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CCRP AACVPR Questions with Detailed
Verified Answers
How are lipids carried Ans: on lipoproteins in the blood because they are insoluble in
water
Proteins found on lipoproteins Ans: apolipoproteins
Density of lipoprotein with less lipid and greater protein Ans: more dense
Density of lipoprotein with more lipids and less protein Ans: less dense
Major bloodstream lipoproteins Ans: chylomicrons, vLDL, LDL, HDL
Chylomicrons Ans: least dense of the lipoproteins and are triglyceride-rich particles
that are formed in the intestine
Function of Chylomicrons and where they can be found Ans: Transport dietary fat
and can be found in the bloodstream at highest concentration soon after a meal
Least to most dense lipoprotein particles Ans: Chlyomicron, vLDL, LDL, HDL
lipoprotein that is the most atherogenic of all lipoproteins Ans: LDL
LDL carries Ans: 60-70% of the cholesterol in the blood
HDL carries Ans: 20-30% of the cholesterol in the blood
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Equation for total LDL-C in bloodstream Ans: LDL= TC-(HDL-C-(TG/5))
When does calculating LDL-C become inaccurate Ans: when TG exceeds 400mg/dL
Desirable total cholesterol level Ans: <200
Borderline high total cholesterol level Ans: 200-240
High total cholesterol level Ans: >240
Optimal TG level Ans: <150
Borderline high TG level Ans: 150-199
High TG level Ans: 200-499
Very high TG levels Ans: >500
Optimal in men HDL levels Ans: >40
Optimal in women HDL levels Ans: >50
Optimal LDL-C levels Ans: <100
Near optimal LDL-C levels Ans: 100-129
Borderline high LDL-C levels Ans: 130-159
High LDL-C levels Ans: 160-189
Very high LDL-C levels Ans: >190
Hypertriglycerdemia is associated with high levels of Ans: VLDL-C
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Non-HDL-Cholesterol calculation Ans: HDL-C - Total cholesterol
Atherogenic dyslipidemia Ans: Elevated levels of TG, low HDL-C and only modest
elevations of LDL-C
Metabolic syndrome Ans: requires the presence of any 3 of the following conditions:
abdominal obesity, elevated TG, low HDL, elevated BP and hyperglycemia
Criteria for metabolic syndrome: Abdominal obesity Ans: WC >102 cm (40 in) for
men
WC >88cm (35 in) for women
Criteria for metabolic syndrome: Hypertriglyceremia Ans: ≥150 or drug treatment
Criteria for metabolic syndrome: Low HDL Ans: <40 for men
<50 for women
Criteria for metabolic syndrome: Elevated BP Ans: SBP ≥130
DBP ≥85
or drug treatment
Criteria for metabolic syndrome: Hyperglycemia Ans: Fasting glucose ≥100
or drug treatment
AACVPR understanding of atherosclerosis Ans: Traditional risk factors are a source
of inflammatory changes in the blood vessel wall --> which attract lipid laden
macrophages and other inflammatory cells to enter the blood vessel wall --> where
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they proliferate and develop atherosclerotic plaques --> which are the source of the
clinical manifestations of CHD
Fatty streaks Ans: lipid deposition (daily lipid laden macrophages) in the arterial
wall
Lumen Ans: opening inside of the blood vessel
fibrous plaque Ans: Larger and more obstructive lesoions consisting of an outer
fibrous
Why do plaque ruptures occurs prior to the development of cardiovascular symptoms
in many cases Ans: Atherosclerotic plaques that are prone to rupture tend to be
younger, more immature plaques that usually do not produce the degree of luminal
narrowing required to develop exertion symptoms
What occurs after a plaque rupture Ans: Clot formation within the lumen of the
coronary artery, potential resulting in an acute coronary syndrome from the sudden
development of severe obstruction to coronary blood flow
Examples of foods high in dietary cholesterol Ans: Animal products ( meat, poultry,
fish, eggs, butter, cheese, whole and 2% milk)
Examples of foods high in saturated fatty acids Ans: high fat meats (beef, lamb,
pork, poultry with skin, beef fat, lard), dairy products, tropical oils ( palm oil, palm
kernel oil, coconut oil)
Examples of foods high in trans fatty acids Ans: fried foods, baked goods, stick
margarines, shortenings
CCRP AACVPR Questions with Detailed
Verified Answers
How are lipids carried Ans: on lipoproteins in the blood because they are insoluble in
water
Proteins found on lipoproteins Ans: apolipoproteins
Density of lipoprotein with less lipid and greater protein Ans: more dense
Density of lipoprotein with more lipids and less protein Ans: less dense
Major bloodstream lipoproteins Ans: chylomicrons, vLDL, LDL, HDL
Chylomicrons Ans: least dense of the lipoproteins and are triglyceride-rich particles
that are formed in the intestine
Function of Chylomicrons and where they can be found Ans: Transport dietary fat
and can be found in the bloodstream at highest concentration soon after a meal
Least to most dense lipoprotein particles Ans: Chlyomicron, vLDL, LDL, HDL
lipoprotein that is the most atherogenic of all lipoproteins Ans: LDL
LDL carries Ans: 60-70% of the cholesterol in the blood
HDL carries Ans: 20-30% of the cholesterol in the blood
, Page | 2
Equation for total LDL-C in bloodstream Ans: LDL= TC-(HDL-C-(TG/5))
When does calculating LDL-C become inaccurate Ans: when TG exceeds 400mg/dL
Desirable total cholesterol level Ans: <200
Borderline high total cholesterol level Ans: 200-240
High total cholesterol level Ans: >240
Optimal TG level Ans: <150
Borderline high TG level Ans: 150-199
High TG level Ans: 200-499
Very high TG levels Ans: >500
Optimal in men HDL levels Ans: >40
Optimal in women HDL levels Ans: >50
Optimal LDL-C levels Ans: <100
Near optimal LDL-C levels Ans: 100-129
Borderline high LDL-C levels Ans: 130-159
High LDL-C levels Ans: 160-189
Very high LDL-C levels Ans: >190
Hypertriglycerdemia is associated with high levels of Ans: VLDL-C
, Page | 3
Non-HDL-Cholesterol calculation Ans: HDL-C - Total cholesterol
Atherogenic dyslipidemia Ans: Elevated levels of TG, low HDL-C and only modest
elevations of LDL-C
Metabolic syndrome Ans: requires the presence of any 3 of the following conditions:
abdominal obesity, elevated TG, low HDL, elevated BP and hyperglycemia
Criteria for metabolic syndrome: Abdominal obesity Ans: WC >102 cm (40 in) for
men
WC >88cm (35 in) for women
Criteria for metabolic syndrome: Hypertriglyceremia Ans: ≥150 or drug treatment
Criteria for metabolic syndrome: Low HDL Ans: <40 for men
<50 for women
Criteria for metabolic syndrome: Elevated BP Ans: SBP ≥130
DBP ≥85
or drug treatment
Criteria for metabolic syndrome: Hyperglycemia Ans: Fasting glucose ≥100
or drug treatment
AACVPR understanding of atherosclerosis Ans: Traditional risk factors are a source
of inflammatory changes in the blood vessel wall --> which attract lipid laden
macrophages and other inflammatory cells to enter the blood vessel wall --> where
, Page | 4
they proliferate and develop atherosclerotic plaques --> which are the source of the
clinical manifestations of CHD
Fatty streaks Ans: lipid deposition (daily lipid laden macrophages) in the arterial
wall
Lumen Ans: opening inside of the blood vessel
fibrous plaque Ans: Larger and more obstructive lesoions consisting of an outer
fibrous
Why do plaque ruptures occurs prior to the development of cardiovascular symptoms
in many cases Ans: Atherosclerotic plaques that are prone to rupture tend to be
younger, more immature plaques that usually do not produce the degree of luminal
narrowing required to develop exertion symptoms
What occurs after a plaque rupture Ans: Clot formation within the lumen of the
coronary artery, potential resulting in an acute coronary syndrome from the sudden
development of severe obstruction to coronary blood flow
Examples of foods high in dietary cholesterol Ans: Animal products ( meat, poultry,
fish, eggs, butter, cheese, whole and 2% milk)
Examples of foods high in saturated fatty acids Ans: high fat meats (beef, lamb,
pork, poultry with skin, beef fat, lard), dairy products, tropical oils ( palm oil, palm
kernel oil, coconut oil)
Examples of foods high in trans fatty acids Ans: fried foods, baked goods, stick
margarines, shortenings
