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RCIS Exam Study Guide: Questions and Answers, Exams of Health sciences

Mayo Clinic Graduate School of Biomedical Sciences Health sciences

This study guide provides a collection of questions and answers related to the rcis (registered cardiovascular invasive specialist) exam. It covers various topics relevant to the field, including medication use, ekg interpretation, cardiac procedures, and device knowledge. The guide is designed to help students prepare for the exam by providing a comprehensive overview of key concepts and practical applications.

Typology: Exams

2024/2025

Available from 02/14/2025

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2025 RCIS EXAM STUDY GUIDE.QUESTIONS WITH 100%

CORRECT ANSWERS. GRADED A+

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

- ANSWER - versed

What medication is used as a preload and afterload reducer?

- ANSWER - NTG

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

suspect? (Which wall is affected)

- ANSWER - inferior wall

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

most likely occluded?

- ANSWER - Cx

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

FICK

Which balloon is used for Valvuloplasty?

- ANSWER - Inoue

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

suspected?

- ANSWER - pseudoaneurysm

Partial preview of the text

Download RCIS Exam Study Guide: Questions and Answers and more Exams Health sciences in PDF only on Docsity!

2025 RCIS EXAM STUDY GUIDE.QUESTIONS WITH 100%

CORRECT ANSWERS. GRADED A+

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

ANSWER - versed What medication is used as a preload and afterload reducer?
ANSWER - NTG An EKG demonstrates ST elevation in leads II, III, and AVF. What type of infarct would you suspect? (Which wall is affected)
- ANSWER - inferior wall An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded?
ANSWER - Cx Which cardiac output would be most accurate in a patient with tricuspid regurgitation? - ANSWER - FICK Which balloon is used for Valvuloplasty?
- ANSWER - Inoue If a patient has a pulsatile mass below the sheath site, and a bruit is present, what should be suspected?
ANSWER - pseudoaneurysm

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

ANSWER - aortic aneurysm Back pain not relieved with NTG, morphine or oxygen and not associated with EKG changes can indicate?
ANSWER - aortic dissection Which stent is self expanding? a. cypher b. wall stent c. vision - ANSWER - wall stent 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 - ANSWER - all of the above Which lesion is best addressed with a Rotoblador? a. calcified b. soft thrombus c. new dissection d. very small vessels - ANSWER - calcified

ANSWER - dyskinectic An ABI measures? – ANSWER - difference between brachial and ankle systemic blood pressure The dorsalis pedal pulse is located?
- ANSWER - anterior foot The posterior tibial pulse is located?
ANSWER - near the medial malleolus The site of a myoxma is in the?
- ANSWER - LA The best catheter to cross a stenotic aortic valve is?
ANSWER - AL The IABP catheter should be placed?
ANSWER - above the renal artery and below the left subclavian The Amplatzer Septal Occluder device is used to?
ANSWER - close a PFO Renal artery stenosis is most commonly found in the?
ANSWER - proximal renal artery FFR measures? - ANSWER - pressure distal to a stenosis

How would you monitor heparin therapy if ACT is not available? – ANSWER - PT/PTT

ANSWER - Watchman for LAA
ANSWER - TAVR
ANSWER - Mitralclip for Mitral regurg After you put catheter in and remove wire what should you do next?
ANSWER - Aspirate and flush Contraindications for balloon pump?
ANSWER - AO regurg Used while performing angioplasty and stenting procedures in coronary saphenous vein bypass grafts carotid arteries – ANSWER - filterwire How is a loop recorder implanted? - ANSWER - subcutaneously on the left side about the level of the second or third rib. Active Closure Devices - ANSWER - Angioseal Perclose Starclose

Atherectomy devices - ANSWER - Turbo Hawk (Directional) CSI (Orbital) Diamondback (Orbital) Laser (Vaporizes) Rotoblator (Rotational) Jet stream What determines the number of electrons generated by an x-ray tube?

Frame rate
Kilovoltage
Pulse width
Milliamperage - ANSWER - Kilovoltage What medication is cardiac glycoside?
Lasix
Digoxin
Hyperstat
Hydralazine - ANSWER - Digoxin What type of arterial puncture is associated with an increased risk of retroperitoneal bleeding?
Internal Femoral
External Femoral
Low common femoral

High common femoral - ANSWER - High common femoral What are the contraindications for rotational atherectomy? Choose three contraindications.

Ostial Lesion
Existing dissection 3.Unprotected LMCA 4.Saphenous vein graft lesion 5.Angiographic evidence of thrombus - ANSWER - 2,4, What type of balloon catheter should be used to treat fibrotic plaque and neo-intimal hyperplasia?

Scoring
Perfusion
Intra-aortic
Valvuloplasty - ANSWER - Scoring What planes are represented in this image? Choose two planes.
AP
LAO
RAO
Caudal
Cranial
Lateral - ANSWER - LAO Caudal What devices are used to treat flow limiting dissections. Choose two devices.

What INITIAL sign of retroperitoneal bleed may a patient exhibit? Choose three

Hypotension 2.Bradycardia
Lower back pain
A falling hematocrit
A falling respiratory rate - ANSWER - 1,3, What condition is associated with an elevated pulse pressure?

Hyperlipidemia
Arterial sclerosis
Aortic insufficiency
Hypertrophic cardiomyopathy - ANSWER - Aortic insufficiency What should be done to manage the rapid loss of balloon pressure during inflation?
Increase inflation pressure to the balloon
Decrease inflation pressure to the balloon

Inject the coronary before removing balloon
Aspirate the coronary before removing the balloon - ANSWER - Inject the coronary before removing balloon What valve has been replaced in the image?
Aortic
Mitral
Tricuspid
Pulmonic - ANSWER – Aortic

2.Administer antibiotics

Position wrist in prone position
Position wrist in supine position
Start IV on same arm as radial access - ANSWER - 1, Immediate treatment for a MI should include:

Aspirin, Lasix, nitroglycerin, and oxygen.
Aspirin, Lasix, morphine, and nitroglycerin.
Aspirin, morphine, nitroglycerin, and oxygen.
Aspirin, fibrinolytics, morphine, and nitroglycerin. - ANSWER - MONA What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI?
Vaproizes plaque
Removes thrombus
Scores fibrotic plaque

Debulks calcific plaque - ANSWER - Debulks What is represented by the circular tracings in this IVUS image? Calcium Stenosis Dissection Under expanded stent - ANSWER - Stenosis What hemodynamic waveform would be observed with mitral stenosis?
Large "a" wave in the left atrium
Large "v" wave in the left atrium
Left ventricular end diastolic pressure greater than left atrial mean
Left ventricular systolic pressure greater than aortic systolic pressure - ANSWER - Large a wave Where is the wire equalized when performing FFR?
In the wire hoop

Increased LV compliance; decreased EF
Decreased LV compliance; normal systolic function
Increased LV compliance; decreased systolic function
Decreased LV compliance; hyperdynamic LV function - ANSWER - Decreased LV compliance; hyperdynamic LV function When preparing a patient for a device implant what activities SHOULD be considered? Choose three activities.

Arms restrained
Oxygen mask on patient at 10 L/min
Cautery grounding pad attached to the patient
IV located on the ipsilateral side of the implant
IV located on the contralateral side of the implant - ANSWER - 1,3, What technique is being shown in this image?

Y stenting Crushing stent Kissing balloon dilatation PCI using distal protection - ANSWER - Kissing balloon What is an accurate interpretation of the ECG? Acute anterior MI Sinus bradycardia Ventricular tachycardia right bundle branch block - ANSWER - Acute anterior MI The highest risk of morbidity and mortality associated with coronary angiography occurs in patients with

Coronary spasm.
Coronary ectasia.
Left main coronary disease.
Three vessel coronary disease. - ANSWER - Left main coronary disease

Increased coronary blood flow
Increased myocardial oxygen demand - ANSWER - Increased coronary blood flow decreases afterload When does the IABP deflate? - ANSWER - Systole When does the IABP inflate? - ANSWER - Diastole What catheter could be used as an alternative to an IMA for a LIMA angiography?
AL
JL
JR
Pigtail - ANSWER - JR What temporary pacemaker setting would change the device from demand to asynchronous?
Increase voltage
Decrease sensitivity
Increase refractory period
Decrease refractory period - ANSWER - Decrease sensitivity Which atherectomy catheters shave and debulk plaque?
Orbital and directional

Vascular and intraspinal
Sculpting balloon and stent
Cutting balloon and infusion catheter - ANSWER - Orbital and directional What view exposes an operator standing on the patient's right side to the highest dose of radiation? AP caudal LAO cranial RAO caudal RAO cranial - ANSWER - LAO Cranial What medication is a GP IIb/IIIa inhibitor?
Eptifibitide
Bivalirudin
Enoxaparin
Clopidogrel - ANSWER - Eptifibitide A pH greater than 7.45 is indicative of
Acidosis.
Alkalosis.
Hematuria.
Hyperkalemia. - ANSWER - Alkalosis Which artery MOST COMMONLY provides blood flow to the greatest portion of the myocardium?

RCIS Exam Study Guide: Questions and Answers, Exams of Health sciences

Related documents

Partial preview of the text

Download RCIS Exam Study Guide: Questions and Answers and more Exams Health sciences in PDF only on Docsity!

2025 RCIS EXAM STUDY GUIDE.QUESTIONS WITH 100%

CORRECT ANSWERS. GRADED A+