GLOWACKI AND SOMMERS RCIS
COMPREHENSIVE STUDY SHEET 2026 309
PRACTICE QUESTIONS WITH COMPLETE
ANSWERS 55 PAGES FULL SOLUTION PACK
GRADED A+
⩥ What condition is indicated by potassium levels less than 3.5?
Answer: Hypokalemia
⩥ What condition is indicated by potassium levels greater than 5.0?
Answer: Hyperkalemia
⩥ Name some antiplatelet medications.
Answer: ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
⩥ What does INR measure?
Answer: The levels of Coumadin
⩥ What is the most common access point to perform a myocardial
biopsy?
Answer: Right Internal Jugular Vein (IJ)
,⩥ What are the landmarks to perform an IJ access?
Answer: The IJ lies between the medial and lateral heads of the
sternocleidomastoid muscle and lateral to the carotid artery.
⩥ How does heparin prevent clot formation?
Answer: Heparin prevents the conversion of prothrombin to thrombin.
⩥ What is the initial dose of Versed for sedation?
Answer: .5mg - 1mg
⩥ What is the action of Reopro?
Answer: Reopro inhibits IIb/IIIa receptors.
⩥ What happens when a patient has a vasovagal reaction?
Answer: BP decreases, HR decreases, SV decreases.
⩥ What should you do when a patient has a vasovagal reaction?
Answer: Give fluids, place in Trendelenburg position, administer
Atropine .5mg-1mg IV push.
⩥ If a patient has a high creatinine, what should you consider?
Answer: Pre-procedure fluid hydration and use as small amount of
contrast as possible.
, ⩥ What is the recommended fluid amount for pre-procedure hydration?
Answer: 3ml/kg or 3 times the GFR.
⩥ What does Lovenox impact?
Answer: Antithrombin and Factor Xa.
⩥ What might be the medication of choice for SVT?
Answer: Adenosine.
⩥ What short acting benzodiazepine is commonly used in the cath lab
for sedation?
Answer: Versed (Midazolam).
⩥ Adenosine causes?
Answer: Maximum hyperemiaSteps to place a distal protection device 1.
Place the device distal to the lesion. 2. Cross the lesion with the
stent/balloon. 3. Deploy the stent. 4. Remove the stent balloon. 5.
Remove the protection device.
⩥ How do you check a patient's clotting time after being given heparin?
Answer: If ACT option is not available, draw a PTT (Partial
Thromboplastin Time).
COMPREHENSIVE STUDY SHEET 2026 309
PRACTICE QUESTIONS WITH COMPLETE
ANSWERS 55 PAGES FULL SOLUTION PACK
GRADED A+
⩥ What condition is indicated by potassium levels less than 3.5?
Answer: Hypokalemia
⩥ What condition is indicated by potassium levels greater than 5.0?
Answer: Hyperkalemia
⩥ Name some antiplatelet medications.
Answer: ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
⩥ What does INR measure?
Answer: The levels of Coumadin
⩥ What is the most common access point to perform a myocardial
biopsy?
Answer: Right Internal Jugular Vein (IJ)
,⩥ What are the landmarks to perform an IJ access?
Answer: The IJ lies between the medial and lateral heads of the
sternocleidomastoid muscle and lateral to the carotid artery.
⩥ How does heparin prevent clot formation?
Answer: Heparin prevents the conversion of prothrombin to thrombin.
⩥ What is the initial dose of Versed for sedation?
Answer: .5mg - 1mg
⩥ What is the action of Reopro?
Answer: Reopro inhibits IIb/IIIa receptors.
⩥ What happens when a patient has a vasovagal reaction?
Answer: BP decreases, HR decreases, SV decreases.
⩥ What should you do when a patient has a vasovagal reaction?
Answer: Give fluids, place in Trendelenburg position, administer
Atropine .5mg-1mg IV push.
⩥ If a patient has a high creatinine, what should you consider?
Answer: Pre-procedure fluid hydration and use as small amount of
contrast as possible.
, ⩥ What is the recommended fluid amount for pre-procedure hydration?
Answer: 3ml/kg or 3 times the GFR.
⩥ What does Lovenox impact?
Answer: Antithrombin and Factor Xa.
⩥ What might be the medication of choice for SVT?
Answer: Adenosine.
⩥ What short acting benzodiazepine is commonly used in the cath lab
for sedation?
Answer: Versed (Midazolam).
⩥ Adenosine causes?
Answer: Maximum hyperemiaSteps to place a distal protection device 1.
Place the device distal to the lesion. 2. Cross the lesion with the
stent/balloon. 3. Deploy the stent. 4. Remove the stent balloon. 5.
Remove the protection device.
⩥ How do you check a patient's clotting time after being given heparin?
Answer: If ACT option is not available, draw a PTT (Partial
Thromboplastin Time).
