RCIS Practice Test Questions and Answers 2023-2024 with
complete solution
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
complete solution
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
