Exam (elaborations)
ARRT CI exam
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Exam of 22 pages for the course ARRT Registry at ARRT Registry (ARRT CI exam)
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ARRT CI examA 10% O2 sat step down in the left heart indicates: - ANS-A cyanotic R-L shunt
A catheter based therapy for severe refractory HOCM (IHSS) with asymmetric septal
hypertrophy (ASH) is: - ANS-Alcohol septal ablation (ASA)
A class of medication used to treat hypertension and CHF that breaks the renin a Shiite
sin, aldosterone cycle is: - ANS-ACE inhibitor
A coronary cath seared in a coronary ostium is clotted. Before attempting to aspirate the
clot through the cath: - ANS-Pull the catheter down below the renal arteries
A major safety guideline to a person transferring a premedicated patient from a bed
onto a gurney is? - ANS-Get adequate assistance
A normal adult aortic valve area is _____ and aortic valve replacement or TAVR are
recommended when the aortic valve area is _____. - ANS-5.0 cm squared, critical when
less than 2.0 cm squared or gradient greater the 60mmHg
A patient has combined MS and MR with LV angio CO= 6.0L/min and Thermodilution
CO=4.8L/min. What is this patients regurgitation fraction? -
ANS-RF=(regurgitation/min)/(LVMF)
Regurgitation/min=6.0-4.8 or LVMF-TDCO
RF= 1.2/6.0= .20 or 20%
A patient has equalization of RA, RV, and LV diastolic pressure curves and addition to a
"square root sign". What diagnosis is most likely? - ANS-Constrictive pericarditis
A patient has just finished having a right and left heart cath from the right leg. Both
arterial and venous sheaths remain in the groin. The safest method to establish hemo
stasis for both vessels is to first remove the _____ sheath and apply pressure to that
site for _____ and then remove the other sheath and hold for_____. - ANS-Arterial,
15min hold and then venous for 5-10min
A patient post anesthesia is fully alert &has recovered his normal motor functions and
BP. However, he is still dyspneic and requires O2 to maintain his O2 sat >90%. What
would be the modified Aldrete score be? - ANS-8
,A patient puts on .5kg of weight due to edema. How much water loss would cause this?
- ANS-.5L
A patient with ventricular septal defect is being evaluated for corrective surgery. What
medication will probably be administered to test for fixed pulmonary vasoconstriction? -
ANS-100% O2 by face mask
A pericardial thump is indicated when: - ANS-V-tach occurs without a defibrillator nearby
A person with a Qp/Qs of .5 has a: - ANS-Right to left shunt
A physician chooses rotational atherectomy for his patient. The normal reference artery
is 3.0mm in diameter. He has an 85% long calcified LAD lesion. He wants to start with a
9F cath and a 2.5mm burr. You might suggest to him to: - ANS-Start with a smaller burr
perhaps 1.5mm
A pulsatile encapsulated hematoma in communication with a ruptured artery defines a: -
ANS-False aneurysm
A small flap of tissue at the junction of the IVC and the RA normally found in the fetal
heart is the what? - ANS-Eustichian Valve
According to joint commission what is the minimum number of patient identifiers that
should be checked before you proceed with a case? - ANS-Two
According to Piosuille's law if the length of a catheter is doubled, how much should the
injection pressure be increased to get the same flow? - ANS-Doubled
ACLS guidelines recommend triple pharmacological therapy for high risk patients with
unstable angina and ST changes shown. What makes up this triple therapy? -
ANS-Aspirin 160-325 mg chewed
Eptifibatide and tirofiban. GP 2b/3a receptor inhibitors
Heparin 60u/kg bolus followed by heparin drip
Acute severe mitral regurgitation is commonly due to: - ANS-Chordal rupture or papillary
muscle rupture
Advantages of Orbital Atherectomy (diamondback) over rotational atherectomy
(rotablator) include: - ANS-Stiffer guide wire for better support, increased speed
increases lumen area, and saves time and money due to few burrs used.
, After a diagnostic guide wire has been in the patients arteries for three minutes, it
should be: - ANS-Withdrawn and wiped with heparinized gauze
After a radial PCI case when should you pull the sheath? - ANS-At conclusion of the
case
After an accidental needle-stick from the needle used on an infected patient, what blood
borne pathogen poses the greatest risk of infection to health care workers? -
ANS-Hepatitis B
After having applied the 12 lead ECG electrodes to a young asymptomatic patient, you
notice large negative QRS complexes in Lead 1. The cause of this is usually: -
ANS-Right arm and left arm electrodes reversed
All these hemo dynamic parameters evaluate ventricular preload. - ANS-PA wedge
pressure
Central venous pressure (CVP)
Maximum LV filling volume (EDV)
An apparently normal female patient received conscious sedation during a coronary
intervention. After being monitored for 2 hours post-cath in the PACU her Aldrete score
is 7. Based on this score, she will generally be. - ANS-Retained in the PACU until
condition improves
An elderly man with history of frequent pericarditis and angina needs: - ANS-Bilateral
heart cath and coronary arteriography
An LV gram at 30 degrees RAO is required to calculate the: - ANS-Area length method
of dodge
An older patient has a normal cardiac output, a water hammer pulse, and a blood
pressure of 160/80. This suggests: - ANS-Atherosclerosis
Angioplasty wires with a spring coil mounted on a flexible stainless steel shaft are
termed? - ANS-Mandrel wires
Another name for the foremen ovals is the - ANS-Ostium secundum
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