CCEP Exam Latest Question Set - High-Score Study Material

CCEP Exam Latest Question Set - High-Score Study Material high risk @ moderate & vigorous intensity: what/who is needed - answer - medical exam, exercise test & MD supervision prior to exercise moderate risk @ vigorous intensity: what/who is needed - answer - only medical exam prior to exercise low risk @ moderate & vigorous intensity: what/who is needed - answer - nothing moderate risk @ moderate intensity: what/who is needed - answer - nothing which patients (risk stratified) can be supervised by non-physician health care professionals if professionals are specifically trained in CET & physician is readily/immediately available? - answer - all risk groups can be; low risk can be supervised w/o physician immediately available who should have PFT's done? - answer - all smokers 45y.o & anyone presenting with dyspnea ECG monitoring during test - answer - recorded last 15secs of each stage BP monitoring during test - answer - measured/recorded last 45secs of each stage HR monitoring during test - answer - recorded last 5secs of each stage ECG monitoring after test - answer - monitored continuously, recorded immediately post exercise, during last 15secs of 1st minute then every 2 minutes thereafter BP monitoring after test - answer - measured & recorded immediately post exercise then every 2 minutes thereafter HR monitoring after test - answer - monitored continuously then recorded during last 5secs of each minute technetium (tc) -99m - answer - comparison of rest & stress imaging permits ID of fixed & reversible perfusion abnormalities as well as differentiation; permits higher does with less radiation exposure; preferred imaging agent thallum 201 - answer - circulates myocardium showing images of where lack/inadequate blood flow is; shows images of inadequate perfusion dobutamine - answer - elicits wall motion abnormalities by increasing HR & therefore myocardial O2 demand; infused intravenously with dose increased gradually until maximal does or endpoint is acheived adenosine (dipyridamole) - answer - causes maximal coronary vasodilation in normal epicardial arteries; rest images then compared with imaging obtain after coronary vasodilation optimal ExRx - answer - cardiorespiratory fitness (CRF), muscular strength, muscular endurance, flexibility, body comp, & neuromotor fitness (gradual progression of volume/intensity) overload principle - answer - states exercise below minimum intensity will not challenge body sufficiently to result in changes in physiologic parameters intensity (light, moderate, vigorous( - answer - light = 30-40% moderate = 40-60% vigorous = 60-90% HRR method - answer - ((HRpeak - HRrest) x %intensity) + HRrest resistance FITT - answer - 2-3 days/week 10-15 reps for middle-aged adults flexibility FITT - answer - 2/3 days/week 30-60 secs pregnancy maximal test: is physician supervision necessary? - answer - for all pregnant woman, yes. ABI's (supine prior to exercise) levels - answer - normal 1.0 moderate .8 - .9 mod. severe .5 - .8 severe .5 ABI's post-exercise - answer - normal No change moderate .5 mod. severe .2 severe .2 **rest for 15 minutes post-exercise, then calculate again PAD FITT - answer - weight-bearing 3-5 days/week, resistance 2 30-60 minutes where to place AED pad on patient with permanent pacemaker? - answer - (start CPR immediately/call 911) at least 1 inch (2.54cm) away from device; place one pad on R center of chest above nipple & place other slightly below other nipple to L of ribcage most common serious problem for diabetics? - answer - hypoglycemia (70) what should you do if someone is hypoglycemic? - answer - give 15-20g CHO, recheck after 10 minutes, then again until 90 what should you take into consideration if you see a trend of hypoglycemia in a particular patient? - answer - timing of exercise; with those with insulin, changing timing, decrease insulin dose, or increase CHO consumption **will all help prevent hypoglycemia when to supply su