Quiz
RCIS Practice
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Fragen in diesem Quiz (172)
1What is the formula for calculating cardiac output?
- ACO = PA - 1SVC
- BCO = AO x PA
- CCO = HR x SV
2Stroke volume is...
- ARelated to preload
- BRelated to afterload
- CThe same as ejection fraction
3Preload is most impacted by
- AMean arterial pressure
- BIncreased filling volumes
- CEjection fraction
4A patient with chronic untreated hypertension would demonstrate...
- AIncreased afterload
- BDecreased afterload
- CDecreased preload
5Vascular resistance/pressure is most influenced by...
- ARadius of the vessel
- BBlood viscosity
- CLength of the vessel
- DBMI
6The formula for BP is...
- ABP = SV x SVR
- BBP = CO x SVR
- CBP = HR x SVR
7What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency?
- AA wave
- BC wave
- CP wave
- DV wave
8An elevated RVEDP is found in which pathology?
- ALV infarct
- BAortic stenosis
- CRV infarct
- DMitral Regurgitation
9If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment?
- ADecreased exercise tolerance
- BDecreased O2 sat
- CIncreased O2 sat
- DJVD
10What is the most common cause of Pulmonic stenosis?
- AAging
- BCongenital
- CCardiomyopathy
- DMitral regurgitation
11The blue proximal port of the swan is located how far from the distal tip of the swan?
- A15 cm
- B30 cm
- C45 cm
- D5 cm
12When performing a thermodilution cardiac output, the operator injects 10 cc of saline into the ____________ and the temperature change is measured in the _____________
- ALA, AO
- BRV, PCWP
- CRA, PA
- DRA, LA
13Based on these oxygen saturation so, what type of shunt is present?
SVC sat = 67% IVC sat = 71% RA sat = 85% RV sat = 85% PA sat = 85% LA sat = 98% LV sat 98% AO sat = 98%- AR to L ASD
- BL to R ASD
- CL to R VSD
- DIt is all normal, there is no shunt
14The type of ASD, located in the middle 1/3 of the the atrial septum (the former site of the fossa ovalis) is called?
- AOstium Primium
- BSinus Venosus
- COstium Secundum
15What is the Flamm's equation?
- A3 (SVC) +1 (IVC) / 4
- B6 (SVC) + 2 (IVC) / 2
- C3 (PA) + 2 (AO) / 4
16The formula used to calculate MAP is...
- AHR x SV / SVR
- BMean AO - mean RA
- C1 (systolic) + (diastolic) / 3
17Equalization of RVEDP and LVEDP are found in...
- ATamponade
- BRestrictive Pericarditis
- CAcute MI
- DLV MI
18Signs of right sided heart failure include...
- ADecreased O2 sat
- BSOB
- CJVD
- DPulmonary embolism
19What are the four anomalies associated with Tetralogy of Fallot?
- AASD, VSD, LVH, RVH
- BVVH, PS, Over riding aorta, RVH
- COver riding aorta, RVH, LVH, ASD
- DPulmonic stenosis, over riding aorta, RVH, VSD
20Which fetal anomaly is characterized by a large VSD over which a large single great vessel arises?
- ATransposition of the Great Vessels
- BTricuspid Atresia
- CTetralogy of Fallot
- DTruncas Arteriosus
21Pulsus Pardoxus is a sign of...
- AConstrictive Pericarditis
- BCardiomyopathy
- CCardiac Tamponade
- DCOPD
22What does RAD stand for?
- ARadiation absorbed dose
- BRadiation attenuated date
- CRadiation attributable distance
23Which component of the X-Ray system converts light rays into images?
- AImage intensifier
- BX-Ray tube
- CPhoton tube
- DAnode
24What is the maximum annual dose of radiation one can receive annually?
- A5 RAD
- B5 Currie
- C0.5 REM
- D5 REM
25Lead protection should be at least how many millimeters of lead?
- A1.0
- B0.25
- C0.5
26What is the minimum safe distance to position oneself from the X-Ray source?
- A3 feet
- B6 feet
- C10 feet
- D15 feet
27In an X-Ray tube the...
- ACathode is positive and the anode is negative
- BCathode is negative and the anode is positive
- CThe charges alternate depending on the heat generated
28Which view exposes the operator to the GREATEST amount of radiation?
- AAP
- BLAO Cranial
- CLateral
- DRAO with cranial 30
29What converts X-rays into an image?
- AFilament
- BImage intensifier
- CX-Ray tube
- DKvp
30The contrast that is best for a patient is...
- ALow osmolality
- BHigh osmolality
- CRenografin
31Radiolucent means...
- AX-Rays are not permitted to pass through
- BX-rays are randomly deflected
- CX-rays are permitted to pass through
32Radiopaque means...
- AX-rays are permitted to pass through
- BX-rays are not permitted to pass through
- CX-rays are randomly deflected
33ReoPro works on...
- AFibrin
- BProthrombin
- CAntithrombin
- DIIb/IIIa receptors
34Heparin potentiates (increases) the action of...
- AAntithrombin
- BFactor III
- CFactor IX
- DFactor VIII
35Fibrinogen is converted to fibrin by the action of...
- APro thrombin
- BTissue factor
- CPlatelates
- DThrombin
36There are ___ known pathways to imitate the clotting cascade.
- A2
- B1
- C3
- D4
37Aspirin inhibits the action of...
- AVon Willebrand Factor
- BFactor VIII
- CThrombin
- DArachidonic Acid
38Which agent is not an antiplatelet?
- AASA (aspirin)
- BHeparin
- CPlavix
- DReopro
39If a patient has diabetes and renal failure with a creatinine of 2.0, what would you give?
- ALasix
- BFluids to hydrate
- CIonic contrast
40If a patient is taking NPH (injectable) insulin, which medication should not be given?
- AProtamine
- BLasix
- CHeparin
41Which medication is most commonly given to a patient with Supravetricular Tachycardia (SVT)
- ANTG
- BLidocaine
- CDopamine
- DAdenosine
42If a patient has a creatinine greater than 1.4, contrast volume should be minimized.
- ARichtig
- BFalsch
43Lidocaine converts from 2gm in 500cc to...
- A8gm in 1cc
- B400mg in 250cc
- C4mg in 1cc
44Dopamine concentration 1600 mcg/ml in 250 cc yields a concentration of...
- A200 mg in 250 cc
- B400 mg in 250 cc
- C100 mg in 250 cc
45The best short acting medication/anxietolytic to sedate a patient is...
- AFentanyl
- BValium
- CVersed/Midazilam
46The drug of choice for treating coronary spasm is...
- AVerapamil
- BNTG
- CAmiodarone
47Amiodarone is used to treat...
- AAtrial arrhythmias only
- BVentricular arrhythmias only
- CAtrial and ventricular arrhythmias
48What medication is used as a preload and afterload reducer?
- ADopamine
- BDobutamine
- CNTG (nitroglycerin)
- DLidocaine
49Diabetic patients have a greater incidence of developing ______________ post contrast administration.
- ARenal failure
- BInfarct
- CPulmonary embolism
- DSystemic infection
50Which rhythm is most likely to become lethal?
- A1st degree block
- BWenchebach
- CMobitz 2
51The Impella catheter most clearly resembles...
- AJR 4
- BAmplatz
- CPigtail
- DIMA
52When performing an LV gram with the LV injector, what is the purpose of setting a "rate of rise"?
- AIt controls the total volume injected
- BIt makes for a smoother injection, less catheter whip, limits ectopy
- CIt adjusts the PSI for the correct catheter size
53The EKG demonstrates ST elevation in leads II, III, and AVF. Which coronary would you suspect?
- AInferior wall
- BLateral wall
- CApical wall
54An EKG demonstrates ST elevation in leads V5, V6, lead I, and AVL. Which coronary artery is most likely occluded?
- ARCA
- BLAD
- CCX
55How do you test the defibrillator?
- AHold the paddles in the air and discharge
- BDischarge into the defibrillator (dummy load)
- CNever test, call biomed
56What happens if you deliver a shock to a patient on the T wave?
- AThey are easily cardioverted to a sinus rhythm
- BYou could put them into Vfib
- CYou could make them hypertensive
57In 1st degree heart block, where is the conduction delay?
- AAV node
- BSA node
- CBundle of His
- DIn the RA
58What is the normal PR interval
- A.08 - .12
- B> .20
- C.12 - .20
59If a patient is attached to the monitor, Vtach is the rhythm, the patient has no pulse and is not responding, what should you do?
- ASynchronized cardioversion
- BUnsynchronized cardioversion
- CCall the MD before taking action
- DCheck a blood pressure
60If a patient is on a monitor in SVT, systolic BP is 70, the patient is diaphoretic, dusky and short of breath. What should you do?
- ACall the MD before taking action
- BDo immediate unsynchronized cardioversion
- CDo immediate synchronized cardioversion
- DGive adenosine 6mg
61A common complication of placing a pacing electrode/wire is...
- AMI
- BPerfusion/Pericardial Effusion/Tamponade
- CCardiac arrest
62A pacing generator that paces in both chambers, senses in both chambers, and inhibits QRS complexes is a...
- ADDI
- BDVI
- CAAI
63A pacing generator that paces both chambers, senses in both chambers, and triggers or inhibits pacing is a...
- ADDI
- BDDD
- CAAI
64A pacing generator that paces in the atria, senses in the atria, and inhibits pacing is a...
- AAAI
- BAAO
- CDDD
65What is the formula for calculating SVR
- AMean AO - Mean RA/CO
- BMean PA - Mean PCWP/CO
- CEDV - ESV / EDV
66Which cardiac output would be more accurate in a patient with tricuspid regurgitation?
- AThermals
- BLVMF
- CFick
67Which right heart pressure best reflects LV preload?
- APA systolic pressure
- BPCWP
- CRA pressure
68Which balloon is used for valvuloplasty?
- AICE balloon
- BTran-septal balloon
- CInoue
- DSelf-expanding
69Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a pressure that is lower in the ____________.
- ALeft atrium
- BAortic arch
- CPulmonary artery
- DRV
70If a patient has a pulsatile mass below the sheath site, and a bruit is present, what should be suspected?
- AHematoma
- BAortic dissection
- CThrombus
- DPseudoaneurysm
71An abdominal aortic pulsation greater than 3.0cm can be a finding for what?
- ANormal finding
- BAnomalous renal artery
- CIncreased BMI
- DAortic aneurysm
72Back pain not relieved with nitroglycerin, morphine or oxygen and not associated with EKG changes can indicate...
- APVD
- BRenal failure
- CAortic dissection
- DOccluded LAD
73Which stent is self expanding?
- ACypher
- BWall stent
- CVision
74A catheter has a diameter of 2.66mm. What French size is it?
- A7FR
- B6Fr
- C5Fr
- D8FR
75In relation to a coronary lesion where should the wire not be placed?
- AAs distal as possible
- BIn the nearest side branch
- CIn a distal side branch
- DProximal to the lesion
- EAll of the above
76Which lesion is best addressed with a Rotoblador?
- ACalcified
- BSoft thrombus
- CNew dissection
- DVery small vessels
77Which catheter should be used to cannulate an LAD with a high take off?
- AJL4
- BMultipurpose
- CAmplatz
78Landmarks for an internal jugular approach include the...
- AHead of the sternocleidomastoid muscle and the clavicular head
- BSuperior and inferior carotid pulsations
- C2cm proximal to the xyphoid process
79When performing a myocardial biopsy where are the tissue samples taken from?
- ALV
- BRV
- CLA
- DLeft atrial appendage
80Hypokinetic means...
- ANo movement at all
- BDecreased movement
- CHyper or increased movement
- DDisorganized movement
81In the formula BP = HR x SV x SVR, Dobutamine acts as an ____________, to _______________ by increasing ______________.
- AChronotrope decrease stroke volume, contractility
- BChronotrope, increase stroke volume, contractility
- CInotrope, increase stroke volume, contractility
82Which of the following are Angiotensin Receptor Blockers (ARBS)?
- ALisiopril
- BLosartan
- CMetoprolol
- DValsartan
83NTG works to decrease preload when given during an MI by dilating?
- APeripheral arteries
- BArterioles
- CVeins
- DCoronary arteries
84Low dose Dopamine, 1-5mcg/kg/min...
- AImproves renal function and urine output
- BIncreases the heart rate
- CIncreases systolic blood pressure
- DIncreases stroke volume
85If the patient complains of pain down the leg when attempting to cannulate the right femoral artery, which way do you move the needle?
- ALateral
- BMedial
- CAnterior
- DMedial and superior
86Coronary arteries perfume best during...
- ASystole
- BWhen the systolic blood pressure is less than 140mmHg
- CDiastole
- DEqually well during systole and diastole
87What is the purpose of the IABP?
- AIncreased coronary perfusion, decreased afterload
- BIncreased coronary perfusion, decreased preload
- CRaise systolic blood pressure
- DIncrease renal perfusion
88Inotropic drugs:
- ADigitalis
- BDobutamine
- CDopamine
- DEpinephrine
- EAll the above
89Another name for Versed
- ADiphenhydramine
- BDiazepam
- CMidazolam
- DNone of the above
90Another name for Valium
- AMidazolam
- BDiphenhydramine
- CDiazepam
- DNone of the above
91Another name for Benadryl
- ADiphenhydramine
- BDiazepam
- CMidazolam
- DNone of the above
92Sedatives with NO analgesic properties:
- AVersed
- BIbuprofen
- CBenadryl
- DDemeral
- EAcetaminophen
- FValium
93Heparin prevents clot formation by preventing the conversion of prothrombin to thrombin.
- ARichtig
- BFalsch
94ReoPro inhibits IIb/IIIa receptors.
- ARichtig
- BFalsch
95INR (international normalized ratio) measures the levels of Coumadin.
- ARichtig
- BFalsch
96PT evaluates the coagulation factors VII, X, V, II and I (fibrinogen).
- ARichtig
- BFalsch
97PTT (Partial Thromboplastin Time) test evaluates coagulation factors XII, XI, IX, VIII, X, V, II (prothrombin), and I (fibrinogen)
- ARichtig
- BFalsch
98Medication of choice for Supraventricular Tachycardia is Adenosine.
- ARichtig
- BFalsch
99Normal RA pressure:
- A25/10
- B25/5
- C120/80
- D0-4
- E120/10
- F7-12
100Normal PA pressure:
- A120/80
- B120/10
- C25/10
- D7-12
- E25/5
- F0-4
101Normal RV pressure:
- A0-4
- B25/5
- C120/10
- D25/10
- E120/80
- F7-12
102Normal PCW pressure
- A7-12
- B120/80
- C25/5
- D120/10
- E0-4
- F25/10
103Normal LV pressure:
- A25/10
- B120/80
- C7-12
- D25/5
- E0-4
- F120/10
104Normal AO pressure:
- A120/80
- B0-4
- C25/5
- D120/10
- E25/10
- F7-12
105Mean Arterial Pressure (MAP) calculation:
- ASystolic + Diastolic / 2
- BSystolic + Diastolic / 3
- CDiastolic + 2 x Systolic / 3
- DSystolic + 2 x Diastolic / 3
106Pulse Pressure calculation:
- AAO Systole - AO Diastole
- BAO Diastole - AO Systole
- CPA Systole - AO Diastole
107Stroke Volume (SV) calculation:
- AHR x CO
- BEnd Diastolic Volume - End Systolic Volume
- CHR - EDV
108CO / BSA:
- ACardiac Index
- BRegurgitant Fraction
- CAortic Valve Flow
109HR x SV / 1000
- ACardiac Index
- BCO Angiographic (LVMF)
- CRegurgitant Fraction
110Gorlin's Constant used for Aortic valve area:
- A44.5
- B37.7
- C44.7
- D37.5
111Gorlin constant for Mitral valve area:
- A44.5
- B37.7
- C37.5
- D44.7
112Mean PA - Mean PCW / CO:
- APVR
- BSVR
- CMVA
- DMVF
113Mean AO - Mean RA / CO:
- ASVR
- BPVR
- CMVF
- DMVA
114LV Systole - AO Systole:
- APVR
- BSVR
- CPeak to Peak Gradient
- DAortic Valve Area
115CO / SEP ( systolic ejection period):
- AAortic Valve Area (AVA)
- BMitral Valve Area (MVA)
- CAortic Valve Flow (AVF)
- DMitral Valve Flow (MVF)
116SV / EDV:
- AFick CO
- BNormal O2 consumption
- CEjection Fraction
- DSV
117What is the normal range of potassium (K+) in the blood?
- A3.0 - 5.5
- B3.5 - 5.5
- C3.5 - 5.0
- D3.0 - 5.0
118INR measures the levels of which drug?
- APlavix
- BTiclid
- CAspirin
- DCoumadin
119Lovenox impacts Antithrombin and Factor Xa.
- ARichtig
- BFalsch
120Ticlid and Plavix turn off receptor sites on platelets.
- ARichtig
- BFalsch
121TPA acts by
- APreventing platelet adhesion
- BDissolving fibrin
- CActivates Plasminogen
- DActivates Troponin
122Troponin is the most accurate measurement of cardiac muscle fiber damage after a MI.
- ARichtig
- BFalsch
123Which lab value does NOT evaluate the extent of an MI?
- ASGOT
- BSerum Creatinine
- CCK-MB
- DLDH
124Check pulse for one minute is the best way to calculate pulse rate.
- ARichtig
- BFalsch
125Metabolic Acidosis has a low level of HCO3 (bicarb)
- ARichtig
- BFalsch
126A pH less than 7.35 or greater than 7.45 is called:
- ACompensated
- BUncompensated
- CMetabolic
- DRespiratory
127What would be the appropriate intervention for a patient with Respiratory Acidosis?
- ADecreased ventilation
- BIncreased ventilation
- COxygen
- DUncompensated acidosis
128To increase arterial PO2:
- AHyperventilation
- BHold breath
- COxygen
- DGive bicarb
129Interpret the following blood gas:
pH = 7.25 CO2 = 60 HCO (bicarb) = 22- AUncompensated Metabolic Acidosis
- BCompensated Respiratory Acidosis
- CCompensated Metabolic Alkalosis
- DUncompensated Respiratory Acidosis
130How will a high CO2 level impact pH?
- Alower
- Braise
- Cwill not affect
- DNot enough information
131How will an increase in HCO2 (bicarb) affect pH?
- AHave no affect
- Blower
- Craise
- DNot enough information
132The inner most layer of an after is the intima.
- ARichtig
- BFalsch
133When a patient has a DILATED AORTIC ROOT, what diagnostic catheter is best utilized to visualize the LAD?
- AJR4
- BJL4
- CJL5
- DMultipurpose
134During a pericardiocentesis, the needle enters the sub-xyphoid process.
- ARichtig
- BFalsch
135Where should assist on the IABP be set when a patient has a heart rate of 150?
- A1:1
- B1:2
- C2:1
- D2:2
136Jugular vein distention can be caused by:
- ALV infarct
- BTR (tricuspid regurgitation)
- CRV infarct
- DPulmonary hypertension
137Ventricular arrhythmias are most common during injection of the right coronary artery.
- ARichtig
- BFalsch
138Osmolality refers to the ability of the contrast to pull fluid into the intravascular space.
- ARichtig
- BFalsch
139Synchronous pacemakers sense the heartbeats intrinsic activity and pace only when needed.
- ARichtig
- BFalsch
140The purpose of an ICD is to:
- AMonitor bradycardia, tachycardia, VT, and Vfib
- BMonitor bradycardia, tachycardia, VT, and Vfib; and convert if necessary
- CMonitor bradycardia only
- DMonitor tachycardia only
141The R and the L in RAO and LAO refer to the position of the image intensifier
- ARichtig
- BFalsch
142What shows a TRUE posterior infarct on an EKG?
- AV1, V2, V3
- BV1, V2, and V7-V9
- CV7-V9
- DV1, V2
143Time is the most important factor in decreasing Xray exposure to a patient.
- ARichtig
- BFalsch
144What is the normal amount of blood in the pericardium?
- A50cc
- B100 cc
- C70 cc
- D500 cc
145The most common renal stenosis is located in the ostial.
- ARichtig
- BFalsch
146A dislodged lead will cause a fail to capture pacemaker in the RV.
- ARichtig
- BFalsch
147Monophasic defibrillation protocol is:
- A200-300-360
- B200-300-400
- C200-300-600
- D200-300-630
148What does the "c" wave represent?
- AOnset of atrial contractions
- BOnset of Systole
- COnset of ventricular contractions
- DDoes not represent anything
149Inject in the RA and read in the PA measures THERMAL DILUTION cardiac output.
- ARichtig
- BFalsch
150Which would likely increase pulmonary blood flow, possibly pulmonary edema?
- AVSD
- BPDA
- CASD
- DTruncus Arteriosis
151RVEDP and LVEDP are different because there is less space in the LV to do the workload.
- ARichtig
- BFalsch
152When endothelium cells build a chemical to equalize the vessel pressure, it is called INFLAMMATORY RESPONSE.
- ARichtig
- BFalsch
153A MI would increase LVEDP, but NOT LV systolic pressure
- ARichtig
- BFalsch
154A/V stenosis would increase LV systolic pressure.
- ARichtig
- BFalsch
155Every clotting factor is made in the liver
- ARichtig
- BFalsch
156What is the complication shown at the arrow?
- AThrombus formation
- BCoronary perforation
- CWire fracture
- DCoronary dissection
157This IVUS cross-section shows:
- AFull stent apposition
- BSub-stent hematoma
- CIncomplete stent apposition
- DCalcium
158The smaller the stent, the lower re-stenosis rate.
- ARichtig
- BFalsch
159The Rotoblator, 1.25-2.0 mm burrs should operate at approximately:
- A180,000 rpm
- B100,000 rpm
- C160,000 rpm
- D80,000 rpm
160The Rotoblator 2.15 mm and larger burrs should operate at approximately:
- A80,000 rpm
- B180,000 rpm
- C100,000 rpm
- D160,000 rpm
161Identify the venous and ECG waves marked.
- Aa wave
- Bc wave
- Cx wave
- Dv wave
- Ey wave
- Fp wave
- Gqrs complex
- Ht wave
162Mitral regurgitation is virtually certain when atrial "v" waves:
- AAre over 40 mmHg
- BExceed the height of the "a" wave
- CExceed 3 times the atrial mean pressure
- DOccur throughout systole and extend into diastole
163High PCWP with normal EDP is:
- AMitral Valve Stenosis
- BMitral Valve Regurgitation
- CTricuspid Valve Stenosis
- DTricuspid Valve Regurgitation
164High "v" wave equals:
- AMitral Valve Regurgitation
- BMitral Valve Stenosis
- CTricuspid Valve Regurgitation
- DTricuspid Stenosis
165What is the normal range of pH in the blood?
- A7.45 - 7.55
- B7.25 - 7.35
- C7.35 - 7.45
- DNone of these
166What is the normal range of PaCO2 in the blood?
- A35 - 45
- B25 - 35
- C45 - 55
- DNone of these
167What is the normal range of HC03 in the blood?
- A22 - 26
- B20 - 30
- C25- 30
- DNone of these
168Identify the ports labeled.
- AProximal
- BGuide wire
- CThermistor connector
- DBalloon
- EDistal
169What is the best view for visualization of a stent?
- ALAO 40, Cranial 0
- BRAO 40, Caudal 0
- CLAO 30, Cranial 0
- DLAO 60, Cranial 0
170Which imaging results in a image with more NOISE?
- ACine imaging
- BFluoro
171Cine acquisition delivers a lower dose of radiation to the patient than Fluoro imaging.
- ARichtig
- BFalsch
172Which image delivers a HIGHER amount of energy to the patient?
- ACine imaging
- BFluoro imaging
Informationen
- Beschreibung
- Quiz am RCIS Practice, erstellt von C W am 29/04/2016.
- Autor
- C W
- Sprache
- English
- Aufrufe
- 6.785
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