Exam (elaborations)
RCIS-Intervention (Darren's Files for RCIS)
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RCIS-Intervention (Darren's Files for RCIS)
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RCIS-Intervention (Darren's Files for RCIS)d. 10 x✔️Ans Q. Compared with diagnostic catheterization, angioplasty and
PCI has _________ times more risk of major complications and death.
a. 2 x
b. 4 x
c. 8 x
d. 10 x
a. in emergency STEMI✔️Ans Q. PCI should only be performed by
experienced operators and in hospitals with a full cardiac surgery service
EXCEPT:
a. in emergency STEMI
b. in emergency ischemic stroke
c. in emergency aortic dissection
d. in acute coronary syndrome with intractable arrhythmias
e. for elective low risk De novo lesions with standby ambulance
d. 20 cc✔️Ans Q. You are mixing a PTCA balloon catheter prep. If 20 cc's of
contrast are initially placed in a cup, how many cc's of saline should be mixed
with it?
a. 1 cc
b. 5 cc
c. 10 cc
d. 20 cc
c. compliance✔️Ans Q. The amount of stretch inherent in balloon materials
is termed:
a. stiffness
b. flexibility
c. compliance
d. malleability
,b. total LAD occlusion✔️Ans Q. This patient entered the ER with signs and
symptoms of acute coronary syndrome. The cine pictures show the lesion
before and after intervention. This was a:
a. severe LAD lesion
b. total LAD occlusion
c. severe CX lesion
d. total CX occlusion
b. bifurcation lesions, shifting plaque✔️Ans Q. The "kissing balloon
technique" is used in _________ lesions to prevent _______.
a. bifurcation lesions, vessel remodeling
b. bifurcation lesions, shifting plaque
c. chronic total occlusions, vessel remodeling
d. chronic total occlusions, "snow plowing" of thrombus
d. prolonged balloon inflation in the area of tortuosity✔️Ans Q. While
wiring a diseased circumflex coronary artery prior to stenting, you notice a
contrast stain or blush outside the coronary silhouette near the area of
greatest tortuosity. You first recommend:
a. pericardiocentesis
b. rapid infusion of IV Protamine
c. rapid infusion glycoprotein IIb/IIIa inhibitor
d. prolonged balloon inflation in the area of tortuosity
e. placing a PTFE covered stent in the area of tortuosity
b. insert an intraaortic balloon✔️Ans Q. You are attempting to pre-dilate a
stenosis in a saphenous vein graft to the first obtuse marginal. The SVG looks
to be about 10F in the reference segment. The cardiologist dilates using a 3.5
mm compliant balloon at 18 atmospheres, at which point the balloon bursts.
The coronary angiogram reveals extravasation of contrast. You may help the
physician do all the following EXCEPT:
a. administer Protamine
b. insert an intraaortic balloon
c. emergency pericardiocentesis
d. deploy a covered (Jomed) stent
, e. seal the perforation with a perfusion balloon
e. a stat hemoglobin and type and cross match✔️Ans Q. Your elderly
female patient is scheduled for an elective PCI. The cardiology fellow spend 30
minutes getting access to the RFA using a smart needle. He inserts an 8F long
arterial and 6F venous sheath. He then gives 10,000 units of Heparin. During
the procedure you inform the Dr about a gradual decrease in blood pressure
and increase in heart rate. The patient urgently requests a bedpan. As you
place the pan she complains of abdominal pain and you notice her right lower
quadrant appears distended. You inform the physician and expect him to
request:
a. a balloon pump
b. a foley catheter
c. a distal BP check by doppler
d. a stat ECG and cardiac enzyme
e. a stat hemoglobin and type and cross match
b. left main coronary diseased patients✔️Ans Q. In what type of disease
does CABG surgery tend to prolong patient life, where PCI does not?
a. acute STEMI patients
b. left main coronary diseased patients
c. severe 1 or 2 coronary vessel diseased patients
d. it does not prolong life, it only increases the quality of life
c. restore blood flow to the ischemic myocardium✔️Ans Q. What is the
MAIN OBJECTIVE in treating patients with acute MI?
a. anticoagulant and thrombolytic therapy
b. myocardial protection (cooling nitrates)
c. restore blood flow to the ischemic myocardium
d. improve myocardial oxygenation and reduce cardiac work
a. total thrombolytic occlusion✔️Ans Q. Acute ST elevation myocardial
infarction (STEMI) usually occurs when a coronary lesion has:
a. total thrombolytic occlusion
b. severe obstruction (>75% narrowing)
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