CCRP AACVPR QUESTIONS AND ANSWERS
COMPLETE SOLUTIONS
◉ Relative Contraindications to exercise training. Answer: 2nd or 3rd
degree block
A-fib with uncontrolled ventricular rate
Tachy or brady- arrhythmia
Electrolyte abnormalities
SBP>200/DBP>100
Chronic infection (HIV)
Hypertrophic cardiomyopathy
Uncontrolled metabolic disease
◉ 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
COMPLETE SOLUTIONS
◉ Relative Contraindications to exercise training. Answer: 2nd or 3rd
degree block
A-fib with uncontrolled ventricular rate
Tachy or brady- arrhythmia
Electrolyte abnormalities
SBP>200/DBP>100
Chronic infection (HIV)
Hypertrophic cardiomyopathy
Uncontrolled metabolic disease
◉ 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