CCRP AACVPR QUESTIONS AND
ANSWERS GRADED A
What influences a persons metabolic rate? Correct Answer: Exercise, gender, genetics, age
Which is the macronutrient that provides more than twice as many calories as the other two
Correct Answer: Fat
Foods that raise insulin levels have... Correct Answer: added sugar
When feeling stressed, you may feel relief after eating a piece of chocolate because... Correct
Answer: it will raise dopamine levels
What reduces the number of receptors for dopamine Correct Answer: insulin
What percentage of Cardiac Rehab patients re overweight or obese Correct Answer: 80%
Why is fructose a promoter of obesity? Correct Answer: promotes liver fat accumulation which
promotes metabolic syndrome
What reduces the rate of carbohydrate absorption thus reducing insulin response Correct Answer:
Fiber
Depression among cardiac patients has been associated with Correct Answer: higher risk of
mortality
When a patient scores in the depressed range on a sreening, which acion should be taken Correct
Answer: results to be discussed with patient and health care provider
if a patient dense feeling of sadness they... Correct Answer: may have non-dysphoric depression
depression is relevant to CR because Correct Answer: depression reduces recovery from
exercise due to fatigue and low energy
the relationship between anger and hostility is.. Correct Answer: anger is the emotion, hostility
is the thought
social isolation is defined by Correct Answer: how connected a patient feels in their
relationships
stress management is designed to Correct Answer: respond to the "flight or fight" response
What is the best approach to preventing exercise-induced hypoglycemia Correct Answer: 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 Correct Answer:
(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 Correct Answer: <7%
Target Fasting BS for diabetic Correct Answer: 70-130
Target 2 hour post prandial BS for diabetic Correct Answer: <180
What insulin dose adjustment type would be most effective for preventing hypoglycemia during
moderate exercise Correct Answer: -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 Correct Answer: Insulin (Lantus,
Novolog) and Sulfonyureas (Glipizide, glimepiride)
How long can significant exercise induced enhancement of glucose uptake from muscle last
Correct Answer: 24-48 hours
Recommended calories from carbs, protetin, and fats to better manage diabetes Correct Answer:
~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
Cardiac effects of nicotine Correct Answer: modest increase in HR, BP and myocardial
contractility
The stethoscope for smoking is.. Correct Answer: a carbon monoxide analyzer that measures the
amount of CO the patient exhales
Carbon monoxide Correct Answer: binds more readily than oxygen to hemoglobin resulting in
relative hypoxia
The question regarding Time to First Cigarette is primarly used to.. Correct Answer: determine
the level of dependence
The gold standard for improving smoking quit rates is Correct Answer: pharmacotherapy which
doubles quit rates
Smoking cessation in patients with CVD reduces the risk of death by Correct Answer: 36%
In order to have the greatest benefit of lowering risk of MU or death, which should replase
saturated fat in diet Correct Answer: polyunsaturated fat
ANSWERS GRADED A
What influences a persons metabolic rate? Correct Answer: Exercise, gender, genetics, age
Which is the macronutrient that provides more than twice as many calories as the other two
Correct Answer: Fat
Foods that raise insulin levels have... Correct Answer: added sugar
When feeling stressed, you may feel relief after eating a piece of chocolate because... Correct
Answer: it will raise dopamine levels
What reduces the number of receptors for dopamine Correct Answer: insulin
What percentage of Cardiac Rehab patients re overweight or obese Correct Answer: 80%
Why is fructose a promoter of obesity? Correct Answer: promotes liver fat accumulation which
promotes metabolic syndrome
What reduces the rate of carbohydrate absorption thus reducing insulin response Correct Answer:
Fiber
Depression among cardiac patients has been associated with Correct Answer: higher risk of
mortality
When a patient scores in the depressed range on a sreening, which acion should be taken Correct
Answer: results to be discussed with patient and health care provider
if a patient dense feeling of sadness they... Correct Answer: may have non-dysphoric depression
depression is relevant to CR because Correct Answer: depression reduces recovery from
exercise due to fatigue and low energy
the relationship between anger and hostility is.. Correct Answer: anger is the emotion, hostility
is the thought
social isolation is defined by Correct Answer: how connected a patient feels in their
relationships
stress management is designed to Correct Answer: respond to the "flight or fight" response
What is the best approach to preventing exercise-induced hypoglycemia Correct Answer: 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 Correct Answer:
(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 Correct Answer: <7%
Target Fasting BS for diabetic Correct Answer: 70-130
Target 2 hour post prandial BS for diabetic Correct Answer: <180
What insulin dose adjustment type would be most effective for preventing hypoglycemia during
moderate exercise Correct Answer: -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 Correct Answer: Insulin (Lantus,
Novolog) and Sulfonyureas (Glipizide, glimepiride)
How long can significant exercise induced enhancement of glucose uptake from muscle last
Correct Answer: 24-48 hours
Recommended calories from carbs, protetin, and fats to better manage diabetes Correct Answer:
~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
Cardiac effects of nicotine Correct Answer: modest increase in HR, BP and myocardial
contractility
The stethoscope for smoking is.. Correct Answer: a carbon monoxide analyzer that measures the
amount of CO the patient exhales
Carbon monoxide Correct Answer: binds more readily than oxygen to hemoglobin resulting in
relative hypoxia
The question regarding Time to First Cigarette is primarly used to.. Correct Answer: determine
the level of dependence
The gold standard for improving smoking quit rates is Correct Answer: pharmacotherapy which
doubles quit rates
Smoking cessation in patients with CVD reduces the risk of death by Correct Answer: 36%
In order to have the greatest benefit of lowering risk of MU or death, which should replase
saturated fat in diet Correct Answer: polyunsaturated fat
