RCIS GLOWACKI AND SOMMERS PREP
REVIEW ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Name some anti platelet medications? Answer: ASA, Plavix,
Brillenta, Effient, Integrelin, Reopro
(Heparin is not an antiplatelet)
⩥ Adenosine causes: Answer: Maximum hyperemia
⩥ When the patient has a vasovagal 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 .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 (3 ml/kg OR 3x the GFR)
,⩥ How does heparin prevent clot formation? Answer: Heparin prevents
the conversion of prothrombin to thrombin?
Heparin combines with anti thrombin to make it more effective.
⩥ What is the initial dose of Versed for sedation? Answer: .5 mg- 1 mg
⩥ What is the action of Reopro? Answer: Reopro inhibits IIb/IIIa
receptors
⩥ INR measures the levels of which drug? Answer: Coumadin
⩥ Most common access point to perform a myocardial biopsy? Answer:
Right Internal Jugular Vein (IJ)
⩥ What are the landmarks to perform and 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 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 option is not available, draw a PTT
⩥ Prior to a procedure, what information 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
, ⩥ Which procedures require venous access? Answer: ASD/PFO closure
Mitral valve clip
Watchman
Mitral valvuloplasty
Right heart cath
Heart biopsy
Permanent and Temporary pacemakers
A-Fib ablation/EP
ICE Catheter
⩥ Which procedures require arterial access? Answer: Left heart cath
Coronary intervention
TAVR
Impella
IABP
⩥ What does ASA do? Answer: Asprin prevents platelet adhesion
⩥ TPA acts by? Answer: Dissolving fibrin
Activates plasminogen
REVIEW ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ Name some anti platelet medications? Answer: ASA, Plavix,
Brillenta, Effient, Integrelin, Reopro
(Heparin is not an antiplatelet)
⩥ Adenosine causes: Answer: Maximum hyperemia
⩥ When the patient has a vasovagal 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 .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 (3 ml/kg OR 3x the GFR)
,⩥ How does heparin prevent clot formation? Answer: Heparin prevents
the conversion of prothrombin to thrombin?
Heparin combines with anti thrombin to make it more effective.
⩥ What is the initial dose of Versed for sedation? Answer: .5 mg- 1 mg
⩥ What is the action of Reopro? Answer: Reopro inhibits IIb/IIIa
receptors
⩥ INR measures the levels of which drug? Answer: Coumadin
⩥ Most common access point to perform a myocardial biopsy? Answer:
Right Internal Jugular Vein (IJ)
⩥ What are the landmarks to perform and 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 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 option is not available, draw a PTT
⩥ Prior to a procedure, what information 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
, ⩥ Which procedures require venous access? Answer: ASD/PFO closure
Mitral valve clip
Watchman
Mitral valvuloplasty
Right heart cath
Heart biopsy
Permanent and Temporary pacemakers
A-Fib ablation/EP
ICE Catheter
⩥ Which procedures require arterial access? Answer: Left heart cath
Coronary intervention
TAVR
Impella
IABP
⩥ What does ASA do? Answer: Asprin prevents platelet adhesion
⩥ TPA acts by? Answer: Dissolving fibrin
Activates plasminogen
