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Question 1
What is the primary purpose of the RCIS certification?
Answer: Validate knowledge in cardiac catheterization
Rationale: The RCIS certification, offered by CCI, ensures professionals demonstrate expertise
in cath lab procedures.
Question 2
How many questions are on the RCIS exam?
Answer: 170
Rationale: The exam includes 170 questions (150 scored, 20 unscored) over 3 hours.
Question 3
What is the passing score for the RCIS exam?
Answer: 650
Rationale: Scores range from 0 to 900, with 650 required to pass.
Question 4
How long is the RCIS exam?
Answer: 3 hours
Rationale: The exam allows 2 hours 50 minutes for questions and 10 minutes for a
tutorial/survey.
Question 5
What type of question requires clicking a specific area on an image?
Answer: Hot spot
Rationale: Hot spot questions test precise identification on images.
,Question 6
What is the fee for the RCIS exam?
Answer: $365
Rationale: The fee includes a $100 non-refundable processing charge.
Question 7
What is the formula for cardiac output (CO)?
Answer: CO = HR x SV
Rationale: Cardiac output is heart rate (HR) multiplied by stroke volume (SV).
Question 8
What is stroke volume related to?
Answer: Preload
Rationale: Stroke volume depends on preload (ventricular filling volume).
Question 9
What is preload most impacted by?
Answer: Increased filling volumes
Rationale: Preload is affected by the volume of blood returning to the heart.
Question 10
During a left heart biopsy, what medication is given to avoid thrombi?
Answer: Heparin, 5000 IU
Rationale: Heparin prevents clot formation during procedures.
Question 11
What is the maximum annual radiation exposure for cath lab staff?
Answer: 5 REM
Rationale: 5 REM is the occupational limit to ensure safety.
Question 12
What is the therapeutic INR range for a patient on warfarin?
, Answer: 2.0–3.0
Rationale: This range ensures effective anticoagulation.
Question 13
What is the antagonist for morphine, demerol, or fentanyl?
Answer: Naloxone (Narcan)
Rationale: Naloxone reverses opioid effects.
Question 14
What best describes cardiac catheterization?
Answer: Insertion of a catheter into an artery to the heart
Rationale: Catheterization involves accessing the heart via arterial pathways.
Question 15
Which right heart pressure best reflects left ventricular preload?
Answer: PCWP
Rationale: Pulmonary capillary wedge pressure (PCWP) estimates left ventricular end-diastolic
pressure.
Question 16
Which balloon is used for valvuloplasty?
Answer: Inoue
Rationale: The Inoue balloon is designed for mitral valvuloplasty.
Question 17
In aortic stenosis, where is pressure elevated?
Answer: Left ventricle
Rationale: Aortic stenosis causes higher pressure in the left ventricle due to outflow obstruction.
Question 18
Calculate the cardiac output: Arterial O2 sat = 98%, PA O2 = 74%, RV O2 sat = 71%, Hgb =
14.7, O2 consumption = 250 ml/min, Constant = 1.36, PCWP = 12, RA = 5, Mean gradient = 70.
Answer: 5.2 L/min