CCRP AACVPR STUDY GUIDE QUESTIONS WITH
COMPLETE SOLUTIONS
What influences a persons metabolic rate? ✔✔ Exercise, gender, genetics, age
Which is the macronutrient that provides more than twice as many calories as the other two ✔✔ Fat
Foods that raise insulin levels have... ✔✔ added sugar
When feeling stressed, you may feel relief after eating a piece of chocolate because... ✔✔ it will raise dopamine levels
What reduces the number of receptors for dopamine ✔✔ insulin
What percentage of Cardiac Rehab patients re overweight or obese ✔✔ 80%
Why is fructose a promoter of obesity? ✔✔ promotes liver fat accumulation which promotes metabolic syndrome
What reduces the rate of carbohydrate absorption thus reducing insulin response ✔✔ Fiber
Depression among cardiac patients has been associated with ✔✔ higher risk of mortality
When a patient scores in the depressed range on a sreening, which acion should be taken ✔✔ results to be discussed with patient and health care provider
if a patient dense feeling of sadness they... ✔✔ may have non-dysphoric depression
depression is relevant to CR because ✔✔ depression reduces recovery from exercise due to fatigue and low energy
the relationship between anger and hostility is.. ✔✔ anger is the emotion, hostility is the thought
social isolation is defined by ✔✔ how connected a patient feels in their relationships
stress management is designed to ✔✔ respond to the "flight or fight" response
What is the best approach to preventing exercise-induced hypoglycemia ✔✔ check blood sugar
before and after exercise and respond to patterns appropriately
What guideles for beginning exercise are correct for type 1 and type 2 diabetics ✔✔ (1)If BS is >250 check for ketones. If none are present, it is safe to exercise at low to moderate intensity. (2)
Do not exercise if BS >400. If <300 ok to exercise Target HbA1c% for diabetic ✔✔ <7%
Target Fasting BS for diabetic ✔✔ 70-130
Target 2 hour post prandial BS for diabetic ✔✔ <180
What insulin dose adjustment type would be most effective for preventing hypoglycemia during moderate exercise ✔✔ -Reduction of rapid acting insulin dose 2-3 hours prior to exercise -A temporary basal rate decrease 45-60 minutes prior to exercise
Which medications place a patient at risk for hypoglycemia ✔✔ Insulin (Lantus, Novolog) and Sulfonyureas (Glipizide, glimepiride)
How long can significant exercise induced enhancement of glucose uptake from muscle last ✔✔ 24-48 hours
Recommended calories from carbs, protetin, and fats to better manage diabetes ✔✔ ~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
Cardiac effects of nicotine ✔✔ modest increase in HR, BP and myocardial contractility
The stethoscope for smoking is.. ✔✔ a carbon monoxide analyzer that measures the amount of CO the patient exhales
Carbon monoxide ✔✔ binds more readily than oxygen to hemoglobin resulting in relative hypoxia
The question regarding Time to First Cigarette is primarly used to.. ✔✔ determine the level of dependence
The gold standard for improving smoking quit rates is ✔✔ pharmacotherapy which doubles quit rates
Smoking cessation in patients with CVD reduces the risk of death by ✔✔ 36%
In order to have the greatest benefit of lowering risk of MU or death, which should replase saturated fat in diet ✔✔ polyunsaturated fat
What diet is recommended by AHA/ACC? ✔✔ DASH diet
What are the benefits to be gained from a resistance training program for an okder adults with DM? ✔✔ -Increased insulin sensitivity
-decreased fat mass
COMPLETE SOLUTIONS
What influences a persons metabolic rate? ✔✔ Exercise, gender, genetics, age
Which is the macronutrient that provides more than twice as many calories as the other two ✔✔ Fat
Foods that raise insulin levels have... ✔✔ added sugar
When feeling stressed, you may feel relief after eating a piece of chocolate because... ✔✔ it will raise dopamine levels
What reduces the number of receptors for dopamine ✔✔ insulin
What percentage of Cardiac Rehab patients re overweight or obese ✔✔ 80%
Why is fructose a promoter of obesity? ✔✔ promotes liver fat accumulation which promotes metabolic syndrome
What reduces the rate of carbohydrate absorption thus reducing insulin response ✔✔ Fiber
Depression among cardiac patients has been associated with ✔✔ higher risk of mortality
When a patient scores in the depressed range on a sreening, which acion should be taken ✔✔ results to be discussed with patient and health care provider
if a patient dense feeling of sadness they... ✔✔ may have non-dysphoric depression
depression is relevant to CR because ✔✔ depression reduces recovery from exercise due to fatigue and low energy
the relationship between anger and hostility is.. ✔✔ anger is the emotion, hostility is the thought
social isolation is defined by ✔✔ how connected a patient feels in their relationships
stress management is designed to ✔✔ respond to the "flight or fight" response
What is the best approach to preventing exercise-induced hypoglycemia ✔✔ check blood sugar
before and after exercise and respond to patterns appropriately
What guideles for beginning exercise are correct for type 1 and type 2 diabetics ✔✔ (1)If BS is >250 check for ketones. If none are present, it is safe to exercise at low to moderate intensity. (2)
Do not exercise if BS >400. If <300 ok to exercise Target HbA1c% for diabetic ✔✔ <7%
Target Fasting BS for diabetic ✔✔ 70-130
Target 2 hour post prandial BS for diabetic ✔✔ <180
What insulin dose adjustment type would be most effective for preventing hypoglycemia during moderate exercise ✔✔ -Reduction of rapid acting insulin dose 2-3 hours prior to exercise -A temporary basal rate decrease 45-60 minutes prior to exercise
Which medications place a patient at risk for hypoglycemia ✔✔ Insulin (Lantus, Novolog) and Sulfonyureas (Glipizide, glimepiride)
How long can significant exercise induced enhancement of glucose uptake from muscle last ✔✔ 24-48 hours
Recommended calories from carbs, protetin, and fats to better manage diabetes ✔✔ ~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
Cardiac effects of nicotine ✔✔ modest increase in HR, BP and myocardial contractility
The stethoscope for smoking is.. ✔✔ a carbon monoxide analyzer that measures the amount of CO the patient exhales
Carbon monoxide ✔✔ binds more readily than oxygen to hemoglobin resulting in relative hypoxia
The question regarding Time to First Cigarette is primarly used to.. ✔✔ determine the level of dependence
The gold standard for improving smoking quit rates is ✔✔ pharmacotherapy which doubles quit rates
Smoking cessation in patients with CVD reduces the risk of death by ✔✔ 36%
In order to have the greatest benefit of lowering risk of MU or death, which should replase saturated fat in diet ✔✔ polyunsaturated fat
What diet is recommended by AHA/ACC? ✔✔ DASH diet
What are the benefits to be gained from a resistance training program for an okder adults with DM? ✔✔ -Increased insulin sensitivity
-decreased fat mass
