CCI RCIS Exam Prep Graded To Pass

True or False: During a left heart biopsy you should give heparin. - AnswerYes, 5000IU to avoid thrombi going to the brain What is the maximum annual Radiation exposure? - Answer5 REM What is the therapeutic INR range for someone on warfarin/coumadin? - Answer2.0-3.0 What is a normal INR for someone not on coumadin/warfarin? - AnswerINR 0.6-1.2 When using FFR, what drug is given and how is it delivered? - AnswerAdenosine causes hyperemia (Increased blood flow to the tissues. Can be delivered by either IV or IC What are the pros and cons of a mechanical aortic valve? - AnswerPros: last longer Cons: Prone to thrombus formation Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as biventricular pacing)? How many leads does it use? Where are they placed? - Answeruses 2-3 leads placed through a vein in the RA, RV and into coronal sinus vein to pace the LV A CRT device sends small electrical impulses to both lower chambers of the heart to help them beat together in a more synchronized pattern. What are the angioplasty guidewire calibers? - Answer0.014-0.018 inch When can you detect Myoglobin after an MI? - Answer* 2-4 hours after symptom onset * normal in 24-36 hours What is the diameter of the standard J wire? - Answer0.035 What is the Warfarin ( Coumadin) antagonist? - Answervitamin K When shooting a LIMA, the cuff should be? - AnswerIsolateral (same side as LIMA) left arm What is the usual time for restenosis to occur? - Answerwithin 6 months What size is the red sheath? - Answer*4F-red What size is the grey sheath? - Answer5F-grey What size is the green sheath? - Answer6F- green What size is the orange sheath? - Answer7F-orange What size is the blue sheath? - Answer8F-blue What size is black sheath? - Answer9F-black What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac and femoral vessels? - AnswerWall stent Where can a wall stent be used? - Answercarotid arteries, SVG, Iliac and femoral vessels What is the loading dose of aspirin in a patient with ischemia/chest pain? - Answer162-325 mg Should you increase or decrease burr speed when you increase from a 1.25-2.15 burr? - Answerdecrease Where does the apex point in a RAO view? - Answer* RAO=apex points to the right Where does the apex point in a LAO view? - Answer*LAO= apex points to the left What medication do you give when doing FFR? How does it measure? - Answeradenosine Measure by hyperemic effect (max dilation of vessels) What medication should you give before using IVUS to avoid spasm? - AnswerAlways give 200 nitro before using IVUS to avoid spasm. What is the proper placement of an IABP? - Answer1-2cm distal to left subclavian and promixal to the renals. Where do we stick for neck access for right heart? - AnswerRight internal jugular vein What is the average Adult Hematocrit in %? - AnswerMen 45% Women 40% What are softer guidewires used for? - AnswerThey Are easier/safer in a tortuous vessel What is a normal QRS complex duration? - Answer0.08 - 0.12 sec (2 - 3 small squares) Where does a homograft valve come from? - AnswerFrom another human heart explanted at autopsy What is atherectomy? - AnswerReduction of plaque by using rotational, laser or directional atherectomy device How does perclose work? - AnswerPerclose device uses nonabsorbable suture with 2 needles to attach the suture material. What are the signs of a LBBB? - AnswerLBBB( left bundle branch block) QRS 0.12 sec V5,V6 V1 negative deflection What can lidocaine be used for other than pain relief? - AnswerLidocaine also used for ventricular arrhythmias * Ca channel blocker affect directly purkinge fibers Why is it important to lower the image intensifier? - Answer*reduces pt exposure *improves image quality Where is the blood with the lowest 02 sats? - Answercoronary sinus What is a disadvantage of an Animal Aortic Valve? - AnswerDoes not last long because animals do not have a mechanical valve 10-20 years at most RCA RAO looks like the letter? - Answer"L" What is the average amount of pericardial fluid? - Answer10-50ml What is a normal ACT? - Answer75-120 sec Optimal lead thickness - Answer0.5mm Pacemakers can be? - Answerpermanent, temporary, transcutaneous, transvenous What is a normal pH level of blood? - Answer7.35-7.45 Normal Ratio SVR to PVR? - Answer12:1 1lb = __ kg - Answer0.45kg How many kg in a lb? - Answer2.2 Reopro (abciximab) & Integrilin ( eptifibatide) are: - AnswerGP llb/ llla inhibitors What is the normal Hgb in women? - Answer12-14 g/dl How is vasopressin administered? - Answer40 units IV push replacing first or second dose of epinephrine What are the most radiosensitive tissues? - Answerlymph tissues, bone marrow, gonads, lung tissue Why does the IABP use counterpulsation? - Answer* Inflates & deflates counter to normal rhythm of the heart * decreases workload of LV * decreases oxygen consumption & decreases systolic BP * increases diastolic BP What does IVUS (intravascular Ultrasound) show? - Answer*Defines anterior wall anatomy * If no response to Ace inhibitors use... - AnswerAngiotensin Receptor blockers ( ARB) What is attenuation? - AnswerEnergy from x-ray that interact with tissue & change energy level or direction and exists as scatter Drugs that are on stents - Answer* Sirolimus( rapamyclin) *paclitaxel * everolimus * zotarolimus