CCRP Prep Latest Version with Complete Solutions

CCRP Prep Latest Version with Complete Solutions The goal of assessment is....? Determine care, treatment, and services to meet the patient's initial and continuing needs. The goal of intake is to: Conduct a comprehensive initial assessment on each new patient and construct an individualized treatment plan based on assessment findings What guidelines contribute to the basis of the recommendations presented today? AHA/ACC 2016 Recommended Dietary Patterns A waist circumference of ≥ __ cm (__ inches) in males and ≥ __ cm (__ inches) in females is considered at risk 102 cm (40.2 inches), 88 cm (34.6 inches) Lifestyle programs designed to produce weight loss are most effective if they include A structured PA program Behavioral counseling or instruction on how to apply behavioral strategies to lose and maintain weight loss A moderately reduced calorie diet Which is the smallest amount of weight loss that is likely to reduce CVD risk? 3-5% Approximately ___ minutes per week of moderate-to-vigorous physical activity is recommended for healthy weight maintenance (particularly following weight loss) and to prevent weight regain. 175 When energy intake from food and beverages is greater than energy expenditure, this is best described as Positive energy balance What are benefits to be gained from a resistance training program for an older adult with insulin resistance or diabetes Increased insulin sensitivity Decrease in fat mass Increase in lean body mass In order to achieve a loss of weight, the equation: weight change = total energy intake - total energy expenditure, must be taken into account. What are the methods to alter this equation and achieve weight loss? Maintaining daily caloric intake and increasing energy expenditure above daily requirement through physical activity Decrease daily caloric intake below daily energy requirements Decreasing daily caloric intake and increasing daily energy expenditure Daily total energy expenditure is composed of 3 main components , including metabolic rate, thermic effect of food, and physical activity. For the following, pick the best answer for the proportion each of these components contributes to total energy expenditure. Resting metabolic rate rates from ___%, tEF is about ____% and physical activity energy expenditure ____%. 60-75%, 10%, and 15-30% Which of the following have the greatest impact on a person's resting metabolic rate? Lean body mass (skeletal muscle, organs, bones) Hypertension is defined as a systolic BP greater than: 129 mmHg Hypertension is defined as a diastolic BP greater than: 80 mmHg Diastolic BP typically decreases with exercise due to: Peripheral vasodilation Vasodilation is impaired in hypertensive individuals due to : Endothelial dysfunction Hypertension is a disease typically defined by the presence of elevated BP on ____ consecutive readings with average of BP >_____ 3, 130/80mmHG Factors that can affect a persons blood pressure reading include A full bladder Pain Caffeine Stress Patients with symptomatic orthostatic hypotension should be educated on Stand up slowly When going from a lying position sit in bed for 1-2 minutes prior to standing Staying hydrated Caution when being outside in the heat Dietary sodium restriction can enhance efficacy of most antihypertensives by: lowering extracellular volume Over the counter medications that can affect blood pressure and difficulties managing hypertension include NSAIDS Ephedra Steroids Erythropoietin Contraceptive hormones Failure to achieve goal bP despite the use of full doses of an appropriate 3-drug regimen including diuretic is called Resistant hypertension Using a blood pressure cuff that Is too large can cause: BP to be falsely low What is a traditional risk factor for atherosclerosis? Diabetes, Hypertension, Tobacco abuse.... Which part of the lipid profile is the most atherogenic? Low density lipoprotein cholesterol Assuming there are no contraindications, individuals with a prior myocardial infarction should be placed on what initial pharmacologic cholesterol lowering regiments? high intensity statin therapy What part of the lipid profile does NOT contain apolipoprotein B? High density lipoprotein Dietary cholesterol is found in what products? Animal What are the risks of exercise in the diabetic population? Stress fractures Ankle sprain Foot ulcers True or False: Over the past two decades, the variety of glucose-lowering agenda available for treating Type 2 diabetes has not increased False Diagnosis of Diabetes or prediabetes can be made in which ways? Hemoglobin A1C 2-hour glucose after an oral glucose tolerance test Fasting plasma glucose after an 8 hour fast Random plasma glucose True or False: Evidence currently supports individualization of glycemic goals True True or False: In the united states, nearly 90-95% of diabetes that is seen in CR is Type 2. True A HgA1C of ____ is considered prediabetes 5.7-6.4% Required program components of CR include physician-prescribed exercise, outcomes assessment, an individualized treatment plan, and_________. Psychosocial assessment Examples of behavioral health providers to which a rehabilitation patient can be referred include social workers, psychiatric nurses, counselors, and_______. Psychologist A patient expresses angry cynicism about politics, noting that "all politicians are liars and crooks" This patient is showing their: Hostility Does a high score on a depression screen always indicates clinically significant depression? No, further discussion and evaluation is required What are effective cognitive behavioral strategies to use with smokers? Motivational Interviewing (MI), the 5 R's, empathy and SMART plan Common nicotine withdrawal symptoms are: Insomnia, increased appetite, anxiety and depression The current guidelines for treating tobacco use in rehabs are Identify smokers and tobacco users, identify former smoker, document and repeat interventions What are 4 medications recommended for tobacco cessation? Nicotine inhaler, nicotine patches, nicotine gum, Bupropion SR 150 The 5 A's that all programs should use that are brief counseling: Ask about smoking, advise, assess, assist and arrange follow-up True or False: Daily exercise logs provide a precise measure of physical activity False An individual starts CR, an initial, realistic goal for PA would Be: Prolong time in sedentary pursuits should be avoided When providing advice about physical activity that is done outside, what recommendation would you provide? The importance of a warm-up before doing physical activity, especially in the cold. What are some ways to help measure physical activity? physical activity monitors, pedometers, logs A patient starting CR in significantly deconditioned and extended bouts of physical activity will, initially, be difficult. What is the minimal amount of time that should be targeted in order to obtain a health benefit? 10 minutes True or False: In order for physical activity to be at all beneficial it needs to be performed at a moderate or vigorous intensity False True or False: The greatest potential for reduced mortality is in the sedentary individual who becomes moderately active True True or false: Preferably, physical activity should be spread throughout the week True True or False: In order to get any health benefits, physical activity needs be performed in episodes at least 20-30 minutes False What is the most effective means to asses progress and troubleshoot problems of physical activity performed at home? Recording in a log What would you counsel a patient regarding physical inactivity? Extended bouts of inactivity should be avoided When establishing goals with a patient, the goals should be .... measurable and specific, written, and patients should be active participants in setting goals According to guideline "Secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease" the level of recommendation for physical activity: Class 1 (Physical activity is useful and effective) What is the MET system useful for? The MET system is useful to compare the energy cost of a wide variety of physical activity What is the recommendation for the minimum amount of physical activity necessary to gain substantial health benefits? 150 minutes / week of moderate intensity exercise How many weeks after undergoing a medial sternotomy should a patient wait before initiating unloaded upper limb range of motion exercises? 5-6 weeks What are appropriate resistance training considerations? Have patients exercise large muscle groups before small During exercise new presence of multifocal ventricular contractions would warrant.... Termination of exercise session What are inappropriate blood glucose levels measured before initiating an exercise session for a Type 2 Diabetic? ≥ 250 w/ urinary ketones ≥ 300 mg/dl What exercise prescription modification should be performed for a patient that experienced angina during their initial exercise test? Exercise heart rate should be ≥ 10 beats per minute below the heart rate when the angina was experienced First level guidance to reduce sodium intake is 2400mg or 1000mg less that whatever they had today Which of the following has the lowest amount of saturated fat? coconut, canola, corn, chicken, butter Canola Which of the following has the highest amount of saturated fat? coconut, canola, corn, chicken, butter Coconut