RCES Chapter 6 - EP Procedures Exam
Questions with Verified Correct Answers
Patients coming to the EP lab for a CRT who have had a previous allergic reaction to contrast
should:
be premedicated with a steriod and antihistamines
A pt with a prosthetic mitral valve needs a right heart EP study. He takes coumadin daily and
has no clotting problems.
a. maintain pts normal coumadin therapy and administer vitamin k prior to EP study
b. maintain pts normal coumadin therapy and administer fresh plasma prior to EP study
c. discontinue coumadin 48 hrs prior to cath until INR <1.8
d. wean pt from coumadin 1 week prior to cath and replace with heparin drip to keep INR
around 2.0
discontinue coumadin 48 hours prior to cath until INR <1.8
CVA and TIA can be prevented during and immediately after AF ablation by:
a. keeping INR => 2.0
b. keeping INR => 3.0
c. keeping ACT => 150
d. keeping ACT => 300
keeping ACT =>300
Grossman and Peterson state that the most important factor in reducing complicated rates
during invasive procedures in the:
a. speed of doing the case
b. experience of the operating physician
c. systematic heparinization of the pt
d. meticulous attention to details of technique
meticulous attention to details of technique
,The only absolute contraindication to a PVI ablation procedure for AF is:
a. recentn stroke
b. LA thrombus on TEE
c. asymptomatic AF
d. PFO plug in atrial septum
atrial thrombus on TEE
The only AF patients for which PVI ablation procedure us NOT recommended are those with:
a. lone AF
b. permanent AF with history of stroke
c. uncompleted antiarrythmic drug trials
d. asymptomatic long standing persistent AF
asymptomatic long standing persistent AF
Which electrolyte imbalance exacerbates digitalis (digoxin) toxicity?
a. hypokalemia
b. hyperkalemia
c. hypocalcemia
d. metabolic alkalosis
hypokalemia
TO reduce the incidence of renal failure in angiography non-ionic or low osmolar contrast
agents are recommended in pts with:
a. elevated blood Cr levels and/or elevated BUN levels
b. reduced blood Cr levels and/or reduced BUN levels
c. elevated blood Na+ levels and/or elevated K+ levels
d. reduced blood Na+ levels and/or reduced K+ levels
a. elevated blood Cr levels and/or elevated BUN levels
In order to prevent excessive bleeding from the puncture site, PVI pts should come to the lab
with a blood prothrombin time :
a. <5 sec PT time
b. <18 sec PT time
, c. > 18 sec PT time
d. >50 sec PT time
<18 sec PT time
IN the weeks prior to doing an EP study on a patient in persistent AF or AFL, is it safest to:
(select 2)
a. discontinue warfarin
b. TEE
c. anticoagulate with warfarin
d. stress test
e. cardiac cath
TEE
anticoagulate with warfarin
When a case starts, the physician reviews the game plan for the procedure with the patient
and the staff. This is termed:
a. time out
According to Joint Commission, what is the minimum number of pt identifiers that should be
checked before you proceed with a case? ( eg. name band, DOB, SSN etc)
a. 2
b. 3
c. 4
d. 5
2
Which federal agency creates regulations to protect patient's rights?
a. HIPAA
b. FDA
c. OSHA
d. Joint commission
HIPAA
Questions with Verified Correct Answers
Patients coming to the EP lab for a CRT who have had a previous allergic reaction to contrast
should:
be premedicated with a steriod and antihistamines
A pt with a prosthetic mitral valve needs a right heart EP study. He takes coumadin daily and
has no clotting problems.
a. maintain pts normal coumadin therapy and administer vitamin k prior to EP study
b. maintain pts normal coumadin therapy and administer fresh plasma prior to EP study
c. discontinue coumadin 48 hrs prior to cath until INR <1.8
d. wean pt from coumadin 1 week prior to cath and replace with heparin drip to keep INR
around 2.0
discontinue coumadin 48 hours prior to cath until INR <1.8
CVA and TIA can be prevented during and immediately after AF ablation by:
a. keeping INR => 2.0
b. keeping INR => 3.0
c. keeping ACT => 150
d. keeping ACT => 300
keeping ACT =>300
Grossman and Peterson state that the most important factor in reducing complicated rates
during invasive procedures in the:
a. speed of doing the case
b. experience of the operating physician
c. systematic heparinization of the pt
d. meticulous attention to details of technique
meticulous attention to details of technique
,The only absolute contraindication to a PVI ablation procedure for AF is:
a. recentn stroke
b. LA thrombus on TEE
c. asymptomatic AF
d. PFO plug in atrial septum
atrial thrombus on TEE
The only AF patients for which PVI ablation procedure us NOT recommended are those with:
a. lone AF
b. permanent AF with history of stroke
c. uncompleted antiarrythmic drug trials
d. asymptomatic long standing persistent AF
asymptomatic long standing persistent AF
Which electrolyte imbalance exacerbates digitalis (digoxin) toxicity?
a. hypokalemia
b. hyperkalemia
c. hypocalcemia
d. metabolic alkalosis
hypokalemia
TO reduce the incidence of renal failure in angiography non-ionic or low osmolar contrast
agents are recommended in pts with:
a. elevated blood Cr levels and/or elevated BUN levels
b. reduced blood Cr levels and/or reduced BUN levels
c. elevated blood Na+ levels and/or elevated K+ levels
d. reduced blood Na+ levels and/or reduced K+ levels
a. elevated blood Cr levels and/or elevated BUN levels
In order to prevent excessive bleeding from the puncture site, PVI pts should come to the lab
with a blood prothrombin time :
a. <5 sec PT time
b. <18 sec PT time
, c. > 18 sec PT time
d. >50 sec PT time
<18 sec PT time
IN the weeks prior to doing an EP study on a patient in persistent AF or AFL, is it safest to:
(select 2)
a. discontinue warfarin
b. TEE
c. anticoagulate with warfarin
d. stress test
e. cardiac cath
TEE
anticoagulate with warfarin
When a case starts, the physician reviews the game plan for the procedure with the patient
and the staff. This is termed:
a. time out
According to Joint Commission, what is the minimum number of pt identifiers that should be
checked before you proceed with a case? ( eg. name band, DOB, SSN etc)
a. 2
b. 3
c. 4
d. 5
2
Which federal agency creates regulations to protect patient's rights?
a. HIPAA
b. FDA
c. OSHA
d. Joint commission
HIPAA
