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RCIS CCI Practice Exam #10 questions with
correct answers
The antagonists for morphine, demerol, or fentanyl would be considered? Correct Answer-naloxone (narcan) Which of the following descriptions would best describe cardiac catheterization? Correct Answer-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? Correct Answer-ACLS PALS BLS Of the following, which would be considered a relative contradiction for a patient to havea cardiac catheterization? Correct Answer-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? Correct Answer-aseptic The actual first cardiac catheterization was performed in which of the following years and by whom? Correct Answer- Dr Forssman (in germany using a urinary cath inserted into his arm) Moderate contrast medium reactions might be considered which of the following? Correct Answer-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? Correct Answer-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? Correct Answer-sterilization
The vessel's healing response to the injury which has been caused by an intervention would be considered? Correct Answer-intimal thickening when a vessel shrinkage decreases the lumen diameter in the area of a previous intervention it would be considered _____ Correct Answer-vessel remodeling a function of changes in the atherosclerotic plaque and also the elastic properties of the arterial wall would be considered _____ Correct Answer-elastic recoil Which of the following might be considered a more common adverse effect of heparin? Correct Answer-thrombocytopenia bruising bleeding increased liver enzymes Indications for a temporary or permanent pacemaker might include all of the following? Correct Answer-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)? Correct Answer-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? Correct Answer-pericardial effusion All but which of the following statements would be considered correct about the use of the TLD's (thermoluminescent detectors)? Correct Answer-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? Correct Answer-5-10 secs The Rotaglide lubricant should not be administered to the patient that has an allergy to which of the following? Correct Answer-olive oil eggs When performing the thermodilution cardiac output, how much normal saline is typically injected? Correct Answer-5-10 ml (room temp or chilled saline) What would be considered the main function of the right ventricle of the heart? Correct Answer-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? Correct Answer-92% what is the O2 sat range for mild hypoxia Correct Answer-91-94%
The total volume setting for a typical power injection device used in the cardiac catheterization laboratory would be considered which of the following? Correct Answer-20-50 ml Which of the following Aldrete scores should the conscious sedation patient return to before than can be discharged? Correct Answer-9- what are the criteria that the pt has to meet before they can be discharged Correct Answer-1. aldrete score needs to be 9-
- 2 hrs must laps since the last dose of sedatives
- their vital signs must be returned to baseline
- the pt should be mentally alert and have all their before procedure protective reflexes Which of the following should be a contraindication for the patient to be given a contrast medium? Correct Answer-allergy to shellfish How would a "bolus" be best described? Correct Answer-a single large dose of medication All but which of the following might influence the myocardial oxygen demand? Correct Answer-height and weight the myocardial O2 demand can have the potential to be influenced by Correct Answer-HR afterload contractility
preload What does NIH stand for? Correct Answer-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 Correct Answer-NIH (neointimal hyperplasia) Which wave on an ECG relates to the A wave on the right atrium waveform? Correct Answer-the P wave Which of the pacemaker modes indicates the pacemaker works at a continuous set rate? Correct Answer-fixed rate with a ____ the pacemaker paces when the heart drops below a level that the pacer is set at Correct Answer-demand rate Secondary radiation could best be described as which of the following? Correct Answer-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? Correct Answer-oximetry CVP/swan ganz O2 by mask/intubation large vol of 0.9% NS (3L/hr) epi IV
what is the generic name for cardizem Correct Answer-benzothiazepine what is the generic name for cardene Correct Answer-dihydroperidine what is the generic name for verapamil Correct Answer-phenylalkylamine During the FFR procedure, once the IC injection has been administered and the flush has beendone, which of the following steps would be done next? Correct Answer-press the start mode or record key the diagnostic multi-packs typically include what Correct Answer-guide wire pigtail JL sheath JR Which of the following catheters is typically used for a ventriculography and aortography? Correct Answer-side hole pigtail catheter Which of the following might ICE (intracardiac echocardiography) be used for? Correct Answer-1. guiding radiofrequency
- 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? Correct Answer-0.5-1.0 mm per sec Of the following, which would be considered the normal stroke volume index? Correct Answer-30-65 ml/beat/m what would the normal SV be Correct Answer-60-130 ml Which of the following can cause a blood vessel to spasm? Correct Answer- 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? Correct Answer-the pts height what size Inoue balloon would you use for a pt who is <160 cm tall Correct Answer-26mm what size Inoue balloon would you use for a pt who is 160-180 cm tall Correct Answer-28mm what size Inoue balloon would you use for a pt who is >180 cm tall Correct Answer-30mm A contraindication would be best described as which of the following? Correct Answer-a procedure which should not be performed
metal surface area Temporary transvenous pacing is better tolerated than some of the other pacing methods, butis associated with a high rate of complications. Which of the following might be consideredone of these complications? Correct Answer-local infections lead dislodgement Most percutaneous coronary interventions are performed using a ____ F guiding catheter? Correct Answer- All but which of the following would be checked if a patient on a temporary pacemaker shows on the cardiac monitor that there is a failure to pace due to output? Correct Answer-1. prepare for transcutaneous pacing
- prepare to do CPR if necessary
- prepare to administer chronotropic meds
- increase the output to max (20mA atrial and 25 mA ventricular)
- check the power, battery, and connections
- consider switching to an asynchronous mode in the attempt to prevent oversensing Which kind of artherectomy would use a high-speed device that is designed to pulverize plaque into minute particles? Correct Answer-rotational Lorazepam (ativan) is metabolized by which of the following? Correct Answer- liver
______ is metabolized by the liver and is considered to be the most potent benzodiazepine bc it has a slower onset and a longer duration of action than midazolam Correct Answer-lorazepam (ativan) If a patient is on an intra-aortic balloon pump, which of the following would be considered potential complications? Correct Answer-sepsis infection thrombocytopenia renal ischemia vascular complications hemolysis mechanical complications How much does the typical ICD (implantable cardiovertor defibrillator) weigh? Correct Answer-68-90 grams The R wave on the ECG represents which of the following? Correct Answer- ventricular depolarization the Q wave on the EKG represents what Correct Answer-septal depolarization the S wave on the EKG represents what Correct Answer-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? Correct Answer-ACT
there are 4 defects of the heart and blood vessels with the tetrology of fallot. what are they? Correct Answer-1. 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? Correct Answer-vascular surgeons radiologists cardiologists If a patient has chronic atherosclerotic obstructions, which of the following is often their most common complaint? Correct Answer-exercised induced pain in the calf Which of the following might be considered a problem that can be associated with holding manual pressure when removing sheaths? Correct Answer-staff fatigue predisposal to carpal tunnel syndrome poor technique application of inconsistent press Of the following, which would be considered a way to achieve hemostasis after a percutaneouscatheterization Correct Answer-vascular plugs manual compression topical hemostasis accelerators mechanical compression percutaneous vascular suturing
It can take as long as __________ for the components of the Angio-Seal to be reabsorbed? Correct Answer-90 days (you can restick immediately) Common causes of a cardiac catheterization patient developing life-threatening dysrhythmias would include all but which of the following? Correct Answer- spasms ischemia air embolisms accidental electrical shock dissection/abrupt closure thrombus embolism contrast injection 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? Correct Answer-duetts Which of the following medications have the potential to impact the risks for a cardiac catheterization? Correct Answer-NSAIDs warfarin furosemide metformin ARBs insulin ACE inhibs
