CCI RCIS Review Exam Latest Updated

- .035 x 260 cm - Answer1. When intervening in the mid/distal right leg from a radial approach, which is the best wire choice? - .038 x 150 cm - .035 x 180 cm - .038 x 180 cm - .035 x 260 cm - compliance - Answer2. Which of the following BEST describes a balloon's ability to yield to changes in pressure? - flexibility - pushability - trackability - compliance - to remove calcific atherosclerotic plaque - Answer3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI? - to score fibrotic plaque - to remove calcific atherosclerotic plaque - to pulverize plaque using electromagnetic energy - to remove thrombus using the Bernoulli/Venturi effect - pull clot back into a vein - Answer4. A Forgarty balloon is commonly used to __________-. - dilate a stenotic lesion - push plaque downstream - pull clot back into a vein - measure right heart pressure - stent - angioplasty - covered stent - Answer5. Select the methods used to treat flow limiting dissections (select three) - stent - angioplasty - atherectomy - covered stent - thrombectomy - retractable coil - vasodilator drug - guide with side holes - temporary pacing wire - Answer6. When using a rotational atherectomy device in the RCA, what else should you consider using? (choose 3) - stiff wire - large size burr - vasodilator drug - guide with side holes - temporary pacing wire - NPO status - patient allergies - patient identifiers - advance directives - Answer7. What information is required prior to prepping the patient for the procedure? (choose 4) - NPO status - patient allergies - patient identifiers - advance directives - last H&P 40 days ago - last visit to primary physician - dobutamine - Answer8. Which of the following inotropic agents predominately stimulates beta 1 receptors? - Isuprel - dopamine - dobutamine - epinephrine - Increased coronary blood flow - Answer9. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation? - increased preload - increased afterload - increased coronary blood flow - increased myocardial oxygen demand - prep right groin - Allen's test performed prior to wrist prep - Answer10. Which actions should be completed when prepping the patient for a transradial cardiac catheterization? (chose 2 responses) - prep right groin - position wrist in prone position - IV antibiotics given for the procedure - start IV on same arm as radial access - Allen's test performed prior to wrist prep - body surface area - Answer11. Cardiac index is calculated by dividing cardiac output in liters per minute by - heart rate - stroke volume - body surface area - mean ventricular pressure - 5-6 - Answer12. The patient has a pulse but is in respiratory arrest. You must give 1 breath every _______ seconds. - 2-3 - 3-4 - 4-5 - 5-6 - to reduce the amount of balloon movement during inflation - Answer13. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty procedure? - to increase oxygen demand for coronary perfusion - to increase cardiac output during the balloon inflation - to reduce the amount of balloon movement during inflation - to reduce the need for coronary perfusion during the inflation period - aspirin, morphine, nitroglycerin, oxygen - Answer14. Immediate ED general treatment should include - aspirin, Lasix, nitroglycerin, and oxygen - aspirin, Lasix, morphine, and nitroglycerin - aspirin, morphine, nitroglycerin, oxygen - aspirin, fibrinolytic, morphine, and nitroglycerin - personal protective equipment - Answer15. The term "standard precautions" refers to __________. - informed consent - aseptic technique - advanced directives - personal protective equipment - orbital and directional - Answer16. Which atherectomy catheters shave and sand away plaque? - orbital and directional - vascular and intraspinal - sculpting balloon and stent - cutting balloon and infusion catheter - extraction - Answer17. What type of catheter is used for a thrombectomy? - ablation - perfusion - extraction - rotational - provide perfusion regardless of patient's intrinsic rate - Answer18. One advantage of using a percutaneous left ventricular assist device is that they - do not decrease preload - require a small sheath size - eliminate the need to treat ischemic lesions - provide perfusion regardless of patient's intrinsic rate - 100 - Answer19. Given the following hemodynamic data for a patient at rest, what is the mean arterial pressure? Systolic pressure 140 mmhg Diastolic pressure 80 mmhg - 60 - 80 - 100 - 110 - aortic insufficiency - Answer20. A "Waterhammer Pulse" is caused by what valvular disease? - aortic stenosis - mitral stenosis - aortic insufficiency - mitral regurgitation -go with the patient and physically show the receiving RN the site to discuss any hemostasis details such as vessel, sheath size, and hematoma concerns - Answer21. When transferring a patient to the recovery area or back to their room, what should be the action for the person who achieved hemostasis of the procedure site? - thank the patient for having their procedure with your facility and get the room ready for the next patient - Confirm the transporter knows how to hold manual pressure in case the hemostasis site starts to bleed during transport to recovery/ patient room - Discuss the site with the transporter to pass the details forward and remind the patient to keep the affected site still and relaxed during their recovery - go with the patient and physically show the receiving RN the site to discuss any hemostasis details such as vessel, sheath size, and hematoma concerns - anterior - Answer22. In a standard 12 lead ECG, the _________ wall is represented in leads V3 and V4. - lateral - inferior - anterior - anteroseptal - IVUS - Answer23. What imaging modality is used to confirm proper stent apposition? - FFR - ICE - IABP - IVUS - anode - Answer24. When delivering radiation, photons are emitted from the - anode - cathode - focal spot - surface target - proximal - Answer25. In determining cardiac output via the thermal dilution method, saline is injected into the ________ port of the PA catheter. - distal - dorsal - medial - proximal - Image Intensifier - Answer26. The device that converts x-rays into visible light is the - anode - cathode - image intensifier - tungsten filament - Closure of the semilunar valves - Answer27. Which of the following is responsible for producing the S2 heart sound? - ventricular filling - ventricular distensibility - closure of the semilunar valves - closure of the atria-ventricular valves - air or thrombus embolism - Answer28. Which of the following represents the GREATEST risk during left ventriculography? - arrhythmia - hypotension - intramyocardial staining - air or thrombus embolism - aortic regurgutation - Answer29. What is an absolute contraindication for the use of intra-aortic balloon counterpulsation? - aortic stenosis - mitral stenosis - aortic regurgitation - mitral regurgitation - famotidine (H2 antagonist), diphenhydramine (antihistamine), Solu-Medrol (glucocorticoid) - Answer30. Which medications are used to pre-treat a patient with a history of contrast allergies? - amrinone, diphenhydramine, epinephrine - famotidine (H2 antagonist), diphenhydramine (antihistamine), Solu-Medrol (glucocorticoid) - cimetidine, Solu-Medrol, sodium bicarbonate - methyl-prednisolone, famotidine, sodium bicarbonate - thrombis formation - Answer31. What is a complication associated with mechanical cardiac valves? - aneurysm - flail leaflet - chordae rupture - thrombis formation - nausea - bradycardia - hypotension - Answer32. Which of the listed signs and symptoms may indicate a vasovagal response? (choose 3) - nausea - bradycardia - hypotension - tachycardia - hypertension - intravascular ultrasound - Answer33. Which of the following can be used to assure good stent apposition during PCI? - coronary flow reserve - fractional flow reserve - intravascular ultrasound - digital subtraction angiography - 3 - Answer34. What is the TIMI grade of a vessel that has complete perfusion? -0 -1 -2 -3 - right popliteal or left/right femoral artery - Answer35. What are the possible vascular access sites for a left femoral artery intervention? - left/right radial artery or left femoral artery - left popliteal or left femoral artery - right popliteal or left/right femoral artery - left/right radial artery, right femoral artery, or left/right popliteal artery - transcutaneous - Answer36. Which of the following pacing methods requires the use of external pacing pads? - transarterial - transvenous - transcutaneous - transesophageal - aortic insufficiency - Answer37. Which of the following is associated with elevated pulse pressure? - hyperlipidemia - arterial sclerosis - aortic insufficiency - hypertrophic cardiomyopathy - Angioseal - Answer38. Which vascular closure device has a suture that is self-tightening? - Mynx - Perclose - Angioseal - Starclose - stable - Answer39. What type of angina usually occurs with activity and subsides with rest? - stable - unstable - crescendo - prinzmetal - Aspirate the coronary before removing balloon - Answer40. While inflating a non-compliant balloon a rapid loss of balloon pressure occurs. Which of the following should be done FIRST?