RCIS Exam Prep |180 Questions with
correct Answers.
True or False: During a left heart biopsy you should give heparin. - - Yes, 5000IU to
avoid thrombi going to the brain
-What is the maximum annual Radiation exposure? - - 5 REM
-What is the therapeutic INR range for someone on warfarin/coumadin? - - 2.0-3.0
-What is a normal INR for someone not on coumadin/warfarin? - - INR 0.6-1.2
-When using FFR, what drug is given and how is it delivered? - - Adenosine causes
hyperemia (Increased blood flow to the tissues.
Can be delivered by either IV or IC
-What are the pros and cons of a mechanical aortic valve? - - Pros: last longer
Cons: Prone to thrombus formation
-Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as
biventricular pacing)? How many leads does it use? Where are they placed? - - uses 2-3
leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the heart to
help them beat together in a more synchronized pattern.
-What are the angioplasty guidewire calibers? - - 0.014-0.018 inch
-When can you detect Myoglobin after an MI? - - * 2-4 hours after symptom onset *
normal in 24-36 hours
,-What is the diameter of the standard J wire? - - 0.035
-What is the Warfarin ( Coumadin) antagonist? - - vitamin K
-When shooting a LIMA, the cuff should be? - - Isolateral (same side as LIMA) left arm
-What is the usual time for restenosis to occur? - - within 6 months
-What size is the red sheath? - - *4F-red
-What size is the grey sheath? - - 5F-grey
-What size is the green sheath? - - 6F- green
-What size is the orange sheath? - - 7F-orange
-What size is the blue sheath? - - 8F-blue
-What size is black sheath? - - 9F-black
-What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac
and femoral vessels? - - Wall stent
-Where can a wall stent be used? - - carotid arteries, SVG, Iliac and femoral vessels
-What is the loading dose of aspirin in a patient with ischemia/chest pain? - - 162-325
mg
-Should you increase or decrease burr speed when you increase from a 1.25-2.15 burr? -
- decrease
, -Where does the apex point in a RAO view? - - * RAO=apex points to the right
-Where does the apex point in a LAO view? - - *LAO= apex points to the left
-What medication do you give when doing FFR? How does it measure? - - adenosine
Measure by hyperemic effect (max dilation of vessels)
-What medication should you give before using IVUS to avoid spasm? - - Always give
200 nitro before using IVUS to avoid spasm.
-What is the proper placement of an IABP? - - 1-2cm distal to left subclavian and
promixal to the renals.
-Where do we stick for neck access for right heart? - - Right internal jugular vein
-What is the average Adult Hematocrit in %? - - Men 45%
Women 40%
-What are softer guidewires used for? - - They Are easier/safer in a tortuous vessel
-What is a normal QRS complex duration? - - 0.08 - 0.12 sec (2 - 3 small squares)
-Where does a homograft valve come from? - - From another human heart explanted at
autopsy
-What is atherectomy? - - Reduction of plaque by using rotational, laser or directional
atherectomy device
-How does perclose work? - - Perclose device uses nonabsorbable suture with 2 needles
to attach the suture material.
-What are the signs of a LBBB? - - LBBB( left bundle branch block)
correct Answers.
True or False: During a left heart biopsy you should give heparin. - - Yes, 5000IU to
avoid thrombi going to the brain
-What is the maximum annual Radiation exposure? - - 5 REM
-What is the therapeutic INR range for someone on warfarin/coumadin? - - 2.0-3.0
-What is a normal INR for someone not on coumadin/warfarin? - - INR 0.6-1.2
-When using FFR, what drug is given and how is it delivered? - - Adenosine causes
hyperemia (Increased blood flow to the tissues.
Can be delivered by either IV or IC
-What are the pros and cons of a mechanical aortic valve? - - Pros: last longer
Cons: Prone to thrombus formation
-Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as
biventricular pacing)? How many leads does it use? Where are they placed? - - uses 2-3
leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the heart to
help them beat together in a more synchronized pattern.
-What are the angioplasty guidewire calibers? - - 0.014-0.018 inch
-When can you detect Myoglobin after an MI? - - * 2-4 hours after symptom onset *
normal in 24-36 hours
,-What is the diameter of the standard J wire? - - 0.035
-What is the Warfarin ( Coumadin) antagonist? - - vitamin K
-When shooting a LIMA, the cuff should be? - - Isolateral (same side as LIMA) left arm
-What is the usual time for restenosis to occur? - - within 6 months
-What size is the red sheath? - - *4F-red
-What size is the grey sheath? - - 5F-grey
-What size is the green sheath? - - 6F- green
-What size is the orange sheath? - - 7F-orange
-What size is the blue sheath? - - 8F-blue
-What size is black sheath? - - 9F-black
-What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac
and femoral vessels? - - Wall stent
-Where can a wall stent be used? - - carotid arteries, SVG, Iliac and femoral vessels
-What is the loading dose of aspirin in a patient with ischemia/chest pain? - - 162-325
mg
-Should you increase or decrease burr speed when you increase from a 1.25-2.15 burr? -
- decrease
, -Where does the apex point in a RAO view? - - * RAO=apex points to the right
-Where does the apex point in a LAO view? - - *LAO= apex points to the left
-What medication do you give when doing FFR? How does it measure? - - adenosine
Measure by hyperemic effect (max dilation of vessels)
-What medication should you give before using IVUS to avoid spasm? - - Always give
200 nitro before using IVUS to avoid spasm.
-What is the proper placement of an IABP? - - 1-2cm distal to left subclavian and
promixal to the renals.
-Where do we stick for neck access for right heart? - - Right internal jugular vein
-What is the average Adult Hematocrit in %? - - Men 45%
Women 40%
-What are softer guidewires used for? - - They Are easier/safer in a tortuous vessel
-What is a normal QRS complex duration? - - 0.08 - 0.12 sec (2 - 3 small squares)
-Where does a homograft valve come from? - - From another human heart explanted at
autopsy
-What is atherectomy? - - Reduction of plaque by using rotational, laser or directional
atherectomy device
-How does perclose work? - - Perclose device uses nonabsorbable suture with 2 needles
to attach the suture material.
-What are the signs of a LBBB? - - LBBB( left bundle branch block)
