RCIS Practice Test 2024/2025- solved ACTUAL EXAM
QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What component of the X-ray system converts light rays into images - Answer- Image
intensifier
What is the maximum annual dose of radiation one can receive annually - Answer- 5
REM
Lead protection should be at least how many millimeters of lead - Answer- .5
What is the minimum safe distance to position oneself from the X-ray source - Answer-
6 feet
In an X-ray tube what is the charge on the cathode and the anode - Answer- Cathode:
positive
Anode: negative
Which view exposes the operator to the greatest amount of radiation - Answer- Lateral
What converts x-rays into an image - Answer- Image Intensifier
The contrast that is best for a patient is - Answer- low osmolality
Radiolucent means - Answer- X-rays are permitted to pass through
Radiopaque means - Answer- X-rays are not permitted to pass through
ReoPro works on - Answer- IIb/IIIa receptors
Heparin potentiates the action of - Answer- Antithrombin
Fibrinogen is converted to Fibrin by the action of - Answer- Thrombin
There are _________ known pathways to imitate the clotting cascade - Answer- 2
Aspirin inhibits the action of - Answer- Arachidonic Acid
Which agent is not an antiplatelet - Answer- Heparin
If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give -
Answer- fluids to hydrate
,If a patient is taking NPH insulin, which medication should not be given - Answer-
Protamine
Which medication is most commonly given to a patient with SVT - Answer- Adenosine
True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized -
Answer- True
Lidocaine converts from 2GM in 500cc to - Answer- 4 mg in 1 cc
Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - Answer- 400
mg in 250cc
The best short acting medication/anxietolytic to sedate a patient is - Answer-
Versed/Midazolam
The drug of choice for treating coronary spasm is - Answer- NTG
Amiodarone is used to treat - Answer- Atrial and ventricular arrhythmias
What medication is used as a preload and afterload reducer - Answer- NTG
Diabetic patients have a greater incidence of developing _______ post contrast
administration - Answer- Renal failure
Which rhythm is most likely to become lethal - Answer- Mobitz 2
The Impella catheter most closely resembles - Answer- Pigtail
When performing an LV angiogram with the LV injector, what is the purpose of setting a
"rate of rise" - Answer- 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 - Answer- inferior wall
An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary
artery is most likely occluded - Answer- Cx
How do you test the defibrillator - Answer- discharge into the defibrillator (dummy load)
What happens if you deliver a shock to a patient on the T Wave - Answer- You could
put them into Vfib
, In 1st degree heart block, where is the conductive delay - Answer- AV node
What is the normal PR interval - Answer- .12-.20
If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and is
not responding, what should you do - Answer- Unsymchronized cardioversion
If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB.
What should you do - Answer- Do immediate synchronized cardioversion
A common complication of placing a pacing electrode/wire is - Answer-
Perforation/Preicardial Effusion/Tamponade
A pacing generator that paces in both chambers, senses in the ventricle, and inhibits
QRS complexes is a - Answer- DVI
A pacing generator that paces both chambers, senses both chambers, and triggers or
inhibits is a - Answer- DDD
A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a -
Answer- AAI
What is the formula for calculating SVR - Answer- Mean OR- Mean RA/CO
Which cardiac output would be most accurate in a patient with tricuspid regurgitation -
Answer- FICK
Which right heart pressure best reflects LV preload - Answer- PCWP
Which balloon is used for valvuloplasty - Answer- inoue
Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a
pressure that is lower in the - Answer- Aortic arch
Calculate the cardiac output of a patient with the following data Arterial O2 sat= 98%
Pulmonary artery O2 = 74% RV O2 sat= 71% Hgb= 14.7 PCWP= 12 O2 consumption=
250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - Answer- 5.2 L/min
Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40%
HR= 70 - Answer- 50 cc
Calculate an Aortic valve area with the following information HR= 85 Mean gradient= 64
CO= 4.2L/min BP= 136/74 Sep= .37 - Answer- .37 cm2
Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and an
angiographic CO of 5.4L/min - Answer- 24%
QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What component of the X-ray system converts light rays into images - Answer- Image
intensifier
What is the maximum annual dose of radiation one can receive annually - Answer- 5
REM
Lead protection should be at least how many millimeters of lead - Answer- .5
What is the minimum safe distance to position oneself from the X-ray source - Answer-
6 feet
In an X-ray tube what is the charge on the cathode and the anode - Answer- Cathode:
positive
Anode: negative
Which view exposes the operator to the greatest amount of radiation - Answer- Lateral
What converts x-rays into an image - Answer- Image Intensifier
The contrast that is best for a patient is - Answer- low osmolality
Radiolucent means - Answer- X-rays are permitted to pass through
Radiopaque means - Answer- X-rays are not permitted to pass through
ReoPro works on - Answer- IIb/IIIa receptors
Heparin potentiates the action of - Answer- Antithrombin
Fibrinogen is converted to Fibrin by the action of - Answer- Thrombin
There are _________ known pathways to imitate the clotting cascade - Answer- 2
Aspirin inhibits the action of - Answer- Arachidonic Acid
Which agent is not an antiplatelet - Answer- Heparin
If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give -
Answer- fluids to hydrate
,If a patient is taking NPH insulin, which medication should not be given - Answer-
Protamine
Which medication is most commonly given to a patient with SVT - Answer- Adenosine
True/False
If a patient has a creatinine greater than 1.4 contrast volume should be minimized -
Answer- True
Lidocaine converts from 2GM in 500cc to - Answer- 4 mg in 1 cc
Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - Answer- 400
mg in 250cc
The best short acting medication/anxietolytic to sedate a patient is - Answer-
Versed/Midazolam
The drug of choice for treating coronary spasm is - Answer- NTG
Amiodarone is used to treat - Answer- Atrial and ventricular arrhythmias
What medication is used as a preload and afterload reducer - Answer- NTG
Diabetic patients have a greater incidence of developing _______ post contrast
administration - Answer- Renal failure
Which rhythm is most likely to become lethal - Answer- Mobitz 2
The Impella catheter most closely resembles - Answer- Pigtail
When performing an LV angiogram with the LV injector, what is the purpose of setting a
"rate of rise" - Answer- 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 - Answer- inferior wall
An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary
artery is most likely occluded - Answer- Cx
How do you test the defibrillator - Answer- discharge into the defibrillator (dummy load)
What happens if you deliver a shock to a patient on the T Wave - Answer- You could
put them into Vfib
, In 1st degree heart block, where is the conductive delay - Answer- AV node
What is the normal PR interval - Answer- .12-.20
If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and is
not responding, what should you do - Answer- Unsymchronized cardioversion
If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB.
What should you do - Answer- Do immediate synchronized cardioversion
A common complication of placing a pacing electrode/wire is - Answer-
Perforation/Preicardial Effusion/Tamponade
A pacing generator that paces in both chambers, senses in the ventricle, and inhibits
QRS complexes is a - Answer- DVI
A pacing generator that paces both chambers, senses both chambers, and triggers or
inhibits is a - Answer- DDD
A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a -
Answer- AAI
What is the formula for calculating SVR - Answer- Mean OR- Mean RA/CO
Which cardiac output would be most accurate in a patient with tricuspid regurgitation -
Answer- FICK
Which right heart pressure best reflects LV preload - Answer- PCWP
Which balloon is used for valvuloplasty - Answer- inoue
Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a
pressure that is lower in the - Answer- Aortic arch
Calculate the cardiac output of a patient with the following data Arterial O2 sat= 98%
Pulmonary artery O2 = 74% RV O2 sat= 71% Hgb= 14.7 PCWP= 12 O2 consumption=
250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - Answer- 5.2 L/min
Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40%
HR= 70 - Answer- 50 cc
Calculate an Aortic valve area with the following information HR= 85 Mean gradient= 64
CO= 4.2L/min BP= 136/74 Sep= .37 - Answer- .37 cm2
Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and an
angiographic CO of 5.4L/min - Answer- 24%
