RCIS Exam Success:
Comprehensive Preparation for
Cardiovascular Professionals
Practice Exam. 2024
A-wave: RA systole.
X-descent: RA relaxation.
V-wave: RA filling during RV systole.
Y-descent: RA emptying.
Match the correct definition with correct term:
1) A-wave.
2) V-wave.
3) X-descent.
4) Y-descent.
5) RA systole.
6) RA relaxation.
7) RA filling during RV systole.
8) RA emptying.
Tamponade.
Increased RV stiffness.
RV diastolic pressure higher than normal.
a) RHF.
b) Pulmonary Valve stenosis.
c) Pulmonary Hypertension.
d) Tamponade.
e) Increased RV stiffness.
Brainpower
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True
RA pressure is the same as CV pressure and is equal to RV diastolic pressure:
T/F
True
In healthy patient, the A-wave is higher than the V-wave:
"Giant" A-wave are seen in RHF with a stiff RV.
,"Cannon" A-wave are seen in Complete HB when the RA contracts against a closed TV.
T/F
True.
PA pressure higher than normal:
a) LHF.
b) Lung disease.
c) Pulmonary vascular disease.
T/F
Primary PHTN
Which pathology is commonly the culprit of PA diastolic pressure significantly higher
than the PWC pressure?
RHF.
PV stenosis.
PHTN.
RV systolic pressure higher than normal:
a) RHF.
b) Pulmonary Valve stenosis.
c) Pulmonary Hypertension.
d) Tamponade.
e) Increased RV stiffness.
1. Bradycardia, Temp Pacer.
The use of ANGIOJET for a thrombectomy in the CX can cause __________ and
___________ would be required.
1. Bradycardia, Temp Pacer.
2. Hypotension, Dopamine.
3. SVT, Adenosine.
4. SVT, Cardioversion.
2. OTW.
All of the following dilation balloon catheter descriptions are synonymous, EXCEPT:
1. Monorail.
2. OTW.
3. Single operator.
4. RX.
- Normal LCA: JL3.5/4.
- Dilated root: JL5/6.
- Superior origin: AL3.
- Short LM: JL4 short tip.
- Enlarged root: XB/EBU.
- Inferior takeoff: MP.
,Match the adequate guider with the specific LCA anatomy:
a) Normal LCA.
b) JL3.5/4.
c) Dilated root.
d) JL5/JL6.
e) Superior origin.
f) AL3.
g) Short LM.
h) JL4 short tip.
i) Enlarged root.
j) XB/EBU.
k) Inferior takeoff.
l) MP.
- Normal RCA: JR4.
- Shepherd's crook: Arani75.
- Anterior origin: MPA.
- Inferior origin: AR MOD.
- Superior origin: HS.
- Dilated root: AL2.
Match the adequate guider with the specific RCA anatomy:
a) Normal RCA.
b) JR4.
c) Shepherd's crook.
d) Arani 75.
e) Anterior origin.
f) MPA.
g) Inferior origin.
h) AR MOD.
i) Superior origin.
j) HS.
k) Dilated root.
l) AL2.
2. bifurcation lesions/shifting of plaque.
The "kissing balloon technique" is used in _______ to prevent _______.
1. bifurcation lesions/vessel remodeling.
2. bifurcation lesions/shifting of plaque.
3. CTOs/vessel remodeling.
4. CTOs/"snow plowing" of thrombus.
2. Stent placement.
With history of brain bleed, which of the following is LEAST likely to be used:
1. IAB insertion.
2. Stent placement.
, 3. Temp. PM.
4. Anti-arrhythmic medications.
2. Coronary spasm.
Mechanisms of RESTENOSIS pot-PTCA include all the following EXCEPT:
1. Elastic recoil.
2. Coronary spasm.
3. Vascular remodeling.
4. Intimal hyperplasia
70 y/o with Inferior MI arrives 3hrs. from initial CP. HR: 110 bpm, BP: 70/40, H/O
hemorrhagic stroke and anterior MI. After PTCA of the RCA ventricular arrhythmias
result.
Which of the following is LEAST likely to be used?
1. IAB insertion.
2. Stent placement.
3. Temporary PM.
4. Anti-arrhythmic medications.
1. Troponin test.
2. Temperature.
3. 12-lead ECG.
The patient's ventilation and blood pressure have responded to treatment.
What other lab or diagnostic tests would be appropriate to consider at this time for
reversible causes?
- Norepinephrine: 0.1-0.5 mcg/kg/min.
- Dopamine: 5-20 mcg/kg/min.
- Epinephrine: 2-10 mcg/min.
- NS or Lactated Ringer's: 1-2 L.
Match the treatment for HYPOTENSION to proper INITIAL dosage for an adult on the
AHA guidelines:
a) Norepinephrine IV.
b) 0.1-0.5 mcg/kg per minute.
c) Dopamine.
d) 5-20 mcg/kg per minute.
e) Epinephrine.
f) 2-10 mcg/kg per minute.
g) NS or Lactated Ringer's.
h) 1-2 L
a) Maintaining a Target PaCO2 of 35-45 mmHg.
b) Maintaining SpO2 at 92-98%.
c) Ventilating the patient with 10 breaths per minute.
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