RCIS Practice Test graded A 2023
What is the formula for calculating cardiac output? - CO= HR x SV
What is stroke volume related to? - preload
Preload is most impacted by..... - Increased filling volumes
A patient with chronic untreated hypertension would demonstrate.... - Increased
afterload
Vascular resistance/pressure is most influenced by.... - Radius of the vessel
The formula for BP is.... - BP = CO x SVR
What component of a Pulmonary Capillary Wedge pressure indicates Mitral
insufficiency - V wave
An elevated RVEDP is found in which pathology - RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated in the
physical assessment - JVD
What is the most common cause of Pulmonic stenosis - Congenital
The Blue proximal part of the swan is located how far from the distal tip of the swan - 30
cm
When performing a thermodilution cardiac output, the operator injects 10 cc of saline
into the _____ and the temperature change is measured in the ______ - RA, PA
Equalization of RVEDP and LVEDP are found in - restrictive pericarditis
Signs of Right sided heart failure include - JVD
Based on these oxygen saturations, what type of shunt is present? SVC sat= 67% IVC
sat= 71% RA sat= 85% RV sat= 85% PA sat= 85% LA sat= 98% LV sat= 98% AO sat=
98% - L to R ASD
What type of ASD, located in the middle 1/3 of the atrial septum (the former site of the
fossa ovalis) is called - Ostium Secundum
What is the Flamm's equation - 3(SVC) + 1(IVC)/4
,The formula used to calculate MAP is - 1 (systolic) + 2 (diastolic)/3
What are the four anomalies associated with Tetralogy of Fallot - Pulmonic stenosis,
over riding aorta, RVH, VSD
Which fetal anomaly is characterized by a large VSD over which a large single great
vessel arises - Truncas Arteriosus
Pulsus Paradoxus is a sign of - Cardiac Tamponade
What does RAD stand for - Radiation absorbed dose
What component of the X-ray system converts light rays into images - Image intensifier
What is the maximum annual dose of radiation one can receive annually - 5 REM
Lead protection should be at least how many millimeters of lead - .5
What is the minimum safe distance to position oneself from the X-ray source - 6 feet
In an X-ray tube what is the charge on the cathode and the anode - Cathode: positive
Anode: negative
Which view exposes the operator to the greatest amount of radiation - Lateral
What converts x-rays into an image - Image Intensifier
The contrast that is best for a patient is - low osmolality
Radiolucent means - X-rays are permitted to pass through
Radiopaque means - X-rays are not permitted to pass through
ReoPro works on - IIb/IIIa receptors
Heparin potentiates the action of - Antithrombin
Fibrinogen is converted to Fibrin by the action of - Thrombin
There are _________ known pathways to imitate the clotting cascade - 2
Aspirin inhibits the action of - Arachidonic Acid
Which agent is not an antiplatelet - Heparin
, If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give -
fluids to hydrate
If a patient is taking NPH insulin, which medication should not be given - Protamine
Which medication is most commonly given to a patient with SVT - Adenosine
True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized -
True
Lidocaine converts from 2GM in 500cc to - 4 mg in 1 cc
Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - 400 mg in
250cc
The best short acting medication/anxietolytic to sedate a patient is - Versed/Midazolam
The drug of choice for treating coronary spasm is - NTG
Amiodarone is used to treat - Atrial and ventricular arrhythmias
What medication is used as a preload and afterload reducer - NTG
Diabetic patients have a greater incidence of developing _______ post contrast
administration - Renal failure
Which rhythm is most likely to become lethal - Mobitz 2
The Impella catheter most closely resembles - Pigtail
When performing an LV angiogram with the LV injector, what is the purpose of setting a
"rate of rise" - It makes for a smoother injection, less catheter whip, limits ectopy
An EKG demonstrates ST elevation in leads II, III, and AVF. What type of infarct would
you suspect - inferior wall
An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary
artery is most likely occluded - Cx
How do you test the defibrillator - discharge into the defibrillator (dummy load)
What happens if you deliver a shock to a patient on the T Wave - You could put them
into Vfib
In 1st degree heart block, where is the conductive delay - AV node
What is the formula for calculating cardiac output? - CO= HR x SV
What is stroke volume related to? - preload
Preload is most impacted by..... - Increased filling volumes
A patient with chronic untreated hypertension would demonstrate.... - Increased
afterload
Vascular resistance/pressure is most influenced by.... - Radius of the vessel
The formula for BP is.... - BP = CO x SVR
What component of a Pulmonary Capillary Wedge pressure indicates Mitral
insufficiency - V wave
An elevated RVEDP is found in which pathology - RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated in the
physical assessment - JVD
What is the most common cause of Pulmonic stenosis - Congenital
The Blue proximal part of the swan is located how far from the distal tip of the swan - 30
cm
When performing a thermodilution cardiac output, the operator injects 10 cc of saline
into the _____ and the temperature change is measured in the ______ - RA, PA
Equalization of RVEDP and LVEDP are found in - restrictive pericarditis
Signs of Right sided heart failure include - JVD
Based on these oxygen saturations, what type of shunt is present? SVC sat= 67% IVC
sat= 71% RA sat= 85% RV sat= 85% PA sat= 85% LA sat= 98% LV sat= 98% AO sat=
98% - L to R ASD
What type of ASD, located in the middle 1/3 of the atrial septum (the former site of the
fossa ovalis) is called - Ostium Secundum
What is the Flamm's equation - 3(SVC) + 1(IVC)/4
,The formula used to calculate MAP is - 1 (systolic) + 2 (diastolic)/3
What are the four anomalies associated with Tetralogy of Fallot - Pulmonic stenosis,
over riding aorta, RVH, VSD
Which fetal anomaly is characterized by a large VSD over which a large single great
vessel arises - Truncas Arteriosus
Pulsus Paradoxus is a sign of - Cardiac Tamponade
What does RAD stand for - Radiation absorbed dose
What component of the X-ray system converts light rays into images - Image intensifier
What is the maximum annual dose of radiation one can receive annually - 5 REM
Lead protection should be at least how many millimeters of lead - .5
What is the minimum safe distance to position oneself from the X-ray source - 6 feet
In an X-ray tube what is the charge on the cathode and the anode - Cathode: positive
Anode: negative
Which view exposes the operator to the greatest amount of radiation - Lateral
What converts x-rays into an image - Image Intensifier
The contrast that is best for a patient is - low osmolality
Radiolucent means - X-rays are permitted to pass through
Radiopaque means - X-rays are not permitted to pass through
ReoPro works on - IIb/IIIa receptors
Heparin potentiates the action of - Antithrombin
Fibrinogen is converted to Fibrin by the action of - Thrombin
There are _________ known pathways to imitate the clotting cascade - 2
Aspirin inhibits the action of - Arachidonic Acid
Which agent is not an antiplatelet - Heparin
, If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give -
fluids to hydrate
If a patient is taking NPH insulin, which medication should not be given - Protamine
Which medication is most commonly given to a patient with SVT - Adenosine
True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized -
True
Lidocaine converts from 2GM in 500cc to - 4 mg in 1 cc
Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - 400 mg in
250cc
The best short acting medication/anxietolytic to sedate a patient is - Versed/Midazolam
The drug of choice for treating coronary spasm is - NTG
Amiodarone is used to treat - Atrial and ventricular arrhythmias
What medication is used as a preload and afterload reducer - NTG
Diabetic patients have a greater incidence of developing _______ post contrast
administration - Renal failure
Which rhythm is most likely to become lethal - Mobitz 2
The Impella catheter most closely resembles - Pigtail
When performing an LV angiogram with the LV injector, what is the purpose of setting a
"rate of rise" - It makes for a smoother injection, less catheter whip, limits ectopy
An EKG demonstrates ST elevation in leads II, III, and AVF. What type of infarct would
you suspect - inferior wall
An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary
artery is most likely occluded - Cx
How do you test the defibrillator - discharge into the defibrillator (dummy load)
What happens if you deliver a shock to a patient on the T Wave - You could put them
into Vfib
In 1st degree heart block, where is the conductive delay - AV node
