edit RCIS 📚Practice Exam 2024 version

Thrombus formation

What is a complication associated with mechanical cardiac valves?

Perforation

What is the most common complication while performing an endomyocardial biopsy?

IVUS

What imaging modality is used to confirm proper stent opposition?

ASA, morphine, nitro, O2

Immediate ED general treatment should include (MI) :

Hypotension, tachycardia, lower back pain, a falling hematocrit

What initial signs of a retroperitoneal bleed May a patient exhibit?

Nausea, bradycardia, hypotension

Which of the listed signs and symptoms may indicate a vasovagal response?

Stent, Angioplasty, Covered Stent

Select the methods used to treat flow limiting dissections?

Stiffer wire, guide with side holes, Temporary pacing wire

When using a rotational atherectomy device in the RCA, what else should you consider using?

Transcutaneous

Which of the following pacing methods requires the use of external pacing pads?

Midazolam (Versed)

Which of the following is the most commonly used drug for sedation during cardiac Cath?

Angioseal

Which vascular closure device has a suture that is self-tightening?

Inferior LV wall

Which of the following segments of the left ventricle would most likely be affected by a significant stenosis of the RCA?

image intensifier (II)

The device that converts X-rays into visible light is the:

LAO Cranial

________ exposes the operator standing on the patient's right side to the highest dose of radiation.

In the antecubital area on the inner side of the arm

The cephalic vein is located:

Orbital and directional

Which atherectomy catheters shave and sand away plaque?

Anterior/Posterior

Prior to deploying a vascular closure device in the femoral artery, which angiographic view should be used to visualize the femoral artery bifurcation?

Large a wave in the LA

Which of the following hemodynamic abnormalities would be observed with mitral stenosis?

acute MR (e.g., ruptured chordae tendineae)

Large V-waves in the pulmonary capillary wedge pressure (PCWP) waveform traditionally indicate:

severe mitral regurgitation (MR)

V-waves greater than twice the mean pulmonary capillary wedge pressures are suggestive of:

Arch of aorta, internal carotid, external carotid

Where are baroreceptors located?

True

True/False- A wire is needed for both placement and removal of the Impella?

Angled Pigtail

________catheter is the "Gold Standard" for a LHC.

near medial malleolus

The posterior tibial pulse is located:

On the anterior foot

The dorsal is pedal pulse is located:

Proximal vein graft

A washer that is visualized on fluoroscopy is placed to mark the:

IV- Severe limitation of activity; symptomatic at rest

What is the NYHA classification of a patient on a ventricular assist device?

PT/PTT

What is an alternative to monitor heparin therapy if ACT is not available?

150-250

What is the ACT needed for Impella placement?

Atrial thrombus

Prior to mitral valvuloplasty a TEE is needed because of what absolute contraindication?

Pulsus alternans

regular rhythm combined with alternating strong and weak arterial pulse; usually indicative of left-sided heart failure

Proximal to the lesion

When using the Rotablator where should the burr start rotating?

Decreased O2

The drive to breath in a person with COPD is?

2.8 mm

RCA vessel diameter:

3.4 mm

Circumflex (CX) vessel diameter:

4.5 mm

Left Main (LM) vessel diameter:

Adenosine

Which medication is most commonly given to a patient with SVT?

Antithrombin

Heparin potentiates the action of:

COxSVR

What is the formula for BP?

EDV-ESV

How do you determine Stroke volume (SV)?

Ejection Fraction (EF)

Percentage calculation of how much blood the LV can eject with one contraction

SV/EDV x 100

What is the EF formula?

HRxSV/1000

How do you calculate Cardiac Output (CO)?

CO/BSA

What is the Cardiac index formula?

(3)SVC+(1)IVC/4

What is Flamm's equation?

Flamm's Equation

When calculating a L to R shunt occurring in the RA, what formula should be used for mixed venous saturation?

tunica externa

Define #1

tunica media

Define #2

tunica interna (intima)

Define #3

third degree

What type of heart block is this?

1st degree

What type of heart block is this?

Heparin

Activated clotting time (ACT) is used to asses the effects of which medication?

4.50

What French size is equal to a 1.5 mm rotational atherectomy burr?

Poor stent apposition

Which of the following is associated with in-stent restenosis?

Left Atrium

In the AP projection, which if the following structures is the most posterior?

Rapid saline injection

What is used to reduce the cavitation effect and expanding gas bubbles inside the artery during laser atherectomy?

Extraction

What type of catheter is used for a thrombectomy?

Aortic insufficiency (Regurgitation)

A "WAterhammer" pulse is caused by what valvular disease?

Circle of Willis

Define #1

basilar artery

Define #2

vertebral artery

Define #3

internal coratid artery

Define #4

External Coratid artery

Define #5

common carotid artery

Define #6

subclavian artery

Define #7

innominate artery

Define #8

Aorta

Define #9

endothelial cells are damaged with fatty streak which is accumulation of lipids in the intimal layer of the artery.

Atherosclerosis begins when?

ST depression

myocardial ischemia stage:

An increase in sodium bicarbonate

___________will cause metabolic alkalosis

22-26

Sodium Bicarbonate range

35-45

CO2 range in blood

7.35-7.45

Normal pH of blood

ST elevation

injury (MI)

CX

An EKG demonstrates ST elevation in leads V5, V6, I & AVL. Which coronary artery is most likely occluded?

Potential for rejection of the transplanted heart

When performing a myocardial biopsy post heart transplant, the biopsy is performed to evaluate?

RV

When using a temporary pacer, where is the lead placed?

Cutting/scoring balloon

Calcified lesions are best managed with which device?

Inferior wall

An EKG demonstrates ST elevation in leads II, III & AVF what type of infarct would you suspect?

pull clot back into a vein

A Fogarty balloon is commonly used to:

Gagging, holding breath, bearing down, coughing, splash face with cold water (H2O)

Vagal maneuvers:

S3

ventricular gallop is associated with which heart sound?

Creatinine

What blood chemistry would be used to determine the amount of contrast used in an angiographic procedure?

Left brachial, left pedal

An ABI measures the difference between the ________ and ________ pulses.

0.7

An ABI reading of ________ indicates a flow limiting lesion.

Anterior/posterior (AP)

Prior to deploying a vascular closure device in the femoral artery which view should be used to visualize the bifurcation?

One finger breath below the inguinal fold

Cannulation of the femoral artery should be:

SFA, External iliac artery, given inadequate compression time

Pseudoaneurysm occurs most commonly when the puncture site is the:

Thrombin injection into the sac, ultrasound guided compression, surgical management

Treatment of a Pseudoaneurysm includes:

palpable pulsatile mass, presence of a systolic bruit, significant site pain

Physical signs of a Pseudoaneurysm may include:

.12-.20

What is a normal PR-interval?

Mynx

PEG hydrogel plug:

Perclose

Suture mediated:

Angio-Seal

Collagen & suture mediated closure device

Starclose

Nitinol clip:

250-350 seconds

What is the ACT necessary before a PCI is safely carried out?

4

For PCI non-emergent planned procedures warfarin is discontinued ________days prior.

5, 30

For PCI anticoagulation therapy an ACT of 250-350 seconds is necessary before a PCI is safely carried out. ACT is checked within _________min of 1st dose then _________min throughout procedure.

Nausea, bradycardia, hypotension

Signs & symptoms that may indicate a vasovagal response:

Atherosclerosis

Buildup of fatty/fibrotic plaque on the vessel wall: