Answers
1. When intervening in the mid/distal right leg from a radial approach, which is the best wire choice?
.035 x 260
2. Which of the following BEST describes a balloon's ability to yield to changes in pressure?
Compliance
3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive therapy
for PCI?
To remove calcific atherosclerotic plaque
4. A Forgarty balloon is commonly used ______
for removing clot from vein/artery
5. Select the methods used to treat flow limiting dissections
stent, covered stent, angioplasty
6. When using a rotational atherectomy device in the RCA, what else should you consider using?
Temporary pacing, catheter with side holes, (larger bur or vasodilators)
8. What information is required prior to prepping the patient for the procedure?
patient identifiers, allergies, NPO status, advanced directives
9. Which of the following inotropic agents predominately stimulates beta 1 receptors?
Dopamine
10. What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?
Increased coronary bloodflow
11. What view exposes an operator standing on the patient's right side to the highest dose of
radiation?
LAO Cranial
12. Which actions should be completed when prepping the patient for a transradial cardiac
catheterization?
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
BSA
14. The patient has a pulse but is in respiratory arrest. You must give 1 breath every
5-6 seconds.
, 15. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty procedure?
To slow how much blood is going through aorta
16. Immediate ED general treatment should include
MONA
17. The term "standard precautions" refers to
use of PPE and hand hygiene
18. Which atherectomy catheters shave and sand away plaque?
orbital, directional
19. What type of catheter is used for a thrombectomy?
Extraction
20. One advantage of using a percutaneous left ventricular assist device is that they
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
(80 x 2) + (140 x 1) / 3 = 100mmHg
22. A "Waterhammer Pulse" is caused what valvular disease?
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?
To ensure hemostasis has been maintained after transfer
24. In a standard 12 lead ECG, the anterior wall is represented in leads
V3 and V4
25. What imaging modality is used to confirm proper stent apposition?
IVUS
26. When delivering radiation, photons are emitted from the
Cathode
27. In determining cardiac output via the thermal dilution method, saline is injected into the
proximal port of the PA catheter.
28. The device that converts x-ray into visible light is the
Image Intensifier