RCIS EXAM: Diagnostic Techniques
Questions with Answers
Advantages of Side Holes in Catheters - correct answers:-increase coronary blood flow
-reduce coronary ischemia
Disadvantages of Side Holes in Catheters - correct answers:-less dye opacification
-more contrast needed
-less backup support
-loss of coronary pressure monitoring (damping)
-possible kinking
Advantages of Sheath - correct answers:-smaller arteriotomy
-have hemostatic side holes
Advantages of guiding catheters - correct answers:-wire braid for torque control
-more bend sizes
-kink resistant
Types of Balloon Catheters - correct answers:-Berman
-Swan-Ganz
-Rashkind
-Fogarty
-PTA, PTCA, dilatation
-IABP
-Valvuloplasty
Indications for catheterization - correct answers:-Pre-surgery
, -Chest Pain of uncertain origin
-Recent acute MI
-Pharmacologic Therapy (hypertension)
-Interventional Therapy
-PTCA
-Valvuloplasty
-Obscure or hard to diagnose cases
-Research
Indications for a RHC - correct answers:-Valvular heart disease
-Pulmonary Disease
-Congenital Heart Disease
-Electrophysiology Study/ Ablation
-Pericardial constriction or tamponade
-Cardiomyopathy
-Heart Transplant Follow up (including biopsy)
-Acute Care Monitoring
Relative contraindications to Cath - correct answers:-Uncontrolled Ventricular Arrhythmias
-Uncontrolled hypokalemia
-Uncontrolled hypertension
-Febrile illness
-Uncontrolled CHF
-Anticoagulation
-Severe allergy to contrast
-Severe renal insufficiency (Creatnine >1.5)
-Pregnancy
Absolute Contraindications to Cath - correct answers:-Patient Refusal
Questions with Answers
Advantages of Side Holes in Catheters - correct answers:-increase coronary blood flow
-reduce coronary ischemia
Disadvantages of Side Holes in Catheters - correct answers:-less dye opacification
-more contrast needed
-less backup support
-loss of coronary pressure monitoring (damping)
-possible kinking
Advantages of Sheath - correct answers:-smaller arteriotomy
-have hemostatic side holes
Advantages of guiding catheters - correct answers:-wire braid for torque control
-more bend sizes
-kink resistant
Types of Balloon Catheters - correct answers:-Berman
-Swan-Ganz
-Rashkind
-Fogarty
-PTA, PTCA, dilatation
-IABP
-Valvuloplasty
Indications for catheterization - correct answers:-Pre-surgery
, -Chest Pain of uncertain origin
-Recent acute MI
-Pharmacologic Therapy (hypertension)
-Interventional Therapy
-PTCA
-Valvuloplasty
-Obscure or hard to diagnose cases
-Research
Indications for a RHC - correct answers:-Valvular heart disease
-Pulmonary Disease
-Congenital Heart Disease
-Electrophysiology Study/ Ablation
-Pericardial constriction or tamponade
-Cardiomyopathy
-Heart Transplant Follow up (including biopsy)
-Acute Care Monitoring
Relative contraindications to Cath - correct answers:-Uncontrolled Ventricular Arrhythmias
-Uncontrolled hypokalemia
-Uncontrolled hypertension
-Febrile illness
-Uncontrolled CHF
-Anticoagulation
-Severe allergy to contrast
-Severe renal insufficiency (Creatnine >1.5)
-Pregnancy
Absolute Contraindications to Cath - correct answers:-Patient Refusal