RCIS Practice Test 1 Top questions and answers, rated A

RCIS Practice Test 1 Top questions and answers, rated A What is the formula for calculating cardiac output? - ✔✔-CO= HR x SV What is stroke volume related to? - ✔✔-preload Preload is most impacted by..... - ✔✔-Incre ...

RCIS Practice Test 1 Top questions and answers, rated A What is the formula for calculating cardiac output? - ✔✔-CO= HR x SV What is stroke volume related to? - ✔✔-preload Preload is most impacted by..... - ✔✔-Increased filling volumes A patient with chronic untreated hypertension would demonstrate.... - ✔✔-Increased afterload Vascular resistance/pressure is most influenced by.... - ✔✔-Radius of the vessel The formula for BP is.... - ✔✔-BP = CO x SVR What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency - ✔✔-V wave An elevated RVEDP is found in which pathology - ✔✔-RV infarct If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment - ✔✔-JVD What is the most common cause of Pulmonic stenosis - ✔✔-Congenital The Blue proximal part of the swan is located how far from the distal tip of the swan - ✔✔-30 cm When performing a thermodilution cardiac output, the operator injects 10 cc of saline into the _____ and the temperature change is measured in the ______ - ✔✔-RA, PA Equalization of RVEDP and LVEDP are found in - ✔✔-restrictive pericarditis Signs of Right sided heart failure include - ✔✔-JVD Based on these oxygen saturations, 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% - ✔✔-L to R ASD What type of ASD, located in the middle 1/3 of the atrial septum (the former site of the fossa ovalis) is called - ✔✔-Ostium Secundum What is the Flamm's equation - ✔✔-3(SVC) + 1(IVC)/4 The formula used to calculate MAP is - ✔✔-1 (systolic) + 2 (diastolic)/3 What are the four anomalies associated with Tetralogy of Fallot - ✔✔-Pulmonic stenosis, over riding aorta, RVH, VSD Which fetal anomaly is characterized by a large VSD over which a large single great vessel arises - ✔✔- Truncas Arteriosus Pulsus Paradoxus is a sign of - ✔✔-Cardiac Tamponade What does RAD stand for - ✔✔-Radiation absorbed dose What component of the X-ray system converts light rays into images - ✔✔-Image intensifier What is the maximum annual dose of radiation one can receive annually - ✔✔-5 REM Lead protection should be at least how many millimeters of lead - ✔✔-.5 What is the minimum safe distance to position oneself from the X-ray source - ✔✔-6 feet In an X-ray tube what is the charge on the cathode and the anode - ✔✔-Cathode: positive Anode: negative Which view exposes the operator to the greatest amount of radiation - ✔✔-Lateral What converts x-rays into an image - ✔✔-Image Intensifier The contrast that is best for a patient is - ✔✔-low osmolality Radiolucent means - ✔✔-X-rays are permitted to pass through Radiopaque means - ✔✔-X-rays are not permitted to pass through ReoPro works on - ✔✔-IIb/IIIa receptors Heparin potentiates the action of - ✔✔-Antithrombin Fibrinogen is converted to Fibrin by the action of - ✔✔-Thrombin There are _________ known pathways to imitate the clotting cascade - ✔✔-2 Aspirin inhibits the action of - ✔✔-Arachidonic Acid Which agent is not an antiplatelet - ✔✔-Heparin If a patient has diabetes and renal failure with a creatinine of 2.0 what would you give - ✔✔-fluids to hydrate If a patient is taking NPH insulin, which medication should not be given - ✔✔-Protamine Which medication is most commonly given to a patient with SVT - ✔✔-Adenosine True/False If a patient has a creatinine greater than 1.4 contrast volume should be minimized - ✔✔-True Lidocaine converts from 2GM in 500cc to - ✔✔-4 mg in 1 cc Dopamine concentration 1600 mcg/ml in 250cc yields a concetration of - ✔✔-400 mg in 250cc The best short acting medication/anxietolytic to sedate a patient is - ✔✔-Versed/Midazolam The drug of choice for treating coronary spasm is - ✔✔-NTG Amiodarone is used to treat - ✔✔-Atrial and ventricular arrhythmias What medication is used as a preload and afterload reducer - ✔✔-NTG Diabetic patients have a greater incidence of developing _______ post contrast administration - ✔✔- Renal failure Which rhythm is most likely to become lethal - ✔✔-Mobitz 2 The Impella catheter most closely resembles - ✔✔-Pigtail When performing an LV angiogram with the LV injector, what is the purpose of setting a "rate of rise" - ✔✔-It makes for a smoother injection, less catheter whip, limits ectopy An EKG demonstrates ST elevation in leads II, III, and AVF. What type of infarct would you suspect - ✔✔- inferior wall An EKG demonstrates ST elevation in leads V5, V6, Lead 1, and AVL. Which coronary artery is most likely occluded - ✔✔-Cx How do you test the defibrillator - ✔✔-discharge into the defibrillator (dummy load) What happens if you deliver a shock to a patient on the T Wave - ✔✔-You could put them into Vfib In 1st degree heart block, where is the conductive delay - ✔✔-AV node What is the normal PR interval - ✔✔-.12-.20 If a patient is attached to the monitor, V tach is rhythm, the patient has no pulse and is not responding, what should you do - ✔✔-Unsymchronized cardioversion If a patient is on a monitor in SVT, SBP is 70, the patient is diaphoretic, dusky and SOB. What should you do - ✔✔-Do immediate synchronized cardioversion A common complication of placing a pacing electrode/wire is - ✔✔-Perforation/Preicardial Effusion/Tamponade A pacing generator that paces in both chambers, senses in the ventricle, and inhibits QRS complexes is a - ✔✔-DVI A pacing generator that paces both chambers, senses both chambers, and triggers or inhibits is a - ✔✔- DDD A pacing generator that paces in the atria, senses the atria, and inhibits pacing is a - ✔✔-AAI What is the formula for calculating SVR - ✔✔-Mean OR- Mean RA/CO Which cardiac output would be most accurate in a patient with tricuspid regurgitation - ✔✔-FICK Which right heart pressure best reflects LV preload - ✔✔-PCWP Which balloon is used for valvuloplasty - ✔✔-inoue Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a pressure that is lower in the - ✔✔-Aortic arch Calculate the cardiac output of a patient with the following data Arterial O2 sat= 98% Pulmonary artery O2 = 74% RV O2 sat= 71% Hgb= 14.7 PCWP= 12 O2 consumption= 250 ml/min Constant= 1.36 RA= 5 Mean gradient= 70 - ✔✔-5.2 L/min Calculate the stroke volume on this patient ESV= 35 EDV= 85 BP= 120/74 EF= 40% HR= 70 - ✔✔-50 cc Calculate an Aortic valve area with the following information HR= 85 Mean gradient= 64 CO= 4.2L/min BP= 136/74 Sep= .37 - ✔✔-.37 cm2 Calculate the regurgitant fraction of a patient who has a thermal CO of 4.1L/min and an angiographic CO of 5.4L/min - ✔✔-24% This patient has a cardiac output of 5.1L/min. Calculate the SVR of this patient with the following data Mean PA= 24 Mean RA= 5 Mean PCWP= 15 Mean AO= 95 - ✔✔-1411 dynec/sec/cm-5 If a patient has a pulsatile mass below the sheath site, and a bruit is a present, what should be suspected - ✔✔-Pseudoaneurysm An abdominal aortic pulsation greater than 3.0 cm can be a finding for what - ✔✔-Aortic aneurysm Back pain not relieved NTG, morphine or oxygen and not associated with EKG changes can indicate - ✔✔-Aortic dissection Which stent is self expanding - ✔✔-Wall sten