use the formula to calculate the VO2 for the last two completed workloads
11. Take the two VO2 values and calculate the slope based on the HR response to the last two workloads
12. Use the formula to calculate the clien
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