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Exam (elaborations)

RCIS TEST QUESTIONS WITH CORRECT ANSWERS GRADED A+

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Which lab value does not evaluate the extent of an MI? -SGOT -Serum Creatinine -CK-MB -LDH - Serum Creatinine If the transducer is postioned to low at the side of the table the pt.'s pressure will read? - The pressure will read falsely high If the patients IV site is infiltrated, what should you do? - Turn it off Metabolic Acidosis has a low level of what? - Bicarb (HCO3) If you are checking the radial/ulner pulse when you press and release one at a time this is called what kind of test? - Allens Test Post procedure renal dysfunction is more likely to occur in patients with? - -Diabetes -Pre-procedure dehydration -Frequent use of NSAID -Ace Inhibitors Increased bicarb will do what to the pH? - Elevated HCO3 will increase ? pH A high CO2 will impact the pH how? - It will lower the pH The primary drive to breathe comes from the patient's? - CO2 level What would be the appropriate intervention for a patient with Respiratory Acidosis? - Increase Ventilations What is the most common form of cardiac tumor? - Atrial Myxoma located in the left atruim Hyperventilation a patient prior to suctioning is done to? - Increase arterial PO2 Osmolality refers to the ability of the contrast to? - Pull fluid into the intravascular space Jugular Vein distention can be caused by? - -RV infarct -Pulmonary Hypertension -Tricuspid Regurgitation The purpose of Biventricular pacemakers is to? - To synchronize the contraction of both ventricles The ideal contrast volume to be given to the patient is? - 3ml/kg Shortness of breath indicates right or left sided heart failure? - Left sided heart failure Ventricular arrythmias are most common during the injection of which coronary artery? - RCA What is the best balloon to use on an artery that has a tendency to close? - A perfusion balloon On a EKG, what shows a true" posterior infarct? - V7-V9, V1 and V2 The purpose of ICD's is to? - Monitor bradycardia, tachycardia, VT, and V-fib and convert if necessary Where does the needle enter for a pericardial-centesis? - sub-xyphoid process What is the noraml range of potassium (k+) in the blood? - Normal K+ = 3.5-5.0 -potassium 3.5 = hypokalemia -potassium 5.0 = hyperkalemia The symptoms of increased heart rate, decreased BP, and SOB during a biopsy and indicate what? - Cardiac Perforation What device uses saline to dissolve and suction thrombus during and acute MI? - Angiojet What is a possible complication of over tightening the toughly? - Unable to inflate the balloon Synchronous (demand) pacemakers have what unique ability? - They sense the hearts intrinsic activity and pace only when needed 2.66mm diameter is what size catheter? - 8 fr What type of the balloon is best used on a calcified lesion? - Cutting/Scoring Balloon During a rotoblador intervention, what is the most common cause of "no flow?" - Distal embolization What is the action of Reopro? - Reopro inhibits IIb/IIIa receptors What labs look at kidney function? - -BUN and Creatinine -GFR -Creatinine clearance If a patient is on NPH Insulin, what medication should not be given? - Protamine INR measures the level of which drug? - Coumadin What is the best what to calculate a patients pulse rate? - Check pulse for one mintue What is a pseudoaneurysm? - Pseudoanuerysm is a false aneurysm -Often a pulsatile mass neat the sheath site with a bruit present The most accurate measure of cardiac after an MI is what? - Tropnin What might be the medication of choice for SVT? - Adenosine Vascular resistance is most greatly influenced by? - The radius of the tube (vessle) TPA acts by ? - -Dissolving fibrin -Activates Plasminogen How does Plavix act? - Plavix turns off receptor sites on platelets (super-aspirin) What is a quick and easy way to cheack a patients clotting time after being given heparin? - ACT What does ASA (aspirin) do? - prevents platelet adhesion Lovenox impacts what? - Antithrombin and factor Xa If a valve has regurgitation, which CO should you use? - Fick What are the 4 anomalies associated with Tetrology of Fallot? - -Pulmonic stenosis -VSD -RV hypertrophy -Overriding aorta

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