CCRP AACVPR FINAL EXAM 2026 QUESTIONS AND
ANSWERS RATED A+
✔✔Patients with normal EKG and normal hemodynamic response to graded exercise ,
AACVPR indicates that the minimal intensity and upper end of the range of intensities
include - ✔✔minimal 40 - 50% MHRR
upper limit 80% MHRR
✔✔Peak HR for those showing abnormal signs/symptoms - ✔✔10 beats/min -1 below
the heart rate with associated symptoms
✔✔RPE (6-20) recommended for initial exercise sessions - ✔✔11-13
✔✔RPE (6-20) recommended for higher training intensities - ✔✔12-15
✔✔Plateau or decrease in systolic BP, systolic BP >250 or diastolic BP >115 -
✔✔abnormal - set upper limits to exercise MHRR or VO2R
✔✔≥1mm ST depression, horizontal or downsloping - ✔✔abnormal - set upper limits to
exercise MHRR or VO2R
✔✔Radionuclide evidence of left ventricular dysfunction or onset of moderate-to-severe
wall motion abnormalities during exertion - ✔✔abnormal - set upper limits to exercise
MHRR or VO2R
✔✔Increased frequency of ventricular dysrhythmias - ✔✔abnormal - set upper limits to
exercise MHRR or VO2R
✔✔significant ECG disturbances ( AB blocks, a fib, SVT, ectopy) - ✔✔abnormal - set
upper limits to exercise MHRR or VO2R
✔✔S/S of intolerance to exercise - ✔✔abnormal - set upper limits to exercise MHRR or
VO2R
✔✔Ways to prescribe exercise without exercise test - ✔✔RPE, resting HR + 20 bpm for
post MI or CABG on beta blockers, resting HR + 30 bpm for post MI or CABG not on
beta blockers, talk test, submax test
✔✔Effects of dobutamine on stress testing - ✔✔increase myocardial demand
✔✔Effects of dipyridamole or adenosine on stress testing - ✔✔reduce myocardial
supply
,✔✔Effects of pharmacological stress tests - ✔✔vasodilator non-occluded coronary
arteries to induce myocardial ischemia with concomitant ECG or myocardial perfusion
tests
✔✔Negative pharm-stress test use of max HR - ✔✔can be used to guid initial exercise
training intensity
✔✔Positive pharm-stress test use of max HR - ✔✔can not be used to guid exercise
intensity
✔✔Exercise progression - ✔✔start with light to moderate exercise intensity and
increase duration until the desired level 30-40 minutes is attained before increasing
intensity
✔✔Weekly energy expenditure likely to modify risk factors associated with obesity and
contribute to a slower progression of CAD - ✔✔1000 kcal/week
✔✔≥2200 kcal (5-6 hours/week) of activity per week were found more likely to -
✔✔have regression of their CAD lesions
✔✔<1000 kcal per week of activity were found more likely to - ✔✔have progression of
their CAD lesions
✔✔Arg of 1500 kcal per week of activity were found more likely to - ✔✔not regress or
progress CAD lesions
✔✔How many kcal can slow disease progression in cardiac patients - ✔✔approximately
≥1500 kcal
✔✔Overweight and obese individuals will benefit from how many minutes and kcal per
week - ✔✔250-300 minutes (5-6 times / week )
≥2000 kcal/week
✔✔Terms for successful weight loss, likely to produce significant health benefits - ✔✔5-
10% weight reduction in 12 weeks
✔✔CAD patients should instructed to avid what types of contractions with ST - ✔✔avoid
isometric contractions associated with gripping too tightly and straining
✔✔Contraindications to strength training for CAD patients - ✔✔-unstable angina
-uncontrolled arrhythmias
- left ventricular outflow obstruction
- symptomatic heart failure
-severe valvular disease
,- uncontrolled HTN (SBP ≥160; DBP ≥105)
✔✔MET level and EF recommendations before starting a resistance training regimen -
✔✔MET level >5
EF normal or only slightly reduced (>35%)
✔✔Intensity of RT for CR patients - ✔✔lifting ≥50% of 1RM
✔✔Guidelines recommend starting a RT program for post MI and surgical patients -
✔✔at least 5 weeks after their event/surgery
✔✔Guidelines recommend starting a RT program for post PCI patients - ✔✔at least 2-3
weeks after the procedure
✔✔Guidelines recommend starting a RT program for CAD patients new to starting CR -
✔✔2 weeks for post PCI and 4 weeks for post MI/Surgery of supervised CR before
starting ST
✔✔Guidelines recommend starting a RT program with regards to intensity - ✔✔1 set of
8-10 exercises
2-3 days/week
12-15 reps
30-40% 1RM upper body
50-50% 1RM lower body
✔✔Guidelines recommend for RT progression - ✔✔increase loads by 5% when patient
can comfortable lift 12-15 reps
✔✔Reductions in flexibility are evident by - ✔✔the third decade of life and progress with
aging
✔✔The greatest change in flexibility has been shown in the first __ seconds and has no
significant improvements after ___ seconds - ✔✔15 seconds
30 seconds
✔✔Optimal number of stretches per muscle group - ✔✔2-4
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia
with angina - ✔✔avoid exercise higher than 2/4 on angina scale during exercise, PA or
ADLs
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia
(warm up/cool down) - ✔✔extended warm up and cold down 10-20 minutes which may
decrease symptoms of angina.
, ✔✔Goal of extended warm up - ✔✔increase heart rate 10-15 beats/min
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia
using upper body exercises - ✔✔upper body aerobic or resistance training may evoke
early onset angina
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia in
the cold - ✔✔may exacerbate symptoms of angina
✔✔CABG patients that experience sternal movement or wound complications should
not perform - ✔✔upper body ergometry or RT until healing is complete
✔✔Considerations for ICD/pacemaker patients in regards to device - ✔✔know
discharge thresholds. Keep HR thresholds below 10-20 beats to prevent inappropriate
shocks
✔✔Considerations for ICD/pacemaker patients upper body limitations - ✔✔upper body
motion should be limited initially to prevent dislodging of the leads and RT should be
avoided until 4-6 weeks post implantation
✔✔Low pre-exercise glucose levels should be increased with - ✔✔20-30 grams of carbs
before starting
✔✔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
ANSWERS RATED A+
✔✔Patients with normal EKG and normal hemodynamic response to graded exercise ,
AACVPR indicates that the minimal intensity and upper end of the range of intensities
include - ✔✔minimal 40 - 50% MHRR
upper limit 80% MHRR
✔✔Peak HR for those showing abnormal signs/symptoms - ✔✔10 beats/min -1 below
the heart rate with associated symptoms
✔✔RPE (6-20) recommended for initial exercise sessions - ✔✔11-13
✔✔RPE (6-20) recommended for higher training intensities - ✔✔12-15
✔✔Plateau or decrease in systolic BP, systolic BP >250 or diastolic BP >115 -
✔✔abnormal - set upper limits to exercise MHRR or VO2R
✔✔≥1mm ST depression, horizontal or downsloping - ✔✔abnormal - set upper limits to
exercise MHRR or VO2R
✔✔Radionuclide evidence of left ventricular dysfunction or onset of moderate-to-severe
wall motion abnormalities during exertion - ✔✔abnormal - set upper limits to exercise
MHRR or VO2R
✔✔Increased frequency of ventricular dysrhythmias - ✔✔abnormal - set upper limits to
exercise MHRR or VO2R
✔✔significant ECG disturbances ( AB blocks, a fib, SVT, ectopy) - ✔✔abnormal - set
upper limits to exercise MHRR or VO2R
✔✔S/S of intolerance to exercise - ✔✔abnormal - set upper limits to exercise MHRR or
VO2R
✔✔Ways to prescribe exercise without exercise test - ✔✔RPE, resting HR + 20 bpm for
post MI or CABG on beta blockers, resting HR + 30 bpm for post MI or CABG not on
beta blockers, talk test, submax test
✔✔Effects of dobutamine on stress testing - ✔✔increase myocardial demand
✔✔Effects of dipyridamole or adenosine on stress testing - ✔✔reduce myocardial
supply
,✔✔Effects of pharmacological stress tests - ✔✔vasodilator non-occluded coronary
arteries to induce myocardial ischemia with concomitant ECG or myocardial perfusion
tests
✔✔Negative pharm-stress test use of max HR - ✔✔can be used to guid initial exercise
training intensity
✔✔Positive pharm-stress test use of max HR - ✔✔can not be used to guid exercise
intensity
✔✔Exercise progression - ✔✔start with light to moderate exercise intensity and
increase duration until the desired level 30-40 minutes is attained before increasing
intensity
✔✔Weekly energy expenditure likely to modify risk factors associated with obesity and
contribute to a slower progression of CAD - ✔✔1000 kcal/week
✔✔≥2200 kcal (5-6 hours/week) of activity per week were found more likely to -
✔✔have regression of their CAD lesions
✔✔<1000 kcal per week of activity were found more likely to - ✔✔have progression of
their CAD lesions
✔✔Arg of 1500 kcal per week of activity were found more likely to - ✔✔not regress or
progress CAD lesions
✔✔How many kcal can slow disease progression in cardiac patients - ✔✔approximately
≥1500 kcal
✔✔Overweight and obese individuals will benefit from how many minutes and kcal per
week - ✔✔250-300 minutes (5-6 times / week )
≥2000 kcal/week
✔✔Terms for successful weight loss, likely to produce significant health benefits - ✔✔5-
10% weight reduction in 12 weeks
✔✔CAD patients should instructed to avid what types of contractions with ST - ✔✔avoid
isometric contractions associated with gripping too tightly and straining
✔✔Contraindications to strength training for CAD patients - ✔✔-unstable angina
-uncontrolled arrhythmias
- left ventricular outflow obstruction
- symptomatic heart failure
-severe valvular disease
,- uncontrolled HTN (SBP ≥160; DBP ≥105)
✔✔MET level and EF recommendations before starting a resistance training regimen -
✔✔MET level >5
EF normal or only slightly reduced (>35%)
✔✔Intensity of RT for CR patients - ✔✔lifting ≥50% of 1RM
✔✔Guidelines recommend starting a RT program for post MI and surgical patients -
✔✔at least 5 weeks after their event/surgery
✔✔Guidelines recommend starting a RT program for post PCI patients - ✔✔at least 2-3
weeks after the procedure
✔✔Guidelines recommend starting a RT program for CAD patients new to starting CR -
✔✔2 weeks for post PCI and 4 weeks for post MI/Surgery of supervised CR before
starting ST
✔✔Guidelines recommend starting a RT program with regards to intensity - ✔✔1 set of
8-10 exercises
2-3 days/week
12-15 reps
30-40% 1RM upper body
50-50% 1RM lower body
✔✔Guidelines recommend for RT progression - ✔✔increase loads by 5% when patient
can comfortable lift 12-15 reps
✔✔Reductions in flexibility are evident by - ✔✔the third decade of life and progress with
aging
✔✔The greatest change in flexibility has been shown in the first __ seconds and has no
significant improvements after ___ seconds - ✔✔15 seconds
30 seconds
✔✔Optimal number of stretches per muscle group - ✔✔2-4
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia
with angina - ✔✔avoid exercise higher than 2/4 on angina scale during exercise, PA or
ADLs
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia
(warm up/cool down) - ✔✔extended warm up and cold down 10-20 minutes which may
decrease symptoms of angina.
, ✔✔Goal of extended warm up - ✔✔increase heart rate 10-15 beats/min
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia
using upper body exercises - ✔✔upper body aerobic or resistance training may evoke
early onset angina
✔✔Recommendations for prescribing exercise for patients with myocardial ischemia in
the cold - ✔✔may exacerbate symptoms of angina
✔✔CABG patients that experience sternal movement or wound complications should
not perform - ✔✔upper body ergometry or RT until healing is complete
✔✔Considerations for ICD/pacemaker patients in regards to device - ✔✔know
discharge thresholds. Keep HR thresholds below 10-20 beats to prevent inappropriate
shocks
✔✔Considerations for ICD/pacemaker patients upper body limitations - ✔✔upper body
motion should be limited initially to prevent dislodging of the leads and RT should be
avoided until 4-6 weeks post implantation
✔✔Low pre-exercise glucose levels should be increased with - ✔✔20-30 grams of carbs
before starting
✔✔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
