RCIS UPDATED EXAM SCRIPT QUESTIONS AND ANSWERS
GRADED A+
✔✔Which view exposes the operator to the greatest amount of radiation - ✔✔Lateral
✔✔What converts x-rays into an image - ✔✔Image Intensifier
✔✔The contrast that is best for a patient is - ✔✔low osmolality
✔✔Radiolucent means - ✔✔X-rays are permitted to pass through
✔✔Radiopaque means - ✔✔X-rays are not permitted to pass through
✔✔ReoPro works on - ✔✔IIb/IIIa receptors
✔✔Heparin potentiates the action of - ✔✔Antithrombin
✔✔Fibrinogen is converted to Fibrin by the action of - ✔✔Thrombin
✔✔There are _________ known pathways to imitate the clotting cascade - ✔✔2
✔✔Aspirin inhibits the action of - ✔✔Arachidonic Acid
✔✔Which agent is not an antiplatelet - ✔✔Heparin
✔✔If a patient has diabetes and renal failure with a creatinine of 2.0 what would you
give - ✔✔fluids to hydrate
✔✔If a patient is taking NPH insulin, which medication should not be given -
✔✔Protamine
✔✔Which medication is most commonly given to a patient with SVT - ✔✔Adenosine
✔✔True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized -
✔✔True
✔✔Lidocaine converts from 2GM in 500cc to - ✔✔4 mg in 1 cc
✔✔Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - ✔✔400 mg
in 250cc
,✔✔The best short acting medication/anxietolytic to sedate a patient is -
✔✔Versed/Midazolam
✔✔The drug of choice for treating coronary spasm is - ✔✔NTG
✔✔Amiodarone is used to treat - ✔✔Atrial and ventricular arrhythmias
✔✔What medication is used as a preload and afterload reducer - ✔✔NTG
✔✔Diabetic patients have a greater incidence of developing _______ post contrast
administration - ✔✔Renal failure
✔✔Which rhythm is most likely to become lethal - ✔✔Mobitz 2
✔✔The Impella catheter most closely resembles - ✔✔Pigtail
✔✔When performing an LV angiogram with the LV injector, what is the purpose of
setting a "rate of rise" - ✔✔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 - ✔✔inferior wall
✔✔An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which
coronary artery is most likely occluded - ✔✔Cx
✔✔How do you test the defibrillator - ✔✔discharge into the defibrillator (dummy load)
✔✔What happens if you deliver a shock to a patient on the T Wave - ✔✔You could put
them into Vfib
✔✔In 1st degree heart block, where is the conductive delay - ✔✔AV node
✔✔What is the normal PR interval - ✔✔.12-.20
✔✔If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and
is not responding, what should you do - ✔✔Unsymchronized cardioversion
✔✔If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and
SOB. What should you do - ✔✔Do immediate synchronized cardioversion
✔✔A common complication of placing a pacing electrode/wire is -
✔✔Perforation/Preicardial Effusion/Tamponade
, ✔✔A pacing generator that paces in both chambers, senses in the ventricle, and inhibits
QRS complexes is a - ✔✔DVI
✔✔A pacing generator that paces both chambers, senses both chambers, and triggers
or inhibits is a - ✔✔DDD
✔✔A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a -
✔✔AAI
✔✔What is the formula for calculating SVR - ✔✔Mean OR- Mean RA/CO
✔✔Which cardiac output would be most accurate in a patient with tricuspid regurgitation
- ✔✔FICK
✔✔Which right heart pressure best reflects LV preload - ✔✔PCWP
✔✔Which balloon is used for valvuloplasty - ✔✔inoue
✔✔Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a
pressure that is lower in the - ✔✔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= 14.7 PCWP= 12 O2 consumption=
250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - ✔✔5.2 L/min
✔✔Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40%
HR= 70 - ✔✔50 cc
✔✔Calculate an Aortic valve area with the following information HR= 85 Mean gradient=
64 CO= 4.2L/min BP= 136/74 Sep= .37 - ✔✔.37 cm2
✔✔Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and
an angiographic CO of 5.4L/min - ✔✔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 -
✔✔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 - ✔✔Pseudoaneurysm
GRADED A+
✔✔Which view exposes the operator to the greatest amount of radiation - ✔✔Lateral
✔✔What converts x-rays into an image - ✔✔Image Intensifier
✔✔The contrast that is best for a patient is - ✔✔low osmolality
✔✔Radiolucent means - ✔✔X-rays are permitted to pass through
✔✔Radiopaque means - ✔✔X-rays are not permitted to pass through
✔✔ReoPro works on - ✔✔IIb/IIIa receptors
✔✔Heparin potentiates the action of - ✔✔Antithrombin
✔✔Fibrinogen is converted to Fibrin by the action of - ✔✔Thrombin
✔✔There are _________ known pathways to imitate the clotting cascade - ✔✔2
✔✔Aspirin inhibits the action of - ✔✔Arachidonic Acid
✔✔Which agent is not an antiplatelet - ✔✔Heparin
✔✔If a patient has diabetes and renal failure with a creatinine of 2.0 what would you
give - ✔✔fluids to hydrate
✔✔If a patient is taking NPH insulin, which medication should not be given -
✔✔Protamine
✔✔Which medication is most commonly given to a patient with SVT - ✔✔Adenosine
✔✔True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized -
✔✔True
✔✔Lidocaine converts from 2GM in 500cc to - ✔✔4 mg in 1 cc
✔✔Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - ✔✔400 mg
in 250cc
,✔✔The best short acting medication/anxietolytic to sedate a patient is -
✔✔Versed/Midazolam
✔✔The drug of choice for treating coronary spasm is - ✔✔NTG
✔✔Amiodarone is used to treat - ✔✔Atrial and ventricular arrhythmias
✔✔What medication is used as a preload and afterload reducer - ✔✔NTG
✔✔Diabetic patients have a greater incidence of developing _______ post contrast
administration - ✔✔Renal failure
✔✔Which rhythm is most likely to become lethal - ✔✔Mobitz 2
✔✔The Impella catheter most closely resembles - ✔✔Pigtail
✔✔When performing an LV angiogram with the LV injector, what is the purpose of
setting a "rate of rise" - ✔✔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 - ✔✔inferior wall
✔✔An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which
coronary artery is most likely occluded - ✔✔Cx
✔✔How do you test the defibrillator - ✔✔discharge into the defibrillator (dummy load)
✔✔What happens if you deliver a shock to a patient on the T Wave - ✔✔You could put
them into Vfib
✔✔In 1st degree heart block, where is the conductive delay - ✔✔AV node
✔✔What is the normal PR interval - ✔✔.12-.20
✔✔If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and
is not responding, what should you do - ✔✔Unsymchronized cardioversion
✔✔If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and
SOB. What should you do - ✔✔Do immediate synchronized cardioversion
✔✔A common complication of placing a pacing electrode/wire is -
✔✔Perforation/Preicardial Effusion/Tamponade
, ✔✔A pacing generator that paces in both chambers, senses in the ventricle, and inhibits
QRS complexes is a - ✔✔DVI
✔✔A pacing generator that paces both chambers, senses both chambers, and triggers
or inhibits is a - ✔✔DDD
✔✔A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a -
✔✔AAI
✔✔What is the formula for calculating SVR - ✔✔Mean OR- Mean RA/CO
✔✔Which cardiac output would be most accurate in a patient with tricuspid regurgitation
- ✔✔FICK
✔✔Which right heart pressure best reflects LV preload - ✔✔PCWP
✔✔Which balloon is used for valvuloplasty - ✔✔inoue
✔✔Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a
pressure that is lower in the - ✔✔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= 14.7 PCWP= 12 O2 consumption=
250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - ✔✔5.2 L/min
✔✔Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40%
HR= 70 - ✔✔50 cc
✔✔Calculate an Aortic valve area with the following information HR= 85 Mean gradient=
64 CO= 4.2L/min BP= 136/74 Sep= .37 - ✔✔.37 cm2
✔✔Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and
an angiographic CO of 5.4L/min - ✔✔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 -
✔✔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 - ✔✔Pseudoaneurysm
