RCIS Exam Prep Question and Answers 2024/2025 Latest and Verified

RCIS Exam Prep Question and Answers 2024/2025 Latest and Verified True or False: During a left heart biopsy you should give heparin. - CORRECT ANSWER-Yes, 5000IU to avoid thrombi going to the brain What is the maximum annual Radiation exposure? - CORRECT ANSWER-5 REM What is the therapeutic INR range for someone on warfarin/coumadin? - CORRECT ANSWER-2.0-3.0 What is a normal INR for someone not on coumadin/warfarin? - CORRECT ANSWERINR 0.6-1.2 When using FFR, what drug is given and how is it delivered? - CORRECT ANSWERAdenosine 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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-0.014-0.018 inch When can you detect Myoglobin after an MI? - CORRECT ANSWER-* 2-4 hours after symptom onset * normal in 24-36 hours What is the diameter of the standard J wire? - CORRECT ANSWER-0.035 What is the Warfarin ( Coumadin) antagonist? - CORRECT ANSWER-vitamin K When shooting a LIMA, the cuff should be? - CORRECT ANSWER-Isolateral (same side as LIMA) left arm What is the usual time for restenosis to occur? - CORRECT ANSWER-within 6 months What size is the red sheath? - CORRECT ANSWER-*4F-red What size is the grey sheath? - CORRECT ANSWER-5F-grey What size is the green sheath? - CORRECT ANSWER-6F- green What size is the orange sheath? - CORRECT ANSWER-7F-orange What size is the blue sheath? - CORRECT ANSWER-8F-blue What size is black sheath? - CORRECT ANSWER-9F-black What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac and femoral vessels? - CORRECT ANSWER-Wall stent Where can a wall stent be used? - CORRECT ANSWER-carotid arteries, SVG, Iliac and femoral vessels What is the loading dose of aspirin in a patient with ischemia/chest pain? - CORRECT ANSWER-162-325 mg Should you increase or decrease burr speed when you increase from a 1.25-2.15 burr? - CORRECT ANSWER-decrease Where does the apex point in a RAO view? - CORRECT ANSWER-* RAO=apex points to the right Where does the apex point in a LAO view? - CORRECT ANSWER-*LAO= apex points to the left What medication do you give when doing FFR? How does it measure? - CORRECT ANSWER-adenosine Measure by hyperemic effect (max dilation of vessels) What medication should you give before using IVUS to avoid spasm? - CORRECT ANSWER-Always give 200 nitro before using IVUS to avoid spasm. What is the proper placement of an IABP? - CORRECT ANSWER-1-2cm distal to left subclavian and promixal to the renals. Where do we stick for neck access for right heart? - CORRECT ANSWER-Right internal jugular vein What is the average Adult Hematocrit in %? - CORRECT ANSWER-Men 45% Women 40% What are softer guidewires used for? - CORRECT ANSWER-They Are easier/safer in a tortuous vessel What is a normal QRS complex duration? - CORRECT ANSWER-0.08 - 0.12 sec (2 - 3 small squares) Where does a homograft valve come from? - CORRECT ANSWER-From another human heart explanted at autopsy What is atherectomy? - CORRECT ANSWER-Reduction of plaque by using rotational, laser or directional atherectomy device How does perclose work? - CORRECT ANSWER-Perclose device uses nonabsorbable suture with 2 needles to attach the suture material. What are the signs of a LBBB? - CORRECT ANSWER-LBBB( left bundle branch block) QRS 0.12 sec V5,V6 V1 negative deflection What can lidocaine be used for other than pain relief? - CORRECT ANSWER-Lidocaine also used for ventricular arrhythmias * Ca channel blocker affect directly purkinge fibers Why is it important to lower the image intensifier? - CORRECT ANSWER-*reduces pt exposure *improves image quality Where is the blood with the lowest 02 sats? - CORRECT ANSWER-coronary sinus What is a disadvantage of an Animal Aortic Valve? - CORRECT ANSWER-Does not last long because animals do not have a mechanical valve 10-20 years at most RCA RAO looks like the letter? - CORRECT ANSWER-"L" What is the average amount of pericardial fluid? - CORRECT ANSWER-10-50ml What is a normal ACT? - CORRECT ANSWER-75-120 sec Optimal lead thickness - CORRECT ANSWER-0.5mm Pacemakers can be? - CORRECT ANSWER-permanent, temporary, transcutaneous, transvenous What is a normal pH level of blood? - CORRECT ANSWER-7.35-7.45 Normal Ratio SVR to PVR? - CORRECT ANSWER-12:1 1lb = __ kg - CORRECT ANSWER-0.45kg How many kg in a lb? - CORRECT ANSWER-2.2 Reopro (abciximab) & Integrilin ( e