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ACE CPT Exam Study Guide
Which action is outside the scope of practice for a PT? *Following exercise program guidelines for diseases *Diagnosing illness or disease *Assessing for limitations - *Diagnosing illness or disease True or false, monitoring clinical progress for medically referred clients is within the scope of practice for a PT - False What is the primary purpose of a professional certification? - protect the public from harm by assessing if candidates meet established levels of minimum competence At what point does a candidate for the Ace PT certification agree to uphold the Code of ethics? - while registering for the Ace exam The primary reason ACE has established a minimum continuing education requirement of 20 hours every two years in order to maintain a certification is to help ACE PT? - To stay current with the latest exercise science research and guidelines for fitness and health Is helping clients gain a better understanding of portion sizes and healthful foods so they can make better choices in a PT's scope of practice? - YES! A personal trainer who wants to provide massage therapy to help clients who have tight or sore muscles can do so only if... - The personal trainer becomes a listened massage therapist
What do most allied health certification programs, such as the credentials for registered dietitians, occupational therapists, and nurse practitioners, have in common with certifications from the American Council on Exercise? - They are accredited by the national commission for certifying agencies Name two health benefits of exercise - *Reduced risk of many diseases for children, adolescents, adults, and older adults *Minimum 150 minutes per week of moderate intensity to receive benefits Name the actions that are out of the scope of practice for a PT - Do not: diagnose, prescribe, prescribe diets or supplements, treat injury or disease, rehabilitate, or counsel Abduction - Movement away from the midline of the body Actin - Thin contractile protein in a myofibril. action stage - stage of change in the transtheoretical model in which the individual is actively changing a negative behavior or adopting a new, healthy behavior that was started less than six months ago Adduction - Movement toward the midline of the body aerobic activity - steady activity in which the heart can supply all the oxygen the muscles need Agonist - The muscle directly responsible for observed movement; also called the prime mover.
Dorsiflexion - bending of the foot or the toes upward Double progression training protocol - Progressing the intensity of a muscular training program using first an increase in the number of reps performed with a given load and second an increase in the amount of weight lifted using increments of 5% Dynamic balance - the ability to move and change directions under various conditions without falling dynamic stretching - technique in which muscles are stretched by moving joints slowly and fluidly through their range of motion in a controlled manner; also called functional stretching often beneficial in warm ups Dyspnea - difficult or labored breathing Eccentric - a type of isometric muscle contraction in which the muscle lengthens against a resistance when it is stimulated isometric muscle contraction - develops tension without changing length important in postural muscle function and antagonistic muscle joint stabilization eversion/inversion - turning outward/inward **occurs in the sagittal plane
Fartlek training - This type of training allows an athlete to run at varying speeds, over unmeasured distances, on different terrain (Fartlek is Swedish for 'Speed play' VT1 - Intensity of aerobic exercise at which ventilation starts to increase in a nonlinear fashion in response to an accumulation of metabolic by-products in the blood. Health Belief Model - A model to explain health-related behaviors that suggests that an individual's decision to adopt healthy behaviors is based largely upon his or her perception of susceptibility to an illness and the probable severity of the illness. The person's view of the benefits and costs of the change also are considered. Ischemia - an inadequate blood supply to an organ or part of the body, especially the heart muscles. Leptin - A hormone released from fat cells that acts on the hypothalamus to regulate energy intake. Low levels stimulate hunger and fat consumption open kinetic chain exercise - Exercises in which the distal end of a limb is free to move. Examples include seated leg extension and bicep curls plantar flexion - bending of the sole of the foot by curling the toes toward the ground Stage 1 hypertension - a systolic bp of 130-139 or a diastolic bp of 80- Stages of change model - precontemplation, contemplation, preparation, action, maintenance
What is effective when setting goals with a client? - Making the goals realistic and attainable What should a pt expect in a client who begins an exercise program who also started nicotine replacement therapy? - high resting heart rate What could a pt work on with a client who failed the McGill's torso test battery? - low back stabilization exercises What workout would benefit someone who is trying to strengthen the erector spinae muscles? - squat, deadlift, and prone back extension exercises. What muscle group concentrically contracts during the upward phase of a push-up? - pectoralis major and triceps brachii What is a program idea for a superset workout? - overhead press followed by push-ups and chin-ups without rest periods What is an example of a double progression protocol in an exercise program? - after being able to complete 15 leg presses with 100 lbs, increase the weight by 5%, drop the reps to 12 and continue with the weight until able to complete 15 reps what is important for a client to sign to bar them from potential recovery from their injury? - Waiver What program should a client follow to prepare to exercise in high altitudes? - prolonged warm-up and cool-down What should a pt do before posting a pic of a client's weight-loss journey? - Asking the client to sign a release granting permission to post the picture
during a body weight squat, the client's knees are bending outward in front of their toes. What muscle group is too dominating in this form? - Quad dominance a client's bp is 128/80. what stage of bp do they have? - stage 1 hypertension recommended amount of water for a 130lb person to drink before exercise? - 10-14 ounces at least 4 hours before exercise signs of heat stroke? - Hot, red, dry skin; high body temp.; fast pulse; unconscious what is contraindicated for a person with CAD? - Valsalva maneuver what muscle group should a client stretch in order to activate the glutes during a glute bridge exercise? - hip flexors what phase of the muscular training program should a sit to stand workout be in? - Movement training phase what should a pt do if a client complains of calf pain and cramping? - stop the workout, document the incident, and have them contact their physician what should a pt do if their client is going on vacay for 3 weeks? - collaborate with the client to plan for a lapse before it happens what should a pt do right after a client gets injured and is deemed okay? - report the incident
Building rapport What is essential for a pt to conduct before a client begins an exercise program? - Collecting health-history data to identify limitations What is likely to create a barrier for a potential client for behavioral change? - conducting initial assessments of fitness and body comp five primary movements are the focus in the movement training phase? -
- bend-and-lift
- single leg
- pushing
- pulling
- rotational if a client starts a program with lumbar lordosis and limited ROM in hips and shoulders, what phase should he / she start in? - Functional training Load / Speed training includes speed and agility drills that would be most appropriate for what type of client? - 45-year old competitive tennis player What phase of the cardiorespiratory program includes intensities above VT2? - Performance phase cardiorespiratory exercise in the fitness training phase includes what intensity? - Below, at, and above VT1 to just below VT what stage of bx change shows a potential client asking questions about an exercise program but has not started anything yet? - contemplation phase
what can a pt say to a client who is showing signs of cognitive distortion? - what is the evidence for and against this thought? what process is exemplified when a client choses to go to the gym that is directly between home and work? - stimulus control what can a pt help their clients do to enhance their willpower? - planning in advance for moments of weak self control what is most effective in helping a client develop program adherence? - having the client self-monitor by keeping an exercise journal a client has alreay mastered the technique of a body weight squat and is now looking for more specific advice. What stage of learning is she in? - associative True or false, dependence is a component comprising the spirit of motivational interviewing? - False the risk of exercise related acute myocardial infarction and sudden cardiac death is highest in individuals with underlying cardiovascular disease who... - perform a level of physical activity to which they are not accustomed to Betablockers block beta-androgenic receptors and... - limit sympathetic nervous system stimulation if a client is on a beta blocker, the best way to monitor exercise intensity is to use what? - rating of perceived exertion calcium channel blockers.... -
T or F: pt's can offer grocery store tours for clients? - true When should a pt consult a registered dietician? - when the client displays distorted eating pre workout meals / snacks should contain what macros? - low in fat and fiber, moderate in protein two common sites to measure pulse? - radial and carotid artery how do you calculate BMI? - weight/height^2 x 703 essential fat for women is what %? - 10-13% what is an accurate statement about BMI? - it is associated with health, morbidity, and mortality what is an approach to measure subcutaneous fat? - skinfold measurements if the client has obesity, what measurement might be better to use than a skinfold measurement? - Circumference measurement current guidelines recommend that exercise should be conducted when? - on most days of the week what is the most difficult variable of an exercise program to quantify? -
intensity _______ is a subjective method of measuring exercise intensity - rating of perceived exertion if a client can talk normally during exercise, what zone are they in? - Zone 1 green exercise refers to exercise conducted in... - natural environments exercise _______ is the most appropriate variable to manipulate initially when progressing a program
- duration primary emphasis for a personal trainer during the base training phase is to... - help clients have a (+) experience with exercise the fitness training phase involves... - increasing the time of the exercise breaks from sitting should take place... - every 60-120 mins main role and action of type 1 muscle fibers during muscular training exercise? - they contract more slowly and create lower force outputs What is the best reps and sets count for someone who wants to build muscular endurance? - 2-3 sets of 12+ reps flexion occurs in what plane of motion? -
