CCRP Exam
1. Recent changes in EKG <Ans> Absolute
2. Unstable angina <Ans> Absolute
3. Uncontrolled cardiac arrhythmias <Ans> Absolute
4. Symptomatic severe aortic stenosis or other valvular disease <Ans> Absolute
5. decompensated symptomatic heart failure <Ans> Absolute
6. acute PE or pulmonary infarction <Ans> Absolute
7. acute non cardiac disorder that may affect exercise performance or maybe
aggravated by exercise (infection, thyrotoxisosis) <Ans> absolute
8. acute myocarditis, pericarditis <Ans> absolute
9. Acute Thrombophlebitis <Ans> absolute
10. physical disability <Ans> absolute
11. electrolyte abnormalities <Ans> relative
12. tachyarrhythmias or bradyarrhythmias <Ans> relative
13. high degree AV block <Ans> relative
14. a-fib with uncontrolled rate <Ans> relative
15. hypertrophic obstructive cardiomypathy with peak resting left ventricular out
flow gradient of more than 25mmhg <Ans> relative
16. known aortic dissection <Ans> relative
17. severe resting arterial HTN SBP >200 DBP > 100 <Ans> relative
18. mental impairments leading tounabilityto cooperate <Ans> relative
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,19. mens waist circumference <Ans> less than 102cm or 40 in
20. womens waist circumference <Ans> less than 88cm or 35in
21. Mens HDL <Ans> >40
22. womens HDL <Ans> >50
23. Ideal LDL level <Ans> <100 mg/dL
24. ideal TG level <Ans> <150
25. ideal total cholesterol <Ans> <200 mg/dL
26. normal fasting blood glucose <Ans> <100 mg/dL
27. DASH Diet <Ans> Strongest evidence to support the Dietary Approach to Stop
Hyper- tension
28. Statin lowering LDL %, Low <Ans> <30%
29. Statin lowering LDL% Mod <Ans> 30-50%
30. Statin lowering LDL% High <Ans> >50%
31. Simvastatin 10mg <Ans> low intensity
32. Peavastatin 10-20mg <Ans> low intensity
33. lovastatin 20mg <Ans> low intensity
34. Fluvastatin 20-40mg <Ans> low intensity
35. pitavastatin 1mg <Ans> low intensity
36. Rosuvastatin 5- 10 mg <Ans> moderate intensity
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, 37. Atorvastatin 10-20mg <Ans> moderate intensity
38. Simvastatin 20-40mg <Ans> moderate intensity
39. Pravastatin 40-80mg <Ans> moderate intensity
40. lovastatin 40mg <Ans> moderate intensity
41. flurastatin XL 80mg <Ans> moderate intensity
42. Pitavastatin 2-4 mg <Ans> moderate intensity
43. rosuvastatin 20-40mg <Ans> high intensity
44. Atrovostatin 40-80mg <Ans> high intensity
45. When should you reassess statin meds <Ans> 4- 12 weeks after initiation and
3-12 months thereafter
46. Exercise DBP >110mmgh <Ans> adverse response to exercise
47. Decrease in SBO >10mmgh <Ans> adverse response to exercise
48. significant ventricular or atrial dysrhythmias <Ans> adverse response to exercis
49. 2nd or 3rd degree heart block <Ans> adverse response to exercise
50. S/Sx of exercise intolerance <Ans>
angina dyspnea
EKG changes suggestive of ischemia
51. when to terminate exercise <Ans> sustaine v tach, multifocal PVC's and
triplets, down slopping St segment >1mm
52. normal ejection fraction <Ans> 50-60%
53. Low ejection fraction <Ans> 35% and below
54. Contraindications for strength training <Ans> unstable angina, uncontrolled
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1. Recent changes in EKG <Ans> Absolute
2. Unstable angina <Ans> Absolute
3. Uncontrolled cardiac arrhythmias <Ans> Absolute
4. Symptomatic severe aortic stenosis or other valvular disease <Ans> Absolute
5. decompensated symptomatic heart failure <Ans> Absolute
6. acute PE or pulmonary infarction <Ans> Absolute
7. acute non cardiac disorder that may affect exercise performance or maybe
aggravated by exercise (infection, thyrotoxisosis) <Ans> absolute
8. acute myocarditis, pericarditis <Ans> absolute
9. Acute Thrombophlebitis <Ans> absolute
10. physical disability <Ans> absolute
11. electrolyte abnormalities <Ans> relative
12. tachyarrhythmias or bradyarrhythmias <Ans> relative
13. high degree AV block <Ans> relative
14. a-fib with uncontrolled rate <Ans> relative
15. hypertrophic obstructive cardiomypathy with peak resting left ventricular out
flow gradient of more than 25mmhg <Ans> relative
16. known aortic dissection <Ans> relative
17. severe resting arterial HTN SBP >200 DBP > 100 <Ans> relative
18. mental impairments leading tounabilityto cooperate <Ans> relative
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17
,19. mens waist circumference <Ans> less than 102cm or 40 in
20. womens waist circumference <Ans> less than 88cm or 35in
21. Mens HDL <Ans> >40
22. womens HDL <Ans> >50
23. Ideal LDL level <Ans> <100 mg/dL
24. ideal TG level <Ans> <150
25. ideal total cholesterol <Ans> <200 mg/dL
26. normal fasting blood glucose <Ans> <100 mg/dL
27. DASH Diet <Ans> Strongest evidence to support the Dietary Approach to Stop
Hyper- tension
28. Statin lowering LDL %, Low <Ans> <30%
29. Statin lowering LDL% Mod <Ans> 30-50%
30. Statin lowering LDL% High <Ans> >50%
31. Simvastatin 10mg <Ans> low intensity
32. Peavastatin 10-20mg <Ans> low intensity
33. lovastatin 20mg <Ans> low intensity
34. Fluvastatin 20-40mg <Ans> low intensity
35. pitavastatin 1mg <Ans> low intensity
36. Rosuvastatin 5- 10 mg <Ans> moderate intensity
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, 37. Atorvastatin 10-20mg <Ans> moderate intensity
38. Simvastatin 20-40mg <Ans> moderate intensity
39. Pravastatin 40-80mg <Ans> moderate intensity
40. lovastatin 40mg <Ans> moderate intensity
41. flurastatin XL 80mg <Ans> moderate intensity
42. Pitavastatin 2-4 mg <Ans> moderate intensity
43. rosuvastatin 20-40mg <Ans> high intensity
44. Atrovostatin 40-80mg <Ans> high intensity
45. When should you reassess statin meds <Ans> 4- 12 weeks after initiation and
3-12 months thereafter
46. Exercise DBP >110mmgh <Ans> adverse response to exercise
47. Decrease in SBO >10mmgh <Ans> adverse response to exercise
48. significant ventricular or atrial dysrhythmias <Ans> adverse response to exercis
49. 2nd or 3rd degree heart block <Ans> adverse response to exercise
50. S/Sx of exercise intolerance <Ans>
angina dyspnea
EKG changes suggestive of ischemia
51. when to terminate exercise <Ans> sustaine v tach, multifocal PVC's and
triplets, down slopping St segment >1mm
52. normal ejection fraction <Ans> 50-60%
53. Low ejection fraction <Ans> 35% and below
54. Contraindications for strength training <Ans> unstable angina, uncontrolled
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