AACVPR CCRP COMPREHENSIVE EXAMS
SET TESTED QUESTIONS AND CORRECT
ANSWERS
●● Absolute Contraindications to exercise training
Answer: Significant changes in ECG
Uncontrolled angina
Uncontrolled HF
Symptomatic aortic stenosis
Acute myo- peri- carditis
Systemic infection, fever, swollen lymph
●● When to stop exercise training
Answer: DBP > or = 110
Decrease in SBP > 10
2nd or 3rd degree block
S/S of exercise intolerance (marked SOB, angina, ECG suggesting
ischemia)
●● ST segment down slope during exercise
Answer: Exercise induced myocardial ischemia
,●● ST segment elevation on normal ECG during exercise
Answer: Significant myocardial ischemia
●● Standard for a positive ST down slope
Answer: > or = 1.0 mm
●● Baseline presence of ST abnormalities are
Answer: Less specific for myocardial ischemia
●● When to terminate training based on ventricular ectopy
Answer: Sustained ventricular tachycardia
Multi focal PVCs
Triplets of PVCs
Combined with symptoms and Myocardial ischemia
●● MET
Answer: metabolic equivalent
●● 1 MET =
Answer: 3.5 mL/kg/min of oxygen
●● Peak oxygen uptake of less than 14-15 ml/kg/min
, Answer: Very low functional capacity
●● Rate Pressure Product
Answer: Reflects myocardial demand
●● RPP =
Answer: [HR x SBP]/100
●● Ejection Fraction (EF)
Answer: The fraction of blood pumped out of the left ventricle with each
contraction, determined by dividing stroke volume by end-diastolic
volume and expressed as a percentage.
●● normal ejection fraction
Answer: 50-60%
●● Significant left ventricular distinction
Answer: < or = 35%
●● Beta-blockers and some calcium channel blockers effect HR by
Answer: Decreasing rate at rest and during exercise
●● Frequency of cardio respiratory exercise
SET TESTED QUESTIONS AND CORRECT
ANSWERS
●● Absolute Contraindications to exercise training
Answer: Significant changes in ECG
Uncontrolled angina
Uncontrolled HF
Symptomatic aortic stenosis
Acute myo- peri- carditis
Systemic infection, fever, swollen lymph
●● When to stop exercise training
Answer: DBP > or = 110
Decrease in SBP > 10
2nd or 3rd degree block
S/S of exercise intolerance (marked SOB, angina, ECG suggesting
ischemia)
●● ST segment down slope during exercise
Answer: Exercise induced myocardial ischemia
,●● ST segment elevation on normal ECG during exercise
Answer: Significant myocardial ischemia
●● Standard for a positive ST down slope
Answer: > or = 1.0 mm
●● Baseline presence of ST abnormalities are
Answer: Less specific for myocardial ischemia
●● When to terminate training based on ventricular ectopy
Answer: Sustained ventricular tachycardia
Multi focal PVCs
Triplets of PVCs
Combined with symptoms and Myocardial ischemia
●● MET
Answer: metabolic equivalent
●● 1 MET =
Answer: 3.5 mL/kg/min of oxygen
●● Peak oxygen uptake of less than 14-15 ml/kg/min
, Answer: Very low functional capacity
●● Rate Pressure Product
Answer: Reflects myocardial demand
●● RPP =
Answer: [HR x SBP]/100
●● Ejection Fraction (EF)
Answer: The fraction of blood pumped out of the left ventricle with each
contraction, determined by dividing stroke volume by end-diastolic
volume and expressed as a percentage.
●● normal ejection fraction
Answer: 50-60%
●● Significant left ventricular distinction
Answer: < or = 35%
●● Beta-blockers and some calcium channel blockers effect HR by
Answer: Decreasing rate at rest and during exercise
●● Frequency of cardio respiratory exercise
