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CCRP COMPLETE STUDY GUIDE 2025
QUESTIONS AND ANSWERS
Effects of nicotine - correct answer - Promotes catecholamine
release, constricts peripheral arteries, releases carbon monoxide,
effects blood lipids and leads to atherogensis
Effects of catecholamine release from nictoine - correct answer -
Increased HR and BP due to increased myocardial oxygen demand
Nicotine effect on lipids - correct answer - A decrease in HDL and
increase of oxygenation of LDL
5 As for treating tobacco use - correct answer - Ask, Advise,
Assess, Assist, Arrange
American College of Chest tobacco treatment tool kit - correct
answer - The Fragerstrom test for Nicotine Dependence (FTND)
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FTND high score equaling nicotine dependance and need for
treatment/cessation - correct answer - 5 or above
Nicotine gum precautions/warnings/contraindications - correct
answer - Used with caution with CV groups including immediate
post MI patients (within 2 weeks), those with serious arrhythmias,
and unstable angina
Nicotine gum side effects - correct answer - mouth soreness,
hiccups, dyspepsia and jaw ache
Bupropion side effects - correct answer - Insomnia, dry mouth,
occasionally HTN
Bupropion contraindications - correct answer - Hx of seizures,
eating disorders, on another bupropion, have used an MAO inhibitor
in the past 14 days
Percentage of pts in CR with DM - correct answer - 25-30%
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Clinical features of DM are not evident until what % of B-cells are
destroyed - correct answer - 70-80%
Hemoglobin A1C - correct answer - Average plasma glucose of
previous 12 weeks and measures attachment of glucose to
hemoglobin in blood
HbA1c normal and abnormal levels - correct answer - Normal -
<5.7
Pre DM 5.7-6.4
DM > 6.5
Avg BG with HbA1c of 6% - correct answer - 126
Avg BG of HbA1c of 12% - correct answer - 298
Normal oral glucose tolerance test - correct answer - <140 mg/dL
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Goal HbA1c for a patient with DM. - correct answer - less than 7%
Meds that can implicate hypoglycemia effects - correct answer -
Warfarin, Thiazide diuretic, CCB
Hyperglycemia # - correct answer - > 300
Effect of BG level after vigorous activity - correct answer - May
increase
7 self care behaviors outlined by the American Association of
Diabetes Educators - correct answer - Healthy eating, Activeness,
Monitor BG levels, Taking meds, Problem solving, Reducing risk,
Healthy coping
3 rapid acting insulins - correct answer - Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
CCRP COMPLETE STUDY GUIDE 2025
QUESTIONS AND ANSWERS
Effects of nicotine - correct answer - Promotes catecholamine
release, constricts peripheral arteries, releases carbon monoxide,
effects blood lipids and leads to atherogensis
Effects of catecholamine release from nictoine - correct answer -
Increased HR and BP due to increased myocardial oxygen demand
Nicotine effect on lipids - correct answer - A decrease in HDL and
increase of oxygenation of LDL
5 As for treating tobacco use - correct answer - Ask, Advise,
Assess, Assist, Arrange
American College of Chest tobacco treatment tool kit - correct
answer - The Fragerstrom test for Nicotine Dependence (FTND)
, Page | 2
FTND high score equaling nicotine dependance and need for
treatment/cessation - correct answer - 5 or above
Nicotine gum precautions/warnings/contraindications - correct
answer - Used with caution with CV groups including immediate
post MI patients (within 2 weeks), those with serious arrhythmias,
and unstable angina
Nicotine gum side effects - correct answer - mouth soreness,
hiccups, dyspepsia and jaw ache
Bupropion side effects - correct answer - Insomnia, dry mouth,
occasionally HTN
Bupropion contraindications - correct answer - Hx of seizures,
eating disorders, on another bupropion, have used an MAO inhibitor
in the past 14 days
Percentage of pts in CR with DM - correct answer - 25-30%
, Page | 3
Clinical features of DM are not evident until what % of B-cells are
destroyed - correct answer - 70-80%
Hemoglobin A1C - correct answer - Average plasma glucose of
previous 12 weeks and measures attachment of glucose to
hemoglobin in blood
HbA1c normal and abnormal levels - correct answer - Normal -
<5.7
Pre DM 5.7-6.4
DM > 6.5
Avg BG with HbA1c of 6% - correct answer - 126
Avg BG of HbA1c of 12% - correct answer - 298
Normal oral glucose tolerance test - correct answer - <140 mg/dL
, Page | 4
Goal HbA1c for a patient with DM. - correct answer - less than 7%
Meds that can implicate hypoglycemia effects - correct answer -
Warfarin, Thiazide diuretic, CCB
Hyperglycemia # - correct answer - > 300
Effect of BG level after vigorous activity - correct answer - May
increase
7 self care behaviors outlined by the American Association of
Diabetes Educators - correct answer - Healthy eating, Activeness,
Monitor BG levels, Taking meds, Problem solving, Reducing risk,
Healthy coping
3 rapid acting insulins - correct answer - Lispro (Humalog)
Aspart (Novolog)
Glulisine (Apidra)
