Prep With Complete 150 Real Exam Questions And Correct Verified Answers | Already Graded A+ (Most Recent!!) |
VERSION 1 - EXAM
150 QUESTIONS - VERSION 1 - EXAM - CCI RCIS - REALISTIC OPTIONS - CORRECTED
DOMAIN: CCI RCIS
Question 1
What is RCIS certification?
A. Only for nurses
B. Only for doctors
C. Registered Cardiovascular Invasive Specialist certification by CCI Cardiovascular Credentialing
International
D. No certification
Answer: C - Registered Cardiovascular Invasive Specialist certification by CCI Cardiovascular
Credentialing International
Rationale: RCIS Registered Cardiovascular Invasive Specialist CCI Cardiovascular Credentialing International
certification for invasive cardiovascular specialists working in cath lab.
DOMAIN: CCI RCIS
Question 2
What is Allen test?
A. Test for patency of ulnar artery collateral circulation before radial artery puncture
B. No test
C. Only for femoral artery
D. Only for veins
Answer: A - Test for patency of ulnar artery collateral circulation before radial artery puncture
Rationale: Allen test modified Allen test for patency ulnar artery collateral circulation before radial artery access
puncture catheterization. Positive collateral adequate.
DOMAIN: CCI RCIS
Question 3
What is normal coronary artery anatomy?
A. Only one coronary artery
B. No coronary arteries
C. Right coronary artery RCA, Left main LM bifurcates LAD left anterior descending and LCx circumflex
D. Only veins
Answer: C - Right coronary artery RCA, Left main LM bifurcates LAD left anterior descending and
LCx circumflex
,Rationale: Coronary anatomy: Right coronary artery RCA from right sinus, Left main LM from left sinus bifurcates into
LAD left anterior descending and LCx left circumflex. Dominance determined by PDA posterior descending artery.
DOMAIN: CCI RCIS
Question 4
What is Judkins catheters?
A. Only pigtail catheter
B. Only for peripheral
C. JL left and JR right Judkins catheters most common for coronary angiography
D. No catheter
Answer: C - JL left and JR right Judkins catheters most common for coronary angiography
Rationale: Judkins catheters: JL left Judkins left coronary, JR right Judkins right coronary most commonly used for
coronary angiography. Other catheters Amplatz left right, multipurpose.
DOMAIN: CCI RCIS
Question 5
What is pigtail catheter use?
A. Only selective coronary
B. Aortography ventriculography flush catheter with multiple side holes
C. Only for veins
D. No use
Answer: B - Aortography ventriculography flush catheter with multiple side holes
Rationale: Pigtail catheter: Flush catheter with multiple side holes coiled tip used for aortography left ventriculography
high flow injection prevents recoil.
DOMAIN: CCI RCIS
Question 6
What is cardiac catheterization access sites?
A. Femoral, radial, brachial
B. Only radial
C. Only femoral
D. Only jugular
Answer: A - Femoral, radial, brachial
Rationale: Access sites cardiac cath: Common femoral artery vein most common historically, radial artery increasingly
preferred less bleeding earlier ambulation, brachial. Venous femoral internal jugular antecubital.
,DOMAIN: CCI RCIS
Question 7
What is Seldinger technique?
A. Needle puncture guidewire catheter exchange technique for percutaneous vascular access
B. Only cutdown
C. No technique
D. Only direct puncture
Answer: A - Needle puncture guidewire catheter exchange technique for percutaneous vascular
access
Rationale: Seldinger technique: Needle percutaneous puncture vessel, guidewire inserted through needle, needle
removed, catheter sheath inserted over guidewire, guidewire removed. Standard for cath lab vascular access.
DOMAIN: CCI RCIS
Question 8
What is ACT activated clotting time?
A. Only measures warfarin
B. No test
C. Measures heparin anticoagulation during cath lab PCI target 250-300 sec
D. Only for aspirin
Answer: C - Measures heparin anticoagulation during cath lab PCI target 250-300 sec
Rationale: ACT Activated Clotting Time: Point of care test measures heparin anticoagulation during cath lab PCI.
Target ACT 250-300 sec with HemoTec or 300-350 with Hemochron for PCI. Monitors heparin.
DOMAIN: CCI RCIS
Question 9
What is heparin dosing PCI?
A. No heparin
B. 70-100 U/kg IV bolus target ACT 250-300
C. Only 10 U/kg
D. Only oral heparin
Answer: B - 70-100 U/kg IV bolus target ACT 250-300
Rationale: Heparin dosing PCI: Unfractionated heparin IV bolus 70-100 U/kg target ACT 250-300 sec HemoTec if no
GP IIb/IIIa inhibitor, 50-70 U/kg if GP IIb/IIIa used. Monitor ACT.
DOMAIN: CCI RCIS
, Question 10
What is contrast media types?
A. No contrast
B. Only ionic high-osmolar
C. Ionic vs non-ionic, low-osmolar non-ionic most common now less allergic
D. Only water
Answer: C - Ionic vs non-ionic, low-osmolar non-ionic most common now less allergic
Rationale: Contrast media cath lab: Ionic vs non-ionic, high-osmolar ionic older more adverse reactions, low-osmolar
non-ionic e.g., iohexol Omnipaque iodixanol Visipaque iso-osmolar preferred less nephrotoxic allergic.
DOMAIN: CCI RCIS
Question 11
What is contrast-induced nephropathy prevention?
A. Only high contrast volume
B. Only dehydration helps
C. No prevention
D. Hydration IV normal saline, limit contrast volume, hold metformin if eGFR <30
Answer: D - Hydration IV normal saline, limit contrast volume, hold metformin if eGFR <30
Rationale: Contrast nephropathy prevention: Pre and post hydration IV isotonic saline, minimize contrast volume, use
low-osmolar iso-osmolar contrast, hold nephrotoxic drugs metformin if eGFR <30, check creatinine.
DOMAIN: CCI RCIS
Question 12
What is left ventricular EDP?
A. Only right sided
B. Left ventricular end-diastolic pressure normal 4-12 mmHg measures preload
C. Only systolic pressure
D. No pressure
Answer: B - Left ventricular end-diastolic pressure normal 4-12 mmHg measures preload
Rationale: LVEDP Left ventricular end-diastolic pressure: Pressure in LV at end diastole normal 4-12 mmHg reflects
preload LV compliance. Elevated in heart failure fluid overload mitral regurgitation.
DOMAIN: CCI RCIS
Question 13
What is cardiac output Fick vs thermodilution?