ACE-MES study materials
ACE-MES study resources

ACE-MES case studies

ACE-MES · Put your knowledge to work in context.

The ACE Medical Exercise Specialist (ACE-MES) is an NCCA-accredited certification from the American Council on Exercise for fitness professionals who want to work in healthcare settings and help patients recover through exercise. It is aimed at practitioners with prior training and experience rather than newcomers: candidates must document a bachelor's degree in exercise science or a related field, 500 hours of documented experience designing and implementing exercise programs, current CPR and AED certification with a live skills check, and identity verification. The ACE-MES case studies are 5 cases and about 3,936 words.

1

Boot Camp Request With an Undocumented Cardiac Workup

Marcus, 58, wants to join a four-day-per-week boot camp class that includes sprint intervals. History: type 2 diabetes for eight years, hypertension, BMI 31, no structured exercise in over a decade.

708 words, about 4 min
2

Post-Exacerbation COPD: Interval Work, Oxygen, and Desaturation Limits

Dana, 71, finished a five-day hospital stay for a COPD exacerbation five weeks ago. GOLD stage 2, FEV1 58% predicted.

790 words, about 4 min
3

Three Weeks of Proximal Aching After a Statin Dose Increase

Elliot, 58, has trained with you twice weekly for 14 months. Ten weeks ago his physician started atorvastatin 40 mg; the dose was doubled three weeks ago.

768 words, about 4 min
4

The Client Who Wants to Be Punished With Exercise

Priya, 46, was diagnosed with type 2 diabetes 18 months ago; her latest HbA1c is 8.4%, up from 7.9%. She has attended three of her last eleven scheduled sessions, cancelling by text on the morning of each one, usually citing work travel.

864 words, about 4 min
5

Irregular Tachycardia, a Policy Floor, and a Referral That Went Nowhere

You train at a community center. Rosa, 64, has hypertension and paroxysmal atrial fibrillation, managed with metoprolol succinate 50 mg and apixaban.

806 words, about 4 min