RCIS-Intervention Exam Questions &
Answers (Grade A+)
Compared with diagnostic catheterization, angioplasty and PCI has
_________ times more risk of major complications and death.
a. 2 x
b. 4 x
c. 8 x
d. 10 x -
correct answer ✅d. 10 x
PCI should only be performed by experienced operators and in
hospitals with a full cardiac surgery service EXCEPT:
a. in emergency STEMI
b. in emergency ischemic stroke
c. in emergency aortic dissection
d. in acute coronary syndrome with intractable arrhythmias
e. for elective low risk De novo lesions with standby ambulance -
correct answer ✅a. in emergency STEMI
,RCIS-Intervention Exam Questions &
Answers (Grade A+)
You are mixing a PTCA balloon catheter prep. If 20 cc's of contrast
are initially placed in a cup, how many cc's of saline should be
mixed with it?
a. 1 cc
b. 5 cc
c. 10 cc
d. 20 cc -
correct answer ✅d. 20 cc
The amount of stretch inherent in balloon materials is termed:
a. stiffness
b. flexibility
c. compliance
d. malleability -
correct answer ✅c. compliance
This patient entered the ER with signs and symptoms of acute
coronary syndrome. The cine pictures show the lesion before and
after intervention. This was a:
,RCIS-Intervention Exam Questions &
Answers (Grade A+)
a. severe LAD lesion
b. total LAD occlusion
c. severe CX lesion
d. total CX occlusion -
correct answer ✅b. total LAD occlusion
The "kissing balloon technique" is used in _________ lesions to
prevent _______.
a. bifurcation lesions, vessel remodeling
b. bifurcation lesions, shifting plaque
c. chronic total occlusions, vessel remodeling
d. chronic total occlusions, "snow plowing" of thrombus -
correct answer ✅b. bifurcation lesions, shifting plaque
While wiring a diseased circumflex coronary artery prior to
stenting, you notice a contrast stain or blush outside the coronary
silhouette near the area of greatest tortuosity. You first
recommend:
, RCIS-Intervention Exam Questions &
Answers (Grade A+)
a. pericardiocentesis
b. rapid infusion of IV Protamine
c. rapid infusion glycoprotein IIb/IIIa inhibitor
d. prolonged balloon inflation in the area of tortuosity
e. placing a PTFE covered stent in the area of tortuosity -
correct answer ✅d. prolonged balloon inflation in the area of
tortuosity
You are attempting to pre-dilate a stenosis in a saphenous vein graft
to the first obtuse marginal. The SVG looks to be about 10F in the
reference segment. The cardiologist dilates using a 3.5 mm
compliant balloon at 18 atmospheres, at which point the balloon
bursts. The coronary angiogram reveals extravasation of contrast.
You may help the physician do all the following EXCEPT:
a. administer Protamine
b. insert an intraaortic balloon
c. emergency pericardiocentesis
d. deploy a covered (Jomed) stent
e. seal the perforation with a perfusion balloon -
correct answer ✅b. insert an intraaortic balloon
Answers (Grade A+)
Compared with diagnostic catheterization, angioplasty and PCI has
_________ times more risk of major complications and death.
a. 2 x
b. 4 x
c. 8 x
d. 10 x -
correct answer ✅d. 10 x
PCI should only be performed by experienced operators and in
hospitals with a full cardiac surgery service EXCEPT:
a. in emergency STEMI
b. in emergency ischemic stroke
c. in emergency aortic dissection
d. in acute coronary syndrome with intractable arrhythmias
e. for elective low risk De novo lesions with standby ambulance -
correct answer ✅a. in emergency STEMI
,RCIS-Intervention Exam Questions &
Answers (Grade A+)
You are mixing a PTCA balloon catheter prep. If 20 cc's of contrast
are initially placed in a cup, how many cc's of saline should be
mixed with it?
a. 1 cc
b. 5 cc
c. 10 cc
d. 20 cc -
correct answer ✅d. 20 cc
The amount of stretch inherent in balloon materials is termed:
a. stiffness
b. flexibility
c. compliance
d. malleability -
correct answer ✅c. compliance
This patient entered the ER with signs and symptoms of acute
coronary syndrome. The cine pictures show the lesion before and
after intervention. This was a:
,RCIS-Intervention Exam Questions &
Answers (Grade A+)
a. severe LAD lesion
b. total LAD occlusion
c. severe CX lesion
d. total CX occlusion -
correct answer ✅b. total LAD occlusion
The "kissing balloon technique" is used in _________ lesions to
prevent _______.
a. bifurcation lesions, vessel remodeling
b. bifurcation lesions, shifting plaque
c. chronic total occlusions, vessel remodeling
d. chronic total occlusions, "snow plowing" of thrombus -
correct answer ✅b. bifurcation lesions, shifting plaque
While wiring a diseased circumflex coronary artery prior to
stenting, you notice a contrast stain or blush outside the coronary
silhouette near the area of greatest tortuosity. You first
recommend:
, RCIS-Intervention Exam Questions &
Answers (Grade A+)
a. pericardiocentesis
b. rapid infusion of IV Protamine
c. rapid infusion glycoprotein IIb/IIIa inhibitor
d. prolonged balloon inflation in the area of tortuosity
e. placing a PTFE covered stent in the area of tortuosity -
correct answer ✅d. prolonged balloon inflation in the area of
tortuosity
You are attempting to pre-dilate a stenosis in a saphenous vein graft
to the first obtuse marginal. The SVG looks to be about 10F in the
reference segment. The cardiologist dilates using a 3.5 mm
compliant balloon at 18 atmospheres, at which point the balloon
bursts. The coronary angiogram reveals extravasation of contrast.
You may help the physician do all the following EXCEPT:
a. administer Protamine
b. insert an intraaortic balloon
c. emergency pericardiocentesis
d. deploy a covered (Jomed) stent
e. seal the perforation with a perfusion balloon -
correct answer ✅b. insert an intraaortic balloon
