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Exam of 5 pages for the course ccep at ccep (CCEP Exam)
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CCEP Examhigh 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 - answer recorded 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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