RCIS EXAM 2024 PRACTICE EXAM 2 WITH 600
EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) RCIS EXAM 2024-
2025 LATEST VERSION (NEW!!)
Retaplase is what type of medication?
thrombolytic
Which type of PCI is indicated specifically for calcified lesions?
rotational athrectomy
When performing a PCI on a total chronic occlusion (CTO), what vessels can
sometimes be used to gain retrograde access?
collaterals
How long should the TR band be left on when obtaining hemostasis for a radial
artery diagnostic left heart cath?
90 minutes
A gradient between the pulmonary artery diastolic pressure and the PCW mean is
an indication of what possible disorder?
pulmonary hypertension
What monitoring intervals are usually ordered for a patient after cardiac
catheterization.
q15 x 4, q30 x 2, q60 till discharge
What is the desired outcome when performing valvuloplasty?
decreasing the pressure gradient
When placing the precordial leads (chest leads) where should lead "V1" be
positioned?
4th intercostal space, right sternal border
,What are the main branches that come off the circumflex?
obtuse marginals
3 causes of in-stent restenosis?
artery less than 3mm, poor stent apposition, under anticoagulated
What is the first drug that should be given to all ACLS patients?
oxygen
When getting femoral artery access, where will the needle puncture the artery in
relation to where it punctures the skin?
superior
What are the two main types of medications used with drug eluting stents?
everolimus and zotarolimus
What is the worst lesion seen in this angiogram?
total LAD
What is the standard therapy for a patient with a known contrast allergy?
administor steroids prior to procedure
Which one of the following is a possible complication associated with temporary
pacing?
perforation
Which complication listed below can be caused by insertion of a temporary
pacemaker?
perforation
,Calculate the mixed venous saturation.
Ao: 95% HR: 68
LV: 94% BSA: 2.1
PCW: 97% Hgb: 13
PA: 78% SVC: 72%
RV: 78% IVC: 76%
RA: 79%
73
What 2 electrolytes are the most important for the conduction system?
sodium and potassium
An Allen's test checks for patency of what artery?
ulnar
Which of the following is an acceptable threshold for pacing?
less than 1
What size needle is used for a pericardiocentesis?
18 gauge
What is the most accurate when checking for an MI (myocardial infarction)?
troponin
Which condition could cause pulsus paradoxus?
cardiac tamponade
What system is used for peripheral vascular interventions?
OTW
During coronary angiography you notice a pressure waveform that is significantly
less than it was before the last picture. Which one of the following is the most
likely cause?
the catheter is occluding the artery
What is the term for a cells ability to initiate an impulse?
automaticity
, When using IVUS for imaging what objects will always appear that are not part of
the vasculature? (2)
the wire, the IVUS catheter
Calculate the systemic vascular resistance (convert to dsc-5).
Ao: 120/80/93 PA: 30/10/15 HR: 85 bpm
LV: 120/10 RV: 30/7 CO: 7.2 L/min
PCW mean: 10 RA mean: 7
952
Intracardiac shunts (ASD, VSD & PDA's) are associated with which one of the
following?
increased flow on the pulmonary side of the heart
Which of the following would be the desired ACT for a standard PCI?
250-350
What does the term hyperlipidemia mean?
excessive amount of fat in blood
Which of the following would be a normal PCW pressure?
8
What is the recommended door to balloon time (D2B) that hospitals are trying to
achieve with STEMI patients?
Less than 90 minutes.
Which one of the following balloons is used for mitral valvuloplasty?
inoue
Which hemostasis complication is associated with a pulsatile accumulation of
blood between two layers of an artery?
pseudoaneurism
Calculate the patients cardiac index.
BSA: 3.1m2
CO: 5.6 L/min
HR: 85
EXAM QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) RCIS EXAM 2024-
2025 LATEST VERSION (NEW!!)
Retaplase is what type of medication?
thrombolytic
Which type of PCI is indicated specifically for calcified lesions?
rotational athrectomy
When performing a PCI on a total chronic occlusion (CTO), what vessels can
sometimes be used to gain retrograde access?
collaterals
How long should the TR band be left on when obtaining hemostasis for a radial
artery diagnostic left heart cath?
90 minutes
A gradient between the pulmonary artery diastolic pressure and the PCW mean is
an indication of what possible disorder?
pulmonary hypertension
What monitoring intervals are usually ordered for a patient after cardiac
catheterization.
q15 x 4, q30 x 2, q60 till discharge
What is the desired outcome when performing valvuloplasty?
decreasing the pressure gradient
When placing the precordial leads (chest leads) where should lead "V1" be
positioned?
4th intercostal space, right sternal border
,What are the main branches that come off the circumflex?
obtuse marginals
3 causes of in-stent restenosis?
artery less than 3mm, poor stent apposition, under anticoagulated
What is the first drug that should be given to all ACLS patients?
oxygen
When getting femoral artery access, where will the needle puncture the artery in
relation to where it punctures the skin?
superior
What are the two main types of medications used with drug eluting stents?
everolimus and zotarolimus
What is the worst lesion seen in this angiogram?
total LAD
What is the standard therapy for a patient with a known contrast allergy?
administor steroids prior to procedure
Which one of the following is a possible complication associated with temporary
pacing?
perforation
Which complication listed below can be caused by insertion of a temporary
pacemaker?
perforation
,Calculate the mixed venous saturation.
Ao: 95% HR: 68
LV: 94% BSA: 2.1
PCW: 97% Hgb: 13
PA: 78% SVC: 72%
RV: 78% IVC: 76%
RA: 79%
73
What 2 electrolytes are the most important for the conduction system?
sodium and potassium
An Allen's test checks for patency of what artery?
ulnar
Which of the following is an acceptable threshold for pacing?
less than 1
What size needle is used for a pericardiocentesis?
18 gauge
What is the most accurate when checking for an MI (myocardial infarction)?
troponin
Which condition could cause pulsus paradoxus?
cardiac tamponade
What system is used for peripheral vascular interventions?
OTW
During coronary angiography you notice a pressure waveform that is significantly
less than it was before the last picture. Which one of the following is the most
likely cause?
the catheter is occluding the artery
What is the term for a cells ability to initiate an impulse?
automaticity
, When using IVUS for imaging what objects will always appear that are not part of
the vasculature? (2)
the wire, the IVUS catheter
Calculate the systemic vascular resistance (convert to dsc-5).
Ao: 120/80/93 PA: 30/10/15 HR: 85 bpm
LV: 120/10 RV: 30/7 CO: 7.2 L/min
PCW mean: 10 RA mean: 7
952
Intracardiac shunts (ASD, VSD & PDA's) are associated with which one of the
following?
increased flow on the pulmonary side of the heart
Which of the following would be the desired ACT for a standard PCI?
250-350
What does the term hyperlipidemia mean?
excessive amount of fat in blood
Which of the following would be a normal PCW pressure?
8
What is the recommended door to balloon time (D2B) that hospitals are trying to
achieve with STEMI patients?
Less than 90 minutes.
Which one of the following balloons is used for mitral valvuloplasty?
inoue
Which hemostasis complication is associated with a pulsatile accumulation of
blood between two layers of an artery?
pseudoaneurism
Calculate the patients cardiac index.
BSA: 3.1m2
CO: 5.6 L/min
HR: 85
