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RCIS REGISTRY EXAM 2024/2025 Practice Exam 2 With 600 Exam Questions And Correct Answers
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RCIS REGISTRY EXAM 2024/2025 Practice Exam 2 With 600 Exam Questions And Correct Answers
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RCIS REGISTRY EXAM 2024/2025 Practice Exam 2 With600 Exam Questions And Correct Answers
What two arteries are compressed to do an Allen's test? - ANSWER>> radial and
ulnar.
To perform an Allen's test you must compress both the radial and ulnar. Releasing
the ulnar should allow to flow to the hand confirming collateral circulation. If flow
does not return you cannot use the radial on that arm because of the risk of radial
occlusion.
An Allen's test checks for patency of what artery? - ANSWER>> ulnar
Allen's test checks the patency of the Ulnar artery. Since we are going to use the
radial we need to confirm that their is collateral circulation in case the radial
becomes blocked.
If your trying to get femoral artery access and hit the nerve, what direction should
the next stick be? - ANSWER>> medial
The next stick should be aimed more medial. Remember NAVL (nerve, artery, vein
and then ligament). The nerve is always lateral to the artery. Hitting the nerve will
usually cause the patients leg to jump and they feel a shock down their leg.
If your trying to get femoral arterial access and hit the vein, what direction should
the next stick be? - ANSWER>> lateral
if you are trying to hit the femoral artery and hit the vein the next stick should be
lateral to the previous puncture. Remember NAVL (nerve, artery, vein and then
ligament). The vein is always medial to the artery.
When palpating for femoral vein access, physicians will find the femoral artery
and puncture medial about how many finger widths from the artery? - ANSWER>>
1
The femoral vein is about 1 finger width medial to the artery.
,When getting femoral artery access, where will the needle puncture the artery in
relation to where it punctures the skin? - ANSWER>> superior
The needle is advanced at a 45 degree angle aiming it upward or superior. So the
arterial puncture will be superior to where it enters the skin. This is why we hold
pressure above the puncture site in the skin.
When getting femoral artery access, where is the optimal area to puncture the
artery? - ANSWER>> 1 - 3 cm's below the inguinal ligament
. The arterial puncture should be 1 to 3 centimeters below the inguinal ligament.
This should be just above the femoral head (bifurcation) and optimal for using a
closure device or manual compression when obtaining hemostasis.
When getting access in the right internal jugular (RIJ), what anatomical landmarks
are used? (Choose two) - ANSWER>> sternocleidomastiod muscles and sternum /
clavicular head
Getting access is the RIJ is usually done using the sternocleidomastoid muscles
and the sternum / clavicular head. The 2 muscles and the clavicle form a triangle
and the RIJ is in the middle of it.
Some labs are equipped with bi-plane c-arms. What type of patients would
benefit from this type of angiography? - ANSWER>> renal patients
If a patient has renal disease the use of low osmolar non-ionic contrast will reduce
the workload on the kidneys. Always check the patients BUN and Creatine
because if they are high it indicates renal disease.
Which of the following are types of contrast that should be used when a patient
has renal disease? (Choose two) - ANSWER>> low osmolar and non-ionic
What happens to the patient when a large amount of contrast is injected using a
power injector? - ANSWER>> arterial vasodilation
A large bolus of contrast will cause arterial vasodilation and the patient will
experience the "hot flash" associated with it.
,What organ is responsible for filtering out the contrast from the body after
angiography? - ANSWER>> kidneys
The kidneys are the organs that filter out the contrast and can be damaged from
too much (contrast induced nephropathy or CIN). The use on low osmolar non-
ionic contrast helps reduce the workload on the kidneys and should be used if the
patient has any renal dysfunction (always check the BUN and creatinine for
elevated levels indicating renal dysfunction).
What type of patient would benefit from using low osmolar contrast during
angiography? - ANSWER>> renal artery disease
Patients that have renal dysfunction benefit from low osmolar contrast because it
is not as bad for the kidneys (non - nephro toxic).
What artery sometimes has it's own ostium and can cause arrhythmias if injected
to directly? - ANSWER>> conus
The conus sometimes has it's own ostium and can cause arrhythmias if injected
directly. It is usually the first branch of the RCA but if it has it's own ostium it will
be a little superior to the RCA ostium.
What angiographic positions are best for viewing the circumflex artery. (Choose
two) - ANSWER>> RAO caudal and LAO caudal
The caudal views are best for viewing the Cx. The cranial views are best for
viewing the LAD.
Which angiographic positions are best for viewing the left anterior descending
artery (LAD)? (Choose two) - ANSWER>> LAO Cranial and RAO Cranial
The cranial views are best for viewing the LAD. The caudal views are best for
viewing the circumflex (Cx).
Which of the following is known as the "spider view"? - ANSWER>> LAO Caudal
The LAO caudal angulation is known as the "spider view" (this is a very good view
for looking at the left main and bifurcation of the LAD and Cx arteries).
, When obtaining an angiogram of the right coronary artery (RCA) a typical
injection will be _______ cc's of contrast. - ANSWER>> 2 - 6
When should an LV gram be done? - ANSWER>> Prior to coronary angiography
LV angiography should be done prior to coronary angiography. A lot of physicians
do it after coronary angiography but that can alter contraction and should not be
done.
When performing left ventricular angiography, which walls can you see in the LAO
projection? (Choose two) - ANSWER>> septal and lateral
In the LAO projection you can see the lateral and septal walls. It a good view for
visualizing a lateral or septal infarct or a VSD (ventricular septal defect).
Which of the following would be indications for an LAO angiogram of the left
ventricle? - ANSWER>> ventricular septal defect and lateral wall infarct
A left ventricular angiogram in the LAO view shows the lateral and septal LV walls.
So a patient with a VSD or having a lateral wall infarct would require this angle to
view it properly.
What walls of the left ventricle are visualized from an LV gram in the LAO
projection? - ANSWER>> lateral and septal
The LAO projection will show the lateral and septal LV walls. Most the time this is
done along with an RAO picture so you get to view all the LV walls. It is not part of
a routine left heart cath and usually is only done if someone had a lateral wall
infarct.
What LV gram projection would best show mitral regurge? - ANSWER>> straight
RAO
The best LV angulation for identifying MR would be straight RAO. This would show
the contrast pushing back into the left atrium across the mitral valve.
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