Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
RCIS PRACTICE TEST LATEST RCIS PRACTICE TEST LATEST RCIS PRACTICE TEST LATEST
Typology: Exams
1 / 42
This page cannot be seen from the preview
Don't miss anything!
END OF PAGE Which of the following are anti-platelets A. ReoPro B. Plavix C. ASA D. Heparin E. Coumadin - ANSWERS-A. ReoPro B. Plavix C. ASA If the patient has an elevated creatinine and a decreased GFR which of the following should not be given - ANSWERS-Lasix ACE inhibitors (Choose all that apply) A. Decrease HR B. Decrease BP C. Lower BP via the kidneys D. lower the BP via the SA node - ANSWERS-B. Decrease BP C. Lower BP via the kidneys
END OF PAGE A common adverse effect of ACE inhibitors is - ANSWERS-Cough Select all the ACE inhibitors A. Enalapril B. Lasix C. Lisinopril D. NTG - ANSWERS-A. Enalapril C. Lisinopril Which of the following are calcium channel blockers? A. Amlodipine B. Metoprolol C. Felodipine D. Nifedipine - ANSWERS-A. Amlodipine C. Felodipine D. Nifedipine Choose all of the following tests used to elevate kidney function A. Urine output
END OF PAGE D. The PR interval is <.20 - ANSWERS-B. The delay is in the AV node C. The PR interval is >. An increased LVEDP (Choose all that apply) A. Increases the LV Preload B. Increases the PCWP C. Increases the LA pressure D. Causes no change in pressures - ANSWERS-A. Increases the LV Preload B. Increases the PCWP C. Increases the LA pressure An aortic dissection (Choose all that apply) A. Presents with back pain B. Presents with abdominal pain and RUQ pain C. Presents with back pain not relieved with NTG, Morphine, O D. Presents with back pain not associated with EKG changes - ANSWERS-A. Presents with back pain C. Presents with back pain not relieved with NTG, Morphine, O
END OF PAGE D. Presents with back pain not associated with EKG changes The patient c/o pain down the leg when attempting to cannulate the RFA (Choose all that apply) A. The attempt was to lateral B. The attempt was too far above the inguinal fold C. The cannulating needle needs to be re-positioned medially D. the attempt was too inferior (below) the inguinal field - ANSWERS- A. The attempt was to lateral C. The cannulating needle needs to be re-positioned medially Accurate timing of the IABP (Choose all that apply) A. decreases preload B. increases preload C. Decreases afterload D. increases afterload E. improves coronary circulation F. Does not affect coronary circulation - ANSWERS-C. Decreases afterload E. improves coronary circulation
END OF PAGE A common complication of a Rotoblador is - ANSWERS-Distal embolization What is the formula for calculating cardiac output? - ANSWERS-CO= HR x SV What is stroke volume related to? - ANSWERS-preload Preload is most impacted by..... - ANSWERS-Increased filling volumes A patient with chronic untreated hypertension would demonstrate.... - ANSWERS-Increased afterload Vascular resistance/pressure is most influenced by.... - ANSWERS- Radius of the vessel The formula for BP is.... - ANSWERS-BP = CO x SVR What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency - ANSWERS-V wave
END OF PAGE An elevated RVEDP is found in which pathology - ANSWERS-RV infarct If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment - ANSWERS-JVD What is the most common cause of Pulmonic stenosis - ANSWERS- Congenital The Blue proximal part of the swan is located how far from the distal tip of the swan - ANSWERS-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 - ANSWERS-RA, PA Equalization of RVEDP and LVEDP are found in - ANSWERS- restrictive pericarditis Signs of Right sided heart failure include - ANSWERS-JVD
END OF PAGE What does RAD stand for - ANSWERS-Radiation absorbed dose What component of the X-ray system converts light rays into images - ANSWERS-Image intensifier What is the maximum annual dose of radiation one can receive annually
END OF PAGE What converts x-rays into an image - ANSWERS-Image Intensifier The contrast that is best for a patient is - ANSWERS-low osmolality Radiolucent means - ANSWERS-X-rays are permitted to pass through Radiopaque means - ANSWERS-X-rays are not permitted to pass through ReoPro works on - ANSWERS-IIb/IIIa receptors Heparin potentiates the action of - ANSWERS-Antithrombin Fibrinogen is converted to Fibrin by the action of - ANSWERS- Thrombin There are known pathways to imitate the clotting cascade - ANSWERS- 2 Aspirin inhibits the action of - ANSWERS-Arachidonic Acid
END OF PAGE The best short acting medication/anxietolytic to sedate a patient is - ANSWERS-Versed/Midazolam The drug of choice for treating coronary spasm is - ANSWERS-NTG Amiodarone is used to treat - ANSWERS-Atrial and ventricular arrhythmias What medication is used as a preload and afterload reducer - ANSWERS-NTG Diabetic patients have a greater incidence of developing post contrast administration - ANSWERS-Renal failure Which rhythm is most likely to become lethal - ANSWERS-Mobitz 2 The Impella catheter most closely resembles - ANSWERS-Pigtail
END OF PAGE When performing an LV angiogram with the LV injector, what is the purpose of setting a "rate of rise" - ANSWERS-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 - ANSWERS-inferior wall An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded - ANSWERS-Cx How do you test the defibrillator - ANSWERS-discharge into the defibrillator (dummy load) What happens if you deliver a shock to a patient on the T Wave - ANSWERS-You could put them into Vfib In 1st degree heart block, where is the conductive delay - ANSWERS- AV node What is the normal PR interval - ANSWERS-.12-.
END OF PAGE Which cardiac output would be most accurate in a patient with tricuspid regurgitation - ANSWERS-FICK Which right heart pressure best reflects LV preload - ANSWERS-PCWP Which balloon is used for valvuloplasty - ANSWERS-inoue Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a pressure that is lower in the - ANSWERS-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. PCWP= 12 O2 consumption= 250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - ANSWERS-5.2 L/min Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40% HR= 70 - ANSWERS-50 cc
END OF PAGE Calculate an Aortic valve area with the following information HR= 85 Mean gradient= 64 CO= 4.2L/min BP= 136/74 Sep= .37 - ANSWERS- .37 cm Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and an angiographic CO of 5.4L/min - ANSWERS-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 - ANSWERS-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 - ANSWERS-Pseudoaneurysm An abdominal aortic pulsation greater than 3.0 cm can be a finding for what - ANSWERS-Aortic aneurysm Back pain not relieved NTG, morphine or oxygen and not associated with EKG changes can indicate - ANSWERS-Aortic dissection Which stent is self expanding - ANSWERS-Wall stent
END OF PAGE When performing a myocardial biopsy where are the tissue samples taken from - ANSWERS-RV Hypokinetic means - ANSWERS-decreased movement In the formula BP= HR x SV x Systematic Vascular Resistance, Dobutamie acts as an , to by increasing - ANSWERS- Inotrope, increase stroke volume, contractility Which of the following are Angiostensin Receptor Blockers (ARBS) A. Lisiopril B. Losartan C. Metoprolol D. Valstartan - ANSWERS-Losartan and Valstartan NTG works to decrease preload when given during an MI by dilating - ANSWERS-Veins What is the function of low dose dopamine, 1 - 5mcg/kg/min - ANSWERS-Improves renal function and urine output
END OF PAGE If the patient complains of pain down the leg when attempting to cannulate the right femoral artery, which way do you move the needle - ANSWERS-Medial Coronary arteries perfuse best during - ANSWERS-Diastole What is the purpose of the IABP - ANSWERS-Increased coronary perfusion, decreased afterload An IMA catheter most nearly resembles a - ANSWERS-IR 4 What is the recommended rate of Burr rotation when using a Rotoblador
