{"id":119935,"date":"2023-09-17T10:28:10","date_gmt":"2023-09-17T10:28:10","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119935"},"modified":"2023-09-17T10:28:13","modified_gmt":"2023-09-17T10:28:13","slug":"rcis-bundled-exams-questions-and-answers-latest-versions-with-complete-and-verified-solutions","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/17\/rcis-bundled-exams-questions-and-answers-latest-versions-with-complete-and-verified-solutions\/","title":{"rendered":"RCIS BUNDLED EXAMS QUESTIONS AND ANSWERS LATEST VERSIONS WITH COMPLETE AND VERIFIED SOLUTIONS"},"content":{"rendered":"\n<p>RCIS Practice Test Questions and<br>Answers 100% Pass<br>What is the formula for calculating cardiac output? \u2714\u2714CO= HR x SV<br>What is stroke volume related to? \u2714\u2714preload<br>Preload is most impacted by\u2026.. \u2714\u2714Increased filling volumes<br>A patient with chronic untreated hypertension would demonstrate\u2026. \u2714\u2714Increased afterload<br>Vascular resistance\/pressure is most influenced by\u2026. \u2714\u2714Radius of the vessel<br>The formula for BP is\u2026. \u2714\u2714BP = CO x SVR<br>What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency \u2714\u2714V<br>wave<\/p>\n\n\n\n<p>An elevated RVEDP is found in which pathology \u2714\u2714RV infarct<br>If the RA waveform is 2x the normal value, where would this be demonstrated in the physical<br>assessment \u2714\u2714JVD<br>What is the most common cause of Pulmonic stenosis \u2714\u2714Congenital<br>The Blue proximal part of the swan is located how far from the distal tip of the swan \u2714\u271430 cm<br>When performing a thermodilution cardiac output, the operator injects 10 cc of saline into the<br><strong><em>_ and the temperature change is measured in the __<\/em><\/strong> \u2714\u2714RA, PA<br>Equalization of RVEDP and LVEDP are found in \u2714\u2714restrictive pericarditis<br>Signs of Right sided heart failure include \u2714\u2714JVD<\/p>\n\n\n\n<p>Based on these oxygen saturations, what type of shunt is present? SVC sat= 67% IVC sat= 71%<br>RA sat= 85% RV sat= 85% PA sat= 85% LA sat= 98% LV sat= 98% AO sat= 98% \u2714\u2714L to R<br>ASD<br>What type of ASD, located in the middle 1\/3 of the atrial septum (the former site of the fossa<br>ovalis) is called \u2714\u2714Ostium Secundum<br>What is the Flamm&#8217;s equation \u2714\u27143(SVC) + 1(IVC)\/4<br>The formula used to calculate MAP is \u2714\u27141 (systolic) + 2 (diastolic)\/3<br>What are the four anomalies associated with Tetralogy of Fallot \u2714\u2714Pulmonic stenosis, over<br>riding aorta, RVH, VSD<br>Which fetal anomaly is characterized by a large VSD over which a large single great vessel<br>arises \u2714\u2714Truncas Arteriosus<br>Pulsus Paradoxus is a sign of \u2714\u2714Cardiac Tamponade<\/p>\n\n\n\n<p>What does RAD stand for \u2714\u2714Radiation absorbed dose<br>What component of the X-ray system converts light rays into images \u2714\u2714Image intensifier<br>What is the maximum annual dose of radiation one can receive annually \u2714\u27145 REM<br>Lead protection should be at least how many millimeters of lead \u2714\u2714.5<br>What is the minimum safe distance to position oneself from the X-ray source \u2714\u27146 feet<br>In an X-ray tube what is the charge on the cathode and the anode \u2714\u2714Cathode: positive<br>Anode: negative<br>Which view exposes the operator to the greatest amount of radiation \u2714\u2714Lateral<br>What converts x-rays into an image \u2714\u2714Image Intensifier<\/p>\n\n\n\n<p>RCIS Exam Prep Questions and Answers<br>Already Graded A<br>True or False: During a left heart biopsy you should give heparin. \u2714\u2714Yes, 5000IU to avoid<br>thrombi going to the brain<br>What is the maximum annual Radiation exposure? \u2714\u27145 REM<br>What is the therapeutic INR range for someone on warfarin\/coumadin? \u2714\u27142.0-3.0<br>What is a normal INR for someone not on coumadin\/warfarin? \u2714\u2714INR 0.6-1.2<br>When using FFR, what drug is given and how is it delivered? \u2714\u2714Adenosine causes hyperemia<br>(Increased blood flow to the tissues.<br>Can be delivered by either IV or IC<br>What are the pros and cons of a mechanical aortic valve? \u2714\u2714Pros: last longer<br>Cons: Prone to thrombus formation<\/p>\n\n\n\n<p>Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as<br>biventricular pacing)? How many leads does it use? Where are they placed? \u2714\u2714uses 2-3 leads<br>placed through a vein in the RA, RV and into coronal sinus vein to pace the LV<br>A CRT device sends small electrical impulses to both lower chambers of the heart to help them<br>beat together in a more synchronized pattern.<br>What are the angioplasty guidewire calibers? \u2714\u27140.014-0.018 inch<br>When can you detect Myoglobin after an MI? \u2714\u2714* 2-4 hours after symptom onset * normal in<br>24-36 hours<br>What is the diameter of the standard J wire? \u2714\u27140.035<br>What is the Warfarin ( Coumadin) antagonist? \u2714\u2714vitamin K<br>When shooting a LIMA, the cuff should be? \u2714\u2714Isolateral (same side as LIMA) left arm<br>What is the usual time for restenosis to occur? \u2714\u2714within 6 months<\/p>\n\n\n\n<p>What size is the red sheath? \u2714\u2714*4F-red<br>What size is the grey sheath? \u2714\u27145F-grey<br>What size is the green sheath? \u2714\u27146F- green<br>What size is the orange sheath? \u2714\u27147F-orange<br>What size is the blue sheath? \u2714\u27148F-blue<br>What size is black sheath? \u2714\u27149F-black<br>What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac and femoral<br>vessels? \u2714\u2714Wall stent<br>Where can a wall stent be used? \u2714\u2714carotid arteries, SVG, Iliac and femoral vessels<\/p>\n\n\n\n<p>RCIS Exam Practice Questions and<br>Answers Already Passed<br>What is the formula for calculating cardiac output?<br>a. CO= PA- 1SVC<br>b. CO= AO x PA<br>c. CO= HR x SV<br>c. CO= HR x SV<br>Stoke Volume is <strong><em>__<\/em><\/strong>?<br>a. Related to preload<br>b. Related to afterload<br>c. The same as ejection fraction<br>a. Related to preload<br>Preload is most impacted by:<br>a. Mean arterial pressure<br>b. Increased filling volumes<br>c. Ejection Fraction<br>b. Increased filling volumes<\/p>\n\n\n\n<p>A patient with chronic untreated hypertension would demonstrate<br>a. increased afterload<br>b. decreased afterload<br>c. decreased preload<br>a. increased afterload<br>Vascular resistance\/pressure is most influenced by<br>a. Blood Viscosity<br>b. BMI<br>c. Length of the vessel<br>d. Radius of the vessel<br>d. Radius of the vessel<br>The formula for blood pressure is<br>a. BP = SV x SVR<br>b. BP = CO x SVR<br>c. BP = HR x SVR<br>b. BP = CO x SVR<br>What component of a Pulmonary Capillary Wedge pressure indicates Mitral Insufficiency<br>a. A wave<\/p>\n\n\n\n<p>b. C wave<br>c. P Wave<br>D. V wave<br>D. V wave<br>An elevated RVEDP is found in which pathology?<br>a. LV infarct<br>b. Aortic stenosis<br>c. RV infarct<br>d. Mitral Regurgitation<br>c. RV infarct<br>If the RA waveform is 2x the normal value, where would this be demonstrated in the physical<br>assessment?<br>a. Decreased exercise tolerance<br>b. decreased O2 sat<br>c. Increased O2 sat<br>d. JVD<br>d. JVD<br>What is the most common cause of pulmonic stenosis?<br>a. Aging<\/p>\n\n\n\n<p>b. congenital<br>c. cardiomyopathy<br>d. mitral regurgitation<br>b. congenital<br>The blue proximal port of the swan is located how far from the distal tip of the swan?<br>a. 15cm<br>b. 30cm<br>c. 45cm<br>d. 5cm<br>b. 30cm<br>When performing a thermodilution cardiac output, the operator injects 10cc of saline into the<br><strong>and the temperature change is measured in the <em>_<\/em><\/strong>.<br>a. LA, AO<br>b. RV, PCWP<br>c. RA, PA<br>d. RA, LA<br>c. RA, PA<br>Equalization of the RVEDP and LVEDP are found in<br>a. tamponade<\/p>\n\n\n\n<p>RCIS Questions and Answers Latest<br>Update 2022\/2023 Rated A<br>What is the formula for calculating cardiac output?<br>A. CO= PA-1 SVC<br>B. CO= AO x PA<br>C. CO= HR x SV \u2714\u2714C. CO= HR x SV<br>Stroke volume is\u2026<br>A. Related to preload<br>B. Related to afterload<br>C. The same as ejection fraction \u2714\u2714A. Related to preload<br>Preload is most impacted by\u2026<br>A. Mean arterial pressure<br>B. Increased filling volumes<\/p>\n\n\n\n<p>C. Ejection fraction \u2714\u2714B. Increased filling volumes<br>A patient with chronic untreated hypertension would demonstrate<br>A. Increased afterload<br>B. Decreased afterload<br>C. Decreased preload \u2714\u2714A. Increased afterload<br>Vascular resistance\/pressure is most influenced by\u2026<br>A. Blood viscosity<br>B. BMI<br>C. Length of the vessel<br>D. Radius of the vessel \u2714\u2714D. Radius of the vessel<br>The formula for BP is\u2026<br>A. BP= SV x SVR<\/p>\n\n\n\n<p>B. BP= CO x SVR<br>C. BP= HR x SVR \u2714\u2714B. BP= CO x SVR<br>What component of a PCWP indicates Mitral Insufficiency<br>A. A wave<br>B. C wave<br>C. P wave<br>D. V wave \u2714\u2714D. V wave<br>An elevated RVEDP is found in which pathology<br>A. LV infarct<br>B. Aortic stenosis<br>C. RV infarct<br>D. Mitral regurgitation \u2714\u2714C. RV infarct<\/p>\n\n\n\n<p>If the RA waveform is 2x the normal value, where would this be demonstrated in the physical<br>assessment<br>A. Decreased exercise tolerance<br>B. Decreased O2 sat<br>C. Increased O2 sat<br>D. JVD \u2714\u2714D. JVD<br>What is the most common cause of Pulmonic stenosis<br>A. Aging<br>B. Congenital<br>C. Cardiomyopathy<br>D. Mitral regurgitation \u2714\u2714B. Congenital<br>The blue proximal port of the swan is located how far from the distal tip of the swan<br>A. 15cm<\/p>\n\n\n\n<p>CCI RCIS Review Questions and<br>Answers Graded A<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>When intervening in the mid\/distal right leg from a radial approach, which is the best wire<br>choice? \u2714\u2714.035 x 260<\/li>\n\n\n\n<li>Which of the following BEST describes a balloon&#8217;s ability to yield to changes in pressure?<br>\u2714\u2714Compliance<\/li>\n\n\n\n<li>What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive<br>therapy for PCI? \u2714\u2714To remove calcific atherosclerotic plaque<\/li>\n\n\n\n<li>A Forgarty balloon is commonly used <strong>__<\/strong> \u2714\u2714for removing clot from vein\/artery<\/li>\n\n\n\n<li>Select the methods used to treat flow limiting dissections \u2714\u2714stent, covered stent, angioplasty<\/li>\n\n\n\n<li>When using a rotational atherectomy device in the RCA, what else should you consider using?<br>\u2714\u2714Temporary pacing, catheter with side holes, (larger bur or vasodilators)<\/li>\n\n\n\n<li>What information is required prior to prepping the patient for the procedure? \u2714\u2714patient<br>identifiers, allergies, NPO status, advanced directives<\/li>\n\n\n\n<li>Which of the following inotropic agents predominately stimulates beta 1 receptors?<br>\u2714\u2714Dopamine<\/li>\n\n\n\n<li>What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?<br>\u2714\u2714Increased coronary bloodflow<\/li>\n\n\n\n<li>What view exposes an operator standing on the patient&#8217;s right side to the highest dose of<br>radiation? \u2714\u2714LAO Cranial<\/li>\n\n\n\n<li>Which actions should be completed when prepping the patient for a transradial cardiac<br>catheterization? \u2714\u2714Allan&#8217;s test, pre-sedation, local anesthetic, ultrasound, draping<\/li>\n\n\n\n<li>Cardiac index is calculated by dividing cardiac output in liters per minute by the patient&#8217;s<br>\u2714\u2714BSA<\/li>\n<\/ol>\n\n\n\n<p>RCIS EXAM QUESTIONS AND ANSWERS<br>ALREADY PASSED<br>Creatinine \u2714\u2714&gt;1.5 mg\/dL<br>Kidney function<br>A chemical waste molecule from muscle metabolism. Produced from creatine the energy in<br>muscles and filtered by kidneys. High levels warn kidney failure<br>BUN \u2714\u27147-22 mg\/dL<br>Blood, Urea, Nitrates<br>Kidney function<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>30 = CHF, shock<br>&lt; 3 = Liver failure<br>Platelet Count \u2714\u2714150,00-450,000 \/mcL (micro liters)<br>Hep B \u2714\u2714Most contagious than HC, HA, HIV<\/p>\n<\/blockquote>\n\n\n\n<p>OSHA \u2714\u2714Occupational Safety and Health Admin &#8211; government department of labor created to<br>assure safe and healthful working conditions for healthcare workers, such as regulations on blood<br>borne pathogens<br>Lactic acid in large amts found in coronary sinus \u2714\u2714Indicates coronary ischemia<br>CK-MB \u2714\u27143-6 hr peak<br>Creating Kinase-MB<br>Cardiac enzyme marker for MI<br>Myoglobin 1 \u2714\u27141-4 hr onset<br>Earliest to show<br>Troponin I \u2714\u27143-12 hr onset of chest pain<br>24-48 hr peaks<br>Baseline returned 5-14 days<br>LDH \u2714\u27143 days, slowest<\/p>\n\n\n\n<p>Leukocytosis -increased number WBC<br>Ca++ \u2714\u2714Calcium (electrolytes)<br>.8-1.0 mg\/L<br>Hypercalcemia causes Abnormal T wave, extremely wide QRS<br>Hypocalcemia causes narrow QRS, no T wave, prominent U<br>Mg++ \u2714\u2714Magnesium (electrolytes)<br>1.5-2.5&#8217;mEq\/L<br>Heart and nervous system<br>Hypermag causes weakness, low BP, dyspnea, cardiac arrest<br>Hypomag causes loss of appetite, nausea, vomiting, sleepiness, muscle spasms, seizures.<br>Cl- \u2714\u2714Chloride (electrolyte)<br>95-105 mEq\/L<br>Hyperchloremia indicates dehydration, Cushing syndrome, kidney disease, CHF, metabolic<br>alkalosis, respiratory acidosis<\/p>\n\n\n\n<p>Metabolic alkalosis \u2714\u2714Happens when tissues are too basic or alkaline<br>Respiratory acidosis \u2714\u2714Happens when lungs can&#8217;t remove enough CO2 carbon dioxide from<br>body<br>AO valve area \u2714\u2714CO (L\/min) \/ square root (peak &#8211; peak gradient mmHg)<br>CO \/ sq root (LV SYS \/ AO SYS<br>Peak &#8211; Peak gradient = LV sys \/ AO systole<br>Peak &#8211; Peak Gradient \u2714\u2714LV systole &#8211; AO systole<br>AO Flow \u2714\u2714CO\/(SEP x HR)<br>Na+ \u2714\u2714Sodium<br>135-145<br>Helps keep fluids in normal balance, key roll in normal nerves and muscle function<\/p>\n\n\n\n<p>RCIS (2022\/2023) Study Guide (Complete<br>and Accurate)<br>Kilovoltage<br>What determines the number of electrons generated by an x-ray tube?<br>-Frame rate<br>-Kilovoltage<br>-Pulse width<br>-Milliamperage<br>Digoxin<br>What medication is cardiac glycoside?<br>-Lasix<br>-Digoxin<br>-Hyperstat<br>-Hydralazine<br>High common femoral<br>What type of arterial puncture is associated with an increased risk of retroperitoneal bleeding?<br>-Internal Femoral<br>-External Femoral<\/p>\n\n\n\n<p>-Low common femoral<br>-High common femoral<br>2,4,5<br>What are the contraindications for rotational atherectomy? Choose three contraindications.<br>1.Ostial Lesion<br>2.Existing dissection<br>3.Unprotected LMCA<br>4.Saphenous vein graft lesion<br>5.Angiographic evidence of thrombus<br>Scoring<br>What type of balloon catheter should be used to treat fibrotic plaque and neo-intimal<br>hyperplasia?<br>-Scoring<br>-Perfusion<br>-Intra-aortic<br>-Valvuloplasty<br>LAO Caudal<br>What planes are represented in this image? Choose two planes.<\/p>\n\n\n\n<p>-AP<br>-LAO<br>-RAO<br>-Caudal<br>-Cranial<br>-Lateral<br>1,2<br>What devices are used to treat flow limiting dissections. Choose two devices.<br>1.Stent<br>2.Angioplasty<br>3.Atherectomy<br>4.Retractable coil<br>Mynx<br>Peg hydrogel plug closure device<br>Perclose<br>Suture Mediated closure device<br>Angio-Seal<\/p>\n\n\n\n<p>Collagen &amp; suture mediated closure device<br>StarClose<br>Nitinol Clip closure device<br>Pull back the catheter<br>During a diagnostic left heart cath, the following is observed on the hemodynamic monitor. What<br>should be the next immediate action?<br>-Flush the catheter<br>-Pull back the catheter<br>-Deliver 150 joules synchronized shock<br>-Deliver 150 joules unsynchronized shock<br>1,3,4<br>What INITIAL sign of retroperitoneal bleed may a patient exhibit? Choose three<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Hypotension<br>2.Bradycardia<br>3.Lower back pain<br>4.A falling hematocrit<\/li>\n<\/ol>\n\n\n\n<p>RCIS CCI Practice Exam 10 Questions<br>and Answers Graded A<br>The antagonists for morphine, demerol, or fentanyl would be considered? \u2714\u2714naloxone (narcan)<br>Which of the following descriptions would best describe cardiac catheterization? \u2714\u2714the<br>insertion and passage of a small plastic cath into one of the arteries to the heart<br>The CCL (cardiac catheterization laboratory) staff needs to be certified in which of the<br>following? \u2714\u2714ACLS<br>PALS<br>BLS<br>Of the following, which would be considered a relative contradiction for a patient to havea<br>cardiac catheterization? \u2714\u2714renal failure<br>pregnancy<br>acute GI bleed<br>anemia<br>electrolyte imbalance<\/p>\n\n\n\n<p>uncooperative pt<br>an uncontrolled condition such as high BP, arrhythmias, or CHF<br>recent CVA of less than 1 month<br>medication intoxication<br>infection\/fever<br>anticoagulation<br>In the cardiac catheterization suite, which of the following techniques would be used by the<br>healthcare staff? \u2714\u2714aseptic<br>The actual first cardiac catheterization was performed in which of the following years and by<br>whom? \u2714\u27141929<br>Dr Forssman<br>(in germany using a urinary cath inserted into his arm)<br>Moderate contrast medium reactions might be considered which of the following? \u2714\u2714heachache<br>vomiting<br>diffuse urticaria<\/p>\n\n\n\n<p>facial edema<br>mild bronchospams<br>palpitations<br>abdominal cramps<br>persistent vomiting<br>Which of the following would be considered one of the three types of reactions from contrast<br>media? \u2714\u27141. cardiac and major anaphylactoid responses<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>smooth muscle and minor anaphylactoid responses<\/li>\n\n\n\n<li>cutaneous and mucosal manifestations<br><strong><em><strong>__<\/strong><\/em><\/strong> would be considered the complete destruction of all living organisms?<br>\u2714\u2714sterilization<br>Which of the following infuses the flush solution through the Rotablator atherectomy device?<br>\u2714\u2714a pressure bag<br>All of the following would be considered a mechanism of restenosis of a post-PCI patient?<br>\u2714\u2714intimal thickening<\/li>\n<\/ol>\n\n\n\n<p>RCIS study guide latest update with<br>certified solutions<br>which of the following pacing methods requires the use of external pacing pads<br>\u2714\u2714transcutaneous<br>when transfering a patient to the recovery area or back to their room, what should be the actions<br>of the person who achieved hemostasis of the procedure site \u2714\u2714go with the patient and<br>physically show the receiving nurse the site to discuss hemo details<br>what is an advantage to using a filter versus a balloon occlusion distal protection device<br>\u2714\u2714allows distal perfusion<br>in an AP projection, which of the following structures is the most posterior \u2714\u2714left atrium<br>door to balloon time for STEMI should occur within how many minutes \u2714\u271490<br>what type of angina usually occurs with activity and subsides with rest \u2714\u2714stable<\/p>\n\n\n\n<p>what are the possible vascular access sites for a left femoral artery intervention \u2714\u2714left\/right<br>radial artery, right femoral artery, and left\/right popliteal artery<br>which of the following are typical findings in patients with hypertrophic cardiomyopathy<br>\u2714\u2714decreased LV compliance and hyper dynamic LV function<br>what methods are used to treat flow limiting disections \u2714\u2714stent, angioplasty (perfusion balloon),<br>and covered stent<br>what can not used for clots or dissections \u2714\u2714atherectomy<br>which of the following hemodynamic abnormalities would be observed with mitral stenosis<br>\u2714\u2714large &#8220;a&#8221; wave in the left atrium<br>which of the following can be used to assure good stent apposition in PCI \u2714\u2714intravascular<br>ultrasound (IVUS)<br>which vascular closure device has a suture that is self tightening \u2714\u2714angioseal<\/p>\n\n\n\n<p>which atherectomy catheters shave and sand away plaque \u2714\u2714orbital and directional<br>which of the following conditions would invalidate Fick cardiac output results \u2714\u2714atrial septal<br>defect (ASD)<br>what type of balloon catheter should be used to treat fibrotic plaque and neointimal hyperplasia<br>\u2714\u2714scoring<br>which of the listed signs and symptoms may indicate a vasovagal response \u2714\u2714nausea,<br>bradycardia, hypotension, and pale skin<br>what information is required prior to prepping a patient for the procedure \u2714\u2714NPO status, patient<br>allergies, patient identifiers and advanced directive<br>when educating a patient about their hemostasis site after either a radial or femoral approach,<br>which of the following points must be made \u2714\u2714keep the bandage on the site for 24 hours, do not<br>submerge the site in water for 48 hours, do not bend the affected area during your recovery bed<br>rest, and no strenuous movement or heavy lifting for 24 hours<\/p>\n\n\n\n<p>RCIS Mock Exam Latest Update with<br>Verified Solutions<br>In normal fetal circulation the path of oxygenated blood returning from the placenta passes<br>though several fetal shunts. One of these normal fetal pathways between the aorta and PA can be<br>described as a:<br>a- L&gt;R shunt termed the PDA<br>b- R&gt;L shunt termed the PDA<br>c- L&gt;R shunt termed the foramen ovale<br>d- R&gt;L shunt termed the foramen ovale \u2714\u2714the PA-AO shunt is the PDA and its right to left.<br>When the left heart pressure begins to exceed the right heart pressure, that such a shunt would<br>switch to left to right<br>What is the name of the coronary arteries which normally branch off the Cx artery towards the<br>apex of the heart?<br>a- diagonal branches<br>b- OM branches<br>c- acute marginal branches<br>d- posterior descending branches \u2714\u2714The left sided AV groove artery is the Cx and its branches<br>are termed OMs<\/p>\n\n\n\n<p>The aortic dicrotic notch marks the beginning of ventricular:<br>a- systole<br>b- isometric relaxation<br>c- end diastolic pressure<br>d- slow filling phase \u2714\u2714B. The systolic pulse is divided by a midsystolic dip indicating a sudden<br>ejection followed by increased resistance and then secondary release.<br>End-diastolic stretching of the ventricular muscle fibers is termed:<br>a- preload<br>b- afterload<br>c- inotropism<br>d- chronotropism \u2714\u2714Preload refers to the filling of the ventricular chambers in diastole<br>The greatest expenditure of O2 during the cardiac cycle is used to:<br>a- open the aortic valve (isometric contraction)<br>b- open the mitral valve (diastolic filling)<br>c- eject blood out of the LV and into the AO (SEP)<\/p>\n\n\n\n<p>d- overcome friction of blood viscosity and muscle compliance \u2714\u2714A. One of the chief benefits<br>of IABP is to lower the pressure at which the aortic valve opens, which decreases pressure work.<br>This pressure work account for 90% of the work done by the LV<br>Which of the following is a common result of right sided heart failure?<br>a- dyspnea<br>b- pulmonary congestion<br>c- pulmonary hypertension<br>d- neck vein distension \u2714\u2714When the right side of the heart fails the RA and systemic veins<br>become engorged with blood. Pulmonary hypertension is only a compensation to left sided<br>failure<br>Which of the following is NOT a clinical manifestation of shock?<br>a- pallor<br>b- metabolic acidosis<br>c- slow bounding pulse<br>d- falling blood pressure \u2714\u2714Slow bounding pulse. Tachycardia usually results to compensate for<br>decreased tissue perfusion<\/p>\n\n\n\n<p>RCIS REVIEW QUESTIONS AND<br>ANSWERS 100% CORRECT<br>What is the normal range of potassium in the blood? \u2714\u27143.5-5.0<br>Name some antiplatelet medications? \u2714\u2714ASA, Ticlid, Plavix<br>If a patient has a high creatinine, what should you consider? \u2714\u2714-as small amount of contrast as<br>possible<br>-post procedure fluid hydration 3 ml\/kg<br>How does heparin prevent clot formation? \u2714\u2714- prevents conversion of prothrombin to thrombin<br>-combines with antithrombin to make it more effective<br>What is the action of reopro? \u2714\u2714Inhibits IIB\/IIIA receptors<br>INR measures the levels of which drug? \u2714\u2714Coumadin<\/p>\n\n\n\n<p>Lovenox impacts what? \u2714\u2714Antithrombin and Factor Xa<br>What might be the medication of choice for SVT? \u2714\u2714Adenosine<br>What short acting benzodiazepine is commonly used in the cath lab for sedation? \u2714\u2714Versed<br>What is a quick and easy way to check a patients clotting time after being given heparin?<br>\u2714\u2714ACT<br>How to ticlid and plavix act? \u2714\u2714they turn off receptor sites on the platelets (super-aspirin)<br>If a patient is on NPH Insuling, what medication should not be given? \u2714\u2714Protamine<br>What does ASA do? \u2714\u2714Prevents platelet adhesion<br>TPA acts by? \u2714\u2714-Dissolving Fibrin<br>-Activates plaminogen<\/p>\n\n\n\n<p>RCIS Board Exam Study notes based on<br>Glowacki and Sommers MP3 (2022\/2023)<br>100% Pass<br>What is the pressure as blood enters the right atrium?<br>5mmHg<br>What organ system in the body acts on the blood in the vessels to make a pressure of 5mmHg?<br>Deep skeletal muscle pump system<br>What pressure is the blood under as it goes from the RA through the tricuspid valve?<br>5mmHg<br>The bigger the diameter of the valve the <strong><em><strong><em>_<\/em><\/strong> pressure is needed to move blood across it.<br>Less<br>The smaller the diameter of the valve the<\/em><\/strong> pressure is needed to move blood across it.<br>more<br>What is the largest valve in the heart?<br>tricuspid valve<br>What is the normal right ventricular systolic pressure?<br>25mmHg<br>How much smaller is the pulmonic valve than the tricuspid valve?<\/p>\n\n\n\n<p>5x smaller. It takes 5mmHg to get across the tricuspid valve and 25mmHg to get across the<br>pulmonic valve.<br>Which valve has a bigger diameter, the tricuspid or pulmonic valve?<br>Tricuspid<br>Which valve requires more pressure to move across it, the tricuspid or the pulmonic?<br>pulmonic<br>Valve A requires 5mmHg to move blood and valve B requires 30mmHg. Which valve has a<br>smaller diameter?<br>Valve B<br>What is the right ventricular diastolic pressure?<br>5mmHg<br>What is the RV EDP?<br>5mmHg<br>Why is the RV EDP not zero?<br>Because some blood is not ejected out. The heart is not a perfectly efficient pump.<br>What is a normal RV ejection fraction?<br>55-60%<br>What is EDP?<\/p>\n\n\n\n<p>End Diastolic Pressure. An efficient heart has an ejection fraction of 55-60%, this leftover blood<br>in the ventricle is under a resting (diastolic) pressure.<br>What is a normal diastolic pressure in the pulmonary artery?<br>7-12mmHg<br>What is the normal left atrial pressure?<br>7-12mmHg<br>What is the normal O2 concentration of a RBC leaving the lungs?<br>98%<br>What is the normal O2 concentration of a RBC when it returns to the RA?<br>70%<br>How much O2 is a RBC able to give up to the organs?<br>30% of its O2<br>True\/False: If someone has a higher EDP there is less damage to the heart.<br>False, the higher the EDP the more damage. More blood is being left and not pumped out.<br>What is a normal wedge pressure?<br>7-12mmHg<br>If the RBCs go through the lungs faster than 7-12mmHg what happens?<br>The RBCs have less time to get the O2 needed to fill them up fully.<\/p>\n\n\n\n<p>CCI RCIS Review Questions and<br>Answers 100% Solved<br>NB: Answers appear above the respective questions and are highlighted in yellow.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>.035 x 260 cm<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>When intervening in the mid\/distal right leg from a radial approach, which is the best wire<br>choice?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>.038 x 150 cm<\/li>\n\n\n\n<li>.035 x 180 cm<\/li>\n\n\n\n<li>.038 x 180 cm<\/li>\n\n\n\n<li>.035 x 260 cm<\/li>\n\n\n\n<li>compliance<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which of the following BEST describes a balloon&#8217;s ability to yield to changes in pressure?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>flexibility<\/li>\n\n\n\n<li>pushability<\/li>\n\n\n\n<li>trackability<\/li>\n\n\n\n<li>compliance<\/li>\n\n\n\n<li>to remove calcific atherosclerotic plaque<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What is the PRIMARY therapeutic reason for using rotational atherectomy as an adjunctive<br>therapy for PCI?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>to score fibrotic plaque<\/li>\n\n\n\n<li>to remove calcific atherosclerotic plaque<\/li>\n\n\n\n<li>to pulverize plaque using electromagnetic energy<\/li>\n\n\n\n<li>to remove thrombus using the Bernoulli\/Venturi effect<\/li>\n\n\n\n<li>pull clot back into a vein<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A Forgarty balloon is commonly used to <strong><em>__<\/em><\/strong>-.<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>dilate a stenotic lesion<\/li>\n\n\n\n<li>push plaque downstream<\/li>\n\n\n\n<li>pull clot back into a vein<\/li>\n\n\n\n<li>measure right heart pressure<\/li>\n\n\n\n<li>stent<\/li>\n\n\n\n<li>angioplasty<\/li>\n\n\n\n<li>covered stent<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Select the methods used to treat flow limiting dissections (select three)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>stent<\/li>\n\n\n\n<li>angioplasty<\/li>\n\n\n\n<li>atherectomy<\/li>\n\n\n\n<li>covered stent<\/li>\n\n\n\n<li>thrombectomy<\/li>\n\n\n\n<li>retractable coil<\/li>\n\n\n\n<li>vasodilator drug<\/li>\n\n\n\n<li>guide with side holes<\/li>\n\n\n\n<li>temporary pacing wire<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>When using a rotational atherectomy device in the RCA, what else should you consider using?<br>(choose 3)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>stiff wire<\/li>\n\n\n\n<li>large size burr<\/li>\n\n\n\n<li>vasodilator drug<\/li>\n\n\n\n<li>guide with side holes<\/li>\n\n\n\n<li>temporary pacing wire<\/li>\n\n\n\n<li>NPO status<\/li>\n\n\n\n<li>patient allergies<\/li>\n\n\n\n<li>patient identifiers<\/li>\n\n\n\n<li>advance directives<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What information is required prior to prepping the patient for the procedure? (choose 4)<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>NPO status<\/li>\n\n\n\n<li>patient allergies<\/li>\n\n\n\n<li>patient identifiers<\/li>\n\n\n\n<li>advance directives<\/li>\n\n\n\n<li>last H&amp;P 40 days ago<\/li>\n\n\n\n<li>last visit to primary physician<\/li>\n\n\n\n<li>dobutamine<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which of the following inotropic agents predominately stimulates beta 1 receptors?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Isuprel<\/li>\n\n\n\n<li>dopamine<\/li>\n\n\n\n<li>dobutamine<\/li>\n\n\n\n<li>epinephrine<\/li>\n\n\n\n<li>Increased coronary blood flow<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>increased preload<\/li>\n\n\n\n<li>increased afterload<\/li>\n\n\n\n<li>increased coronary blood flow<\/li>\n\n\n\n<li>increased myocardial oxygen demand<\/li>\n\n\n\n<li>prep right groin<\/li>\n\n\n\n<li>Allen&#8217;s test performed prior to wrist prep<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which actions should be completed when prepping the patient for a transradial cardiac<br>catheterization? (chose 2 responses)<\/li>\n<\/ol>\n\n\n\n<p>Glowacki &amp; Sommers RCIS Review<br>Questions with Certified Answers<br>What is the normal range of potassium (K+) in the blood? \u2714\u2714Normal K+ = 3.5-5.0<br>Potassium &lt; 3.5 = Hypokalemia Potassium &gt; 5.0 = Hyperkalemia<br>Name some antiplatelet medications? \u2714\u2714ASA, Plavix, Brillenta, Effient, Integrelin, Reopro<br>Remember: Heparin is NOT an antiplatelet<br>If a patient has a high creatinine, what should you consider? \u2714\u2714Use as a small amount of<br>contrast as possible<br>Pre-procedure fluid hydration<br>3 mL\/kg<\/p>\n\n\n\n<p>How does heparin prevent clot formation? \u2714\u2714Heparin prevents the conversion of prothrombin<br>to thrombin<br>Heparin combines with antithrombin to make it more effective<br>What is the action of Reopro? \u2714\u2714Reopro inhibits IIb\/IIIa receptors<br>INR measures the levels of which drug? \u2714\u2714Coumadin<br>Lovenox impacts what? \u2714\u2714Antithrombin and Factor Xa<br>What might be the medication of choice for SVT? \u2714\u2714Adenosine<br>What short acting benzodiazepine is commonly used in the cath lab for sedation? \u2714\u2714Versed &#8211;<br>Midazolam<br>What is a quick and easy way to check a patients clotting time after being given heparin?<br>\u2714\u2714ACT<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RCIS Practice Test Questions andAnswers 100% PassWhat is the formula for calculating cardiac output? \u2714\u2714CO= HR x SVWhat is stroke volume related to? \u2714\u2714preloadPreload is most impacted by\u2026.. \u2714\u2714Increased filling volumesA patient with chronic untreated hypertension would demonstrate\u2026. \u2714\u2714Increased afterloadVascular resistance\/pressure is most influenced by\u2026. \u2714\u2714Radius of the vesselThe formula for BP is\u2026. \u2714\u2714BP = [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119935","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119935"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119935\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119935"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119935"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}