RCIS 2023 – Questions & Solutions
What is the formula for calculating cardiac output?
A. CO= PA-1 SVC
B. CO= AO x PA
C. CO= HR x SV Correct Ans - C. CO= HR x SV
Stroke volume is...
A. Related to preload
B. Related to afterload
C. The same as ejection fraction Correct Ans - A. Related to preload
Preload is most impacted by...
A. Mean arterial pressure
B. Increased filling volumes
C. Ejection fraction Correct Ans - B. Increased filling volumes
A patient with chronic untreated hypertension would demonstrate
A. Increased afterload
B. Decreased afterload
C. Decreased preload Correct Ans - A. Increased afterload
Vascular resistance/pressure is most influenced by...
A. Blood viscosity
B. BMI
C. Length of the vessel
D. Radius of the vessel Correct Ans - D. Radius of the vessel
The formula for BP is...
A. BP= SV x SVR
B. BP= CO x SVR
C. BP= HR x SVR Correct Ans - B. BP= CO x SVR
,What component of a PCWP indicates Mitral Insufficiency
A. A wave
B. C wave
C. P wave
D. V wave Correct Ans - D. V wave
An elevated RVEDP is found in which pathology
A. LV infarct
B. Aortic stenosis
C. RV infarct
D. Mitral regurgitation Correct Ans - C. RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated
in the physical assessment
A. Decreased exercise tolerance
B. Decreased O2 sat
C. Increased O2 sat
D. JVD Correct Ans - D. JVD
What is the most common cause of Pulmonic stenosis
A. Aging
B. Congenital
C. Cardiomyopathy
D. Mitral regurgitation Correct Ans - B. Congenital
The blue proximal port of the swan is located how far from the distal tip of the
swan
A. 15cm
B. 30cm
C. 45cm
D. 5cm Correct Ans - B. 30cm
,When performing a thermodilution cardiac output, the operator injects 10cc
of saline into the______ and the temperature is measured in the _______
A. LA, AO
B. RV, PCWP
C. RA, PA
D. RA, LA Correct Ans - C. RA, PA
Equalization of RVEDP and LVEDP are found in
A. Tamponade
B. Restrictive pericarditis
C. Acute MI
D. LV MI Correct Ans - B. Restrictive pericarditis
Signs of right sided heart failure include
A. Decreased O2 sat
B. SOB
C. JVD
D. Pulmonary embolism Correct Ans - C. JVD
Based on these oxygen saturations, what type of shunt is present?
SVC sat = 67% IVC sat = 71% RA sat = 85%
PA sat = 85% LA sat = 98% LV sat = 98%
RV sat = 85% AO sat = 98%
A. R to L ASD
B. L to R ASD
C. L to R VSD
D. It is all normal, there is not shunt Correct Ans - B. 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
A. Ostium primium
B. Sinus venosus
C. Ostium secundum Correct Ans - C. Ostium secundum
, What is the Flamm's equation
A. 3(svc) + 1(ivc)/4
B. 6(svc) + 2(ivc)/2
C. 3(pa) + 2(ao)/4 Correct Ans - A. 3(svc) +1(ivc)/4
The formula used to calculate MAP is
A. HR x SV/SVR
B. Mean AO-mean RA
C. 1 (systolic) + 2 (diastolic)/3 Correct Ans - C. 1(systolic) +
2(diastolic)/3
What are the four anomalies associated with Tetralogy of Fallot
A. ASD, VSD, LVH, RVH
B. VVH, PS, Over riding aorta, RVH
C. Over riding aorta, RVH, LVH, ASD
D. Pulmonic stenosis, over riding aorta, RVH, VSD Correct Ans - D.
Pulmonic stenosis, over riding aorta, RVH, VSD
Which fetal anomaly is characterized by a large VSD over which a large single
great vessel arises
A. Transposistion of the great vessels
B. Tricuspid atresia
C. Tetralogy of fallot
D. Truncas arteriosus Correct Ans - D. Truncas arteriosus
Pulsus paradoxus is a sign of
A. Constrictive percarditis
B. Cardiomyopathy
C. Cardiac tamponade
D. COPD Correct Ans - C. Cardiac tamponade
What does RAD stand for
What is the formula for calculating cardiac output?
A. CO= PA-1 SVC
B. CO= AO x PA
C. CO= HR x SV Correct Ans - C. CO= HR x SV
Stroke volume is...
A. Related to preload
B. Related to afterload
C. The same as ejection fraction Correct Ans - A. Related to preload
Preload is most impacted by...
A. Mean arterial pressure
B. Increased filling volumes
C. Ejection fraction Correct Ans - B. Increased filling volumes
A patient with chronic untreated hypertension would demonstrate
A. Increased afterload
B. Decreased afterload
C. Decreased preload Correct Ans - A. Increased afterload
Vascular resistance/pressure is most influenced by...
A. Blood viscosity
B. BMI
C. Length of the vessel
D. Radius of the vessel Correct Ans - D. Radius of the vessel
The formula for BP is...
A. BP= SV x SVR
B. BP= CO x SVR
C. BP= HR x SVR Correct Ans - B. BP= CO x SVR
,What component of a PCWP indicates Mitral Insufficiency
A. A wave
B. C wave
C. P wave
D. V wave Correct Ans - D. V wave
An elevated RVEDP is found in which pathology
A. LV infarct
B. Aortic stenosis
C. RV infarct
D. Mitral regurgitation Correct Ans - C. RV infarct
If the RA waveform is 2x the normal value, where would this be demonstrated
in the physical assessment
A. Decreased exercise tolerance
B. Decreased O2 sat
C. Increased O2 sat
D. JVD Correct Ans - D. JVD
What is the most common cause of Pulmonic stenosis
A. Aging
B. Congenital
C. Cardiomyopathy
D. Mitral regurgitation Correct Ans - B. Congenital
The blue proximal port of the swan is located how far from the distal tip of the
swan
A. 15cm
B. 30cm
C. 45cm
D. 5cm Correct Ans - B. 30cm
,When performing a thermodilution cardiac output, the operator injects 10cc
of saline into the______ and the temperature is measured in the _______
A. LA, AO
B. RV, PCWP
C. RA, PA
D. RA, LA Correct Ans - C. RA, PA
Equalization of RVEDP and LVEDP are found in
A. Tamponade
B. Restrictive pericarditis
C. Acute MI
D. LV MI Correct Ans - B. Restrictive pericarditis
Signs of right sided heart failure include
A. Decreased O2 sat
B. SOB
C. JVD
D. Pulmonary embolism Correct Ans - C. JVD
Based on these oxygen saturations, what type of shunt is present?
SVC sat = 67% IVC sat = 71% RA sat = 85%
PA sat = 85% LA sat = 98% LV sat = 98%
RV sat = 85% AO sat = 98%
A. R to L ASD
B. L to R ASD
C. L to R VSD
D. It is all normal, there is not shunt Correct Ans - B. 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
A. Ostium primium
B. Sinus venosus
C. Ostium secundum Correct Ans - C. Ostium secundum
, What is the Flamm's equation
A. 3(svc) + 1(ivc)/4
B. 6(svc) + 2(ivc)/2
C. 3(pa) + 2(ao)/4 Correct Ans - A. 3(svc) +1(ivc)/4
The formula used to calculate MAP is
A. HR x SV/SVR
B. Mean AO-mean RA
C. 1 (systolic) + 2 (diastolic)/3 Correct Ans - C. 1(systolic) +
2(diastolic)/3
What are the four anomalies associated with Tetralogy of Fallot
A. ASD, VSD, LVH, RVH
B. VVH, PS, Over riding aorta, RVH
C. Over riding aorta, RVH, LVH, ASD
D. Pulmonic stenosis, over riding aorta, RVH, VSD Correct Ans - D.
Pulmonic stenosis, over riding aorta, RVH, VSD
Which fetal anomaly is characterized by a large VSD over which a large single
great vessel arises
A. Transposistion of the great vessels
B. Tricuspid atresia
C. Tetralogy of fallot
D. Truncas arteriosus Correct Ans - D. Truncas arteriosus
Pulsus paradoxus is a sign of
A. Constrictive percarditis
B. Cardiomyopathy
C. Cardiac tamponade
D. COPD Correct Ans - C. Cardiac tamponade
What does RAD stand for
