Cheat sheet
ISSA CPT Cheat Sheet
Applied + Basic Sciences
- 25% of exam
- Anatomy Physiology Biomechanics Energy Systems
Nutrition
- 8% of exam
- Macros Hydration Scope Limits Weight Management
Assessment + Intake
- 12% of exam
- Screening PAR-Q Movement Baseline Data
Program Design
- 25% of exam
- FITT Progression Periodization Special Populations
Exercise Technique
- 25% of exam
- Cueing Spotting Regression Safety
Professional Practice
- 5% of exam
- Scope Ethics Records Risk Management
Quick Facts
- Exam NCCPT CPT
- Questions 140 scored
- Pretest 15 unscored
- Time 2 hours
- Delivery Prometric
- CPR Required current
- Pass rate 67% 2025
- Retakes 3 per year
Movement Planes SC
- Sagittal frontal transverse
- Sagittal: flex extend Frontal: side bend Transverse: rotate
Concentric vs Eccentric SC
Concentric
- Muscle shortens
- Lifting phase
- Overcome gravity
Eccentric
- Muscle lengthens
- Lowering phase
- Control descent
- Shorten vs lengthen
Anatomy Basics SC
- Agonist Prime mover muscle
- Antagonist Opposes agonist
- Synergist Assists prime mover
- Stabilizer Fixes joint posture
- Sagittal plane Flexion extension
- Frontal plane Abduction adduction
- Transverse plane Rotation movement
- Concentric Muscle shortens
Energy Systems SC
- PC fast glycolytic oxidative slow
- PC: 0-10 sec Glycolytic: 10-120 sec Oxidative: 2 min plus
Agonist vs Antagonist SC
Agonist
- Prime mover
- Creates motion
- Target muscle
Antagonist
- Opposes mover
- Relaxes reciprocal
- Opposite action
- Mover vs opposer
Energy Systems SC
- ATP-PC Zero to ten seconds
- Glycolytic Ten to two minutes
- Oxidative Two minutes plus
- VO2 max Peak aerobic capacity
- Lactate threshold Anaerobic shift point
- EPOC Post exercise oxygen
- Type I fibers Slow oxidative endurance
- Type II fibers Fast glycolytic power
ATP-PC vs Oxidative SC
ATP-PC
- Zero to ten sec
- Max power sprint
- No oxygen needed
Oxidative
- Two min plus
- Endurance steady
- Aerobic pathway
- Sprint vs endurance
Nutrition Scope NU
- Macronutrients Protein carb fat
- Micronutrients Vitamins minerals
- BMR Resting calorie burn
- TDEE Total daily energy
- Hydration Fluid balance guidance
- MyPlate General food model
- Refer RD Medical diet referral
- No prescribe Outside CPT scope
Screening Picker AS
- New client intake → PAR-Q+ ( First step )
- Yes on PAR-Q → Physician clearance ( Before exercise )
- Chest pain history → Medical referral ( Do not train )
- Controlled hypertension → Modified program ( Monitor BP )
- Acute injury → Refer rehab pro ( Not CPT treat )
- Pregnancy cleared → Modified FITT ( OB approval )
- Diabetes stable → Glucose aware plan ( Snack ready )
- Healthy adult cleared → Full assessment ( Baseline data )
Screening + Intake AS
- PAR-Q+ Readiness questionnaire
- Informed consent Risk acknowledgment
- Health history Conditions medications injuries
- Resting HR Baseline heart rate
- Blood pressure Cardiovascular risk flag
- BMI Height weight ratio
- Body comp Fat lean estimate
- Clearance Physician approval needed
FITT Principle DE
- Frequency Intensity Time Type
- F: sessions per week I: effort load T: duration Type: mode
Strength vs Hypertrophy DE
Strength
- One to six reps
- Heavy load
- Long rest
Hypertrophy
- Six to twelve reps
- Moderate load
- Shorter rest
- Heavy low vs moderate
Goal Program Picker DE
- Build muscle mass → Hypertrophy block ( 6-12 reps )
- Max strength goal → Strength block ( 1-6 reps )
- General fat loss → Cardio plus resistance ( Deficit diet refer )
- Endurance event prep → Oxidative training ( Long duration )
- Beginner deconditioned → Low intensity circuit ( Form first )
- Senior balance focus → Stability progressions ( Fall prevention )
- Plateau no progress → Overload change ( FITT tweak )
- Overtraining signs → Deload week ( Recovery priority )
FITT Variables DE
- Frequency Sessions per week
- Intensity Effort load level
- Time Duration per session
- Type Mode of exercise
- Volume Sets times reps
- Overload Progressive challenge
- Specificity Train goal movement
- Reversibility Use it lose it
Resistance Design DE
- 1 RM Max single rep
- Hypertrophy Six to twelve reps
- Strength One to six reps
- Endurance Twelve plus reps
- Superset Back to back sets
- Circuit Station rotation
- Deload Reduced volume week
Internal vs External Cue TE
Internal
- Feel the muscle
- Body focused
- Less effective novices
External
- Push the floor
- Environment focus
- Better motor learning
- Body vs environment
Coaching + Cues TE
- Internal cue Feel muscle engage
- External cue Focus outside body
- Regression Easier movement option
- Progression Harder movement option
- Spotting Assist at failure
- Neutral spine Natural lumbar curve
- Knee tracking Align over toes
- Bracing Core tension before lift
Scope Reminder PR
- Coach train refer never diagnose
- Coach: exercise Train: safe progression Refer: medical diet rehab
CPT Scope vs Diagnose PR
CPT scope
- Exercise coaching
- General nutrition tips
- Refer when needed
Out of scope
- Medical diagnosis
- Prescribe diet meds
- Treat injury rehab
- Coach vs clinician
Exam Logistics PR
- NCCPT Accredited exam owner
- Prometric Test center vendor
- Remote proctor Live online option
- 155 items 140 scored 15 pilot
- 12 month auth Exam window length
- 14 day wait First retake interval
- 90 day wait Second retake interval
- CPR AED Required before testing
Scope + Ethics PR
- Scope of practice CPT role boundary
- Refer out Beyond skill refer
- HIPAA aware Protect client data
- Dual relationship Conflict of interest
- Documentation Written session records
- Emergency plan AED CPR protocol
- Liability waiver Assumption of risk
Common Traps
Concentric vs eccentric
- Concentric shortens ≠ Eccentric lengthens
CPT vs dietitian
- CPT general tips ≠ RD prescribes diet
Strength vs hypertrophy
- Strength one six reps ≠ Hypertrophy six twelve
Internal vs external
- Internal feel muscle ≠ External environment cue
Screen vs diagnose
- PAR-Q screens risk ≠ CPT cannot diagnose
ATP vs oxidative
- ATP-PC sprint power ≠ Oxidative long endurance
Last Minute
- 1. 140 scored plus 15 pilot items
- 2. Science design technique 25 each
- 3. Nutrition 8 percent scope only
- 4. Assessment 12 percent PAR-Q first
- 5. Professional 5 percent ethics scope
- 6. CPR AED required before exam
- 7. Prometric center or remote proctor
- 8. Refer medical diet rehab out
- 9. FITT drives program decisions
- 10. 14 then 90 day retake waits
ISSA Certified Personal Trainer
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