RCIS 2023 Study Guide latest updated (Graded A)

Kilovoltage - Answer- What determines the number of electrons generated by an x-ray tube? -Frame rate -Kilovoltage -Pulse width -Milliamperage Digoxin - Answer- What medication is cardiac glycoside? -Lasix -Digoxin -Hyperstat -Hydralazine High common femoral - Answer- What type of arterial puncture is associated with an increased risk of retroperitoneal bleeding? -Internal Femoral -External Femoral -Low common femoral -High common femoral 2,4,5 - Answer- What are the contraindications for rotational atherectomy? Choose three contraindications. 1.Ostial Lesion 2.Existing dissection 3.Unprotected LMCA 4.Saphenous vein graft lesion 5.Angiographic evidence of thrombus Scoring - Answer- What type of balloon catheter should be used to treat fibrotic plaque and neo-intimal hyperplasia? -Scoring -Perfusion -Intra-aortic -Valvuloplasty LAO Caudal - Answer- What planes are represented in this image? Choose two planes. -AP -LAO -RAO -Caudal -Cranial -Lateral 1,2 - Answer- What devices are used to treat flow limiting dissections. Choose two devices. 1.Stent 2.Angioplasty 3.Atherectomy 4.Retractable coil Mynx - Answer- Peg hydrogel plug closure device Perclose - Answer- Suture Mediated closure device Angio-Seal - Answer- Collagen & suture mediated closure device StarClose - Answer- Nitinol Clip closure device Pull back the catheter - Answer- During a diagnostic left heart cath, the following is observed on the hemodynamic monitor. What should be the next immediate action? -Flush the catheter -Pull back the catheter -Deliver 150 joules synchronized shock -Deliver 150 joules unsynchronized shock 1,3,4 - Answer- What INITIAL sign of retroperitoneal bleed may a patient exhibit? Choose three 1. Hypotension 2.Bradycardia 3.Lower back pain 4.A falling hematocrit 5. A falling respiratory rate Aortic insufficiency - Answer- What condition is associated with an elevated pulse pressure? -Hyperlipidemia -Arterial sclerosis -Aortic insufficiency -Hypertrophic cardiomyopathy Inject the coronary before removing balloon - Answer- What should be done to manage the rapid loss of balloon pressure during inflation? -Increase inflation pressure to the balloon -Decrease inflation pressure to the balloon -Inject the coronary before removing balloon -Aspirate the coronary before removing the balloon Aortic - Answer- What valve has been replaced in the image? -Aortic -Mitral -Tricuspid -Pulmonic ICE - Answer- What type of imaging is MOST COMMONLY used during PFO closures? -OCT -ICE -MRI -IVUS Allows distal perfusion - Answer- What is an advantage to using a filter versus a balloon occlusion distal protection device? -Allows distal perfusion -Lower profile of the device -Ensures distal vessel occlusion -Allows small embolic particles to pass Nifedipine - Answer- What medication is a calcium channel blocker? -Lisinopril -Warfarin -Metoprolol -Nifedipine 1,4 - Answer- What actions SHOULD be completed when prepping the patient for a transradial procedure? Choose two responses. 1.Prep right groin 2.Administer antibiotics 3.Position wrist in prone position 4.Position wrist in supine position 5.Start IV on same arm as radial access MONA - Answer- Immediate treatment for a MI should include: -Aspirin, Lasix, nitroglycerin, and oxygen. -Aspirin, Lasix, morphine, and nitroglycerin. -Aspirin, morphine, nitroglycerin, and oxygen. -Aspirin, fibrinolytics, morphine, and nitroglycerin. Debulks - Answer- What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI? -Vaproizes plaque -Removes thrombus -Scores fibrotic plaque -Debulks calcific plaque Stenosis - Answer- What is represented by the circular tracings in this IVUS image? Calcium Stenosis Dissection Under expanded stent Large a wave - Answer- What hemodynamic waveform would be observed with mitral stenosis? -Large "a" wave in the left atrium -Large "v" wave in the left atrium -Left ventricular end diastolic pressure greater than left atrial mean -Left ventricular systolic pressure greater than aortic systolic pressure Outside of the guide catheter - Answer- Where is the wire equalized when performing FFR? -In the wire hoop -On the procedure table -Advanced distal to the lesion -Advanced outside the guide catheter Creatinine - Answer- What blood chemistry would be an indicator of renal function? -Sodium -Calcium -Creatinine -Potassium (2 diastolic) + systolic/ 3 - Answer- MAP equation 30-45 - Answer- In preparation for a pericardiocentesis, the patient should be at a _____ degree angle. -0 - 15 -30 - 45 -55 - 70 -75 - 90 6 - Answer- A 1.66 mm diameter sheath is equivalent to what French size? 4 5 6 7 Decreased LV compliance; hyperdynamic LV function - Answer- What findings are typically associated with hypertrophic cardiomyopathy? -Increased LV compliance; decreased EF -Decreased LV compliance; normal systolic function -Increased LV compliance; decreased systolic function -Decreased LV compliance; hyperdynamic LV function 1,3,4 - Answer- When preparing a patient for a device implant what activities SHOULD be considered? Choose three activities. 1.Arms restrained 2.Oxygen mask on patient at 10 L/min 3.Cautery grounding pad attached to the patient 4.IV located on the ipsilateral side of the implant 5.IV located on the contralateral side of the implant Kissing balloon - Answer- What technique is being shown in this image? Y stenting Crushing stent Kissing balloon dilatation PCI using distal protection Acute anterior MI - Answer- What is an accurate interpretation of the ECG? Acute anterior MI Sinus bradycardia Ventricular tachycardia right bundle branch block Left main coronary disease - Answer- The highest risk of morbidity and mortality associated with coronary angiography occurs in patients with -Coronary spasm. -Coronary ectasia. -Left main coronary disease. -Three vessel coronary disease. 2,3,4 - Answer- What equipment is used in peripheral interventions to steer across a lesion? Choose three items. 1.Balloon 2.Guidewire 3.Torque device 4.Diagnostic catheter 5.Atherectomy device Anode - Answer- When generating ionizing radiation, photons are emitted from the -Anode. -Cathode. -Focal spot. -Surface target. Minimum amount of mA required to elicit a response - Answer- What is the definition of the pacing threshold? -Maximum amount of time between discharge cycles -Minimum amount of mA required to elicit a response -Minimum amount of time to overdrive normal sinus rhythm -Maximum amount of mA necessary to block normal sinus rhythm Increased coronary blood flow *decreases afterload* - Answer- What is the desired physiologic effect of an IABP? -Increased preload -Increased afterload -Increased coronary blood flow -Increased myocardial oxygen demand Systole - Answer- When does the IABP deflate? Diastole - Answer- When does the IABP inflate? JR4 - Answer- What catheter could be used as an alternative to an IMA for a LIMA angiography? -AL1 -JL4 -JR4 -Pigtail Decrease sensitivity - Answer- What temporary pacemaker setting would change the device from demand to asynchronous? -Increase voltage -Decrease sensitivity -Increase refractory period -Decrease refractory period Orbital and directional - Answer- Which atherectomy catheters shave and debulk plaque? -Orbital and directional -Vascular and intraspinal -Sculpting balloon and stent -Cutting balloon and infusion catheter LAO Cranial - Answer- What view exposes an operator standing on the patient's right side to the highest dose of radiation? AP caudal LAO cranial RAO caudal RAO cranial Eptifibitide - Answer- What medication is a GP IIb/IIIa inhibitor? -Eptifibitide -Bivalirudin -Enoxaparin -Clopidogrel Alkalosis - Answer- A pH greater than 7.45 is indicative of -Acidosis.