CCI RCIS Exam: Essential Concepts
Mid Term Exam Questions
- .035 x 260 cm
1. When intervening in the mid/distal right leg from a radial approach, which is the
best wire choice?
- .038 x 150 cm
- .035 x 180 cm
- .038 x 180 cm
- .035 x 260 cm
- compliance
2. Which of the following BEST describes a balloon's ability to yield to changes in
pressure?
- flexibility
- pushability
- trackability
- compliance
- to remove calcific atherosclerotic plaque
3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an
adjunctive therapy for PCI?
- to score fibrotic plaque
- to remove calcific atherosclerotic plaque
- to pulverize plaque using electromagnetic energy
- to remove thrombus using the Bernoulli/Venturi effect
- pull clot back into a vein
4. A Forgarty balloon is commonly used to __________-.
- dilate a stenotic lesion
- push plaque downstream
- pull clot back into a vein
- measure right heart pressure
- stent
- angioplasty
- covered stent
5. Select the methods used to treat flow limiting dissections (select three)
- stent
- angioplasty
- atherectomy
- covered stent
- thrombectomy
- retractable coil
- vasodilator drug
- guide with side holes
- temporary pacing wire
,6. When using a rotational atherectomy device in the RCA, what else should you
consider using? (choose 3)
- stiff wire
- large size burr
- vasodilator drug
- guide with side holes
- temporary pacing wire
- NPO status
- patient allergies
- patient identifiers
- advance directives
7. What information is required prior to prepping the patient for the procedure?
(choose 4)
- NPO status
- patient allergies
- patient identifiers
- advance directives
- last H&P 40 days ago
- last visit to primary physician
- dobutamine
8. Which of the following inotropic agents predominately stimulates beta 1 receptors?
- Isuprel
- dopamine
- dobutamine
- epinephrine
- Increased coronary blood flow
9. What is the desired hemodynamic effect of an intra-aortic balloon
counterpulsation?
- increased preload
- increased afterload
- increased coronary blood flow
- increased myocardial oxygen demand
- prep right groin
- Allen's test performed prior to wrist prep
10. Which actions should be completed when prepping the patient for a transradial
cardiac catheterization? (chose 2 responses)
- prep right groin
- position wrist in prone position
- IV antibiotics given for the procedure
- start IV on same arm as radial access
- Allen's test performed prior to wrist prep
- body surface area
11. Cardiac index is calculated by dividing cardiac output in liters per minute by
- heart rate
, - stroke volume
- body surface area
- mean ventricular pressure
- 5-6
12. The patient has a pulse but is in respiratory arrest. You must give 1 breath every
_______ seconds.
- 2-3
- 3-4
- 4-5
- 5-6
- to reduce the amount of balloon movement during inflation
13. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty
procedure?
- to increase oxygen demand for coronary perfusion
- to increase cardiac output during the balloon inflation
- to reduce the amount of balloon movement during inflation
- to reduce the need for coronary perfusion during the inflation period
- aspirin, morphine, nitroglycerin, oxygen
14. Immediate ED general treatment should include
- aspirin, Lasix, nitroglycerin, and oxygen
- aspirin, Lasix, morphine, and nitroglycerin
- aspirin, morphine, nitroglycerin, oxygen
- aspirin, fibrinolytic, morphine, and nitroglycerin
- personal protective equipment
15. The term "standard precautions" refers to __________.
- informed consent
- aseptic technique
- advanced directives
- personal protective equipment
- orbital and directional
16. Which atherectomy catheters shave and sand away plaque?
- orbital and directional
- vascular and intraspinal
- sculpting balloon and stent
- cutting balloon and infusion catheter
- extraction
17. What type of catheter is used for a thrombectomy?
- ablation
- perfusion
- extraction
- rotational
- provide perfusion regardless of patient's intrinsic rate
18. One advantage of using a percutaneous left ventricular assist device is that they
Mid Term Exam Questions
- .035 x 260 cm
1. When intervening in the mid/distal right leg from a radial approach, which is the
best wire choice?
- .038 x 150 cm
- .035 x 180 cm
- .038 x 180 cm
- .035 x 260 cm
- compliance
2. Which of the following BEST describes a balloon's ability to yield to changes in
pressure?
- flexibility
- pushability
- trackability
- compliance
- to remove calcific atherosclerotic plaque
3. What is the PRIMARY therapeutic reason for using rotational atherectomy as an
adjunctive therapy for PCI?
- to score fibrotic plaque
- to remove calcific atherosclerotic plaque
- to pulverize plaque using electromagnetic energy
- to remove thrombus using the Bernoulli/Venturi effect
- pull clot back into a vein
4. A Forgarty balloon is commonly used to __________-.
- dilate a stenotic lesion
- push plaque downstream
- pull clot back into a vein
- measure right heart pressure
- stent
- angioplasty
- covered stent
5. Select the methods used to treat flow limiting dissections (select three)
- stent
- angioplasty
- atherectomy
- covered stent
- thrombectomy
- retractable coil
- vasodilator drug
- guide with side holes
- temporary pacing wire
,6. When using a rotational atherectomy device in the RCA, what else should you
consider using? (choose 3)
- stiff wire
- large size burr
- vasodilator drug
- guide with side holes
- temporary pacing wire
- NPO status
- patient allergies
- patient identifiers
- advance directives
7. What information is required prior to prepping the patient for the procedure?
(choose 4)
- NPO status
- patient allergies
- patient identifiers
- advance directives
- last H&P 40 days ago
- last visit to primary physician
- dobutamine
8. Which of the following inotropic agents predominately stimulates beta 1 receptors?
- Isuprel
- dopamine
- dobutamine
- epinephrine
- Increased coronary blood flow
9. What is the desired hemodynamic effect of an intra-aortic balloon
counterpulsation?
- increased preload
- increased afterload
- increased coronary blood flow
- increased myocardial oxygen demand
- prep right groin
- Allen's test performed prior to wrist prep
10. Which actions should be completed when prepping the patient for a transradial
cardiac catheterization? (chose 2 responses)
- prep right groin
- position wrist in prone position
- IV antibiotics given for the procedure
- start IV on same arm as radial access
- Allen's test performed prior to wrist prep
- body surface area
11. Cardiac index is calculated by dividing cardiac output in liters per minute by
- heart rate
, - stroke volume
- body surface area
- mean ventricular pressure
- 5-6
12. The patient has a pulse but is in respiratory arrest. You must give 1 breath every
_______ seconds.
- 2-3
- 3-4
- 4-5
- 5-6
- to reduce the amount of balloon movement during inflation
13. Why is rapid ventricular pacing used for an aortic balloon valvuloplasty
procedure?
- to increase oxygen demand for coronary perfusion
- to increase cardiac output during the balloon inflation
- to reduce the amount of balloon movement during inflation
- to reduce the need for coronary perfusion during the inflation period
- aspirin, morphine, nitroglycerin, oxygen
14. Immediate ED general treatment should include
- aspirin, Lasix, nitroglycerin, and oxygen
- aspirin, Lasix, morphine, and nitroglycerin
- aspirin, morphine, nitroglycerin, oxygen
- aspirin, fibrinolytic, morphine, and nitroglycerin
- personal protective equipment
15. The term "standard precautions" refers to __________.
- informed consent
- aseptic technique
- advanced directives
- personal protective equipment
- orbital and directional
16. Which atherectomy catheters shave and sand away plaque?
- orbital and directional
- vascular and intraspinal
- sculpting balloon and stent
- cutting balloon and infusion catheter
- extraction
17. What type of catheter is used for a thrombectomy?
- ablation
- perfusion
- extraction
- rotational
- provide perfusion regardless of patient's intrinsic rate
18. One advantage of using a percutaneous left ventricular assist device is that they
