GLOWACKI & SOMMERS RCIS 2026 STUDY GUIDE
QUESTIONS AND ANSWERS GRADED A+
✔✔If a patient has a creatinine greater than 1.4 contrast volume should be minimized?
T/F - ✔✔True
✔✔Lidocaine converts from 2 GM in 500 cc to _______________ - ✔✔4 mg in 1 cc
✔✔Dopamine concentration 1600 mcg/mL in 250 cc yields a concentration of
_________________ - ✔✔400 mg in 250 cc
✔✔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
arrythmias
✔✔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 I, 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 conduction delay? - ✔✔AV node
✔✔What is the normal PR interval? - ✔✔0.12-0.20
✔✔If a patient is attached to the monitor, V Tach is the rhythm, the patient has no pulse
and is not responding, what should you do? - ✔✔Unsynchronized 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/Pericardial Effusion/Tamponade
✔✔A pacing generator that paces in both chambers, senses in the ventricle, and inhibits
is a ________________ - ✔✔DVI
✔✔A pacing generator that paces both chambers, senses in both chambers, and
triggers or inhibits pacing is a _________________ - ✔✔DDD
✔✔A pacing generator that paces in the atria, senses in the atria, and inhibits pacing is
a _______________ - ✔✔AAI
✔✔What is the formula for calculating SVR? - ✔✔Mean AO - 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
✔✔Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a
pressure that is lower in the __________________ - ✔✔Aortic arch
✔✔Calculate the cardiac output of a patient with the following data:
Arterial O2 sat = 98% Pulmonary artery O2 sat = 74%
RV O2 sat = 71 % Hgb = 14.7
PCWP = 12 O2 consumption = 250 mL/min
Constant = 1.36 RA = 5
Mean gradient = 70 - ✔✔5.2 L/min
✔✔Calculate the stroke volume on this patient
QUESTIONS AND ANSWERS GRADED A+
✔✔If a patient has a creatinine greater than 1.4 contrast volume should be minimized?
T/F - ✔✔True
✔✔Lidocaine converts from 2 GM in 500 cc to _______________ - ✔✔4 mg in 1 cc
✔✔Dopamine concentration 1600 mcg/mL in 250 cc yields a concentration of
_________________ - ✔✔400 mg in 250 cc
✔✔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
arrythmias
✔✔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 I, 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 conduction delay? - ✔✔AV node
✔✔What is the normal PR interval? - ✔✔0.12-0.20
✔✔If a patient is attached to the monitor, V Tach is the rhythm, the patient has no pulse
and is not responding, what should you do? - ✔✔Unsynchronized 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/Pericardial Effusion/Tamponade
✔✔A pacing generator that paces in both chambers, senses in the ventricle, and inhibits
is a ________________ - ✔✔DVI
✔✔A pacing generator that paces both chambers, senses in both chambers, and
triggers or inhibits pacing is a _________________ - ✔✔DDD
✔✔A pacing generator that paces in the atria, senses in the atria, and inhibits pacing is
a _______________ - ✔✔AAI
✔✔What is the formula for calculating SVR? - ✔✔Mean AO - 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
✔✔Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a
pressure that is lower in the __________________ - ✔✔Aortic arch
✔✔Calculate the cardiac output of a patient with the following data:
Arterial O2 sat = 98% Pulmonary artery O2 sat = 74%
RV O2 sat = 71 % Hgb = 14.7
PCWP = 12 O2 consumption = 250 mL/min
Constant = 1.36 RA = 5
Mean gradient = 70 - ✔✔5.2 L/min
✔✔Calculate the stroke volume on this patient
