RCIS Practice Test

What is the formula for calculating cardiac output?

CO= HR x SV

What is stroke volume related to?

preload

Preload is most impacted by.....

Increased filling volumes

A patient with chronic untreated hypertension would demonstrate....

Increased afterload

Vascular resistance/pressure is most influenced by....

Radius of the vessel

The formula for BP is....

BP = CO x SVR

What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency

V wave

An elevated RVEDP is found in which pathology

RV infarct

If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment

JVD

What is the most common cause of Pulmonic stenosis

Congenital

The Blue proximal part of the swan is located how far from the distal tip of the swan

30 cm

When performing a thermodilution cardiac output, the operator injects 10 cc of saline into the _____ and the temperature change is measured in the ______

RA, PA

Equalization of RVEDP and LVEDP are found in

restrictive pericarditis

Signs of Right sided heart failure include

JVD

Based on these oxygen saturations, what type of shunt is present? SVC sat= 67% IVC sat= 71% RA sat= 85% RV sat= 85% PA sat= 85% LA sat= 98% LV sat= 98% AO sat= 98%

L to R ASD

What type of ASD, located in the middle 1/3 of the atrial septum (the former site of the fossa ovalis) is called

Ostium Secundum

What is the Flamm's equation

3(SVC) + 1(IVC)/4

The formula used to calculate MAP is

1 (systolic) + 2 (diastolic)/3

What are the four anomalies associated with Tetralogy of Fallot

Pulmonic stenosis, over riding aorta, RVH, VSD

Which fetal anomaly is characterized by a large VSD over which a large single great vessel arises

Truncas Arteriosus

Pulsus Paradoxus is a sign of

Cardiac Tamponade

What does RAD stand for

Radiation absorbed dose

What component of the X-ray system converts light rays into images

Image intensifier

What is the maximum annual dose of radiation one can receive annually

5 REM

Lead protection should be at least how many millimeters of lead

.5

What is the minimum safe distance to position oneself from the X-ray source

6 feet

In an X-ray tube what is the charge on the cathode and the anode

Cathode: positive
Anode: negative

Which view exposes the operator to the greatest amount of radiation

Lateral

What converts x-rays into an image

Image Intensifier

The contrast that is best for a patient is

low osmolality

Radiolucent means

X-rays are permitted to pass through

Radiopaque means

X-rays are not permitted to pass through

ReoPro works on

IIb/IIIa receptors

Heparin potentiates the action of

Antithrombin

Fibrinogen is converted to Fibrin by the action of

Thrombin

There are _________ known pathways to imitate the clotting cascade

2

Aspirin inhibits the action of

Arachidonic Acid

Which agent is not an antiplatelet

Heparin

If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give

fluids to hydrate

If a patient is taking NPH insulin, which medication should not be given

Protamine

Which medication is most commonly given to a patient with SVT

Adenosine

True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized

True

Lidocaine converts from 2GM in 500cc to

4 mg in 1 cc

Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of

400 mg in 250cc

The best short acting medication/anxietolytic to sedate a patient is

Versed/Midazolam

The drug of choice for treating coronary spasm is

NTG

Amiodarone is used to treat

Atrial and ventricular arrhythmias

What medication is used as a preload and afterload reducer

NTG

Diabetic patients have a greater incidence of developing _______ post contrast administration

Renal failure

Which rhythm is most likely to become lethal

Mobitz 2

The Impella catheter most closely resembles

Pigtail

When performing an LV angiogram with the LV injector, what is the purpose of setting a "rate of rise"

It makes for a smoother injection, less catheter whip, limits ectopy

An EKG demonstrates ST elevation in leads II, III, and AVF. What type of infarct would you suspect

inferior wall

An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded

Cx

How do you test the defibrillator

discharge into the defibrillator (dummy load)

What happens if you deliver a shock to a patient on the T Wave

You could put them into Vfib

In 1st degree heart block, where is the conductive delay

AV node

What is the normal PR interval

.12-.20

If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and is not responding, what should you do

Unsymchronized cardioversion

If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB. What should you do

Do immediate synchronized cardioversion

A common complication of placing a pacing electrode/wire is

Perforation/Preicardial Effusion/Tamponade

A pacing generator that paces in both chambers, senses in the ventricle, and inhibits QRS complexes is a

DVI

A pacing generator that paces both chambers, senses both chambers, and triggers or inhibits is a

DDD

A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a

AAI

What is the formula for calculating SVR

Mean OR- Mean RA/CO

Which cardiac output would be most accurate in a patient with tricuspid regurgitation

FICK

Which right heart pressure best reflects LV preload

PCWP

Which balloon is used for valvuloplasty

inoue

Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a pressure that is lower in the

Aortic arch

Calculate the cardiac output of a patient with the following data Arterial O2 sat= 98% Pulmonary artery O2 = 74% RV O2 sat= 71% Hgb= 14.7 PCWP= 12 O2 consumption= 250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70

5.2 L/min

Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40% HR= 70

50 cc

Calculate an Aortic valve area with the following information HR= 85 Mean gradient= 64 CO= 4.2L/min BP= 136/74 Sep= .37

.37 cm2

Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and an angiographic CO of 5.4L/min

24%

This patient has a cardiac output of 5.1L/min. Calculate the SVR of this patient with the following data Mean PA= 24 Mean RA= 5 Mean PCWP= 15 Mean AO= 95

1411 dynec/sec/cm-5

If a patient has a pulsatile mass below the sheath site, and a bruit is a present, what should be suspected

Pseudoaneurysm

An abdominal aortic pulsation greater than 3.0 cm can be a finding for what

Aortic aneurysm

Back pain not relieved NTG, morphine or oxygen and not associated with EKG changes can indicate

Aortic dissection

Which stent is self expanding

Wall stent

A catheter has a diameter of 2.66mm. What French size is it

8FR

In relation to a coronary lesion where should the wire not be placed
A. As distal as possible
B. In the nearest side branch
C. In a distal side branch
D. Proximal to the lesion
E. All of the above

All of the above

Which lesion is best addressed with a Rotoblador

Calcified

Which catheter should be used to cannulate an LAD with a high take off

Amplatz

Landmarks for an internal jugular approach include

Head of the sternocledomastoid muscle and the clavicular head

When performing a myocardial biopsy where are the tissue samples taken from

RV

Hypokinetic means

decreased movement

In the formula BP= HR x SV x Systematic Vascular Resistance, Dobutamie acts as an ____, to ____ by increasing____

Inotrope, increase stroke volume, contractility

Which of the following are Angiostensin Receptor Blockers (ARBS)
A. Lisiopril
B. Losartan
C. Metoprolol
D. Valstartan

Losartan and Valstartan

NTG works to decrease preload when given during an MI by dilating

Veins

What is the function of low dose dopamine, 1-5mcg/kg/min

Improves renal function and urine output

If the patient complains of pain down the leg when attempting to cannulate the right femoral artery, which way do you move the needle

Medial

Coronary arteries perfuse best during

Diastole

What is the purpose of the IABP

Increased coronary perfusion, decreased afterload

An IMA catheter most nearly resembles a

IR 4

What is the recommended rate of Burr rotation when using a Rotoblador

160,000-210,000

Overtightening of the Tuohy Borst will

prevent balloon inflation or deflation

The best device for management of an acute thrombus in a vessel is

Angioget

Which device employs the use of sterile heperinilized saline to evacuate thrombus

Angioget

What are the signs and symptoms of a retroperitoneal blood

back or flank pain, drop in blood pressure, tachycardia, drop in Hgb and Hct

Calcified lesions are best managed with which device

Cutting/scoring balloon

When using a temporary pacer, where is the lead placed

RV