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CSEP-CPT practical exam With Complete Solutions..
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10/15/24, 10:15 AMCSEP-CPT practical exam
Jeremiah
Terms in this set (52)
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
PA readiness screening
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
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)
ASK
6. FANTASTIC lifestyle checklist
7. PARMED-X for pregnancy
8. Informed consent
* physician physical activity readiness clearance
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)
Resting HR
fitness because it tend to lower for those who are more aerobically fit. RHR is
influenced by certain medication and nervousness about the assessment.
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
Resting HR instructions
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
CSEP-CPT practical exam
1/11
, 10/15/24, 10:15 AM
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
Resting BP
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.
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
Resting BP instruction
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
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
Body composition assessment
problems including Type 2 diabetes, hypertension, dyslipidemia, coronary artery
disease, stroke, osteoarthritis and some forms of cancer.
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
BMI
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)
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