RCIS EXAM 300 QUESTIONS AND CORRECT ANSWERS ALREADY A GRADED UPDATE|BRAND NEW What drug acts as an anticoagulant, preventing the development of clot and existing clot growth? - ANSWER- Angiomax (bibaldirudin) What is a trapped or jailed wire?

RCIS EXAM 300 QUESTIONS AND CORRECT ANSWERS ALREADY A GRADED UPDATE|BRAND NEW What drug acts as an anticoagulant, preventing the development of clot and existing clot growth? - ANSWER- Angiomax (bibaldirudin) What is a trapped or jailed wire? What does it mean? - ANSWER- When you place a stent over a branch protecting wire When you see an inverted t wave it is a sign of? - ANSWER- Ischemia. Needs to be in 2 or more contiguous leads FFR values indicative of ischemia - ANSWER- 0.75-0.80 Heparin dose - ANSWER- 50-70 x a patient's weight Thermodilution Cardiac Output - ANSWER- The smaller the modulation curve, the highest CO What are important things to know about propranolol (inderal)? - ANSWER- Do not give to anyone with COPD! Affects both the heart and the lungs Important facts about beta blockers. - ANSWER- If stopped suddenly there is a risk of stroke. BBs stop adrenoline from binding to beta sites. Which valve receives the least amount of stress? - ANSWER- The pulmonic valve What is pulsus paradoxus? - ANSWER- When the BP > 10 mmHg on expiration than on inspiration BP Drop of more than 10mmHg with inspiration. Usually caused by cardiac tamponade How long should the TR band stay in place? - ANSWER- 90 minutes for diagnostic cases 180 minutes for interventions What is a disinfectant? - ANSWER- Destroys microorganisms on non living objects What is rotational atherectomy? - ANSWER- grinds away hardened plaque. Ex: Rotoblator What medication is given in SVT? - ANSWER- adenosine What do alpha 1 receptors do? - ANSWER- constrict arteries. Work on smooth muscle. Why would you use a covered stent? - ANSWER- Dissection or perforation What physiological parameter does not change with exercise? - ANSWER- Diastolic blood pressure What type of wire would you never jail? - ANSWER- Hydrophilic What are the signs of a RBBB? - ANSWER- QRS > 0.12 sec V1, V2 positive deflection What is aminocaproic acid? - ANSWER- tPA antagonist What does a Fogarty embolectomy do? - ANSWER- Used to remove arterial emboli catheter is passed through the clot, then inflated and the clot is pulled out. What is a normal FFR? - ANSWER- FFR = 1.0 What is the difference between fluoro vs Cine? - ANSWER- 10x more radiation with cine To reduce the chance of contrast problems.... - ANSWER- Limit contrast to 3ml x kg Give patient 500ccs normal saline 3 hours prior to the case What are the signs of hypertrophic obstructive cardiomyopathy? - ANSWER- pulsus bisferiens (Double pulse) There is asymmetrical hypertrophy in ventricular wall.