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RCIS EXAMS 202 5 /FINAL EXAM, REVIEW, PRACTICE,
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OVER 1000 QUESTIONS AND CORRECT DETAILED
ANSWERS/RCIS EXAMS-2025/PASS GUARANTEE
FINAL EXAM
The most accurate measure of cardiac muscle fiber damage after an MI is what? - ANSWER - Troponin Which lab value does not evaluate the extent of an MI?
- ANSWER - Serum creatinine Post procedure renal dysfunction is more likely to occur in patients with? - ANSWER - - diabetes
- pre procedure dehydration
- frequent use of nsaid
- ace inhibitors What is a pseudoaneurysm? - ANSWER - - pseudoaneurysm is a false aneurysm
- often a pulsatile mass near the sheath site with a bruit present If the transducer is positioned too low at the side of the table after is has been zeroed,the patients pressure will read? - ANSWER - falsely high If you are placing pressure on both the radial and ulner pulse, then releasing the
pressure on the radial pulse, this is called what kind of test?
- ANSWER - Allen's test What is the best way to check a patients pulse? - ANSWER - Check pulse for oneminute If the patients IV site is infiltrated, what should you do? - ANSWER - Turn off theinfusion, discontinue the IV and start a new one Metabolic acidosis has a low level of what? - ANSWER - Bicarb (HCO3) A pH less than 7.35 or greater than 7.45 is called what? - ANSWER - Uncompensated What would be the appropriate intervention for a patient with respiratory acidosis? - ANSWER - Increase ventilations The primary drive to breathe comes for the patients. .........? - ANSWER - CO2 level Hyperventilating a patient prior to suctioning is done to? - ANSWER - Increase arterialPO Interpret the following blood gas: PH=7.25 CO2=60 HCO(bicarb)=22 - ANSWER - Uncompensated respiratory acidosis A high CO2 will impact the pH how? - ANSWER - It will lower the pH
Jugular vein distention can be caused be? - ANSWER - - RV infarct
- Pulmonary hypertension
- Tricuspid regurgitation Shortness of breathe indicates right or left sided heart failure? - ANSWER - Left sidedheart failure Ventricular arrythmias are most common during the injection of which coronary artery? - ANSWER - RCA Osmolality refers to the ability of the contrast to? - ANSWER - Pull fluid into theintravascular space The ideal contrast volume to be given to the patient is? - ANSWER - 3ml/kg Synchronuous (demand) pacemakers have what unique ability? - ANSWER - Theysense the hearts intrinsic activity and pace only when needed In order, the first three letters of the pacemaker code mean what? – ANSWER - 1 - chamber paced 2 - chamber sensed 3 - chamber triggered The purpose of biventricular pacemakers is to? - ANSWER - To synchronize thecontraction
of both ventricles The purpose of an ICD (intra-cardiac defibrillator) is to? - ANSWER - Monitor for bradycardia, tachycardia, VT, and V-fib and convert if necessary When using the terms RAO and LAO, R and L refer to what? - ANSWER - The positionof the image intensifier What is the best view to see the LAD and Circ bifurcation? - ANSWER - Spider view On an EKG, what shows a true posterior infarct? - ANSWER - V7-V9, V1, V What catheter does an internal mammary catheter (IMA) resemble? - ANSWER - JR If the patient has a dilated aortic root, which catheter might you need to cannulate theright corornary system? - ANSWER - JR In a routine PTCA, what might be some complications caused by poor handling of thewire? - ANSWER - Arterial dissection or perforation What does RAD stand for? - ANSWER - Radiation absorbed dose The most important factor in decreasing xray exposure to a patient is to? - ANSWER - Decrease time of exposure What is the max dose of radiation a worker can receive in a year? - ANSWER - 5 REM
What is ACLS protocol for monophasic defibrillation? What is ACLS protocol for biphasic defibrillation? - ANSWER - 200 - 300 - 360 120 - 150 - 200 If a valve has regurgitation, which CO method should you use? - ANSWER - FICK What does the C wave represent? - ANSWER - Onset of ventricular contraction Where do you measure thermal dilution cardiac outputs? - ANSWER - Inject saline intothe RA and read the temperature change in the PA Which valve has the smallest valve area? - ANSWER - Aortic 3 - 4cm A PDA(patent ductus arteriosus) most likely causes? - ANSWER - Increased pulmonaryblood blow Possible pulmonary edema What is a sign of right sided heart failure? - ANSWER - Jugular vein distention What is the purpose of the IABP? - ANSWER - - Increase coronary perfusion
- Decrease afterload
- Increase stroke volume Mean Arterial Pressure (MAP) - ANSWER - (1systolic + 2 diastolic) 3
Pulse Pressure - ANSWER - AO systolic - AO diastolic Normal O2 consumption - ANSWER - Adult - 250ml/min Child-150ml/min FICK Cardiac Output - ANSWER - O2 consumption (250ml) (AVO2 difference) x 10 Stroke Volume - ANSWER - EDV-ESV Ejection Fraction - ANSWER - SV Cardiac Outfit-angiographic - ANSWER - HR x SV 1000 Cardiac Index - ANSWER - CO BSA Regurgitant Fraction - ANSWER - SV angiographic - SV thermo/FICK SV angiographic
EDV
37.7 x sq rt of mean mitral valve gradient Hakki Formula - ANSWER - CO Sq rt of peak to peak pressure gradient Peak to Peak Gradient - ANSWER - LV systolic - AO systolic When calculating a L to R shunt occuring in the RA, what formula should be used formixed venous saturation? - ANSWER - Flamm's Equation 3 SVC + 1 IVC 4 Lead I - ANSWER - Lateral-Circ Lead II - ANSWER - Inferior-RCA Lead III - ANSWER - Inferior-RCA Lead AvL - ANSWER - Lateral-Circ Lead AvF - ANSWER - Inferior-RCA Lead V1 - ANSWER - Septal-LAD
Lead V2 - ANSWER - Anterior/Septal- LAD/Circ Lead V3 - ANSWER - Anterior-LAD Lead V4 - ANSWER - Anterior-LAD Lead V5 - ANSWER - Anterial/Lateral-LAD/Circ Lead V6 - ANSWER - Anterior/Lateral-LAD/Circ What is the formula for calculating cardiac output? A. CO= PA- 1 SVCB. CO= AO x PA C. CO= HR x SV - ANSWER - C. CO= HR x SV Stroke volume is... A. Related to preload B. Related to afterload C. The same as ejection fraction - ANSWER - A. Related to preload Preload is most impacted by... A. Mean arterial pressure B. Increased filling volumes C. Ejection fraction - ANSWER - B. Increased filling volumes
A. LV infarct B. Aortic stenosis C. RV infarct D. Mitral regurgitation - ANSWER - C. RV infarct If the RA waveform is 2x the normal value, where would this be demonstrated in thephysical assessment A. Decreased exercise toleranceB. Decreased O2 sat C. Increased O2 sat D. JVD - ANSWER - D. JVD What is the most common cause of Pulmonic stenosis A. Aging B. Congenital C. Cardiomyopathy D. Mitral regurgitation - ANSWER - B. Congenital The blue proximal port of the swan is located how far from the distal tip of the swan A. 15cm B. 30cm C. 45cm D. 5cm - ANSWER - B. 30cm
When performing a thermodilution cardiac output, the operator injects 10cc of saline into the and the temperature is measured in the A. LA, AO B. RV, PCWP C. RA, PA D. RA, LA - ANSWER - C. RA, PA Equalization of RVEDP and LVEDP are found in A. Tamponade B. Restrictive pericarditis C. Acute MI D. LV MI - ANSWER - B. Restrictive pericarditis Signs of right sided heart failure include A. Decreased O2 satB. SOB C. JVD D. Pulmonary embolism - ANSWER - C. JVD Based on these oxygen saturations, what type of shunt is present? SVC sat = 67% IVC sat = 71% RA sat = 85%PA sat = 85% LA sat = 98% LV sat = 98% RV sat =
What are the four anomalies associated with Tetralogy of Fallot A. ASD, VSD, LVH, RVH B. VVH, PS, Over riding aorta, RVH C. Over riding aorta, RVH, LVH, ASD D. Pulmonic stenosis, over riding aorta, RVH, VSD - ANSWER - D. Pulmonic stenosis,over riding aorta, RVH, VSD
Which fetal anomaly is characterized by a large VSD over which a large single greatvessel arises A. Transposistion of the great vesselsB. Tricuspid atresia C. Tetralogy of fallot D. Truncas arteriosus - ANSWER - D. Truncas arteriosus Pulsus paradoxus is a sign of A. Constrictive percarditis B. Cardiomyopathy C. Cardiac tamponade D. COPD - ANSWER - C. Cardiac tamponade What does RAD stand for A. Radiation absorbed dose B. Radiation attenuated date C. Radiation attributable distance - ANSWER - A. Radiation absorbed dose Which component of the x-ray system converts light rays to images A. Image intensifier B. X-ray tube C. Photon tube
D. 15ft - ANSWER - B. 6ft In an x-ray tube the A. Cathode is positive and the anode is negativeB. Cathode is negative and anode is positive C. The charges alternate depending on the heat generated - ANSWER - B. Cathode isnegative and anode is positive Which view exposes the operator to the greatest amount of radiation A. AP B. LAO cranial C. Lateral D. RAO with cranial 30 - ANSWER - C. Lateral What converts x-rays into an image A. Filament B. Image intensifier C. X-ray tube D. Kvp - ANSWER - B. Image intensifier The contrast that is best for a patient is A. Low osmolality
B. High osmolality C. Renografin - ANSWER - A. Low osmolality Radiolucent means A. X-rays are not permitted to pass through B. X-rays are partially deflected C. X-rays are permitted to pass through - ANSWER - C. X-rays are permitted to passthrough Radiopaque means A. X-rays are permitted to pass through B. X-rays are partially deflected C. X-rays are randomly deflected - ANSWER - B. X-rays are partially deflected ReoPro works on A. Fibrin B. Prothrombin C. Antithrombin D. IIb/IIIa receptors - ANSWER - D. IIb/IIIa receptors Heparin potentiates the action of A. Antithrombin B. Factor III
