RCIS 2021 COMBINED SET QUESTIONS WITH ANSWERS
When considering FFR, values greater than 0.75-0.80 indicate a non-significant stenosis and lower values indicate a significant stenosis
A. True
B. False - Answer-A. True
When considering FFR, a significant stenosis (>70%) may yield an FFR &...
What is the most common cause of renal artery stenosis
A. HTN
B. Atherosclerosis
C. Diabetes
D. Obesity - Answer-B. Atherosclerosis
Renal artery stenosis is most commonly found in the
A. Right renal artery
B. Left renal artery
C. Renal aortic branch
D. Proximal renal artery - Answer-D. Proximal renal artery
FFR measures
A. Pressure proximal to a stenosis
B. Pressure within a stenosis (mid stenosis)
C. Pressure distal to a stenosis
D. In the branch adjacent to the lesion - Answer-C. Pressure distal to a stenosis
When interpreting FFR, an FFR of .80 means that a stenosis causes a 20% drop in
blood pressure distal to the lesion
A. True
B. False - Answer-A. True
FFR expresses the maximal flow down a vessel in the presence of a stenosis compared
to the maximal flow in the absence of a stenosis
A. True
B. False - Answer-A. True
When considering FFR, values greater than 0.75-0.80 indicate a non-significant
stenosis and lower values indicate a significant stenosis
A. True
B. False - Answer-A. True
,When considering FFR, a significant stenosis (>70%) may yield an FFR >0.80 if there is
significant collateral flow to the vessel with the lesion in it
A. True
B. False - Answer-A. True
Pulsus alternans is a sign of left sided heart failure
A. True
B. False - Answer-A. True
Prior to mitral valvuloplasty a TEE is needed as atrial thrombus is an absolute
contraindication
A. True
B. False - Answer-A. True
How would you monitor heparin therapy if ACT is not available
A. CBC
B. BUN
C. PT/PTT
D. Hgb and Hct - Answer-C. PT/PTT
An elevated PCWP, orthopnea, increased LVEDP, and decreased O2 sat are signs of
A. Right sided heart failure
B. Pulmonary embolism
C. RCA occlusion
D. Left sided heart failure - Answer-D. Left sided heart failure
What is the NYHA classification of a patient on a ventricular assist device
A. I-No limitation of activity, no SOB when walking
B. II- Mild symptoms, mild SOB and or angina, slight limitation of activity
C. III- Marked limitation of activity, comfortable only at rest
D. IV- Severe limitation of activity, symptomatic at rest - Answer-D. IV- Severe limitation
of activity, symptomatic at rest
A washer that is visualized on fluoroscopy is placed to mark the
A. Proximal vein graft
B. Proximal LIMA
C. Distal vein graft
D. Mild vein graft
E. None of the above - Answer-A. Proximal vein graft
,An ABI measures the difference between the _____ and _____ pulses and a reading of
_____ indicates a flow limiting lesion
A. Left and right brachial, 0.7
B. Left brachial and right pedal, 0.8
C. Left popliteal and left pedal, 0.7
D. Left brachial and left pedal, 0.7 - Answer-D. Left brachial and left pedal, 0.7
Cannulation of the femoral artery should be
A. Above the inguinal fold
B. 6cm below the inguinal fold
C. Precisely in the inguinal fold
D. One finger breath below the inguinal fold - Answer-D. One finger breath below the
inguinal fold
Choose the correct answers about a pseudo aneurysm (PSA)
A. PSA occurs when an arterial puncture does not seal
B. Pulsatile blood tracks into the perivascular space
C. Blood is contained by the perivascular structure
D. Takes on the appearance of a SAC
E. Is the result of the cannulating needle penetrating the anterior and posterior vessel
walls
F. All of the above - Answer-F. All of the above
Treatment of a PSA includes
A. Thrombin injection into the SAC
B. Ultrasound guided compression
C. Surgical management
D. All of the above - Answer-D. All of the above
PSA's occur most commonly when the puncture site is the (choose all that apply)
A. CFA
B. SFA
C. External iliac artery
D. Given inadequate compression time - Answer-B. SFA
C. External iliac artery
D. Given inadequate compression time
Physical signs of a PSA may include (choose all that apply)
A. Palpable pulsatile mass
, B. Presence of a systolic bruit
C. Significant site pain
D. Loss of pulse in the opposite leg - Answer-A. Palpable pulsatile mass
B. Presence of a systolic bruit
C. Significant site pain
Which of the following are not associated with a retroperitoneal bleed
A. Cannulation 1 finger breath below the inguinal fold
B. Cannulation of the SFA
C. Cannulation of the profunda
D. Cannulation above the inguinal fold - Answer-A. Cannulation 1 finger breath below
the inguinal fold
D. Cannulation above the inguinal fold
Which organ system is responsible for metabolic changes in pH
A. Liver
B. Lungs
C. Kidneys
D. Pancreas - Answer-A. Liver
C. Kidneys
Which of the following organ systems cannot cause changes in the pH (choose all that
apply)
A. GI/Endocrine
B. Liver/Pancreas
C. Heart/Vascular
D. Kidneys/Lungs - Answer-A. GI/Endocrine
B. Liver/Pancreas
C. Heart/Vascular
Which of the following are necessary prior to correcting an ASD (choose all that apply)
A. Documentation using the ICE catheter
B. Evaluation using a sizing balloon
C. Identifying the shunt to be in the ostium secundum
D. Identifying the shunt to be in the ostium premium - Answer-A. Documentation using
the ICE catheter
B. Evaluation using a sizing balloon
C. Identifying the shunt to be in the ostium secundum
Identify all of the following that pertain to the crushing stent technique
A. Created for lesions in a side branch
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