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RCIS Exam PrepTrue or False: During a left heart biopsy you should give heparin. -ANS Yes, 5000IU to avoid
thrombi going to the brain
What is the maximum annual Radiation exposure? -ANS 5 REM
What is the therapeutic INR range for someone on warfarin/coumadin? -ANS 2.0-3.0
What is a normal INR for someone not on coumadin/warfarin? -ANS INR 0.6-1.2
When using FFR, what drug is given and how is it delivered? -ANS Adenosine causes
hyperemia (Increased blood flow to the tissues.
Can be delivered by either IV or IC
What are the pros and cons of a mechanical aortic valve? -ANS Pros: last longer
Cons: Prone to thrombus formation
Why would you use Cardiac Resynchronization Therapy (CTR) pacing device (such as
biventricular pacing)? How many leads does it use? Where are they placed? -ANS uses 2-3
leads
placed through a vein in the RA, RV and into coronal sinus vein to pace the LV
A CRT device sends small electrical impulses to both lower chambers of the heart to help them
beat together in a more synchronized pattern.
What are the angioplasty guidewire calibers? -ANS 0.014-0.018 inch
When can you detect Myoglobin after an MI? -ANS * 2-4 hours after symptom onset * normal in
24-36 hours
What is the diameter of the standard J wire? -ANS 0.035
What is the Warfarin ( Coumadin) antagonist? -ANS vitamin K
When shooting a LIMA, the cuff should be? -ANS Isolateral (same side as LIMA) left arm
What is the usual time for restenosis to occur? -ANS within 6 months
What size is the red sheath? -ANS *4F-red
What size is the grey sheath? -ANS 5F-grey
, What size is the green sheath? -ANS 6F- green
What size is the orange sheath? -ANS 7F-orange
What size is the blue sheath? -ANS 8F-blue
What size is black sheath? -ANS 9F-black
What is the name of the self expanding stent used in the carotid arteries, SVG, Iliac and femoral
vessels? -ANS Wall stent
Where can a wall stent be used? -ANS carotid arteries, SVG, Iliac and femoral vessels
What is the loading dose of aspirin in a patient with ischemia/chest pain? -ANS 162-325 mg
Should you increase or decrease burr speed when you increase from a 1.25-2.15 burr? -ANS
decrease
Where does the apex point in a RAO view? -ANS * RAO=apex points to the right
Where does the apex point in a LAO view? -ANS *LAO= apex points to the left
What medication do you give when doing FFR? How does it measure? -ANS adenosine
Measure by hyperemic effect (max dilation of vessels)
What medication should you give before using IVUS to avoid spasm? -ANS Always give 200
nitro before using IVUS to avoid spasm.
What is the proper placement of an IABP? -ANS 1-2cm distal to left subclavian and promixal to
the renals.
Where do we stick for neck access for right heart? -ANS Right internal jugular vein
What is the average Adult Hematocrit in %? -ANS Men 45%
Women 40%
What are softer guidewires used for? -ANS They Are easier/safer in a tortuous vessel
What is a normal QRS complex duration? -ANS 0.08 - 0.12 sec (2 - 3 small squares)
Where does a homograft valve come from? -ANS From another human heart explanted at
autopsy
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