CCRP Complete Study Guide/ 223 Q&A/ 2025.
LVH Treatment (Meds) - Answer: Beta Blocker, ACE Inhibitor, Diuretic, Ca+ Channel Blocker
LVH Influence on exercise test - Answer: False Positive
LVH is often associated with - Answer: HTN
Afib/Flutter treatment (Meds) - Answer: Digitalis/Digoxin, Amiodarone, Beta-Blocker
Afib/Flutter influence on exercise test - Answer: ST Depression
SVT treatment (meds) - Answer: Amiodarone, Ca+ channel blocker, Beta Blocker, vagul
maneuver
First line drug for HTN - Answer: Diuretic
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,2 most common diuretics - Answer: Lasix and Thiazides
Adverse reactions of diuretics - Answer: Dizziness, Low BP, Electrolyte imbalance
Diuretic indications - Answer: Heart failure, Edema, HTN, Certain kidney disorders
Lasix influence on exercise test - Answer: ST Depression/False Positive, PVCs, Hypokalemia
Diuretic effect on the body/exercise - Answer: Excrete sodium and water, enhances sodium and
chloride excretion and prevents reabsorption, some increase potassium excretion and some
spare potassium
5 Classes of anti-arrhythmics - Answer: Class 1: sodium channel blockers
Class 2: beta-blockers
Class 3: potassium channel blockers
Class 4: calcium channel blockers
Class 5: miscellaneous agents that cannot be categorized into the above groups (adenosine,
magnesium and potassium salts, digitalis, atropine)
Beta Blocker Indications - Answer: HTN, Angina, SVT, Afib, Rate Control, Acute MI, Migraines,
Anxiety, Systolic Heart Failure
Beta blocker mechanism of action - Answer: By blocking sympathetic stimulation of heart at
Beta-1 receptors, reduce heart rate and contractility, thus decreasing the metabolic demands on
the heart and reducing risk of ischemia, have slight effect on beta-2
Beta Blockers decrease - Answer: HR, SV, Cardiac Output, BP
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, Amiodarone mechanism - Answer: prolongs action potential, inhibits sympathetic, slows sinus,
PR, QT, vasodilation
Ca+ Channel Blockers (Dihydropyridines) Indications - Answer: HTN, Angina, Ischemic Heart
Disease
Ca+ Channel Blockers lower - Answer: contractility, BP, TPR
Ca+ Blocker Contraindications - Answer: CHF, Pregnancy, Post MI
ACE Inhibitor Indications - Answer: HTN, CAD, Systolic HF, Diabetic nephropathy, CKD
ACE Inhibitors stop - Answer: Conversion from angiotensin I to II receptors
ACE Inhibitors decrease - Answer: Volume, Cardiac Output, HR, Sympathetic nervous system
influence
Digitalis/Digoxin Indications - Answer: HF, Increasing AV Block, SVT, Afib/Flutter
Diabetes Mellitus - Answer: Is a group of metabolic diseases characterized by an elevated blood
glucose concentration (hyperglycemia) as a result of defects in insulin secretion and/or an
inability to use insulin.
Type 1 DM - Answer: Caused by the autoimmune destruction of the insulin producing beta-cells
of the pancreas. Absolute insulin deficiency and a high tendency for ketoacidosis.
Type 2 DM - Answer: Caused by insulin-resistant skeletal muscle, adipose tissue, and liver
combined with an insulin secretory defect. Majority of pt are obese, with central visceral
adiposity.
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LVH Treatment (Meds) - Answer: Beta Blocker, ACE Inhibitor, Diuretic, Ca+ Channel Blocker
LVH Influence on exercise test - Answer: False Positive
LVH is often associated with - Answer: HTN
Afib/Flutter treatment (Meds) - Answer: Digitalis/Digoxin, Amiodarone, Beta-Blocker
Afib/Flutter influence on exercise test - Answer: ST Depression
SVT treatment (meds) - Answer: Amiodarone, Ca+ channel blocker, Beta Blocker, vagul
maneuver
First line drug for HTN - Answer: Diuretic
Page 1 of 26
,2 most common diuretics - Answer: Lasix and Thiazides
Adverse reactions of diuretics - Answer: Dizziness, Low BP, Electrolyte imbalance
Diuretic indications - Answer: Heart failure, Edema, HTN, Certain kidney disorders
Lasix influence on exercise test - Answer: ST Depression/False Positive, PVCs, Hypokalemia
Diuretic effect on the body/exercise - Answer: Excrete sodium and water, enhances sodium and
chloride excretion and prevents reabsorption, some increase potassium excretion and some
spare potassium
5 Classes of anti-arrhythmics - Answer: Class 1: sodium channel blockers
Class 2: beta-blockers
Class 3: potassium channel blockers
Class 4: calcium channel blockers
Class 5: miscellaneous agents that cannot be categorized into the above groups (adenosine,
magnesium and potassium salts, digitalis, atropine)
Beta Blocker Indications - Answer: HTN, Angina, SVT, Afib, Rate Control, Acute MI, Migraines,
Anxiety, Systolic Heart Failure
Beta blocker mechanism of action - Answer: By blocking sympathetic stimulation of heart at
Beta-1 receptors, reduce heart rate and contractility, thus decreasing the metabolic demands on
the heart and reducing risk of ischemia, have slight effect on beta-2
Beta Blockers decrease - Answer: HR, SV, Cardiac Output, BP
Page 2 of 26
, Amiodarone mechanism - Answer: prolongs action potential, inhibits sympathetic, slows sinus,
PR, QT, vasodilation
Ca+ Channel Blockers (Dihydropyridines) Indications - Answer: HTN, Angina, Ischemic Heart
Disease
Ca+ Channel Blockers lower - Answer: contractility, BP, TPR
Ca+ Blocker Contraindications - Answer: CHF, Pregnancy, Post MI
ACE Inhibitor Indications - Answer: HTN, CAD, Systolic HF, Diabetic nephropathy, CKD
ACE Inhibitors stop - Answer: Conversion from angiotensin I to II receptors
ACE Inhibitors decrease - Answer: Volume, Cardiac Output, HR, Sympathetic nervous system
influence
Digitalis/Digoxin Indications - Answer: HF, Increasing AV Block, SVT, Afib/Flutter
Diabetes Mellitus - Answer: Is a group of metabolic diseases characterized by an elevated blood
glucose concentration (hyperglycemia) as a result of defects in insulin secretion and/or an
inability to use insulin.
Type 1 DM - Answer: Caused by the autoimmune destruction of the insulin producing beta-cells
of the pancreas. Absolute insulin deficiency and a high tendency for ketoacidosis.
Type 2 DM - Answer: Caused by insulin-resistant skeletal muscle, adipose tissue, and liver
combined with an insulin secretory defect. Majority of pt are obese, with central visceral
adiposity.
Page 3 of 26
