RCIS Practice Test Questions with Correct Solutions Rated A+

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 normal PR interval - .12-.20 If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and is not responding, what should you do - Unsymchronized cardioversion If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB. What should you do - Do immediate synchronized cardioversion A common complication of placing a pacing electrode/wire is - Perforation/Preicardial Effusion/Tamponade A pacing generator that paces in both chambers, senses in the ventricle, and inhibits QRS complexes is a - DVI A pacing generator that paces both chambers, senses both chambers, and triggers or inhibits is a - DDD A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a - AAI What is the formula for calculating SVR - Mean OR- Mean RA/CO Which cardiac output would be most accurate in a patient with tricuspid regurgitation - FICK Which right heart pressure best reflects LV preload - PCWP Which balloon is used for valvuloplasty - inoue