CCRP AACVPR EXAM SCRIPT 2026 FULL
SOLUTION PRACTIC
◉ education and diet. Answer: education materials for person who
is ready or willing to change
◉ goal setting and diet. Answer: SMART goals
◉ self-monitoring and diet. Answer: awareness of healthy decisions
◉ problem solving and diet. Answer: identify problem (afternoon
snacking) and inquire what behaviors or steps must the pt make in
order to eat candy bar in desk at work and eliminate that step
◉ mindful eating and intuitive eating. Answer: helps with overeating
◉ SBP increases with exercise more with. Answer: isometric
exercise
elderly
hypertensive
◉ upper limits of SBP with exercise. Answer: 200-220 mmHg
,◉ DBP typically _____ with substantial exercise because of. Answer:
decreases; peripheral vasodilation
◉ hypertensive heart disease can cause. Answer: LVH, LV systolic
dysfunction, CAD, AA and aortic dissection
◉ environmental factors that lead to HTN. Answer: sedentary
lifestyle, excessive alcohol ingestion, excessive sodium intake
◉ most important risk factor for HTN. Answer: age
◉ age 60-69. Answer: 50% have HTN
◉ over age 70. Answer: 75% have HTN
◉ high systolic BP and old age. Answer: aorta stiffens with age
◉ comorbidities of HTN. Answer: obesity
sleep apnea
intrinsic renal disease
,◉ secondary HTN. Answer: 5% of cases
CKD
renal artery stenosis
pheochromocytoma
sleep apnea
obesity
excessive aldosterone and cortisol secretion
◉ HTN pathophysiology. Answer: sodium retention leads to
increased fluid retention, increased intravascular volumes, increased
CO, and consequently raised BP
◉ peripheral vascular resistance. Answer: The force exerted against
the blood flow and is determined by the diameter of the vessel. The
lower the vascular resistance the less force is needed to eject the
blood out of the heart during systole.
◉ how does increased PVR happen. Answer: structural changes in
vascular wall - remodeling of vessel walls and endothelial
dysfunction
◉ endothelium dependent vasodilation is impaired in ____ patients.
Answer: hypertensive
, ◉ increased sympathetic tone in essential HTN. Answer: resetting of
peripheral and central baroreceptors
◉ elevated BP (one reading). Answer: greater than 130/80
d/t physiological stress, pain, acute illness, physiologic
derangements
◉ hypertension. Answer: three consecutive readings of 130/80+ on
different days
◉ normal BP. Answer: Systolic <120
Diastolic <80
◉ Stage 1 HTN. Answer: 130-139/80-89
◉ Stage 2 HTN. Answer: >=140 or >=90
◉ oversized BP cuff causes. Answer: The low blood pressure reading
◉ undersized BP cuff causes. Answer: high BP reading
◉ the center of the BP cuff should be at _____ level. Answer: heart
SOLUTION PRACTIC
◉ education and diet. Answer: education materials for person who
is ready or willing to change
◉ goal setting and diet. Answer: SMART goals
◉ self-monitoring and diet. Answer: awareness of healthy decisions
◉ problem solving and diet. Answer: identify problem (afternoon
snacking) and inquire what behaviors or steps must the pt make in
order to eat candy bar in desk at work and eliminate that step
◉ mindful eating and intuitive eating. Answer: helps with overeating
◉ SBP increases with exercise more with. Answer: isometric
exercise
elderly
hypertensive
◉ upper limits of SBP with exercise. Answer: 200-220 mmHg
,◉ DBP typically _____ with substantial exercise because of. Answer:
decreases; peripheral vasodilation
◉ hypertensive heart disease can cause. Answer: LVH, LV systolic
dysfunction, CAD, AA and aortic dissection
◉ environmental factors that lead to HTN. Answer: sedentary
lifestyle, excessive alcohol ingestion, excessive sodium intake
◉ most important risk factor for HTN. Answer: age
◉ age 60-69. Answer: 50% have HTN
◉ over age 70. Answer: 75% have HTN
◉ high systolic BP and old age. Answer: aorta stiffens with age
◉ comorbidities of HTN. Answer: obesity
sleep apnea
intrinsic renal disease
,◉ secondary HTN. Answer: 5% of cases
CKD
renal artery stenosis
pheochromocytoma
sleep apnea
obesity
excessive aldosterone and cortisol secretion
◉ HTN pathophysiology. Answer: sodium retention leads to
increased fluid retention, increased intravascular volumes, increased
CO, and consequently raised BP
◉ peripheral vascular resistance. Answer: The force exerted against
the blood flow and is determined by the diameter of the vessel. The
lower the vascular resistance the less force is needed to eject the
blood out of the heart during systole.
◉ how does increased PVR happen. Answer: structural changes in
vascular wall - remodeling of vessel walls and endothelial
dysfunction
◉ endothelium dependent vasodilation is impaired in ____ patients.
Answer: hypertensive
, ◉ increased sympathetic tone in essential HTN. Answer: resetting of
peripheral and central baroreceptors
◉ elevated BP (one reading). Answer: greater than 130/80
d/t physiological stress, pain, acute illness, physiologic
derangements
◉ hypertension. Answer: three consecutive readings of 130/80+ on
different days
◉ normal BP. Answer: Systolic <120
Diastolic <80
◉ Stage 1 HTN. Answer: 130-139/80-89
◉ Stage 2 HTN. Answer: >=140 or >=90
◉ oversized BP cuff causes. Answer: The low blood pressure reading
◉ undersized BP cuff causes. Answer: high BP reading
◉ the center of the BP cuff should be at _____ level. Answer: heart
