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