RCIS ACTUAL ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS ALREADY A GRADED WITH EXPERT GUIDED FEEDBACK 2023-2024 UPDATE The purpose of Biventricular pacemakers is to? - ANSWERS- To synchronize the contraction of both ventricles The ideal contrast volume to be given to the patient is? - ANSWERS- 3ml/kg Shortness of breath indicates right or left sided heart failure? - ANSWERS- Left sided heart failure Ventricular arrythmias are most common during the injection of which coronary artery? - ANSWERS- RCA What is the best balloon to use on an artery that has a tendency to close? - ANSWERSA perfusion balloon On a EKG, what shows a true" posterior infarct? - ANSWERS- V7-V9, V1 and V2 The purpose of ICD's is to? - ANSWERS- Monitor bradycardia, tachycardia, VT, and Vfib and convert if necessary Where does the needle enter for a pericardial-centesis? - ANSWERS- sub-xyphoid process What is the noraml range of potassium (k+) in the blood? - ANSWERS- Normal K+ = 3.5-5.0 -potassium < 3> 5.0 = hyperkalemia The symptoms of increased heart rate, decreased BP, and SOB during a biopsy and indicate what? - ANSWERS- Cardiac Perforation What device uses saline to dissolve and suction thrombus during and acute MI? - ANSWERS- Angiojet What is a possible complication of over tightening the toughly? - ANSWERS- Unable to inflate the balloon Synchronous (demand) pacemakers have what unique ability? - ANSWERS- They sense the hearts intrinsic activity and pace only when needed 2.66mm diameter is what size catheter? - ANSWERS- 8 fr What type of the balloon is best used on a calcified lesion? - ANSWERSCutting/Scoring Balloon Which lab value does not evaluate the extent of an MI? -SGOT -Serum Creatinine -CK-MB -LDH - ANSWERS- Serum Creatinine If the transducer is postioned to low at the side of the table the pt.'s pressure will read? - ANSWERS- The pressure will read falsely high If the patients IV site is infiltrated, what should you do? - ANSWERS- Turn it off Metabolic Acidosis has a low level of what? - ANSWERS- Bicarb (HCO3) If you are checking the radial/ulner pulse when you press and release one at a time this is called what kind of test? - ANSWERS- Allens Test Post procedure renal dysfunction is more likely to occur in patients with? - ANSWERS- - Diabetes -Pre-procedure dehydration -Frequent use of NSAID -Ace Inhibitors Increased bicarb will do what to the pH? - ANSWERS- Elevated HCO3 will increase ? pH A high CO2 will impact the pH how? - ANSWERS- It will lower the pH The primary drive to breathe comes from the patient's? - ANSWERS- CO2 level What would be the appropriate intervention for a patient with Respiratory Acidosis? - ANSWERS- Increase Ventilations What is the most common form of cardiac tumor? - ANSWERS- Atrial Myxoma located in the left atruim Hyperventilation a patient prior to suctioning is done to? - ANSWERS- Increase arterial PO2 Osmolality refers to the ability of the contrast to? - ANSWERS- Pull fluid into the intravascular space Jugular Vein distention can be caused by? - ANSWERS- -RV infarct -Pulmonary Hypertension -Tricuspid Regurgitation During a rotoblador intervention, what is the most common cause of "no flow?" - ANSWERS- Distal embolization What is the action of Reopro? - ANSWERS- Reopro inhibits IIb/IIIa receptors What labs look at kidney function? - ANSWERS- -BUN and Creatinine -GFR -Creatinine clearance If a patient is on NPH Insulin, what medication should not be given? - ANSWERSProtamine INR measures the level of which drug? - ANSWERS- Coumadin What is the best what to calculate a patients pulse rate? - ANSWERS- Check pulse for one mintue What is a pseudoaneurysm? - ANSWERS- Pseudoanuerysm is a false aneurysm -Often a pulsatile mass neat the sheath site with a bruit present The most accurate measure of cardiac after an MI is what? - ANSWERS- Tropnin What might be the medication of choice for SVT? - ANSWERS- Adenosine Vascular resistance is most greatly influenced by? - ANSWERS- The radius of the tube (vessle) TPA acts by ? - ANSWERS- -Dissolving fibrin -Activates Plasminogen How does Plavix act? - ANSWERS- Plavix turns off receptor sites on platelets (superaspirin) What is a quick and easy way to cheack a patients clotting time after being given heparin? - ANSWERS- ACT