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Exam (elaborations)

CCEP Exam Questions and Answers

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CCEP Exam Questions and Answers high risk @ moderate & vigorous intensity: what/who is needed medical exam, exercise test & MD supervision prior to exercise moderate risk @ vigorous intensity: what/who is needed only medical exam prior to exercise low risk @ moderate & vigorous int...

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  • September 18, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Ccep
  • Ccep
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CCEP Exam Questions and Answers

high risk @ moderate & vigorous intensity: what/who is needed - answer medical exam,
exercise test & MD supervision prior to exercise

moderate risk @ vigorous intensity: what/who is needed - answer only medical exam
prior to exercise

low risk @ moderate & vigorous intensity: what/who is needed - answer nothing

moderate risk @ moderate intensity: what/who is needed - answer nothing

which patients (risk stratified) can be supervised by non-physician health care
professionals if professionals are specifically trained in CET & physician is
readily/immediately available? - answer all risk groups can be; low risk can be
supervised w/o physician immediately available

who should have PFT's done? - answer all smokers <45y.o & anyone presenting with
dyspnea

ECG monitoring during test - answerrecorded last 15secs of each stage

BP monitoring during test - answermeasured/recorded last 45secs of each stage

HR monitoring during test - answerrecorded last 5secs of each stage

ECG monitoring after test - answermonitored continuously, recorded immediately post
exercise, during last 15secs of 1st minute then every 2 minutes thereafter

BP monitoring after test - answermeasured & recorded immediately post exercise then
every 2 minutes thereafter

HR monitoring after test - answermonitored continuously then recorded during last
5secs of each minute

technetium (tc) -99m - answercomparison of rest & stress imaging permits ID of fixed &
reversible perfusion abnormalities as well as differentiation; permits higher does with
less radiation exposure; preferred imaging agent

thallum 201 - answercirculates myocardium showing images of where lack/inadequate
blood flow is; shows images of inadequate perfusion

, dobutamine - answerelicits wall motion abnormalities by increasing HR & therefore
myocardial O2 demand; infused intravenously with dose increased gradually until
maximal does or endpoint is acheived

adenosine (dipyridamole) - answercauses maximal coronary vasodilation in normal
epicardial arteries; rest images then compared with imaging obtain after coronary
vasodilation

optimal ExRx - answercardiorespiratory fitness (CRF), muscular strength, muscular
endurance, flexibility, body comp, & neuromotor fitness (gradual progression of
volume/intensity)

overload principle - answerstates exercise below minimum intensity will not challenge
body sufficiently to result in changes in physiologic parameters

intensity (light, moderate, vigorous( - answerlight = 30-40%
moderate = 40-60%
vigorous = 60-90%

HRR method - answer((HRpeak - HRrest) x %intensity) + HRrest

resistance FITT - answer2-3 days/week
10-15 reps for middle-aged adults

flexibility FITT - answer2/3 days/week
30-60 secs

pregnancy maximal test: is physician supervision necessary? - answerfor all pregnant
woman, yes.

ABI's (supine prior to exercise) levels - answernormal >1.0
moderate .8 - .9
mod. severe .5 - .8
severe <.5

ABI's post-exercise - answernormal No change
moderate >.5
mod. severe >.2
severe <.2

**rest for 15 minutes post-exercise, then calculate again

PAD FITT - answerweight-bearing 3-5 days/week, resistance >2
30-60 minutes

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