Download RCIS Practice Exam: Questions and Answers for Cardiovascular Interventional Technology and more Exams Health sciences in PDF only on Docsity!
2025 RCIS PRACTICE EXAM. QUESTIONS WITH 100%
CORRECT ANSWERS. GRADED A+
What are the signs and symptoms of retroperitoneal bleed?
- ANSWER - Back or flank pain, drop in blood pressure, tachycardia, drop in Hgb and Hct Calcified lesions are best managed with which device
- ANSWER - Cutting/Scoring Balloon When using a temporary pacer, where is the lead placed
- ANSWER - RV When performing a myocardial biopsy post heart transplant, the biopsy is performed to evaluate
- ANSWER - Potential for rejection of the transplanted heart The drive to breath in a person with no respiratory diseases is
- ANSWER - elevated CO The drive to breathe in a person with COPD is
- ANSWER - Decreased O
The greatest risk when performing a myocardial biopsy is
- ANSWER - Perforation of the RV When using the Rotoblador the burr should start rotating?
- ANSWER - Just proximal to the lesion Akinetic means
- ANSWER - no movement at all Dyskinetic means
- ANSWER - Disorganized movement An ABI measures – ANSWER - the difference between brachial and ankle systemic blood pressure The dorsalis pedal pulse is located
- ANSWER - On the anterior foot The posterior tibial pulse is located
- ANSWER - near the medial malleolus Inner ankle The site of a myoxma is in the
- ANSWER - LA
The amplatzer septal occluder device is used to
- ANSWER - Close a PFO The percutaneous impella – ANSWER - Evacuates 2.5 LPM from the LV; delivers it to the ascending aorta, improves CO, increases SV, improves coronary perfusion The head hunter catheter is used to visualize the
- ANSWER - Left and right ICA and ECA What is the formula for calculating CO?
- ANSWER - CO=HR X SV Stroke volume is - ANSWER - Related to preload Preload is most impacted by - ANSWER - Increased filling volumes A patient with chronic untreated hypertension would demonstrate - ANSWER - Increased afterload Vascular resistance/pressure is most influenced by - ANSWER - Radius of the vessel Formula for BP is - ANSWER - BP=CO x SVR
What component of a pulmonary capillary wedge pressure indicates mitral insufficiency
- ANSWER - V wave An elevated RVEDP is found in which pathology - ANSWER - RV infarct If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment - ANSWER - JVD What is the most common cause of pulmonic stenosis - ANSWER - Congenital The blue proximal port of the swan is located how far from the distal tip of the swan - ANSWER - 30cm Equalization of RVEDP and LVEDP are found in - ANSWER - Restrictive Pericarditis Signs of right sided heart failure includes - ANSWER - JVD The type of ASD, located in the middle 1/3 of the atrial septum is called - ANSWER When performing a thermodilution cardiac output, the operator injects 10cc of saline into the and the temperature change is measured in the - ANSWER - RA, PA
What is the minimum safe distance to position oneself from the x-ray source - ANSWER
- 6 feet anode is positive Which view exposes the operator to the greatest amount of radiation - ANSWER - lateral What converts x-ray into an image - ANSWER - Image intensifier The contrast that is best for a patient is - ANSWER - Low osmolality Radiolucent means - ANSWER - X-rays are permitted to pass through Radiopaque means - ANSWER - X-rays are not permitted to pass through ReoPro works on - ANSWER - IIb/IIIa receptors Heparin potentiates the action of - ANSWER - antithrombin Fibrinogen is converted to fibrin by the action of - ANSWER - thrombin In an X-ray tube the - ANSWER - cathode is negative,
There are known pathways to imitate the clotting cascade - ANSWER - 2 Aspirin inhibits the action of - ANSWER - Arachinodic Acid Which agent is not an anti platelet - ANSWER - Heparin If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give - ANSWER - Fluids to hydrate If a patient is taking NPH insulin, which medication should not be given - ANSWER - Protamine Which medication is most commonly given to a patient with SVT - ANSWER - Adenosine If a patient has a creatinine greater than 1.4 contrast volume should be minimized - ANSWER - True Lidocaine converts from 2GM in 500cc to - ANSWER - 4 mg in 1 cc Dopamine concentration 1600 mcg/mL in 250 cc yields a concentration of
- ANSWER - 400 mg in 250 cc
An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded - ANSWER - CX How do you test the defibrillator - ANSWER - Discharge into the defibrillator (dummy load)
What happens if you deliver a shock to a patient on the T wave - ANSWER - You could put them into Vfib In 1st degree heart block, where is the conduction delay - ANSWER - AV node What is the normal PR interval - ANSWER - 0.12-0.20 seconds If a patient is attached to the monitor, V tach is the rhythm, the patient had no pulse and is not responding, what should you do - ANSWER - Unsynchronized cardioversion If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB what should you do - ANSWER - Do immediate synchronized cardioversion A common complication of placing a pacing electrode/wire is - ANSWER - Perforation/Pericardial Effusion/Tamponade A pacing generator that paces in both chambers, senses in the ventricle, and inhibits QRS complexes is a - ANSWER - DVI A pacing generator that paces both chambers, senses both chambers, and triggers or inhibits is a - ANSWER - ddd
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 - ANSWER - Wall stent An IMA catheter most nearly resembles a - ANSWER - JR What is the recommended rate of burr rotation when using a rotoblador - ANSWER - 160,000-210, Overtightening of the Tuohy Borst will - ANSWER - Prevent balloon inflation or deflation The best device for management of an acute thrombus in a vessel is - ANSWER - Angiojet Which device employs the use of sterile heparinized saline to evacuate thrombus - ANSWER - Angiojet The fossa ovalis is located - ANSWER - Between RA and LA What is the most common cause of the renal artery stenosis - ANSWER - atherosclerosis renal artery stenosis is most commonly found in the - ANSWER - Proximal renal
When interpreting FFR, an FFR of 0.80 means that a stenosis causes a 20% drop in the blood pressure distal to a lesion - ANSWER - True FFR expresses the maximal flow down a vessel in the presence of a stenosis compared to the maximal flow in the absence of a stenosis (T/F) - ANSWER - True When considering FFR; values greater than 0.75-0.80 indicate a non-significant stenosis and lower values indicate a significant stenosis - ANSWER - True When considering FFR, a significant stenosis (>70%) may yield an FFR >0.80 if there is significant collateral flow to the vessel with the lesion in it - ANSWER - True Pulsus alternans is a sign of left sided heart failure - ANSWER - True Prior to mitral valvuloplasty a TEE is needed as atrial thrombus is an absolute contraindication (T/F) - ANSWER - True How would you monitor heparin therapy if ACT is not available - ANSWER - PT/PTT An elevated PCWP, orthopnea, increased LVEDP, and decreased O2 sat are signs of
- ANSWER - left sided heart failure
What is the NYHA classification of a patient on a ventricular assist device - ANSWER - IV - severe limitation of activity; symptomatic at rest Cannulation of the femoral artery should be - ANSWER - One finger breath below the inguinal fold Choose the correct ANSWERs about a pseudo aneurysm (PSA) - ANSWER - PSA occurs when an arterial puncture does not seal Pulsatile blood tracks into the perivascular space Blood is contained by the perivascular structure Takes on the appearance of a SAC Is the result of the cannulating needle penetrating the anterior and posterior vessel walls Treatment of a PSA includes - ANSWER - Thrombin injection into the SAC Ultrasound guided compression Surgical management A washer that is visualized on fluoroscopy is placed to mark the
- ANSWER - Proximal vein graft An ABI measures the difference between the and pulses and a reading of indicates a flow limiting lesion - ANSWER - Left brachial and left pedal; 0.
The patient c/o pain down the leg when attempting to cannulate the RFA - ANSWER - The attempt was too lateral The cannulating needle needs to be repositioned medially An aortic dissection - ANSWER - Presents with back pain Presents with back pain not relieved with NTG, Morphine,O Presents with back pain not associated with EKG changes An increased LVEDP (Choose all that apply) A. Increases the LV Preload B. Increases the PCWP C. Increases the LA pressure D. Causes no change in pressures - ANSWER - A. Increases the LV Preload B. Increases the PCWP C. Increases the LA pressure In a 1st degree heart block(choose all that apply) A.the delay is in the SA Node B.the delay is in the AV node C. The PR interval is >0. D. The PR interval is <0.20 - ANSWER - B. The delay is in the AV Node C. The PR interval is >0.
Physical signs of a PSA May include - ANSWER - Palpable pulsatile mass Presence of a systolic bruit Significant site pain Which organ system is responsible for metabolic changes in pH? - ANSWER - kidneys Which of the following organ systems cannot cause changes in pH? - ANSWER - GI/endocrine Liver/pancreas Heart/vascular Which of the following are necessary prior to correcting an ASD - ANSWER - Documentation using the ICE catheter Evaluation using a sizing balloon Identifying the shunt to be in the ostium secundum Identify all of the following that pertain to the crushing stent technique - ANSWER - Created for lesions in a side branch Created for lesions in a bifurcation The first stent is positioned in the side branch with about 1/3 of its length protruding into the main branch A second stent is positioned in the main branch
