RCIS GLOWACKI AND SOMMERS
CERTIFICATION EVALUATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Name some antiplatelet medications. Answer: ASA, Plavix, Brillinta,
Effient, Integrelin, ReoPro (Heparin is NOT an antiplatelet)
⩥ Adenosine Causes. Answer: Maximum hyperemia
⩥ When a patient has a vaso-vagal reaction, what do you see? Answer:
BP decreases
HR Decreases
SV Decreases
⩥ When a patient has a vasovagal reaction what do you do? Answer:
Give fluids
Trendelenburg position
Atropine 0.5 mg-1 mg IV push
⩥ If a patient has a high creatinine, what should you consider Answer:
Pre-procedure fluid hydration
Use as small amount of contrast as possible (3mL/kg OR 3x the GFR)
,⩥ How does heparin prevent clot formation Answer: Heparin prevents
the conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
⩥ What is the initial dose of Versed for sedation? Answer: 0.5 mg-1 mg
⩥ What is the action of Reopro Answer: Reopro inhibits IIb/IIIa
receptors
⩥ INR measures the level of which drug Answer: Coumadin
⩥ Most common access point to perform a myocardial biopsy? Answer:
Right Internal Jugular Vein
⩥ What are the landmarks to perform an IJ Access? Answer: The IJ lies
between the medial and lateral heads of the sternocleidomastoid muscle
and lateral to the carotid artery
⩥ Lovenox impacts what Answer: Antithrombin and Factor Xa
⩥ What might be the medication of choice for SVT? Answer: Adenosine
, ⩥ What short acting benzodiazepine is commonly used in the cath lab
for sedation? Answer: Versed (Midazolam)
⩥ Steps to place a distal protection device Answer: 1. place the device
distal to the lesion
2. Cross the lesion with the stent/balloon
3. deploy the stent
4. remove the stent balloon
5. remove the protection device
⩥ How do you check a patients' clotting time after being given heparin?
Answer: ACT
If ACT is not an option, draw a PTT
⩥ Prior to a proocedure, what info must be found on the patient's chart?
Answer: H&P within 30 days
Informed consent form
Specific Cath lab procedure order
⩥ How does Plavix act? Answer: Plavix turns off receptor sites on the
platelets (super-aspirin)
⩥ If a patient is on NPH insulin, what medication should not be given
Answer: Protamine
CERTIFICATION EVALUATION 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Name some antiplatelet medications. Answer: ASA, Plavix, Brillinta,
Effient, Integrelin, ReoPro (Heparin is NOT an antiplatelet)
⩥ Adenosine Causes. Answer: Maximum hyperemia
⩥ When a patient has a vaso-vagal reaction, what do you see? Answer:
BP decreases
HR Decreases
SV Decreases
⩥ When a patient has a vasovagal reaction what do you do? Answer:
Give fluids
Trendelenburg position
Atropine 0.5 mg-1 mg IV push
⩥ If a patient has a high creatinine, what should you consider Answer:
Pre-procedure fluid hydration
Use as small amount of contrast as possible (3mL/kg OR 3x the GFR)
,⩥ How does heparin prevent clot formation Answer: Heparin prevents
the conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
⩥ What is the initial dose of Versed for sedation? Answer: 0.5 mg-1 mg
⩥ What is the action of Reopro Answer: Reopro inhibits IIb/IIIa
receptors
⩥ INR measures the level of which drug Answer: Coumadin
⩥ Most common access point to perform a myocardial biopsy? Answer:
Right Internal Jugular Vein
⩥ What are the landmarks to perform an IJ Access? Answer: The IJ lies
between the medial and lateral heads of the sternocleidomastoid muscle
and lateral to the carotid artery
⩥ Lovenox impacts what Answer: Antithrombin and Factor Xa
⩥ What might be the medication of choice for SVT? Answer: Adenosine
, ⩥ What short acting benzodiazepine is commonly used in the cath lab
for sedation? Answer: Versed (Midazolam)
⩥ Steps to place a distal protection device Answer: 1. place the device
distal to the lesion
2. Cross the lesion with the stent/balloon
3. deploy the stent
4. remove the stent balloon
5. remove the protection device
⩥ How do you check a patients' clotting time after being given heparin?
Answer: ACT
If ACT is not an option, draw a PTT
⩥ Prior to a proocedure, what info must be found on the patient's chart?
Answer: H&P within 30 days
Informed consent form
Specific Cath lab procedure order
⩥ How does Plavix act? Answer: Plavix turns off receptor sites on the
platelets (super-aspirin)
⩥ If a patient is on NPH insulin, what medication should not be given
Answer: Protamine
