RCIS Practice Test Answered 100%

What is the formula for calculating cardiac output? - ANSWER-CO= HR x SV What is stroke volume related to? - ANSWER-preload Preload is most impacted by..... - ANSWER-Increased filling volumes A patient with chronic untreated hypertension would demonstrate.... - ANSWER-Increased afterload Vascular resistance/pressure is most influenced by.... - ANSWER-Radius of the vessel The formula for BP is.... - ANSWER-BP = CO x SVR What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency - ANSWER-V wave An elevated RVEDP is found in which pathology - ANSWER-RV infarct If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment - ANSWER-JVD What is the most common cause of Pulmonic stenosis - ANSWER-Congenital The Blue proximal part of the swan is located how far from the distal tip of the swan - ANSWER-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 ______ - ANSWER-RA, PA Equalization of RVEDP and LVEDP are found in - ANSWER-restrictive pericarditis Signs of Right sided heart failure include - ANSWER-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% - ANSWER-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 - ANSWER-Ostium Secundum What is the Flamm's equation - ANSWER-3(SVC) + 1(IVC)/4 The formula used to calculate MAP is - ANSWER-1 (systolic) + 2 (diastolic)/3 What are the four anomalies associated with Tetralogy of Fallot - ANSWER-Pulmonic stenosis, over riding aorta, RVH, VSD Which fetal anomaly is characterized by a large VSD over which a large single great vessel arises - ANSWER-Truncas Arteriosus Pulsus Paradoxus is a sign of - ANSWER-Cardiac Tamponade What does RAD stand for - ANSWER-Radiation absorbed dose What component of the X-ray system converts light rays into images - ANSWER-Image intensifier What is the maximum annual dose of radiation one can receive annually - ANSWER-5 REM Lead protection should be at least how many millimeters of lead - ANSWER-.5 What is the minimum safe distance to position oneself from the X-ray source - ANSWER-6 feet In an X-ray tube what is the charge on the cathode and the anode - ANSWER-Cathode: positive Anode: negative Which view exposes the operator to the greatest amount of radiation - ANSWER-Lateral What converts x-rays into an image - ANSWER-Image Intensifier The contrast that is best for a patient is - ANSWER-low osmolality Radiolucent means - ANSWER-X-rays are permitted to pass through Radiopaque means - ANSWER-X-rays are not permitted to pass through ReoPro works on - ANSWER-IIb/IIIa receptors Heparin potentiates the action of - ANSWER-Antithrombin Fibrinogen is converted to Fibrin by the action of - ANSWER-Thrombin There are _________ known pathways to imitate the clotting cascade - ANSWER-2 Aspirin inhibits the action of - ANSWER-Arachidonic Acid Which agent is not an antiplatelet - ANSWER-Heparin If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give - ANSWER-fluids to hydrate If a patient is taking NPH insulin, which medication should not be given - ANSWER-Protamine Which medication is most commonly given to a patient with SVT - ANSWER-Adenosine True/False If a patient has a creatinine greater than 1.4 contrast volume should be minimized - ANSWER-True Lidocaine converts from 2GM in 500cc to - ANSWER-4 mg in 1 cc Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - ANSWER-400 mg in 250cc The best short acting medication/anxietolytic to sedate a patient is - ANSWER-Versed/Midazolam The drug of choice for treating coronary spasm is - ANSWER-NTG Amiodarone is used to treat - ANSWER-Atrial and ventricular arrhythmias What medication is used as a preload and afterload reducer - ANSWER-NTG Diabetic patients have a greater incidence of developing _______ post contrast administration - ANSWER-Renal failure Which rhythm is most likely to become lethal - ANSWER-Mobitz 2 The Impella catheter most closely resembles - ANSWER-Pigtail When performing an LV angiogram with the LV injector, what is the purpose of setting a "rate of rise" - ANSWER-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 - ANSWER-inferior wall An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded - ANSWER-Cx How do you test the defibrillator - ANSWER-discharge into the defibrillator (dummy load) What happens if you deliver a shock to a patient on the T Wave - ANSWER-You could put them into Vfib In 1st degree heart block, where is the conductive delay - ANSWER-AV node What is the normal PR interval - ANSWER-.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 - ANSWER-Unsymchronized cardioversion If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB. What should you do - ANSWER-Do immediate synchronized cardioversion A common complication of placing a pacing electrode/wire is - ANSWER-Perforation/Preicardial Effusion/Tamponade A pacing generator that paces in both chambers, senses in the ventricle, and inhibits QRS complexes is a - ANSWER-DVI A pacing generator that paces both chambers, senses both chambers, and triggers or inhibits is a - ANSWER-DDD A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a - ANSWER-AAI What is the formula for calculating SVR - ANSWER-Mean OR- Mean RA/CO Which cardiac output would be most accurate in a patient with tricuspid regurgitation - ANSWER-FICK Which right heart pressure best reflects LV preload - ANSWER-PCWP Which balloon is used for valvuloplasty - ANSWER-inoue Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a pressure that is lower in the - ANSWER-Aortic arch Calculate the cardiac output of a patient with the following data Arterial O2 sat= 98% Pulmonary artery O2 = 74% RV O2 sat= 71% Hgb= 14.7 PCWP= 12 O2 consumption= 250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - ANSWER-5.2 L/min Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40% HR= 70 - ANSWER-50 cc Calculate an Aortic valve area with the following information HR= 85 Mean gradient= 64 CO= 4.2L/min BP= 136/74 Sep= .37 - ANSWER-.37 cm2 Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and an angiographic CO of 5.4L/min - ANSWER-24% This patient has a cardiac output of 5.1L/min. Calculate the SVR of this patient with the following data Mean PA= 24 Mean RA= 5 Mean PCWP= 15 Mean AO= 95 - ANSWER-1411 dynec/sec/cm-5 If a patient has a pulsatile mass below the sheath site, and a bruit is a present, what should be suspected - ANSWER-Pseudoaneurysm An abdominal aortic pulsation greater than 3.0 cm can be a finding for what - ANSWER-Aortic aneurysm Back pain not relieved NTG, morphine or oxygen and not associated with EKG changes can indicate - ANSWER-Aortic dissection Which stent is self expanding - ANSWER-Wall stent A catheter has a diameter of 2.66mm. What French size is it - ANSWER-BFR In relation to a coronary lesion where should the wire not be placed A. As distal as possible B. In the nearest side branch C. In a distal side branch D. Proximal to the lesion E. All of the above - ANSWER-All of the above Which lesion is best addressed with a Rotoblador - ANSWER-Calcified Which catheter should be used to cannulate an LAD with a high take off - ANSWER-Amplatz Landmarks for an internal jugular approach include - ANSWER-Head of the sternocledomastoid muscle and the clavicular head When performing a myocardial biopsy where are the tissue samples taken from - ANSWER-RV Hypokinetic means - ANSWER-decreased movement In the formula BP= HR x SV x Systematic Vascular Resistance, Dobutamie acts as an ____, to ____ by increasing____ - ANSWER-Inotrope, increase stroke volume, contractility Which of the following are Angiostensin Receptor Blockers (ARBS) A. Lisiopril B. Losartan C. Metoprolol D. Valstartan - ANSWER-Losartan and Valstartan NTG works to decrease preload when given during an MI by dilating - ANSWER-Veins What is the function of low dose dopamine, 1-5mcg/kg/min - ANSWER-Improves renal function and urine output If the patient complains of pain down the leg when attempting to cannulate the right femoral artery, which way do you move the needle - ANSWER-Medial Coronary arteries perfuse best during - ANSWER-Diastole What is the purpose of the IABP - ANSWER-Increased coronary perfusion, decreased afterload An IMA catheter most nearly resembles a - ANSWER-IR 4 What is the recommended rate of Burr rotation when using a Rotoblador - ANSWER-160,000-210,000 Overtightening of the Tuohy Borst will - ANSWER-prevent balloon inflation or deflation The best device for management of an acute thrombus in a vessel is - ANSWER-Angioget Which device employs the use of sterile heperinilized saline to evacuate thrombus - ANSWER-Angioget What are the signs and symptoms of a retroperitoneal blood - ANSWER-back or flank pain, drop in blood pressure, tachycardia, drop in Hgb and Hct Calcified lesions are best managed with which device - ANSWER-Cutting/scoring balloon When using a temporary pacer, where is the lead placed - ANSWER-RV When performing a myocardial biopsy post heart transplant, the biopsy is performed to evaluate - ANSWER-potential for rejection of the transplanted heart The drive to breath in a person with no respiratory diseases is - ANSWER-Elevated CO2 The drive to breath in a person with COPD is - ANSWER-Decreased O2 The greatest risk when performing myocardial biopsy is - ANSWER-Perforating of the RV When using the Rotoblador, when should the burr start rotating - ANSWER-just proximal to the lesion Akinetic meaans - ANSWER-no movement at all Dyskinetic means - ANSWER-disorganized movement An ABI measures - ANSWER-the difference between brachial and ankle systemic blood pressure The dorsalis pedal pulse is located - ANSWER-on the anterior foot The posterior tibial pulse is located - ANSWER-near the medial malleolus The site of myoxma is in the - ANSWER-LA The best catheter to cross a stenotic aortic valve is - ANSWER-AL2 What medications are commonly given when performing a radial procedure - ANSWER-NTG, Verapamil, Heparin The Allen's Test assesses the flow in the - ANSWER-blood flow in the radial and ulnar arteries The IABP catheter should be placed - ANSWER-above the renal artery and below the left subdivision Which of the following symptoms after the use of a closure device warrants evaluation - ANSWER-loss of pulses in the foot If the heart rate slows, what happens to stroke volume - ANSWER-increases what happens to myocardial contractile force (dp/dt) when the heart rate slows down - ANSWER-Increases The Eustachian valve is located - ANSWER-between the inferior vena cava and the right atrium The Amplatzer Septal Occluder device is used to - ANSWER-Close a PFO Function of the percutamneous Impella - ANSWER-Evacuates 2.5 LPM from the LV; delivers it to the ascending aorta, improves CO, increases SV, improves coronary perfusion The head hunter catheter is used to visualize the - ANSWER-left and right ICA and ECA The fossa ovalis is located - ANSWER-between the RA and LA What is the most common cause of renal artery stenosis - ANSWER-Atherosclerosis Renal artery stenosis is most commonly found in the - ANSWER-proximal renal artery FFR measures - ANSWER-pressure distal to a stenosis True/False when interpreting FFR, an FFR of .80 means that a stenosis causes a 20% drop in blood pressure distal to a lesion - ANSWER-True True/False FFR expresses the maximal flow down a vessel in the presence of a stenosis compared to the maximal flow in the absence of a stenosis - ANSWER-True True/False When considering FFR, values greater than .75-.80 indicate a non-significant stenosis and lower values indicate a significant stenosis - ANSWER-True True/False When considering FFR, a significant stenosis (70%) may yield an FFR .80 if there is significant collateral flow to the vessel with the lesion in it - ANSWER-True True/False Pulses alternans is a sign of left sided heart failure - ANSWER-True True/False Prior to mitral valvuloplasty a TEE is needed as atrial thrombus is an absolute contraindication - ANSWER-True How would you monitor heparin therapy if ACT is not available - ANSWER-PT/PTT An elevated PCWP, orthopnea, increased LVEDP, and decreased O2 sat are signs of - ANSWER-left sided heart failure