AACVPR COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Examples of monounsaturated fat oils - ✔✔vegetable oils- olive oil, canola oil,
peanut oil, sunflower oil, sesame oil
✔✔examples of polyunsaturated fat oils - ✔✔Vegetable oils- soybean oil, corn oil,
safflower oil
✔✔ What influences a persons metabolic rate? - ✔✔Exercise, gender, genetics, age
✔✔Which is the macronutrient that provides more than twice as many calories as the
other two - ✔✔Fat
✔✔Foods that raise insulin levels have... - ✔✔added sugar
✔✔When feeling stressed, you may feel relief after eating a piece of chocolate
because... - ✔✔it will raise dopamine levels
✔✔What reduces the number of receptors for dopamine - ✔✔insulin
✔✔What percentage of Cardiac Rehab patients re overweight or obese - ✔✔80%
✔✔Why is fructose a promoter of obesity? - ✔✔promotes liver fat accumulation which
promotes metabolic syndrome
✔✔What reduces the rate of carbohydrate absorption thus reducing insulin response -
✔✔Fiber
✔✔Depression among cardiac patients has been associated with - ✔✔higher risk of
mortality
✔✔When a patient scores in the depressed range on a sreening, which acion should be
taken - ✔✔results to be discussed with patient and health care provider
✔✔if a patient dense feeling of sadness they... - ✔✔may have non-dysphoric
depression
✔✔depression is relevant to CR because - ✔✔depression reduces recovery from
exercise due to fatigue and low energy
✔✔the relationship between anger and hostility is.. - ✔✔anger is the emotion, hostility is
the thought
, ✔✔social isolation is defined by - ✔✔how connected a patient feels in their relationships
✔✔stress management is designed to - ✔✔respond to the "flight or fight" response
✔✔What is the best approach to preventing exercise-induced hypoglycemia - ✔✔check
blood sugar before and after exercise and respond to patterns appropriately
✔✔What guideles for beginning exercise are correct for type 1 and type 2 diabetics -
✔✔(1)If BS is >250 check for ketones. If none are present, it is safe to exercise at low to
moderate intensity. (2) Do not exercise if BS >400. If <300 ok to exercise
✔✔Target HbA1c% for diabetic - ✔✔<7%
✔✔Target Fasting BS for diabetic - ✔✔70-130
✔✔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
AND SOLUTIONS GRADED A+
✔✔Examples of monounsaturated fat oils - ✔✔vegetable oils- olive oil, canola oil,
peanut oil, sunflower oil, sesame oil
✔✔examples of polyunsaturated fat oils - ✔✔Vegetable oils- soybean oil, corn oil,
safflower oil
✔✔ What influences a persons metabolic rate? - ✔✔Exercise, gender, genetics, age
✔✔Which is the macronutrient that provides more than twice as many calories as the
other two - ✔✔Fat
✔✔Foods that raise insulin levels have... - ✔✔added sugar
✔✔When feeling stressed, you may feel relief after eating a piece of chocolate
because... - ✔✔it will raise dopamine levels
✔✔What reduces the number of receptors for dopamine - ✔✔insulin
✔✔What percentage of Cardiac Rehab patients re overweight or obese - ✔✔80%
✔✔Why is fructose a promoter of obesity? - ✔✔promotes liver fat accumulation which
promotes metabolic syndrome
✔✔What reduces the rate of carbohydrate absorption thus reducing insulin response -
✔✔Fiber
✔✔Depression among cardiac patients has been associated with - ✔✔higher risk of
mortality
✔✔When a patient scores in the depressed range on a sreening, which acion should be
taken - ✔✔results to be discussed with patient and health care provider
✔✔if a patient dense feeling of sadness they... - ✔✔may have non-dysphoric
depression
✔✔depression is relevant to CR because - ✔✔depression reduces recovery from
exercise due to fatigue and low energy
✔✔the relationship between anger and hostility is.. - ✔✔anger is the emotion, hostility is
the thought
, ✔✔social isolation is defined by - ✔✔how connected a patient feels in their relationships
✔✔stress management is designed to - ✔✔respond to the "flight or fight" response
✔✔What is the best approach to preventing exercise-induced hypoglycemia - ✔✔check
blood sugar before and after exercise and respond to patterns appropriately
✔✔What guideles for beginning exercise are correct for type 1 and type 2 diabetics -
✔✔(1)If BS is >250 check for ketones. If none are present, it is safe to exercise at low to
moderate intensity. (2) Do not exercise if BS >400. If <300 ok to exercise
✔✔Target HbA1c% for diabetic - ✔✔<7%
✔✔Target Fasting BS for diabetic - ✔✔70-130
✔✔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
