CCRP AACVPR EVALUATION EXAMS ACTUAL QUESTIONS
AND ANSWERS SURE A+
✔✔BP for those who should seek a physician for improved blood pressure prior to
control beginning an exercise program - ✔✔≥180/110
✔✔Do not exercise is resting blood pressure is - ✔✔>200/110
✔✔During exercise, BP should remain - ✔✔≤220/105
✔✔Peripheral artery disease (PAD) - ✔✔diminishes blood flow to the lower extremities
which leads to a mismatch of oxygen delivery and metabolic demand during physical
activity
✔✔Claudications primarily effects the - ✔✔calfs but may begin in the buttock region and
radiate down the leg
✔✔Symptoms of claudication - ✔✔burning
searing
aching
tightness
cramping
✔✔Daily physical activity and maximal oxygen uptake for those with claudication -
✔✔reduced by 50%
✔✔Most effective approches to reduce claudication - ✔✔Treadmill and track walking 3-
5 days/week
✔✔Initial treadmill workload for PAD patients is set to elicit claudication symptoms
within - ✔✔3-5 minutes
✔✔PAD patents walk a workload that elects pain in 3-5 minutes until - ✔✔they reach
moderate severity claudication (3/4) followed by a brief period of standing or sitting to
allow symptoms to resolve
✔✔Ultimate goal of PAD walking program - ✔✔35-50 minutes
✔✔Most common procedure to assess peripheral circulation - ✔✔Ankle brachial index
(ratio of ankle to arm systolic blood pressures)
✔✔Normal ABI - ✔✔0.91-1.30
✔✔Mild-to-moderate PAD ABI - ✔✔0.41-0.90
,✔✔Severe PAD ABI - ✔✔0.00-0.40
✔✔Non-compressible/calcified vessel ABI - ✔✔>1.30
✔✔Ankle SBP and ABI after exercise - ✔✔further reduced due to blood flow is shunted
into the proximal leg musculature at the expense of the periphery and distal circulation
in the leg
✔✔Valuable outcome measure for PAD patients - ✔✔time to onset of intermittent
claudication
✔✔Restrictive lung dysfunction is an abnormal - ✔✔reduction in pulmonary ventilation
✔✔Chronic obstructive pulmonary disease is defined as - ✔✔permanent diminution or
airflow, usually associated with chronic bronchitis, emphysema and asthma
✔✔Recommended mode of exercise for pulmonary patients - ✔✔walking
✔✔Minimal goal for exercise frequency for pulmonary patients - ✔✔3-5 days/week
✔✔Two major approaches for exercise intensity for pulmonary patients - ✔✔Exercise at
50% of peak VO2 or at maximal limits as tolerated by symptoms
✔✔Muscle to focus on with pulmonary patients - ✔✔muscles of the shoulder girdle (due
to increased of dyspnea with upper body activities )
✔✔Contributor to exercise intolerance and dyspnea in pulmonary patients -
✔✔inspiratory muscle weakness
✔✔Guidelines for inspiratory muscle training for pulmonary patients - ✔✔-minimum of 4-
5 days/week at 30% of maximal inspiratory pressure measured at functional residual
capacity
-30 minutes a day or 2 15 min sessions
✔✔Supplemental O2 is indicated for patients with - ✔✔a PaO2 (partial pressure of
arterial oxygen) of 55mmHg or less
a SaO2 (percent saturation of arterial oxygen) of 88% or less while breathing room air
✔✔Warm ups are designed to facilitate - ✔✔-transition from rest to exercise
-stretches postural muscles
-augments blood flow
-elevates body temps
-dissociates more oxygen
,-increases metabolic rate from resting level
✔✔A warm up may reduce - ✔✔susceptibility to MSK injury by increasing connective
tissue extensibility, improving join ROM and function and enhancing muscular
performance
✔✔A warm up as a preventive value - ✔✔decreasing occurrence of ischemic ST
segment depression, treating ventricular dysrhythmias, and transient global left
ventricular dysfunction following sudden strenuous exertion
✔✔Critical reasons for a cool down - ✔✔-attenuate the exercise-induced circulatory
response
Return HR and BP to near resting values
-maintain adequate venous return
-reduce the potential for post exercise hypotension
-promote more rapid removal of lactic acid
- combat effects of post exercise rise n plasma catecholamine response
✔✔Omission of a cool down in immediate post-exercise period could - ✔✔increase the
opportunity fro CV complications due to a transient decrease in venous return, possibly
reducing coronary blood flow when HR and myocardial oxygen demands may still be
high
✔✔why should alcohol be avoided when electrode adhesion is an issue - ✔✔alcohol
dries out the skin and pulls the moisture out of the electrode
✔✔White lead (RA) location (negative lead) - ✔✔infraclavicular fossa close to right
shoulder - below clavicle
✔✔Red lead (LL) (positive lead) location - ✔✔on lower edge of rib cadge on left side of
abdomen
✔✔Black/Green (LA) (grounded) lead location - ✔✔infraclavicular fossa close to left
shoulder - below clavicle
✔✔Mechanically braked ergometers - ✔✔require that a specific cycling rate be
maintained to keep the work rate constant
✔✔Electronically braked ergometers - ✔✔automatically adjust internal resistance to
maintain specified work rates according to the cycling rate
✔✔Ideal seat hide on bike ergometer - ✔✔the knee should be slightly flexed at full
extension
, ✔✔Oxygen uptake on cycle ergometers vs TM - ✔✔Maximim oxygen uptake is 5-20%
lower than on a treadmill
✔✔Cycling speeds for arm ergometers - ✔✔60-75 revolutions per minute must be
maintained
✔✔Frequency of TM and cycle ergometer calibration - ✔✔monthly
✔✔How many hours until a TM should be serviced - ✔✔1000 hours of use
✔✔Improvement of aerobic fitness in CR - ✔✔Participation in CR exercise is associated
with a 15-20% improvement in directly measured aerobic fitness
✔✔No other singular therapy for coronary heart disease has as broad an impact in risk
factors as - ✔✔physical activity
✔✔Physical inactivity with physical activity interaction - ✔✔PA habitually mollifies this
risk factor
✔✔Type 2 Diabetes and metabolic syndrome with physical activity interaction - ✔✔PA
improves insulin sensitivity and aids in weight control
✔✔HTN with physical activity interaction - ✔✔PA lowers blood pressure acutely after an
exercise session and chronically when performed habitually
✔✔Obesity with physical activity interaction - ✔✔PA increased caloric expenditure
which is critical to creating a caloric deficit to lose weight
✔✔Dyslipidemia with physical activity interaction - ✔✔PA is associated with higher level
of HDL and lower levels of TG
✔✔Smoking with physical activity interaction - ✔✔PA has shown to be an effective
intervention to aid in smoking cessation
✔✔Physical activity - ✔✔any bodily movement that produced by the contraction pf
skeletal muscle and that substantially increases energy expenditure
✔✔Exercise - ✔✔planned, specifically to improve one or more of the components of
physical fitness
✔✔4 categories of physical activity - ✔✔-occupational or work related activity
-housework or activity of daily living
-transportation or activities done with the intent of getting from one place to another
-leisure time pursuits including recreational activites, hobbies and exercise
AND ANSWERS SURE A+
✔✔BP for those who should seek a physician for improved blood pressure prior to
control beginning an exercise program - ✔✔≥180/110
✔✔Do not exercise is resting blood pressure is - ✔✔>200/110
✔✔During exercise, BP should remain - ✔✔≤220/105
✔✔Peripheral artery disease (PAD) - ✔✔diminishes blood flow to the lower extremities
which leads to a mismatch of oxygen delivery and metabolic demand during physical
activity
✔✔Claudications primarily effects the - ✔✔calfs but may begin in the buttock region and
radiate down the leg
✔✔Symptoms of claudication - ✔✔burning
searing
aching
tightness
cramping
✔✔Daily physical activity and maximal oxygen uptake for those with claudication -
✔✔reduced by 50%
✔✔Most effective approches to reduce claudication - ✔✔Treadmill and track walking 3-
5 days/week
✔✔Initial treadmill workload for PAD patients is set to elicit claudication symptoms
within - ✔✔3-5 minutes
✔✔PAD patents walk a workload that elects pain in 3-5 minutes until - ✔✔they reach
moderate severity claudication (3/4) followed by a brief period of standing or sitting to
allow symptoms to resolve
✔✔Ultimate goal of PAD walking program - ✔✔35-50 minutes
✔✔Most common procedure to assess peripheral circulation - ✔✔Ankle brachial index
(ratio of ankle to arm systolic blood pressures)
✔✔Normal ABI - ✔✔0.91-1.30
✔✔Mild-to-moderate PAD ABI - ✔✔0.41-0.90
,✔✔Severe PAD ABI - ✔✔0.00-0.40
✔✔Non-compressible/calcified vessel ABI - ✔✔>1.30
✔✔Ankle SBP and ABI after exercise - ✔✔further reduced due to blood flow is shunted
into the proximal leg musculature at the expense of the periphery and distal circulation
in the leg
✔✔Valuable outcome measure for PAD patients - ✔✔time to onset of intermittent
claudication
✔✔Restrictive lung dysfunction is an abnormal - ✔✔reduction in pulmonary ventilation
✔✔Chronic obstructive pulmonary disease is defined as - ✔✔permanent diminution or
airflow, usually associated with chronic bronchitis, emphysema and asthma
✔✔Recommended mode of exercise for pulmonary patients - ✔✔walking
✔✔Minimal goal for exercise frequency for pulmonary patients - ✔✔3-5 days/week
✔✔Two major approaches for exercise intensity for pulmonary patients - ✔✔Exercise at
50% of peak VO2 or at maximal limits as tolerated by symptoms
✔✔Muscle to focus on with pulmonary patients - ✔✔muscles of the shoulder girdle (due
to increased of dyspnea with upper body activities )
✔✔Contributor to exercise intolerance and dyspnea in pulmonary patients -
✔✔inspiratory muscle weakness
✔✔Guidelines for inspiratory muscle training for pulmonary patients - ✔✔-minimum of 4-
5 days/week at 30% of maximal inspiratory pressure measured at functional residual
capacity
-30 minutes a day or 2 15 min sessions
✔✔Supplemental O2 is indicated for patients with - ✔✔a PaO2 (partial pressure of
arterial oxygen) of 55mmHg or less
a SaO2 (percent saturation of arterial oxygen) of 88% or less while breathing room air
✔✔Warm ups are designed to facilitate - ✔✔-transition from rest to exercise
-stretches postural muscles
-augments blood flow
-elevates body temps
-dissociates more oxygen
,-increases metabolic rate from resting level
✔✔A warm up may reduce - ✔✔susceptibility to MSK injury by increasing connective
tissue extensibility, improving join ROM and function and enhancing muscular
performance
✔✔A warm up as a preventive value - ✔✔decreasing occurrence of ischemic ST
segment depression, treating ventricular dysrhythmias, and transient global left
ventricular dysfunction following sudden strenuous exertion
✔✔Critical reasons for a cool down - ✔✔-attenuate the exercise-induced circulatory
response
Return HR and BP to near resting values
-maintain adequate venous return
-reduce the potential for post exercise hypotension
-promote more rapid removal of lactic acid
- combat effects of post exercise rise n plasma catecholamine response
✔✔Omission of a cool down in immediate post-exercise period could - ✔✔increase the
opportunity fro CV complications due to a transient decrease in venous return, possibly
reducing coronary blood flow when HR and myocardial oxygen demands may still be
high
✔✔why should alcohol be avoided when electrode adhesion is an issue - ✔✔alcohol
dries out the skin and pulls the moisture out of the electrode
✔✔White lead (RA) location (negative lead) - ✔✔infraclavicular fossa close to right
shoulder - below clavicle
✔✔Red lead (LL) (positive lead) location - ✔✔on lower edge of rib cadge on left side of
abdomen
✔✔Black/Green (LA) (grounded) lead location - ✔✔infraclavicular fossa close to left
shoulder - below clavicle
✔✔Mechanically braked ergometers - ✔✔require that a specific cycling rate be
maintained to keep the work rate constant
✔✔Electronically braked ergometers - ✔✔automatically adjust internal resistance to
maintain specified work rates according to the cycling rate
✔✔Ideal seat hide on bike ergometer - ✔✔the knee should be slightly flexed at full
extension
, ✔✔Oxygen uptake on cycle ergometers vs TM - ✔✔Maximim oxygen uptake is 5-20%
lower than on a treadmill
✔✔Cycling speeds for arm ergometers - ✔✔60-75 revolutions per minute must be
maintained
✔✔Frequency of TM and cycle ergometer calibration - ✔✔monthly
✔✔How many hours until a TM should be serviced - ✔✔1000 hours of use
✔✔Improvement of aerobic fitness in CR - ✔✔Participation in CR exercise is associated
with a 15-20% improvement in directly measured aerobic fitness
✔✔No other singular therapy for coronary heart disease has as broad an impact in risk
factors as - ✔✔physical activity
✔✔Physical inactivity with physical activity interaction - ✔✔PA habitually mollifies this
risk factor
✔✔Type 2 Diabetes and metabolic syndrome with physical activity interaction - ✔✔PA
improves insulin sensitivity and aids in weight control
✔✔HTN with physical activity interaction - ✔✔PA lowers blood pressure acutely after an
exercise session and chronically when performed habitually
✔✔Obesity with physical activity interaction - ✔✔PA increased caloric expenditure
which is critical to creating a caloric deficit to lose weight
✔✔Dyslipidemia with physical activity interaction - ✔✔PA is associated with higher level
of HDL and lower levels of TG
✔✔Smoking with physical activity interaction - ✔✔PA has shown to be an effective
intervention to aid in smoking cessation
✔✔Physical activity - ✔✔any bodily movement that produced by the contraction pf
skeletal muscle and that substantially increases energy expenditure
✔✔Exercise - ✔✔planned, specifically to improve one or more of the components of
physical fitness
✔✔4 categories of physical activity - ✔✔-occupational or work related activity
-housework or activity of daily living
-transportation or activities done with the intent of getting from one place to another
-leisure time pursuits including recreational activites, hobbies and exercise
