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1. When intervening in the mid/distal right leg from a radial approach, which is the best wire
choice? Correct Answer: .035 x 260
2. Which of the following BEST describes a balloon's ability to yield to changes in pressure?
Correct Answer: Compliance
3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive
therapy for PCI? Correct Answer: To remove calcific atherosclerotic plaque
4. A Forgarty balloon is commonly used ______ Correct Answer: for removing clot from
vein/artery
5. Select the methods used to treat flow limiting dissections Correct Answer: stent, covered
stent, angioplasty
6. When using a rotational atherectomy device in the RCA, what else should you consider using?
Correct Answer: Temporary pacing, catheter with side holes, (larger bur or vasodilators)
8. What information is required prior to prepping the patient for the procedure? Correct Answer:
patient identifiers, allergies, NPO status, advanced directives
9. Which of the following inotropic agents predominately stimulates beta 1 receptors? Correct
Answer: Dopamine
10. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation? Correct
Answer: Increased coronary bloodflow
11. What view exposes an operator standing on the patient's right side to the highest dose of
radiation? Correct Answer: LAO Cranial
12. Which actions should be completed when prepping the patient for a transradial cardiac
catheterization? Correct Answer: Allan's test, pre-sedation, local anesthetic, ultrasound, draping
13. Cardiac index is calculated by dividing cardiac output in liters per minute by the patient's
Correct Answer: BSA
14. The patient has a pulse but is in respiratory arrest. You must give 1 breath every Correct
Answer: 5-6 seconds.
15. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty procedure? Correct
Answer: To slow how much blood is going through aorta
, 16. Immediate ED general treatment should include Correct Answer: MONA
17. The term "standard precautions" refers to Correct Answer: use of PPE and hand hygiene
18. Which atherectomy catheters shave and sand away plaque? Correct Answer: orbital,
directional
19. What type of catheter is used for a thrombectomy? Correct Answer: Extraction
20. One advantage of using a percutaneous left ventricular assist device is that they Correct
Answer: provide perfusion regardless of patient's intrinsic rate
21. Given the following hemodynamic data for a patient at rest, what is the mean arterial
pressure? Systolic pressure 140mmhg, Diastolic pressure 80mmhg Correct Answer: (80 x 2) +
(140 x 1) / 3 = 100mmHg
22. A "Waterhammer Pulse" is caused what valvular disease? Correct Answer: Aortic
Regurgitation
23. When transferring a patient to the recovery area or back to their room, what should be the
action for the person who achieved hemostasis of the procedure site? Correct Answer: To ensure
hemostasis has been maintained after transfer
24. In a standard 12 lead ECG, the anterior wall is represented in leads Correct Answer: V3 and
V4
25. What imaging modality is used to confirm proper stent apposition? Correct Answer: IVUS
26. When delivering radiation, photons are emitted from the Correct Answer: Cathode
27. In determining cardiac output via the thermal dilution method, saline is injected into the
Correct Answer: proximal port of the PA catheter.
28. The device that converts x-ray into visible light is the Correct Answer: Image Intensifier
29. Which of the following is responsible for producing the S2 heart sound? Correct Answer:
Closure of the semilunar valves
30. Which of the following represents the GREATEST risk during left ventriculography? Correct
Answer: Embolism
31. What is an absolute contraindication for the use of intra-aortic balloon counterpulsation?
Correct Answer: Dissection/Aneurysm of Aorta, moderate/severe AI, previous AO stenting
32. Which medications are used to pre-treat a patient with a history of contrast allergies? Correct
Answer: Diphenhydramine, Famotidine, solumedrol