RCIS EXAM 2025 STUDY GUIDE{
PICTURES INVOLVED} 100% CORRECT
True or False: During a left heart biopsy you should give heparin. -
,,,,answer,,,..Yes, 5000IU to avoid thrombi going to the brain
What is the maximum annual Radiation exposure? - ,,,,answer,,,..5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? -
,,,,answer,,,..2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? -
,,,,answer,,,..INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? -
,,,,answer,,,..Adenosine causes hyperemia (Increased blood flow to the
tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? -
,,,,answer,,,..Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing
device (such as biventricular pacing)? How many leads does it use?
Where are they placed? - ,,,,answer,,,..uses 2-3 leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the
LV
, A CRT device sends small electrical impulses to both lower chambers of
the heart to help them beat together in a more synchronized pattern.
What are the angioplasty guidewire calibers? - ,,,,answer,,,..0.014-0.018
inch
When can you detect Myoglobin after an MI? - ,,,,answer,,,..* 2-4 hours
after symptom onset * normal in 24-36 hours
What is the diameter of the standard J wire? - ,,,,answer,,,..0.035
What is the Warfarin ( Coumadin) antagonist? - ,,,,answer,,,..vitamin K
When shooting a LIMA, the cuff should be? - ,,,,answer,,,..Isolateral
(same side as LIMA) left arm
What is the usual time for restenosis to occur? - ,,,,answer,,,..within 6
months
What size is the red sheath? - ,,,,answer,,,..*4F-red
What size is the grey sheath? - ,,,,answer,,,..5F-grey
What size is the green sheath? - ,,,,answer,,,..6F- green
What size is the orange sheath? - ,,,,answer,,,..7F-orange
What size is the blue sheath? - ,,,,answer,,,..8F-blue
What size is black sheath? - ,,,,answer,,,..9F-black
What is the name of the self expanding stent used in the carotid arteries,
SVG, Iliac and femoral vessels? - ,,,,answer,,,..Wall stent
, Where can a wall stent be used? - ,,,,answer,,,..carotid arteries, SVG, Iliac
and femoral vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain? -
,,,,answer,,,..162-325 mg
Should you increase or decrease burr speed when you increase from a
1.25-2.15 burr? - ,,,,answer,,,..decrease
Where does the apex point in a RAO view? - ,,,,answer,,,..* RAO=apex
points to the right
Where does the apex point in a LAO view? - ,,,,answer,,,..*LAO= apex
points to the left
What medication do you give when doing FFR? How does it measure? -
,,,,answer,,,..adenosine
Measure by hyperemic effect (max dilation of vessels)
What medication should you give before using IVUS to avoid spasm? -
,,,,answer,,,..Always give 200 nitro before using IVUS to avoid spasm.
What is the proper placement of an IABP? - ,,,,answer,,,..1-2cm distal to
left subclavian and promixal to the renals.
Where do we stick for neck access for right heart? - ,,,,answer,,,..Right
internal jugular vein
What is the average Adult Hematocrit in %? - ,,,,answer,,,..Men 45%
Women 40%
PICTURES INVOLVED} 100% CORRECT
True or False: During a left heart biopsy you should give heparin. -
,,,,answer,,,..Yes, 5000IU to avoid thrombi going to the brain
What is the maximum annual Radiation exposure? - ,,,,answer,,,..5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? -
,,,,answer,,,..2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? -
,,,,answer,,,..INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? -
,,,,answer,,,..Adenosine causes hyperemia (Increased blood flow to the
tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? -
,,,,answer,,,..Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing
device (such as biventricular pacing)? How many leads does it use?
Where are they placed? - ,,,,answer,,,..uses 2-3 leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the
LV
, A CRT device sends small electrical impulses to both lower chambers of
the heart to help them beat together in a more synchronized pattern.
What are the angioplasty guidewire calibers? - ,,,,answer,,,..0.014-0.018
inch
When can you detect Myoglobin after an MI? - ,,,,answer,,,..* 2-4 hours
after symptom onset * normal in 24-36 hours
What is the diameter of the standard J wire? - ,,,,answer,,,..0.035
What is the Warfarin ( Coumadin) antagonist? - ,,,,answer,,,..vitamin K
When shooting a LIMA, the cuff should be? - ,,,,answer,,,..Isolateral
(same side as LIMA) left arm
What is the usual time for restenosis to occur? - ,,,,answer,,,..within 6
months
What size is the red sheath? - ,,,,answer,,,..*4F-red
What size is the grey sheath? - ,,,,answer,,,..5F-grey
What size is the green sheath? - ,,,,answer,,,..6F- green
What size is the orange sheath? - ,,,,answer,,,..7F-orange
What size is the blue sheath? - ,,,,answer,,,..8F-blue
What size is black sheath? - ,,,,answer,,,..9F-black
What is the name of the self expanding stent used in the carotid arteries,
SVG, Iliac and femoral vessels? - ,,,,answer,,,..Wall stent
, Where can a wall stent be used? - ,,,,answer,,,..carotid arteries, SVG, Iliac
and femoral vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain? -
,,,,answer,,,..162-325 mg
Should you increase or decrease burr speed when you increase from a
1.25-2.15 burr? - ,,,,answer,,,..decrease
Where does the apex point in a RAO view? - ,,,,answer,,,..* RAO=apex
points to the right
Where does the apex point in a LAO view? - ,,,,answer,,,..*LAO= apex
points to the left
What medication do you give when doing FFR? How does it measure? -
,,,,answer,,,..adenosine
Measure by hyperemic effect (max dilation of vessels)
What medication should you give before using IVUS to avoid spasm? -
,,,,answer,,,..Always give 200 nitro before using IVUS to avoid spasm.
What is the proper placement of an IABP? - ,,,,answer,,,..1-2cm distal to
left subclavian and promixal to the renals.
Where do we stick for neck access for right heart? - ,,,,answer,,,..Right
internal jugular vein
What is the average Adult Hematocrit in %? - ,,,,answer,,,..Men 45%
Women 40%
