GLOWACKI & SOMMERS RCIS UPDATED EXAM SCRIPT
QUESTIONS AND ANSWERS GRADED A+
✔✔The most accurate measure of cardiac muscle fiber damage after an MI is what? -
✔✔Troponin
✔✔Which lab value does not evaluate the extent of an MI?
-SGOT
-Serum Creatinine
-CK-MB
-LDH - ✔✔Serum Creatinine
✔✔Post procedure renal dysfunction is more likely to occur in patients with? - ✔✔-
Diabetes
-Pre-procedure dehydration
-Frequent use of NSAID
-Ace Inhibitors
✔✔What is a pseudoaneurysm? - ✔✔Pseudoaneurysm is a false aneurysm
Often a pulsatile mass near the sheath site with a bruit present
✔✔If the transducer is positioned to low at the side of the table, the pt.'s pressure will
read? - ✔✔The pressure will read as falsely high
✔✔If you are checking the radial/ulnar pulse when you press and release one at a time
this is called what kind of test? - ✔✔Allen's Test
Allen's Test is always performed prior to using the radial approach for a procedure
✔✔What is the best way to calculate a patients pulse rate? - ✔✔Check pulse for one
minute
✔✔If the patients IV site is infiltrated, what should you do? - ✔✔Turn it off
✔✔Metabolic Acidosis has a low level of what? - ✔✔Bicarbonate (HCO3)
✔✔A pH less than 7.35 or greater than 7.45 is called what? - ✔✔Uncompensated
✔✔What would be the appropriate intervention for a patient with Respiratory Acidosis? -
✔✔Increase Ventilations
✔✔The primary drive to breathe comes for the patient's? - ✔✔CO2 Level
, ✔✔Hyperventilating a patient prior to auctioning is done to? - ✔✔Increase arterial PO2
✔✔Interpret the following blood gas:
-pH = 7.25
-CO2 = 60
-HCO (bicarb) = 22 - ✔✔-Uncomensated
-Respiratory
-Acidosis
✔✔A high CO2 will impact the pH how? - ✔✔It will lower the pH
✔✔Increased bicarb will do what to the pH? - ✔✔Elevated HCO3 will increase the pH
✔✔What is the most common form of cardiac tumor? - ✔✔Atrial Myxoma located in the
left atrium
✔✔The innermost layer of an artery is what? - ✔✔The intima
✔✔What type of intervention is best used for a calcified lesion? - ✔✔Rotoblator
(calcified, key word)
✔✔What type of balloon is best used on a calcified lesion? - ✔✔Cutting/Scoring Balloon
✔✔The symptoms of increased heart rate, decreased BP, and SOB during a biopsy and
indicate what? - ✔✔Cardiac Perforation
✔✔What diagnostic catheter is best utilized for visualizing the LAD when the patient has
a dilated aortic root? - ✔✔JL5
✔✔2.66 mm diameter is what size catheter? - ✔✔8 Fr
✔✔What device used saline to dissolve and suction thrombus during and acute MI? -
✔✔Angiojet
✔✔During a Rotoblator intervention, what is the most common cause of "no Flow?" -
✔✔Distal Emolization
✔✔Where does the needle enter for a pericardialcentesis? - ✔✔Sub-xyphoid process
✔✔What is a possible complication of over tightening the toughy? - ✔✔Unable to inflate
the balloon
QUESTIONS AND ANSWERS GRADED A+
✔✔The most accurate measure of cardiac muscle fiber damage after an MI is what? -
✔✔Troponin
✔✔Which lab value does not evaluate the extent of an MI?
-SGOT
-Serum Creatinine
-CK-MB
-LDH - ✔✔Serum Creatinine
✔✔Post procedure renal dysfunction is more likely to occur in patients with? - ✔✔-
Diabetes
-Pre-procedure dehydration
-Frequent use of NSAID
-Ace Inhibitors
✔✔What is a pseudoaneurysm? - ✔✔Pseudoaneurysm is a false aneurysm
Often a pulsatile mass near the sheath site with a bruit present
✔✔If the transducer is positioned to low at the side of the table, the pt.'s pressure will
read? - ✔✔The pressure will read as falsely high
✔✔If you are checking the radial/ulnar pulse when you press and release one at a time
this is called what kind of test? - ✔✔Allen's Test
Allen's Test is always performed prior to using the radial approach for a procedure
✔✔What is the best way to calculate a patients pulse rate? - ✔✔Check pulse for one
minute
✔✔If the patients IV site is infiltrated, what should you do? - ✔✔Turn it off
✔✔Metabolic Acidosis has a low level of what? - ✔✔Bicarbonate (HCO3)
✔✔A pH less than 7.35 or greater than 7.45 is called what? - ✔✔Uncompensated
✔✔What would be the appropriate intervention for a patient with Respiratory Acidosis? -
✔✔Increase Ventilations
✔✔The primary drive to breathe comes for the patient's? - ✔✔CO2 Level
, ✔✔Hyperventilating a patient prior to auctioning is done to? - ✔✔Increase arterial PO2
✔✔Interpret the following blood gas:
-pH = 7.25
-CO2 = 60
-HCO (bicarb) = 22 - ✔✔-Uncomensated
-Respiratory
-Acidosis
✔✔A high CO2 will impact the pH how? - ✔✔It will lower the pH
✔✔Increased bicarb will do what to the pH? - ✔✔Elevated HCO3 will increase the pH
✔✔What is the most common form of cardiac tumor? - ✔✔Atrial Myxoma located in the
left atrium
✔✔The innermost layer of an artery is what? - ✔✔The intima
✔✔What type of intervention is best used for a calcified lesion? - ✔✔Rotoblator
(calcified, key word)
✔✔What type of balloon is best used on a calcified lesion? - ✔✔Cutting/Scoring Balloon
✔✔The symptoms of increased heart rate, decreased BP, and SOB during a biopsy and
indicate what? - ✔✔Cardiac Perforation
✔✔What diagnostic catheter is best utilized for visualizing the LAD when the patient has
a dilated aortic root? - ✔✔JL5
✔✔2.66 mm diameter is what size catheter? - ✔✔8 Fr
✔✔What device used saline to dissolve and suction thrombus during and acute MI? -
✔✔Angiojet
✔✔During a Rotoblator intervention, what is the most common cause of "no Flow?" -
✔✔Distal Emolization
✔✔Where does the needle enter for a pericardialcentesis? - ✔✔Sub-xyphoid process
✔✔What is a possible complication of over tightening the toughy? - ✔✔Unable to inflate
the balloon
