CCRP Complete Study Guide/ 223Q&A/ 2025.
LVH Treatment (Meds) - Answer: Beta Blocker, ACE Inhibitor, Diuretic, Ca+ Channel Blocker
LVH Influence on exercise test - Answer: False Positive
LVH is often associated with - Answer: HTN
Chronic effect on CV system (Cardiac Output) - Answer: At rest = Remains the same, because
VO2 remains the same (absolute intensity remains the same but relative intensity increases)
Values at rest vary depending on emotional state, posture, and body size
Submaximal = Women have a 10% lower hb level than men because they cannot carry as much
blood per O2 so will have a higher cardiac output at any given submax.
Maximal = Increases (about 4+ times than resting) due to SV increasing (Not HR)
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,And for SV increasing, it is due to an increase in EDV and to some degree a decrease in ESV but
EDV is still the key player.
Chronic effect of exercise on blood flow - Answer: At rest = blood flow will not change.
Submaximal = Slight decrease in blood flow due to
Less sympathetic drive
Less vasoconstriction around the body so areas are getting less blood and the active muscle gets
less blood
Maximal exercise = Will increase due to an increased max Q, better capillarization, and
increased vasodilation.
Blood volume expands with chronic training
12-20% from rest to 6 weeks of training.
Transient sports anemia
5 initial considerations to preparing an Ex Rx - Answer: 1) All medical documentation2) Patients
age, sex, weight3) Patients estimated max Met capacity & current activity level4) Responses
during GXT5) Current medications
When should a patient begin a resistance training program? - Answer: After successful
completion of at least 5 stimulus stationsAfter two weeks of participation with no problems
General RPE Range for an exercise session - Answer: 9-15
Reasons for not increasing EXRX - Answer: New ischemia- New arrhythmia- Increasing angina-
Increasing claudication- Rising HTN- RPE > 15- SOB or other conditions- Avg HR for pt last 3
sessions are > than upper limit- Pt has not worked at their exrx for at least 2 sessions in one
week
HR Range based on HRR - Answer: 50-80%
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, HRR Method - Answer: Take max HR from GXT or APMHR and subtract resting HR to reach HRR.
Multiply HRR x intensity (ex. .40 for 40%) and add resting HR
Ways to determine max HR for EXRX - Answer: 1) APMHR2) Max HR from GXT3) HR achieved to
ischemia4) Symptom limited HR
VO2 Reserve Method - Answer: - VO2 max - VO2 resting = VO2 reserve- Multiple reserve by
intensity (ex .40) and add 1 MET
Warm Up/Cool Down should be equal to - Answer: 2/3 training intensity
Reasons to be cautious, conservative when increasing EXRX - Answer: - EF </equal to 35%- Max
METs </equal to 5- Sig CAD w/ out CABG- Noteworthy MI or history of VT, VF, Arrest- Drop in
SBP during exercise- Evolving horizontal/downsloping ST depression > 1 mm (exclusive of ST
abnormalities- Increasing age- CHF, LVD, Cardiomyopathy
Termination criteria for BP during exercise - Answer: > 220 SBP, >110/115 DBP or drop > 10 SBP
Seven properties that differentiate symptoms from one another - Answer: Bodily
locationQuality (type of pain)Quantity (severity)ChronologySettingAggravating & alleviating
factorsAssociated symptoms
- Answer: SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve --> Lungs --> Lt atria --
> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body
Right sided HF - Answer: Right ventricle starts to have a pumping problem, first blood backs up
in the veins and may result in ankle or leg swelling and soreness/swelling in the belly
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LVH Treatment (Meds) - Answer: Beta Blocker, ACE Inhibitor, Diuretic, Ca+ Channel Blocker
LVH Influence on exercise test - Answer: False Positive
LVH is often associated with - Answer: HTN
Chronic effect on CV system (Cardiac Output) - Answer: At rest = Remains the same, because
VO2 remains the same (absolute intensity remains the same but relative intensity increases)
Values at rest vary depending on emotional state, posture, and body size
Submaximal = Women have a 10% lower hb level than men because they cannot carry as much
blood per O2 so will have a higher cardiac output at any given submax.
Maximal = Increases (about 4+ times than resting) due to SV increasing (Not HR)
Page 1 of 26
,And for SV increasing, it is due to an increase in EDV and to some degree a decrease in ESV but
EDV is still the key player.
Chronic effect of exercise on blood flow - Answer: At rest = blood flow will not change.
Submaximal = Slight decrease in blood flow due to
Less sympathetic drive
Less vasoconstriction around the body so areas are getting less blood and the active muscle gets
less blood
Maximal exercise = Will increase due to an increased max Q, better capillarization, and
increased vasodilation.
Blood volume expands with chronic training
12-20% from rest to 6 weeks of training.
Transient sports anemia
5 initial considerations to preparing an Ex Rx - Answer: 1) All medical documentation2) Patients
age, sex, weight3) Patients estimated max Met capacity & current activity level4) Responses
during GXT5) Current medications
When should a patient begin a resistance training program? - Answer: After successful
completion of at least 5 stimulus stationsAfter two weeks of participation with no problems
General RPE Range for an exercise session - Answer: 9-15
Reasons for not increasing EXRX - Answer: New ischemia- New arrhythmia- Increasing angina-
Increasing claudication- Rising HTN- RPE > 15- SOB or other conditions- Avg HR for pt last 3
sessions are > than upper limit- Pt has not worked at their exrx for at least 2 sessions in one
week
HR Range based on HRR - Answer: 50-80%
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, HRR Method - Answer: Take max HR from GXT or APMHR and subtract resting HR to reach HRR.
Multiply HRR x intensity (ex. .40 for 40%) and add resting HR
Ways to determine max HR for EXRX - Answer: 1) APMHR2) Max HR from GXT3) HR achieved to
ischemia4) Symptom limited HR
VO2 Reserve Method - Answer: - VO2 max - VO2 resting = VO2 reserve- Multiple reserve by
intensity (ex .40) and add 1 MET
Warm Up/Cool Down should be equal to - Answer: 2/3 training intensity
Reasons to be cautious, conservative when increasing EXRX - Answer: - EF </equal to 35%- Max
METs </equal to 5- Sig CAD w/ out CABG- Noteworthy MI or history of VT, VF, Arrest- Drop in
SBP during exercise- Evolving horizontal/downsloping ST depression > 1 mm (exclusive of ST
abnormalities- Increasing age- CHF, LVD, Cardiomyopathy
Termination criteria for BP during exercise - Answer: > 220 SBP, >110/115 DBP or drop > 10 SBP
Seven properties that differentiate symptoms from one another - Answer: Bodily
locationQuality (type of pain)Quantity (severity)ChronologySettingAggravating & alleviating
factorsAssociated symptoms
- Answer: SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve --> Lungs --> Lt atria --
> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body
Right sided HF - Answer: Right ventricle starts to have a pumping problem, first blood backs up
in the veins and may result in ankle or leg swelling and soreness/swelling in the belly
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