AACVPR EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Target 2 hour post prandial BS for diabetic - ✔✔<180
✔✔What insulin dose adjustment type would be most effective for preventing
hypoglycemia during moderate exercise - ✔✔-Reduction of rapid acting insulin dose 2-3
hours prior to exercise
-A temporary basal rate decrease 45-60 minutes prior to exercise
✔✔Which medications place a patient at risk for hypoglycemia - ✔✔Insulin (Lantus,
Novolog) and Sulfonyureas (Glipizide, glimepiride)
✔✔How long can significant exercise induced enhancement of glucose uptake from
muscle last - ✔✔24-48 hours
✔✔Recommended calories from carbs, protetin, and fats to better manage diabetes -
✔✔~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
✔✔Cardiac effects of nicotine - ✔✔modest increase in HR, BP and myocardial
contractility
✔✔The stethoscope for smoking is.. - ✔✔a carbon monoxide analyzer that measures
the amount of CO the patient exhales
✔✔Carbon monoxide - ✔✔binds more readily than oxygen to hemoglobin resulting in
relative hypoxia
✔✔The question regarding Time to First Cigarette is primarly used to.. - ✔✔determine
the level of dependence
✔✔The gold standard for improving smoking quit rates is - ✔✔pharmacotherapy which
doubles quit rates
✔✔Smoking cessation in patients with CVD reduces the risk of death by - ✔✔36%
✔✔In order to have the greatest benefit of lowering risk of MU or death, which should
replase saturated fat in diet - ✔✔polyunsaturated fat
✔✔What diet is recommended by AHA/ACC? - ✔✔DASH diet
, ✔✔What are the benefits to be gained from a resistance training program for an okder
adults with DM? - ✔✔-Increased insulin sensitivity
-decreased fat mass
-increase in lead body mass
✔✔Recommended Reps, Sets, and RPE for resistance straining to enhance muscalr
strenght and endurance in cardiac patients - ✔✔10-15 repetitions
1 set
RPE 11-13
✔✔What are the three components of total energy expenditure? - ✔✔-Thermic effect of
food
-resting metabolic rate
-physical activity
✔✔What percentage of thermic effect of food is composed of TEE - ✔✔~10%`
✔✔What percentage of resting metabolic rate is composed of TEE - ✔✔60-75%
✔✔What percentage of physical activity is composed of TEE - ✔✔15-30%
✔✔What has the greatest impact on a persons RMR - ✔✔lean body mass (skeletal
muscle, organs, bones)
✔✔What is classified as low carb diet - ✔✔less than 30 grams/day
✔✔What is classified as high protein diet - ✔✔~25-30% protein
✔✔How long does it take for a drug to hit steady state - ✔✔5-6 half lives to reach
steady state
✔✔What type of plaque is more prone to rupture and predispose to MI - ✔✔softer, less
obstructive plaque
✔✔When is it recommended to repeat lipid profile and why - ✔✔4-12 weeks after
starting statin therapy to assess treatment response
✔✔Lipoproteins density from least to highest - ✔✔-Chylomicron
-VLDL
-LDL
-HDL
✔✔Desirable, borderline and high TC ranges - ✔✔Desirable <200
Borderline 200-240
SOLUTIONS GRADED A+
✔✔Target 2 hour post prandial BS for diabetic - ✔✔<180
✔✔What insulin dose adjustment type would be most effective for preventing
hypoglycemia during moderate exercise - ✔✔-Reduction of rapid acting insulin dose 2-3
hours prior to exercise
-A temporary basal rate decrease 45-60 minutes prior to exercise
✔✔Which medications place a patient at risk for hypoglycemia - ✔✔Insulin (Lantus,
Novolog) and Sulfonyureas (Glipizide, glimepiride)
✔✔How long can significant exercise induced enhancement of glucose uptake from
muscle last - ✔✔24-48 hours
✔✔Recommended calories from carbs, protetin, and fats to better manage diabetes -
✔✔~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
✔✔Cardiac effects of nicotine - ✔✔modest increase in HR, BP and myocardial
contractility
✔✔The stethoscope for smoking is.. - ✔✔a carbon monoxide analyzer that measures
the amount of CO the patient exhales
✔✔Carbon monoxide - ✔✔binds more readily than oxygen to hemoglobin resulting in
relative hypoxia
✔✔The question regarding Time to First Cigarette is primarly used to.. - ✔✔determine
the level of dependence
✔✔The gold standard for improving smoking quit rates is - ✔✔pharmacotherapy which
doubles quit rates
✔✔Smoking cessation in patients with CVD reduces the risk of death by - ✔✔36%
✔✔In order to have the greatest benefit of lowering risk of MU or death, which should
replase saturated fat in diet - ✔✔polyunsaturated fat
✔✔What diet is recommended by AHA/ACC? - ✔✔DASH diet
, ✔✔What are the benefits to be gained from a resistance training program for an okder
adults with DM? - ✔✔-Increased insulin sensitivity
-decreased fat mass
-increase in lead body mass
✔✔Recommended Reps, Sets, and RPE for resistance straining to enhance muscalr
strenght and endurance in cardiac patients - ✔✔10-15 repetitions
1 set
RPE 11-13
✔✔What are the three components of total energy expenditure? - ✔✔-Thermic effect of
food
-resting metabolic rate
-physical activity
✔✔What percentage of thermic effect of food is composed of TEE - ✔✔~10%`
✔✔What percentage of resting metabolic rate is composed of TEE - ✔✔60-75%
✔✔What percentage of physical activity is composed of TEE - ✔✔15-30%
✔✔What has the greatest impact on a persons RMR - ✔✔lean body mass (skeletal
muscle, organs, bones)
✔✔What is classified as low carb diet - ✔✔less than 30 grams/day
✔✔What is classified as high protein diet - ✔✔~25-30% protein
✔✔How long does it take for a drug to hit steady state - ✔✔5-6 half lives to reach
steady state
✔✔What type of plaque is more prone to rupture and predispose to MI - ✔✔softer, less
obstructive plaque
✔✔When is it recommended to repeat lipid profile and why - ✔✔4-12 weeks after
starting statin therapy to assess treatment response
✔✔Lipoproteins density from least to highest - ✔✔-Chylomicron
-VLDL
-LDL
-HDL
✔✔Desirable, borderline and high TC ranges - ✔✔Desirable <200
Borderline 200-240
