RCIS ACTUAL UPDATED QUESTIONS AND ANSWERS
GRADED A+
✔✔What medication do you give when doing FFR? How does it measure? -
✔✔adenosine
Measure by hyperemic effect (max dilation of vessels)
✔✔What medication should you give before using IVUS to avoid spasm? - ✔✔Always
give 200 nitro before using IVUS to avoid spasm.
✔✔What is the proper placement of an IABP? - ✔✔1-2cm distal to left subclavian and
promixal to the renals.
✔✔Where do we stick for neck access for right heart? - ✔✔Right internal jugular vein
✔✔What is the average Adult Hematocrit in %? - ✔✔Men 45%
Women 40%
✔✔What are softer guidewires used for? - ✔✔They Are easier/safer in a tortuous vessel
✔✔What is a normal QRS complex duration? - ✔✔0.08 - 0.12 sec (2 - 3 small squares)
✔✔Where does a homograft valve come from? - ✔✔From another human heart
explanted at autopsy
✔✔What is atherectomy? - ✔✔Reduction of plaque by using rotational, laser or
directional atherectomy device
✔✔How does perclose work? - ✔✔Perclose device uses nonabsorbable suture with 2
needles to attach the suture material.
✔✔What are the signs of a LBBB? - ✔✔LBBB( left bundle branch block)
QRS >0.12 sec
V5,V6 V1 negative deflection
✔✔What can lidocaine be used for other than pain relief? - ✔✔Lidocaine also used for
ventricular arrhythmias * Ca channel blocker affect directly purkinge fibers
✔✔Why is it important to lower the image intensifier? - ✔✔*reduces pt exposure
*improves image quality
✔✔Where is the blood with the lowest 02 sats? - ✔✔coronary sinus
, ✔✔What is a disadvantage of an Animal Aortic Valve? - ✔✔Does not last long because
animals do not have a mechanical valve
10-20 years at most
✔✔RCA RAO looks like the letter? - ✔✔"L"
✔✔What is the average amount of pericardial fluid? - ✔✔10-50ml
✔✔What is a normal ACT? - ✔✔75-120 sec
✔✔Optimal lead thickness - ✔✔0.5mm
✔✔Pacemakers can be? - ✔✔permanent, temporary, transcutaneous, transvenous
✔✔What is a normal pH level of blood? - ✔✔7.35-7.45
✔✔Normal Ratio SVR to PVR? - ✔✔12:1
✔✔1lb = __ kg - ✔✔0.45kg
✔✔How many kg in a lb? - ✔✔2.2
✔✔Reopro (abciximab) & Integrilin ( eptifibatide) are: - ✔✔GP llb/ llla inhibitors
✔✔What is the normal Hgb in women? - ✔✔12-14 g/dl
✔✔How is vasopressin administered? - ✔✔40 units IV push replacing first or second
dose of epinephrine
✔✔What are the most radiosensitive tissues? - ✔✔lymph tissues, bone marrow,
gonads, lung tissue
✔✔Why does the IABP use counterpulsation? - ✔✔* 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? - ✔✔*Defines anterior wall
anatomy *
✔✔If no response to Ace inhibitors use... - ✔✔Angiotensin Receptor blockers ( ARB)
GRADED A+
✔✔What medication do you give when doing FFR? How does it measure? -
✔✔adenosine
Measure by hyperemic effect (max dilation of vessels)
✔✔What medication should you give before using IVUS to avoid spasm? - ✔✔Always
give 200 nitro before using IVUS to avoid spasm.
✔✔What is the proper placement of an IABP? - ✔✔1-2cm distal to left subclavian and
promixal to the renals.
✔✔Where do we stick for neck access for right heart? - ✔✔Right internal jugular vein
✔✔What is the average Adult Hematocrit in %? - ✔✔Men 45%
Women 40%
✔✔What are softer guidewires used for? - ✔✔They Are easier/safer in a tortuous vessel
✔✔What is a normal QRS complex duration? - ✔✔0.08 - 0.12 sec (2 - 3 small squares)
✔✔Where does a homograft valve come from? - ✔✔From another human heart
explanted at autopsy
✔✔What is atherectomy? - ✔✔Reduction of plaque by using rotational, laser or
directional atherectomy device
✔✔How does perclose work? - ✔✔Perclose device uses nonabsorbable suture with 2
needles to attach the suture material.
✔✔What are the signs of a LBBB? - ✔✔LBBB( left bundle branch block)
QRS >0.12 sec
V5,V6 V1 negative deflection
✔✔What can lidocaine be used for other than pain relief? - ✔✔Lidocaine also used for
ventricular arrhythmias * Ca channel blocker affect directly purkinge fibers
✔✔Why is it important to lower the image intensifier? - ✔✔*reduces pt exposure
*improves image quality
✔✔Where is the blood with the lowest 02 sats? - ✔✔coronary sinus
, ✔✔What is a disadvantage of an Animal Aortic Valve? - ✔✔Does not last long because
animals do not have a mechanical valve
10-20 years at most
✔✔RCA RAO looks like the letter? - ✔✔"L"
✔✔What is the average amount of pericardial fluid? - ✔✔10-50ml
✔✔What is a normal ACT? - ✔✔75-120 sec
✔✔Optimal lead thickness - ✔✔0.5mm
✔✔Pacemakers can be? - ✔✔permanent, temporary, transcutaneous, transvenous
✔✔What is a normal pH level of blood? - ✔✔7.35-7.45
✔✔Normal Ratio SVR to PVR? - ✔✔12:1
✔✔1lb = __ kg - ✔✔0.45kg
✔✔How many kg in a lb? - ✔✔2.2
✔✔Reopro (abciximab) & Integrilin ( eptifibatide) are: - ✔✔GP llb/ llla inhibitors
✔✔What is the normal Hgb in women? - ✔✔12-14 g/dl
✔✔How is vasopressin administered? - ✔✔40 units IV push replacing first or second
dose of epinephrine
✔✔What are the most radiosensitive tissues? - ✔✔lymph tissues, bone marrow,
gonads, lung tissue
✔✔Why does the IABP use counterpulsation? - ✔✔* 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? - ✔✔*Defines anterior wall
anatomy *
✔✔If no response to Ace inhibitors use... - ✔✔Angiotensin Receptor blockers ( ARB)
