Download RCIS CCI Exam 10 Questions and Answers: Cardiac Catheterization Procedures and Concepts and more Exams Advanced Education in PDF only on Docsity!
RCIS CCI EXAM 10 QUESTION AND ANSWER
The antagonists for morphine, demerol, or fentanyl would be considered? - naloxone (narcan) Which of the following descriptions would best describe cardiac catheterization? - the insertion and passage of a small plastic cath into one of the arteries to the heart The CCL (cardiac catheterization laboratory) staff needs to be certified in which of the following?
- ACLS PALS BLS Of the following, which would be considered a relative contradiction for a patient to havea cardiac catheterization? - renal failure pregnancy acute GI bleed anemia electrolyte imbalance uncooperative pt an uncontrolled condition such as high BP, arrhythmias, or CHF recent CVA of less than 1 month medication intoxication infection/fever anticoagulation In the cardiac catheterization suite, which of the following techniques would be used by the healthcare staff? - aseptic
The actual first cardiac catheterization was performed in which of the following years and by whom? - 1929 Dr Forssman (in germany using a urinary cath inserted into his arm) Moderate contrast medium reactions might be considered which of the following? - heachache vomiting diffuse urticaria facial edema mild bronchospams palpitations abdominal cramps persistent vomiting Which of the following would be considered one of the three types of reactions from contrast media? - 1. cardiac and major anaphylactoid responses
- smooth muscle and minor anaphylactoid responses
- cutaneous and mucosal manifestations ____________ would be considered the complete destruction of all living organisms? - sterilization Which of the following infuses the flush solution through the Rotablator atherectomy device? - a pressure bag All of the following would be considered a mechanism of restenosis of a post-PCI patient? - intimal thickening elastic recoil
Which of the following might be considered a more common adverse effect of heparin? - thrombocytopenia bruising bleeding increased liver enzymes Indications for a temporary or permanent pacemaker might include all of the following? - 1. MI with a trifascicular block
- symptomatic bradycardia
- with a rapid ventricular pacing occurring during an aortic balloon valvuloplasty
- a previously demonstrated high degree conduction block
- a pre-existing LBBB with an anticipated right sided heart studies
- transluminal septal artery ablation in pts with hypertrophic obstructive cardiomyopathy
- prophylactic use for rotational atherectomy and thrombectomy procedures Which of the following would be considered an etiology for interventricular conduction delay (IVCD)? - prior cardiac surgeries hyperkalemia cardiac meds such as procainamide BBB (L/R) The ventricles of the heart can be prevented from distending during dialysis by which of the following conditions? - pericardial effusion All but which of the following statements would be considered correct about the use of the TLD's (thermoluminescent detectors)? - the TLD badge should be worn on top of the protective aprons
During basic life support, what would be the length of time that should be taken to checkthe unresponsive person's pulse? - 5-10 secs The Rotaglide lubricant should not be administered to the patient that has an allergy to which of the following? - olive oil eggs When performing the thermodilution cardiac output, how much normal saline is typically injected? - 5-10 ml (room temp or chilled saline) What would be considered the main function of the right ventricle of the heart? - to pump the venous blood to the pulm circulation Of the following, which would be considered the pulse oximety reading range that would be considered mild hypoxia? - 92% what is the O2 sat range for mild hypoxia - 91-94% what is the normal O2 sat range - 95-100% moderate hypoxia O2 sat range would be what - 86-90% what O2 sat would show severe hypoxia - 85% or less If a person's heart is functioning normally, which of the following would be considered correct for where the electrical impulse of the heart originates? - SA node (sinoatrial node)
Which of the following should be a contraindication for the patient to be given a contrast medium? - allergy to shellfish How would a "bolus" be best described? - a single large dose of medication All but which of the following might influence the myocardial oxygen demand? - height and weight the myocardial O2 demand can have the potential to be influenced by - HR afterload contractility preload What does NIH stand for? - neointimal hyperplasia _____ is considered the most common cause of restenosis following the placement of coronary stenosis; it describes the migration of smooth muscle cells into the artery walls when there is injury to the vessel; there is a restricted blood flow within the art - NIH (neointimal hyperplasia) Which wave on an ECG relates to the A wave on the right atrium waveform? - the P wave Which of the pacemaker modes indicates the pacemaker works at a continuous set rate? - fixed rate with a ____ the pacemaker paces when the heart drops below a level that the pacer is set at - demand rate
Secondary radiation could best be described as which of the following? - the lower quality attenuated radiation which occurs when radiation interacts with an object The "Cardiac Angiography and Interventions" recommend which of the following treatments for hypotension and shock related to anaphylactic reactions? - oximetry CVP/swan ganz O2 by mask/intubation large vol of 0.9% NS (3L/hr) epi IV diphenhydramine 50mg-100mg IV hydrocortisone 400mg IV ABGs If the ventricles start to quiver, it would be considered which of the following rhythms? - Vfib Which of the following has the potential to influence contractility? - cardiac ischemia preload metabolic abnormalities metabolic acidosis hypercapnia the sympathetic nervous system circulating catecholamines pharmacological agents the heart muscle MI
- ablations
- transeptal punctures
- electrophysiologic procedures
- evaluating aortic aneurysms
- aortic stent graft procedures
- complex pediatric, congenital, and structural heart procedures Mechanical pullback with an IVUS (intravascular ultrasound) can be used at what rate? - 0.5-1. mm per sec Of the following, which would be considered the normal stroke volume index? - 30- ml/beat/m what would the normal SV be - 60-130 ml Which of the following can cause a blood vessel to spasm? - spontaneous hemorrhage needle stick trama When making the determination of what size Inoue balloon would be used, which of the following would be considered correct? - the pts height what size Inoue balloon would you use for a pt who is <160 cm tall - 26mm what size Inoue balloon would you use for a pt who is 160-180 cm tall - 28mm what size Inoue balloon would you use for a pt who is >180 cm tall - 30mm
A contraindication would be best described as which of the following? - a procedure which should not be performed Which of the following can be accomplished by the clinician with a programmer computer? - set device detections to set diagnostic parameters to set therapy parameters Postprocedural care of the atherectomy patient should include which of the following interventions? - monitoring the pts vital signs assessing the pts pedal pulses checking the pts groin insertion site perform a 12 lead EKG check cardiac enzymes Of the following, which would be considered a characteristic of a "stent?" - shortening conformability nesting biocompatibility deliverability flaring expansion ratio trackability scaffolding radiopacity radial strength
If a patient is on an intra-aortic balloon pump, which of the following would be considered potential complications? - sepsis infection thrombocytopenia renal ischemia vascular complications hemolysis mechanical complications How much does the typical ICD (implantable cardiovertor defibrillator) weigh? - 68-90 grams The R wave on the ECG represents which of the following? - ventricular depolarization the Q wave on the EKG represents what - septal depolarization the S wave on the EKG represents what - depolarization of the parking fibers The test which is used to help monitor the effects of the anti-coagulation that would be used during a cardiac catheterization laboratory procedure would be considered? - ACT Signs and symptoms of cardiac tamponade would include? - press plateau pulsus paradoxus electrical alternans distended neck venis narrowing pulse press decreased arterial press muffled heart sounds
sinus tachycardia The standard of care for the cardiac interventional procedure would be considered __________? - stents Which of the following medications are typically administered prior to an IVUS (intravascular ultrasound) procedure? - heparin (to decrease the risk of thrombosis) The active stent coating that elutes a medication into the vessel wall would be considered which of the following? - DES An ICD (implanted cardioverter defibrillator) uses synchronized shock to terminate which ofthe following? - Vfib Vtach All but which of the following might be considered a defect of the heart and blood vessels that are associated with the Tetralogy of Fallot? - you would not see an enlarged aorta there are 4 defects of the heart and blood vessels with the tetrology of fallot. what are they? -
- pulm stenosis
- muscular wall of the RV is thicker than normal
- the AO valves are enlarged and open from both ventricles
- there is a hole in the wall of the heart between the L and R ventricles Of the following physicians, which typically performs peripheral diagnostic and interventional procedures? - vascular surgeons radiologists cardiologists
electrolyte imbalance irritation from devices in the LV/RV overdose/drug poisoning _______ would be a liquid thrombin which has the potential to seep into the vessel of the patient? - duetts Which of the following medications have the potential to impact the risks for a cardiac catheterization? - NSAIDs warfarin furosemide metformin ARBs insulin ACE inhibs sildenafil(viagra)/vardenafil/tadalafil (vasodilators)
