CCRP AACVPR 2025 FALL TERM EXAM CURRENTLY TESTING QUESTION BANK WITH
COMPLETE SOLUTIONS
What type of contraindication: physical disability that would preclude safe and adequate
exercise performance
absolute
What type of contraindication: electrolyte abnormalities
relative
What type of contraindication: tachyarrhythmias or bradyarrhythmias
relative
What type of contraindication: high degree atrioventricular block
relative
What type of contraindication: atrial fibrillation with uncontrolled rate
relative
What type of contraindication: hypertrophic obstructive cardiomyopathy with peak resting
left ventricular outflow gradient of >25mmHg
relative
,What type of contraindication: known aortic dissection
relative
What type of contraindication: severe resting arterial HTN (SBP >200 and DBP >100)
relative
What type of contraindication: mental impairments leading to inability to cooperate with
testing
relative
Adverse réponse to inpatient exercise leading to exercise discontinuation
-DBP ≥110 mmHg
-Decreased SP >10mg
-Significant ventricular or atrial dysrhythmias
-second or third degree heart block
-s/s of exercise intolerance including angina, dyspnea, EKG changes suggestive of ischemia
P wave normal response to exercise
minor and insignificant changes in morphology
,P and T wave of successive beats normal response to exercise
superimposition
Septal Q wave amplitudes normal response to exercise
increases
R wave amplitudes normal response to exercise
slightly decreases
T wave amplitude normal response to exercise
increases
QRS duration normal response to exercise
minimal shortening
J point normal response to exercise
depression
QT interval normal response to exercise
, rate related shortening
ST segments may be affected by
resting ECG configuration (BBB, LVH) and pharmacological agents
Depression of J point that leads to marked ST segment up sloping is due to
competition between normal depolarization and delayed terminal depolarization faces
rather than to ischemia
Exercise induced myocardial ischemia may be manifested by three different types of ST
segment changes in ECG
-ST segment elevation
-ST segment depression
-ST segment normalization or absence of change
ST segment elevation represents (electric conductivity)
early depolarization
If ST segment is seen in normal ECG, increase HR may cause
elevated ST segment to return to isoelectric baseline
COMPLETE SOLUTIONS
What type of contraindication: physical disability that would preclude safe and adequate
exercise performance
absolute
What type of contraindication: electrolyte abnormalities
relative
What type of contraindication: tachyarrhythmias or bradyarrhythmias
relative
What type of contraindication: high degree atrioventricular block
relative
What type of contraindication: atrial fibrillation with uncontrolled rate
relative
What type of contraindication: hypertrophic obstructive cardiomyopathy with peak resting
left ventricular outflow gradient of >25mmHg
relative
,What type of contraindication: known aortic dissection
relative
What type of contraindication: severe resting arterial HTN (SBP >200 and DBP >100)
relative
What type of contraindication: mental impairments leading to inability to cooperate with
testing
relative
Adverse réponse to inpatient exercise leading to exercise discontinuation
-DBP ≥110 mmHg
-Decreased SP >10mg
-Significant ventricular or atrial dysrhythmias
-second or third degree heart block
-s/s of exercise intolerance including angina, dyspnea, EKG changes suggestive of ischemia
P wave normal response to exercise
minor and insignificant changes in morphology
,P and T wave of successive beats normal response to exercise
superimposition
Septal Q wave amplitudes normal response to exercise
increases
R wave amplitudes normal response to exercise
slightly decreases
T wave amplitude normal response to exercise
increases
QRS duration normal response to exercise
minimal shortening
J point normal response to exercise
depression
QT interval normal response to exercise
, rate related shortening
ST segments may be affected by
resting ECG configuration (BBB, LVH) and pharmacological agents
Depression of J point that leads to marked ST segment up sloping is due to
competition between normal depolarization and delayed terminal depolarization faces
rather than to ischemia
Exercise induced myocardial ischemia may be manifested by three different types of ST
segment changes in ECG
-ST segment elevation
-ST segment depression
-ST segment normalization or absence of change
ST segment elevation represents (electric conductivity)
early depolarization
If ST segment is seen in normal ECG, increase HR may cause
elevated ST segment to return to isoelectric baseline
