RCIS BOARD EXAM ACTUAL EXAM BASED ON GLOWACKI AND
SOMMERS ALL 200 QUESTIONS AND VERIFIED DETAILED
SOLUTIONS
What is the pressure as blood enters the right atrium?
5mmHg
What organ system in the body acts on the blood in the vessels to make a pressure of
5mmHg?
Deep skeletal muscles
What pressure is the blood under as it goes from the RA through the tricuspid valve?
5mmHg
The bigger the diameter of the valve the __________ pressure is needed to move blood
across it.
Less
The smaller the diameter of the valve the _________ pressure is needed to move blood
across it.
more
What is the largest valve in the heart?
tricuspid valve
What is the normal right ventricular pressure?
25/5
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What is normal RVEDP?
5mmHg
What is a normal RV ejection fraction?
55-60%
Normal PA pressure
25/7-12
What is the normal left atrial pressure?
7-12mmHg
What is the normal O2 concentration of a RBC leaving the lungs?
98%
What is the normal O2 concentration of a RBC when it returns to the RA?
70%
How much O2 is a RBC able to give up to the organs?
30%
True/False: If someone has a higher EDP there is less damage to the heart.
False,Higher EDP equals more damage
What is a normal wedge pressure?
7-12mmHg
If the RBCs go through the lungs faster than 7-12mmHg what happens?
2
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less oxygenation
Patients with COPD have higher _______ pressure
PCW
COPD O2 sats can be in the low to mid 80's. True or false
True.
When the mitral valve leaflets open up and the wedge catheter is able to see into the LV what
is the pressure that it sees?
LVEDP
What is a normal LV EDP?
7-12mmHg
If the LV EDP goes up and the LA pressure goes up, what other pressure would you expect to
rise?
PCWP
What would increase your right atrial pressure?
tricuspid stenosis
Where would you see a high RA pressure demonstrated on a patient?
Jugular vein distention
If a person has an RV MI will the RV systolic pressure be affected?
If a person has an RV MI how would the R EDP be affected?
3
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RVEDP increases
What would cause the LV systolic pressure to increase?
Aortic stenosis
What would cause your LVEDP to increase but not increase your LV systolic pressure?
LVMI
As the EF (ejection fraction) goes down the EDP (end diastolic pressure) _________
___________.
Increases
What is the RV systolic pressure of pulmonic stenosis?
>25mmHG
What happens to the pressure in the RA in the case of tricuspid regurgitation?
Increases
What is the PA pressure in COPD?
Wedge pressure is elevated in COPD
What is the PA pressure in someone with mitral stenosis?
PA pressure will rise if chronic
What is the PCWP of mitral regurgitation?
In a chronic situation,the PCWP will be elevated above the normal.
What is the PCWP of mitral stenosis?
4
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