RCIS Knowledge Test Assessment/ Exam Questions with
Correct Verified Answers – Updated 2024/ Rated A+.
True or False: During a left heart biopsy you should give heparin. - ANSWER - Yes, 5000IU to avoid
thrombi going to the brain
What is the maximum annual Radiation exposure? - ANSWER - 5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? - ANSWER - 2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? - ANSWER - INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? - ANSWER - Adenosine causes hyperemia
(Increased blood flow to the tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? - ANSWER - Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as biventricular
pacing)? How many leads does it use? Where are they placed? - ANSWER - uses 2-3 leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the heart to help them beat
together in a more synchronized pattern.
What are the angioplasty guidewire calibers? - ANSWER - 0.014-0.018 inch
pg. 1
,When can you detect Myoglobin after an MI? - ANSWER - * 2-4 hours after symptom onset * normal in
24-36 hours
What is the diameter of the standard J wire? - ANSWER - 0.035
What is the Warfarin ( Coumadin) antagonist? - ANSWER - vitamin K
When shooting a LIMA, the cuff should be? - ANSWER - Isolateral (same side as LIMA) left arm
What is the usual time for restenosis to occur? - ANSWER - within 6 months
What size is the red sheath? - ANSWER - *4F-red
What size is the grey sheath? - ANSWER - 5F-grey
What size is the green sheath? - ANSWER - 6F- green
What size is the orange sheath? - ANSWER - 7F-orange
What size is the blue sheath? - ANSWER - 8F-blue
What size is black sheath? - ANSWER - 9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac and femoral vessels?
- ANSWER - Wall stent
Where can a wall stent be used? - ANSWER - carotid arteries, SVG, Iliac and femoral vessels
pg. 2
, What is the loading dose of aspirin in a patient with ischemia/chest pain? - ANSWER - 162-325 mg
Should you increase or decrease burr speed when you increase from a 1.25-2.15 burr? - ANSWER -
decrease
Where does the apex point in a RAO view? - ANSWER - * RAO=apex points to the right
Where does the apex point in a LAO view? - ANSWER - *LAO= apex points to the left
What medication do you give when doing FFR? How does it measure? - ANSWER - adenosine
Measure by hyperemic effect (max dilation of vessels)
What medication should you give before using IVUS to avoid spasm? - ANSWER - Always give 200 nitro
before using IVUS to avoid spasm.
What is the proper placement of an IABP? - ANSWER - 1-2cm distal to left subclavian and promixal to the
renals.
Where do we stick for neck access for right heart? - ANSWER - Right internal jugular vein
What is the average Adult Hematocrit in %? - ANSWER - Men 45%
Women 40%
What are softer guidewires used for? - ANSWER - They Are easier/safer in a tortuous vessel
What is a normal QRS complex duration? - ANSWER - 0.08 - 0.12 sec (2 - 3 small squares)
Where does a homograft valve come from? - ANSWER - From another human heart explanted at autopsy
pg. 3
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