AACVPR TEST PAPER EXAM QUESTIONS AND SOLUTIONS
GRADED A+
✔✔AHA states that stretching and flexibility can be started as early as ___ post CABG:
Chapter 2: Contemporary Revascularization Procedure - ✔✔24 hours
✔✔Percutaneous coronary intervention (PCI) encompasses
Chapter 2: Contemporary Revascularization Procedure - ✔✔DCA (directional coronary
atherectomy), Rotablator, laser procedures, coronary stenting, cutting balloon
✔✔The main role of s/p:
Chapter 2: Contemporary Revascularization Procedure - ✔✔improve angina and
exercise capacity (does not decrease the incidence of future MIs)
✔✔Femoral pseudoaneurysm:
Chapter 2: Contemporary Revascularization Procedure - ✔✔possible complication from
PCI; painful, tender, mass in groin
✔✔Possible complication from PCI; antiplatelet therapy is ordered as preventative
measure
Chapter 2: Contemporary Revascularization Procedure - ✔✔Stent thrombosis:
✔✔Most patients who present between 1 to 8 months after PCI with recurrence typical
angina chest pains have :
Chapter 2: Contemporary Revascularization Procedure - ✔✔restenosis (treated artery
narrows)
✔✔What is an attempt to prevent restenosis :
Chapter 2: Contemporary Revascularization Procedure - ✔✔drug eluting stents
✔✔Post-PCI can perform an ETT within :
Chapter 2: Contemporary Revascularization Procedure - ✔✔1 to 3 days
✔✔A Post-PCI patient may not need an ETT before CR if :
, Chapter 2: Contemporary Revascularization Procedure - ✔✔no other significant
stenosis other than the one treated, no other significant cardiac disease (normal valves
and EF), no angina
✔✔Name 4 considerations for post-CABG patients in CR :
Chapter 2: Contemporary Revascularization Procedure - ✔✔sternal healing/stability,
deconditioning, post-op A-fib, and graft occlusion
✔✔What is the Framingham Heart Study
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction -
✔✔comprehensive, long term epidemiological study of CHD risk that has elucidated risk
factors (RFs)
-RFs are important, more than 90% of attributable risk can be accounted for in
modifiable risk factors
✔✔DART secondary prevention study
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction - ✔✔Fish oils
or 1500mg omega-3 supplement
32% reduction of cardiac events with only two servings a week
✔✔Lyon Heart secondary prevention study
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction -
✔✔Mediterranean diet 72% event reduction
✔✔Name 6 risk factors for coronary heart disease that are proven to lower risk:
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction - ✔✔smoking,
hypertension, LDL, High-fat diet, left ventricular hypertrophy, thrombogenic risk factors
✔✔What habit risk factor can amplify other risk factors?
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction - ✔✔Smoking
Smoking interacts with other risk factors to affect plaque stability, endothelial function,
and thrombogenesis, and thus smoking can amplify other risk factors
✔✔Name two pharmacological agents that help smoking intervention
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction -
✔✔Buproprion and nicotine replacement
GRADED A+
✔✔AHA states that stretching and flexibility can be started as early as ___ post CABG:
Chapter 2: Contemporary Revascularization Procedure - ✔✔24 hours
✔✔Percutaneous coronary intervention (PCI) encompasses
Chapter 2: Contemporary Revascularization Procedure - ✔✔DCA (directional coronary
atherectomy), Rotablator, laser procedures, coronary stenting, cutting balloon
✔✔The main role of s/p:
Chapter 2: Contemporary Revascularization Procedure - ✔✔improve angina and
exercise capacity (does not decrease the incidence of future MIs)
✔✔Femoral pseudoaneurysm:
Chapter 2: Contemporary Revascularization Procedure - ✔✔possible complication from
PCI; painful, tender, mass in groin
✔✔Possible complication from PCI; antiplatelet therapy is ordered as preventative
measure
Chapter 2: Contemporary Revascularization Procedure - ✔✔Stent thrombosis:
✔✔Most patients who present between 1 to 8 months after PCI with recurrence typical
angina chest pains have :
Chapter 2: Contemporary Revascularization Procedure - ✔✔restenosis (treated artery
narrows)
✔✔What is an attempt to prevent restenosis :
Chapter 2: Contemporary Revascularization Procedure - ✔✔drug eluting stents
✔✔Post-PCI can perform an ETT within :
Chapter 2: Contemporary Revascularization Procedure - ✔✔1 to 3 days
✔✔A Post-PCI patient may not need an ETT before CR if :
, Chapter 2: Contemporary Revascularization Procedure - ✔✔no other significant
stenosis other than the one treated, no other significant cardiac disease (normal valves
and EF), no angina
✔✔Name 4 considerations for post-CABG patients in CR :
Chapter 2: Contemporary Revascularization Procedure - ✔✔sternal healing/stability,
deconditioning, post-op A-fib, and graft occlusion
✔✔What is the Framingham Heart Study
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction -
✔✔comprehensive, long term epidemiological study of CHD risk that has elucidated risk
factors (RFs)
-RFs are important, more than 90% of attributable risk can be accounted for in
modifiable risk factors
✔✔DART secondary prevention study
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction - ✔✔Fish oils
or 1500mg omega-3 supplement
32% reduction of cardiac events with only two servings a week
✔✔Lyon Heart secondary prevention study
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction -
✔✔Mediterranean diet 72% event reduction
✔✔Name 6 risk factors for coronary heart disease that are proven to lower risk:
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction - ✔✔smoking,
hypertension, LDL, High-fat diet, left ventricular hypertrophy, thrombogenic risk factors
✔✔What habit risk factor can amplify other risk factors?
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction - ✔✔Smoking
Smoking interacts with other risk factors to affect plaque stability, endothelial function,
and thrombogenesis, and thus smoking can amplify other risk factors
✔✔Name two pharmacological agents that help smoking intervention
Chapter 3: Efficacy of Secondary Prevention and Risk Factor Reduction -
✔✔Buproprion and nicotine replacement
