RCIS FINAL EXAM AND PRACTICE EXAM QUESTIONS
2024 ACTUAL EXAM COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
True or False: During a left heart biopsy you should give heparin. - ANSWER: Yes,
5000IU to avoid thrombi going to the brain
What is the maximum annual Radiation exposure? - ANSWER: 5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? - ANSWER:
2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? - ANSWER: INR 0.6-
1.2
When using FFR, what drug is given and how is it delivered? - ANSWER: 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? - 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? -
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? - ANSWER: 0.014-0.018 inch
When can you detect Myoglobin after an MI? - ANSWER: * 2-4 hours after symptom
onset * normal in 24-36 hours
What is the diameter of the standard J wire? - ANSWER: 0.035
What is the Warfarin ( Coumadin) antagonist? - ANSWER: vitamin K
When shooting a LIMA, the cuff should be? - ANSWER: Isolateral (same side as LIMA)
left arm
What is the usual time for restenosis to occur? - ANSWER: within 6 months
What size is the red sheath? - ANSWER: *4F-red
, What size is the grey sheath? - ANSWER: 5F-grey
What size is the green sheath? - ANSWER: 6F- green
What size is the orange sheath? - ANSWER: 7F-orange
What size is the blue sheath? - ANSWER: 8F-blue
What size is black sheath? - ANSWER: 9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac
and femoral vessels? - ANSWER: Wall stent
Where can a wall stent be used? - ANSWER: carotid arteries, SVG, Iliac and femoral
vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain? - ANSWER:
162-325 mg
Should you increase or decrease burr speed when you increase from a 1.25-2.15
burr? - ANSWER: decrease
Where does the apex point in a RAO view? - ANSWER: * RAO=apex points to the
right
Where does the apex point in a LAO view? - ANSWER: *LAO= apex points to the left
What medication do you give when doing FFR? How does it measure? - ANSWER:
adenosine
Measure by hyperemic effect (max dilation of vessels)
What medication should you give before using IVUS to avoid spasm? - ANSWER:
Always give 200 nitro before using IVUS to avoid spasm.
What is the proper placement of an IABP? - ANSWER: 1-2cm distal to left subclavian
and promixal to the renals.
Where do we stick for neck access for right heart? - ANSWER: Right internal jugular
vein
What is the average Adult Hematocrit in %? - ANSWER: Men 45%
Women 40%
What are softer guidewires used for? - ANSWER: They Are easier/safer in a tortuous
vessel
2024 ACTUAL EXAM COMPLETE ACCURATE EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
True or False: During a left heart biopsy you should give heparin. - ANSWER: Yes,
5000IU to avoid thrombi going to the brain
What is the maximum annual Radiation exposure? - ANSWER: 5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? - ANSWER:
2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? - ANSWER: INR 0.6-
1.2
When using FFR, what drug is given and how is it delivered? - ANSWER: 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? - 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? -
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? - ANSWER: 0.014-0.018 inch
When can you detect Myoglobin after an MI? - ANSWER: * 2-4 hours after symptom
onset * normal in 24-36 hours
What is the diameter of the standard J wire? - ANSWER: 0.035
What is the Warfarin ( Coumadin) antagonist? - ANSWER: vitamin K
When shooting a LIMA, the cuff should be? - ANSWER: Isolateral (same side as LIMA)
left arm
What is the usual time for restenosis to occur? - ANSWER: within 6 months
What size is the red sheath? - ANSWER: *4F-red
, What size is the grey sheath? - ANSWER: 5F-grey
What size is the green sheath? - ANSWER: 6F- green
What size is the orange sheath? - ANSWER: 7F-orange
What size is the blue sheath? - ANSWER: 8F-blue
What size is black sheath? - ANSWER: 9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac
and femoral vessels? - ANSWER: Wall stent
Where can a wall stent be used? - ANSWER: carotid arteries, SVG, Iliac and femoral
vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain? - ANSWER:
162-325 mg
Should you increase or decrease burr speed when you increase from a 1.25-2.15
burr? - ANSWER: decrease
Where does the apex point in a RAO view? - ANSWER: * RAO=apex points to the
right
Where does the apex point in a LAO view? - ANSWER: *LAO= apex points to the left
What medication do you give when doing FFR? How does it measure? - ANSWER:
adenosine
Measure by hyperemic effect (max dilation of vessels)
What medication should you give before using IVUS to avoid spasm? - ANSWER:
Always give 200 nitro before using IVUS to avoid spasm.
What is the proper placement of an IABP? - ANSWER: 1-2cm distal to left subclavian
and promixal to the renals.
Where do we stick for neck access for right heart? - ANSWER: Right internal jugular
vein
What is the average Adult Hematocrit in %? - ANSWER: Men 45%
Women 40%
What are softer guidewires used for? - ANSWER: They Are easier/safer in a tortuous
vessel
