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CCRP AACVPR EXAM NEWEST 2025 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION, EXAMS OF NUTRITION

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CCRP AACVPR EXAM NEWEST 2025 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSION, EXAMS OF NUTRITION ACC/AHA Lifestyle Management Guidelines Dietary recommendations for lowering LDL-C - ANSWER-1) consume a dietary pattern that emphasizes; vegetables, whole grains and fruits; low fat dairy products, fish, legumes, non-tropical oils and nuts; limit sweets, sugared beverages and red meats 2) Aim for a diet of 5-6% of calories from saturated fats 3) Reduce percent calories from saturated fats 4) Reduce percent of calories from trans fats What are unrefined carbohydrates referred as - ANSWER-whole grains Strongest evidence for dietary patterns - ANSWER-DASH diet (dietary approach to stop hypertension) Function of statins - ANSWER-reduce cholesterol production in the liver by inhibiting the enzyme HMG CoA reductase When to investigate into possible secondary causes of hyperlipidemia - ANSWER-LDL-C 190 mg/dL and triglycerides 600mg/dL LDL-C reduction on low intensity statin - ANSWER-30% LDL-C reduction on moderate intensity statin - ANSWER-30-50% 2 | Page LDL-C reduction on high intensity statin - ANSWER-50% Secondary causes of elevated LDL - ANSWER-diets high in saturated fat/trans fat, weight gain, anorexia, diuretics, cyclosporine, glucocorticoids, amiodarone, binary obstruction, nephrotic syndrome, hypothyroidism, obesity, pregnancy Secondary causes of elevated triglycerides - ANSWER-Diets high in refined carbs, weight gain, very low fat diets, excessive alcohol intake, estrogens, glucocorticoids, bile acid sequestrates, protease inhibitors, retinoid acid, anabolic steroids, sirolimus, ralozifene, tamoxifen, beta blockers, thiazide diuretics, chronic renal failure, nephrotic syndrome, lipodystrophies, diabetes, hypothyroidism, obesity, pregnancy Rosuvastatin 5, 10mg intensity - ANSWER-moderate Rosuvastatin 20, 40 mg intensity - ANSWER-high Atorvastatin 10, 20 mg intensity - ANSWER-moderate Atorvastatin 40, 80mg intensity - ANSWER-high Simvastatin 10mg intensity - ANSWER-low Simvastatin 20, 40 mg intensity - ANSWER-moderate Pravastatin 10, 20 mg intensity - ANSWER-low Pravastatin 40, 80mg intensity - ANSWER-moderate 3 | Page Lovastatin 20mg intensity - ANSWER-low Lovastatin 40mg intensity - ANSWER-moderate Fluvastatin XL 80mg intensity - ANSWER-moderate Fluvastatin 20, 40mg intensity - ANSWER-low Fluvastatin 40 mg BID intensity - ANSWER-moderate Pitavastatin 1mg intensity - ANSWER-low Pitavastatin 2, 4mg intensity - ANSWER-moderate Moderate - High intensity Statins - ANSWER-Rosuvastatin, Atorvastatin Low-Moderate intensity Statin - ANSWER-Simvastatin Pravastatin Lovastatin Fluvastatin Pitavastatin What is the decision based on about whether to initiate statin therapy and what dose - ANSWER-based on an individuals global CVD risk rather than LDL level

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CCRP AACVPR EXAM NEWEST 2025 ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST VERSION, EXAMS OF
NUTRITION
ACC/AHA Lifestyle Management Guidelines Dietary recommendations for lowering LDL-C -
ANSWER-1) consume a dietary pattern that emphasizes; vegetables, whole grains and fruits; low
fat dairy products, fish, legumes, non-tropical oils and nuts; limit sweets, sugared beverages and
red meats

2) Aim for a diet of 5-6% of calories from saturated fats

3) Reduce percent calories from saturated fats

4) Reduce percent of calories from trans fats



What are unrefined carbohydrates referred as - ANSWER-whole grains



Strongest evidence for dietary patterns - ANSWER-DASH diet

(dietary approach to stop hypertension)



Function of statins - ANSWER-reduce cholesterol production in the liver by inhibiting the
enzyme HMG CoA reductase



When to investigate into possible secondary causes of hyperlipidemia - ANSWER-LDL-C >190
mg/dL and triglycerides >600mg/dL



LDL-C reduction on low intensity statin - ANSWER-<30%



LDL-C reduction on moderate intensity statin - ANSWER-30-<50%

,2|Page




LDL-C reduction on high intensity statin - ANSWER->50%



Secondary causes of elevated LDL - ANSWER-diets high in saturated fat/trans fat, weight gain,
anorexia, diuretics, cyclosporine, glucocorticoids, amiodarone, binary obstruction, nephrotic
syndrome, hypothyroidism, obesity, pregnancy



Secondary causes of elevated triglycerides - ANSWER-Diets high in refined carbs, weight gain,
very low fat diets, excessive alcohol intake, estrogens, glucocorticoids, bile acid sequestrates,
protease inhibitors, retinoid acid, anabolic steroids, sirolimus, ralozifene, tamoxifen, beta
blockers, thiazide diuretics, chronic renal failure, nephrotic syndrome, lipodystrophies, diabetes,
hypothyroidism, obesity, pregnancy



Rosuvastatin 5, 10mg intensity - ANSWER-moderate



Rosuvastatin 20, 40 mg intensity - ANSWER-high



Atorvastatin 10, 20 mg intensity - ANSWER-moderate



Atorvastatin 40, 80mg intensity - ANSWER-high



Simvastatin 10mg intensity - ANSWER-low



Simvastatin 20, 40 mg intensity - ANSWER-moderate



Pravastatin 10, 20 mg intensity - ANSWER-low



Pravastatin 40, 80mg intensity - ANSWER-moderate

,3|Page




Lovastatin 20mg intensity - ANSWER-low



Lovastatin 40mg intensity - ANSWER-moderate



Fluvastatin XL 80mg intensity - ANSWER-moderate



Fluvastatin 20, 40mg intensity - ANSWER-low



Fluvastatin 40 mg BID intensity - ANSWER-moderate



Pitavastatin 1mg intensity - ANSWER-low



Pitavastatin 2, 4mg intensity - ANSWER-moderate



Moderate - High intensity Statins - ANSWER-Rosuvastatin, Atorvastatin



Low-Moderate intensity Statin - ANSWER-Simvastatin

Pravastatin

Lovastatin

Fluvastatin

Pitavastatin



What is the decision based on about whether to initiate statin therapy and what dose -
ANSWER-based on an individuals global CVD risk rather than LDL level

, 4|Page


Reassessment recommendations of lipid profile repeating - ANSWER-repeat in 4-12 weeks after
initiation of statin therapy and 3-12 months periodically thereafter to access for the expected
response to therapy



Four clinical groups that benefit from statin therapy - ANSWER--Clinical ASCVD

-LDL-C ≥190

-Diabetes, aged 40-75, LDL 70-189 and no clinical ASCVD

-Aged 45-70, LDL 70-189, no diabetes or clinical ASCVD and 10 year risk for ASCVD ≥7.5%



Intensity of statin recommended for groups with Clinical ASCVD - ANSWER-High intensity for
those ≤75

Moderate intensity for those >75



Intensity of statin recommended for groups with LDL ≥190 - ANSWER-High intensity



Intensity of statin recommended for groups with Diabetes, aged 40-75, LDL 70-189 and no
clinical ASCVD - ANSWER-Moderate intensity

*If 10 year risk ≥7.5%, option use of high intensity



Intensity of statin recommended for groups with Ages 45-70, LDL 70-189, no DM, or clinical
ASCVD and 10 year risk for ASCVD ≥7.5% - ANSWER-Moderate to high intensity



Clinical ASCVD - ANSWER-- acute coronary syndrome

- history of MI

- stable or unstable angina

- coronary or other arterial revascularization

- stroke/TIA

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