CCRP AACVPR Test Questions with 100% Correct Answers

What influences a persons metabolic rate? - Exercise, gender, genetics, age Which is the macronutrient that provides more than twice as many calories as the other two - Fat Foods that raise insulin levels have... - added sugar When feeling stressed, you may feel relief after eating a piece of chocolate because... - it will raise dopamine levels What reduces the number of receptors for dopamine - insulin What percentage of Cardiac Rehab patients re overweight or obese - 80% Why is fructose a promoter of obesity? - promotes liver fat accumulation which promotes metabolic syndrome What reduces the rate of carbohydrate absorption thus reducing insulin response - Fiber Depression among cardiac patients has been associated with - higher risk of mortality When a patient scores in the depressed range on a sreening, which acion should be taken - results to be discussed with patient and health care provider if a patient dense feeling of sadness they... - may have non-dysphoric depression depression is relevant to CR because - depression reduces recovery from exercise due to fatigue and low energy the relationship between anger and hostility is.. - anger is the emotion, hostility is the thought social isolation is defined by - how connected a patient feels in their relationships stress management is designed to - respond to the "flight or fight" response What is the best approach to preventing exercise-induced hypoglycemia - 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 - (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 - 7% Target Fasting BS for diabetic - 70-130 Target 2 hour post prandial BS for diabetic - 180 What insulin dose adjustment type would be most effective for preventing hypoglycemia during moderate exercise - -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 - Insulin (Lantus, Novolog) and Sulfonyureas (Glipizide, glimepiride) How long can significant exercise induced enhancement of glucose uptake from muscle last - 24-48 hours Recommended calories from carbs, protetin, and fats to better manage diabetes - ~40% calories from fiber-rich carbs ~30% calories from lean protein ~30% calories from healthy fats Cardiac effects of nicotine - modest increase in HR, BP and myocardial contractility The stethoscope for smoking is.. - a carbon monoxide analyzer that measures the amount of CO the patient exhales Carbon monoxide - binds more readily than oxygen to hemoglobin resulting in relative hypoxia The question regarding Time to First Cigarette is primarly used to.. - determine the level of dependence The gold standard for improving smoking quit rates is - pharmacotherapy which doubles quit rates Smoking cessation in patients with CVD reduces the risk of death by - 36% In order to have the greatest benefit of lowering risk of MU or death, which should replase saturated fat in diet - polyunsaturated fat What diet is recommended by AHA/ACC? - DASH diet What are the benefits to be gained from a resistance training program for an okder adults with DM? - -Increased insulin sensitivity -decreased fat mass -increase in lead body mass Recommended Reps, Sets, and RPE for resistance straining to enhance muscalr strenght and endurance in cardiac patients - 10-15 repetitions 1 set RPE 11-13 What are the three components of total energy expenditure? - -Thermic effect of food -resting metabolic rate -physical activity What percentage of thermic effect of food is composed of TEE - ~10%` What percentage of resting metabolic rate is composed of TEE - 60-75% What percentage of physical activity is composed of TEE - 15-30% What has the greatest impact on a persons RMR - lean body mass (skeletal muscle, organs, bones)