Frage 1
Frage
What is the formula for calculating cardiac output?
Antworten
-
CO = PA - 1SVC
-
CO = AO x PA
-
CO = HR x SV
Frage 2
Frage
Stroke volume is...
Frage 3
Frage
Preload is most impacted by
Frage 4
Frage
A patient with chronic untreated hypertension would demonstrate...
Antworten
-
Increased afterload
-
Decreased afterload
-
Decreased preload
Frage 5
Frage
Vascular resistance/pressure is most influenced by...
Antworten
-
Radius of the vessel
-
Blood viscosity
-
Length of the vessel
-
BMI
Frage 6
Frage
The formula for BP is...
Antworten
-
BP = SV x SVR
-
BP = CO x SVR
-
BP = HR x SVR
Frage 7
Frage
What component of a Pulmonary Capillary Wedge pressure indicates Mitral insufficiency?
Antworten
-
A wave
-
C wave
-
P wave
-
V wave
Frage 8
Frage
An elevated RVEDP is found in which pathology?
Antworten
-
LV infarct
-
Aortic stenosis
-
RV infarct
-
Mitral Regurgitation
Frage 9
Frage
If the RA waveform is 2x the normal value, where would this be demonstrated in the physical assessment?
Frage 10
Frage
What is the most common cause of Pulmonic stenosis?
Antworten
-
Aging
-
Congenital
-
Cardiomyopathy
-
Mitral regurgitation
Frage 11
Frage
The blue proximal port of the swan is located how far from the distal tip of the swan?
Frage 12
Frage
When performing a thermodilution cardiac output, the operator injects 10 cc of saline into the ____________ and the temperature change is measured in the _____________
Antworten
-
LA, AO
-
RV, PCWP
-
RA, PA
-
RA, LA
Frage 13
Frage
Based on these oxygen saturation so, 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%
Frage 14
Frage
The type of ASD, located in the middle 1/3 of the the atrial septum (the former site of the fossa ovalis) is called?
Antworten
-
Ostium Primium
-
Sinus Venosus
-
Ostium Secundum
Frage 15
Frage
What is the Flamm's equation?
Antworten
-
3 (SVC) +1 (IVC) / 4
-
6 (SVC) + 2 (IVC) / 2
-
3 (PA) + 2 (AO) / 4
Frage 16
Frage
The formula used to calculate MAP is...
Frage 17
Frage
Equalization of RVEDP and LVEDP are found in...
Antworten
-
Tamponade
-
Restrictive Pericarditis
-
Acute MI
-
LV MI
Frage 18
Frage
Signs of right sided heart failure include...
Antworten
-
Decreased O2 sat
-
SOB
-
JVD
-
Pulmonary embolism
Frage 19
Frage
What are the four anomalies associated with Tetralogy of Fallot?
Antworten
-
ASD, VSD, LVH, RVH
-
VVH, PS, Over riding aorta, RVH
-
Over riding aorta, RVH, LVH, ASD
-
Pulmonic stenosis, over riding aorta, RVH, VSD
Frage 20
Frage
Which fetal anomaly is characterized by a large VSD over which a large single great vessel arises?
Frage 21
Frage
Pulsus Pardoxus is a sign of...
Frage 22
Frage
What does RAD stand for?
Frage 23
Frage
Which component of the X-Ray system converts light rays into images?
Antworten
-
Image intensifier
-
X-Ray tube
-
Photon tube
-
Anode
Frage 24
Frage
What is the maximum annual dose of radiation one can receive annually?
Antworten
-
5 RAD
-
5 Currie
-
0.5 REM
-
5 REM
Frage 25
Frage
Lead protection should be at least how many millimeters of lead?
Frage 26
Frage
What is the minimum safe distance to position oneself from the X-Ray source?
Antworten
-
3 feet
-
6 feet
-
10 feet
-
15 feet
Frage 27
Frage
In an X-Ray tube the...
Antworten
-
Cathode is positive and the anode is negative
-
Cathode is negative and the anode is positive
-
The charges alternate depending on the heat generated
Frage 28
Frage
Which view exposes the operator to the GREATEST amount of radiation?
Antworten
-
AP
-
LAO Cranial
-
Lateral
-
RAO with cranial 30
Frage 29
Frage
What converts X-rays into an image?
Antworten
-
Filament
-
Image intensifier
-
X-Ray tube
-
Kvp
Frage 30
Frage
The contrast that is best for a patient is...
Antworten
-
Low osmolality
-
High osmolality
-
Renografin
Frage 31
Frage
Radiolucent means...
Antworten
-
X-Rays are not permitted to pass through
-
X-rays are randomly deflected
-
X-rays are permitted to pass through
Frage 32
Frage
Radiopaque means...
Antworten
-
X-rays are permitted to pass through
-
X-rays are not permitted to pass through
-
X-rays are randomly deflected
Frage 33
Antworten
-
Fibrin
-
Prothrombin
-
Antithrombin
-
IIb/IIIa receptors
Frage 34
Frage
Heparin potentiates (increases) the action of...
Antworten
-
Antithrombin
-
Factor III
-
Factor IX
-
Factor VIII
Frage 35
Frage
Fibrinogen is converted to fibrin by the action of...
Antworten
-
Pro thrombin
-
Tissue factor
-
Platelates
-
Thrombin
Frage 36
Frage
There are ___ known pathways to imitate the clotting cascade.
Frage 37
Frage
Aspirin inhibits the action of...
Antworten
-
Von Willebrand Factor
-
Factor VIII
-
Thrombin
-
Arachidonic Acid
Frage 38
Frage
Which agent is not an antiplatelet?
Antworten
-
ASA (aspirin)
-
Heparin
-
Plavix
-
Reopro
Frage 39
Frage
If a patient has diabetes and renal failure with a creatinine of 2.0, what would you give?
Antworten
-
Lasix
-
Fluids to hydrate
-
Ionic contrast
Frage 40
Frage
If a patient is taking NPH (injectable) insulin, which medication should not be given?
Frage 41
Frage
Which medication is most commonly given to a patient with Supravetricular Tachycardia (SVT)
Antworten
-
NTG
-
Lidocaine
-
Dopamine
-
Adenosine
Frage 42
Frage
If a patient has a creatinine greater than 1.4, contrast volume should be minimized.
Frage 43
Frage
Lidocaine converts from 2gm in 500cc to...
Antworten
-
8gm in 1cc
-
400mg in 250cc
-
4mg in 1cc
Frage 44
Frage
Dopamine concentration 1600 mcg/ml in 250 cc yields a concentration of...
Antworten
-
200 mg in 250 cc
-
400 mg in 250 cc
-
100 mg in 250 cc
Frage 45
Frage
The best short acting medication/anxietolytic to sedate a patient is...
Antworten
-
Fentanyl
-
Valium
-
Versed/Midazilam
Frage 46
Frage
The drug of choice for treating coronary spasm is...
Frage 47
Frage
Amiodarone is used to treat...
Frage 48
Frage
What medication is used as a preload and afterload reducer?
Antworten
-
Dopamine
-
Dobutamine
-
NTG (nitroglycerin)
-
Lidocaine
Frage 49
Frage
Diabetic patients have a greater incidence of developing ______________ post contrast administration.
Antworten
-
Renal failure
-
Infarct
-
Pulmonary embolism
-
Systemic infection
Frage 50
Frage
Which rhythm is most likely to become lethal?
Antworten
-
1st degree block
-
Wenchebach
-
Mobitz 2
Frage 51
Frage
The Impella catheter most clearly resembles...
Frage 52
Frage
When performing an LV gram with the LV injector, what is the purpose of setting a "rate of rise"?
Antworten
-
It controls the total volume injected
-
It makes for a smoother injection, less catheter whip, limits ectopy
-
It adjusts the PSI for the correct catheter size
Frage 53
Frage
The EKG demonstrates ST elevation in leads II, III, and AVF. Which coronary would you suspect?
Antworten
-
Inferior wall
-
Lateral wall
-
Apical wall
Frage 54
Frage
An EKG demonstrates ST elevation in leads V5, V6, lead I, and AVL. Which coronary artery is most likely occluded?
Frage 55
Frage
How do you test the defibrillator?
Frage 56
Frage
What happens if you deliver a shock to a patient on the T wave?
Antworten
-
They are easily cardioverted to a sinus rhythm
-
You could put them into Vfib
-
You could make them hypertensive
Frage 57
Frage
In 1st degree heart block, where is the conduction delay?
Antworten
-
AV node
-
SA node
-
Bundle of His
-
In the RA
Frage 58
Frage
What is the normal PR interval
Antworten
-
.08 - .12
-
> .20
-
.12 - .20
Frage 59
Frage
If a patient is attached to the monitor, Vtach is the rhythm, the patient has no pulse and is not responding, what should you do?
Antworten
-
Synchronized cardioversion
-
Unsynchronized cardioversion
-
Call the MD before taking action
-
Check a blood pressure
Frage 60
Frage
If a patient is on a monitor in SVT, systolic BP is 70, the patient is diaphoretic, dusky and short of breath. What should you do?
Antworten
-
Call the MD before taking action
-
Do immediate unsynchronized cardioversion
-
Do immediate synchronized cardioversion
-
Give adenosine 6mg
Frage 61
Frage
A common complication of placing a pacing electrode/wire is...
Frage 62
Frage
A pacing generator that paces in both chambers, senses in both chambers, and inhibits QRS complexes is a...
Frage 63
Frage
A pacing generator that paces both chambers, senses in both chambers, and triggers or inhibits pacing is a...
Frage 64
Frage
A pacing generator that paces in the atria, senses in the atria, and inhibits pacing is a...
Frage 65
Frage
What is the formula for calculating SVR
Antworten
-
Mean AO - Mean RA/CO
-
Mean PA - Mean PCWP/CO
-
EDV - ESV / EDV
Frage 66
Frage
Which cardiac output would be more accurate in a patient with tricuspid regurgitation?
Frage 67
Frage
Which right heart pressure best reflects LV preload?
Antworten
-
PA systolic pressure
-
PCWP
-
RA pressure
Frage 68
Frage
Which balloon is used for valvuloplasty?
Antworten
-
ICE balloon
-
Tran-septal balloon
-
Inoue
-
Self-expanding
Frage 69
Frage
Aortic stenosis demonstrates a pressure that is elevated in the left ventricle and a pressure that is lower in the ____________.
Antworten
-
Left atrium
-
Aortic arch
-
Pulmonary artery
-
RV
Frage 70
Frage
If a patient has a pulsatile mass below the sheath site, and a bruit is present, what should be suspected?
Antworten
-
Hematoma
-
Aortic dissection
-
Thrombus
-
Pseudoaneurysm
Frage 71
Frage
An abdominal aortic pulsation greater than 3.0cm can be a finding for what?
Antworten
-
Normal finding
-
Anomalous renal artery
-
Increased BMI
-
Aortic aneurysm
Frage 72
Frage
Back pain not relieved with nitroglycerin, morphine or oxygen and not associated with EKG changes can indicate...
Antworten
-
PVD
-
Renal failure
-
Aortic dissection
-
Occluded LAD
Frage 73
Frage
Which stent is self expanding?
Frage 74
Frage
A catheter has a diameter of 2.66mm. What French size is it?
Frage 75
Frage
In relation to a coronary lesion where should the wire not be placed?
Frage 76
Frage
Which lesion is best addressed with a Rotoblador?
Antworten
-
Calcified
-
Soft thrombus
-
New dissection
-
Very small vessels
Frage 77
Frage
Which catheter should be used to cannulate an LAD with a high take off?
Frage 78
Frage
Landmarks for an internal jugular approach include the...
Antworten
-
Head of the sternocleidomastoid muscle and the clavicular head
-
Superior and inferior carotid pulsations
-
2cm proximal to the xyphoid process
Frage 79
Frage
When performing a myocardial biopsy where are the tissue samples taken from?
Antworten
-
LV
-
RV
-
LA
-
Left atrial appendage
Frage 80
Frage
Hypokinetic means...
Frage 81
Frage
In the formula BP = HR x SV x SVR, Dobutamine acts as an ____________, to _______________ by increasing ______________.
Antworten
-
Chronotrope decrease stroke volume, contractility
-
Chronotrope, increase stroke volume, contractility
-
Inotrope, increase stroke volume, contractility
Frage 82
Frage
Which of the following are Angiotensin Receptor Blockers (ARBS)?
Antworten
-
Lisiopril
-
Losartan
-
Metoprolol
-
Valsartan
Frage 83
Frage
NTG works to decrease preload when given during an MI by dilating?
Antworten
-
Peripheral arteries
-
Arterioles
-
Veins
-
Coronary arteries
Frage 84
Frage
Low dose Dopamine, 1-5mcg/kg/min...
Frage 85
Frage
If the patient complains of pain down the leg when attempting to cannulate the right femoral artery, which way do you move the needle?
Antworten
-
Lateral
-
Medial
-
Anterior
-
Medial and superior
Frage 86
Frage
Coronary arteries perfume best during...
Frage 87
Frage
What is the purpose of the IABP?
Antworten
-
Increased coronary perfusion, decreased afterload
-
Increased coronary perfusion, decreased preload
-
Raise systolic blood pressure
-
Increase renal perfusion
Frage 88
Antworten
-
Digitalis
-
Dobutamine
-
Dopamine
-
Epinephrine
-
All the above
Frage 89
Frage
Another name for Versed
Antworten
-
Diphenhydramine
-
Diazepam
-
Midazolam
-
None of the above
Frage 90
Frage
Another name for Valium
Antworten
-
Midazolam
-
Diphenhydramine
-
Diazepam
-
None of the above
Frage 91
Frage
Another name for Benadryl
Antworten
-
Diphenhydramine
-
Diazepam
-
Midazolam
-
None of the above
Frage 92
Frage
Sedatives with NO analgesic properties:
Antworten
-
Versed
-
Ibuprofen
-
Benadryl
-
Demeral
-
Acetaminophen
-
Valium
Frage 93
Frage
Heparin prevents clot formation by preventing the conversion of prothrombin to thrombin.
Frage 94
Frage
ReoPro inhibits IIb/IIIa receptors.
Frage 95
Frage
INR (international normalized ratio) measures the levels of Coumadin.
Frage 96
Frage
PT evaluates the coagulation factors VII, X, V, II and I (fibrinogen).
Frage 97
Frage
PTT (Partial Thromboplastin Time) test evaluates coagulation factors XII, XI, IX, VIII, X, V, II (prothrombin), and I (fibrinogen)
Frage 98
Frage
Medication of choice for Supraventricular Tachycardia is Adenosine.
Frage 99
Frage
Normal RA pressure:
Antworten
-
25/10
-
25/5
-
120/80
-
0-4
-
120/10
-
7-12
Frage 100
Frage
Normal PA pressure:
Antworten
-
120/80
-
120/10
-
25/10
-
7-12
-
25/5
-
0-4
Frage 101
Frage
Normal RV pressure:
Antworten
-
0-4
-
25/5
-
120/10
-
25/10
-
120/80
-
7-12
Frage 102
Frage
Normal PCW pressure
Antworten
-
7-12
-
120/80
-
25/5
-
120/10
-
0-4
-
25/10
Frage 103
Frage
Normal LV pressure:
Antworten
-
25/10
-
120/80
-
7-12
-
25/5
-
0-4
-
120/10
Frage 104
Frage
Normal AO pressure:
Antworten
-
120/80
-
0-4
-
25/5
-
120/10
-
25/10
-
7-12
Frage 105
Frage
Mean Arterial Pressure (MAP) calculation:
Frage 106
Frage
Pulse Pressure calculation:
Antworten
-
AO Systole - AO Diastole
-
AO Diastole - AO Systole
-
PA Systole - AO Diastole
Frage 107
Frage
Stroke Volume (SV) calculation:
Frage 108
Antworten
-
Cardiac Index
-
Regurgitant Fraction
-
Aortic Valve Flow
Frage 109
Antworten
-
Cardiac Index
-
CO Angiographic (LVMF)
-
Regurgitant Fraction
Frage 110
Frage
Gorlin's Constant used for Aortic valve area:
Frage 111
Frage
Gorlin constant for Mitral valve area:
Frage 112
Frage
Mean PA - Mean PCW / CO:
Frage 113
Frage
Mean AO - Mean RA / CO:
Frage 114
Frage
LV Systole - AO Systole:
Antworten
-
PVR
-
SVR
-
Peak to Peak Gradient
-
Aortic Valve Area
Frage 115
Frage
CO / SEP ( systolic ejection period):
Antworten
-
Aortic Valve Area (AVA)
-
Mitral Valve Area (MVA)
-
Aortic Valve Flow (AVF)
-
Mitral Valve Flow (MVF)
Frage 116
Antworten
-
Fick CO
-
Normal O2 consumption
-
Ejection Fraction
-
SV
Frage 117
Frage
What is the normal range of potassium (K+) in the blood?
Antworten
-
3.0 - 5.5
-
3.5 - 5.5
-
3.5 - 5.0
-
3.0 - 5.0
Frage 118
Frage
INR measures the levels of which drug?
Antworten
-
Plavix
-
Ticlid
-
Aspirin
-
Coumadin
Frage 119
Frage
Lovenox impacts Antithrombin and Factor Xa.
Frage 120
Frage
Ticlid and Plavix turn off receptor sites on platelets.
Frage 121
Frage 122
Frage
Troponin is the most accurate measurement of cardiac muscle fiber damage after a MI.
Frage 123
Frage
Which lab value does NOT evaluate the extent of an MI?
Antworten
-
SGOT
-
Serum Creatinine
-
CK-MB
-
LDH
Frage 124
Frage
Check pulse for one minute is the best way to calculate pulse rate.
Frage 125
Frage
Metabolic Acidosis has a low level of HCO3 (bicarb)
Frage 126
Frage
A pH less than 7.35 or greater than 7.45 is called:
Antworten
-
Compensated
-
Uncompensated
-
Metabolic
-
Respiratory
Frage 127
Frage
What would be the appropriate intervention for a patient with Respiratory Acidosis?
Antworten
-
Decreased ventilation
-
Increased ventilation
-
Oxygen
-
Uncompensated acidosis
Frage 128
Frage
To increase arterial PO2:
Antworten
-
Hyperventilation
-
Hold breath
-
Oxygen
-
Give bicarb
Frage 129
Frage
Interpret the following blood gas:
pH = 7.25 CO2 = 60 HCO (bicarb) = 22
Antworten
-
Uncompensated Metabolic Acidosis
-
Compensated Respiratory Acidosis
-
Compensated Metabolic Alkalosis
-
Uncompensated Respiratory Acidosis
Frage 130
Frage
How will a high CO2 level impact pH?
Antworten
-
lower
-
raise
-
will not affect
-
Not enough information
Frage 131
Frage
How will an increase in HCO2 (bicarb) affect pH?
Antworten
-
Have no affect
-
lower
-
raise
-
Not enough information
Frage 132
Frage
The inner most layer of an after is the intima.
Frage 133
Frage
When a patient has a DILATED AORTIC ROOT, what diagnostic catheter is best utilized to visualize the LAD?
Frage 134
Frage
During a pericardiocentesis, the needle enters the sub-xyphoid process.
Frage 135
Frage
Where should assist on the IABP be set when a patient has a heart rate of 150?
Frage 136
Frage
Jugular vein distention can be caused by:
Frage 137
Frage
Ventricular arrhythmias are most common during injection of the right coronary artery.
Frage 138
Frage
Osmolality refers to the ability of the contrast to pull fluid into the intravascular space.
Frage 139
Frage
Synchronous pacemakers sense the heartbeats intrinsic activity and pace only when needed.
Frage 140
Frage
The purpose of an ICD is to:
Antworten
-
Monitor bradycardia, tachycardia, VT, and Vfib
-
Monitor bradycardia, tachycardia, VT, and Vfib; and convert if necessary
-
Monitor bradycardia only
-
Monitor tachycardia only
Frage 141
Frage
The R and the L in RAO and LAO refer to the position of the image intensifier
Frage 142
Frage
What shows a TRUE posterior infarct on an EKG?
Antworten
-
V1, V2, V3
-
V1, V2, and V7-V9
-
V7-V9
-
V1, V2
Frage 143
Frage
Time is the most important factor in decreasing Xray exposure to a patient.
Frage 144
Frage
What is the normal amount of blood in the pericardium?
Frage 145
Frage
The most common renal stenosis is located in the ostial.
Frage 146
Frage
A dislodged lead will cause a fail to capture pacemaker in the RV.
Frage 147
Frage
Monophasic defibrillation protocol is:
Antworten
-
200-300-360
-
200-300-400
-
200-300-600
-
200-300-630
Frage 148
Frage
What does the "c" wave represent?
Antworten
-
Onset of atrial contractions
-
Onset of Systole
-
Onset of ventricular contractions
-
Does not represent anything
Frage 149
Frage
Inject in the RA and read in the PA measures THERMAL DILUTION cardiac output.
Frage 150
Frage
Which would likely increase pulmonary blood flow, possibly pulmonary edema?
Antworten
-
VSD
-
PDA
-
ASD
-
Truncus Arteriosis
Frage 151
Frage
RVEDP and LVEDP are different because there is less space in the LV to do the workload.
Frage 152
Frage
When endothelium cells build a chemical to equalize the vessel pressure, it is called INFLAMMATORY RESPONSE.
Frage 153
Frage
A MI would increase LVEDP, but NOT LV systolic pressure
Frage 154
Frage
A/V stenosis would increase LV systolic pressure.
Frage 155
Frage
Every clotting factor is made in the liver
Frage 156
Frage
What is the complication shown at the arrow?
Antworten
-
Thrombus formation
-
Coronary perforation
-
Wire fracture
-
Coronary dissection
Frage 157
Frage
This IVUS cross-section shows:
Frage 158
Frage
The smaller the stent, the lower re-stenosis rate.
Frage 159
Frage
The Rotoblator, 1.25-2.0 mm burrs should operate at approximately:
Antworten
-
180,000 rpm
-
100,000 rpm
-
160,000 rpm
-
80,000 rpm
Frage 160
Frage
The Rotoblator 2.15 mm and larger burrs should operate at approximately:
Antworten
-
80,000 rpm
-
180,000 rpm
-
100,000 rpm
-
160,000 rpm
Frage 161
Frage
Identify the venous and ECG waves marked.
Antworten
-
a wave
-
c wave
-
x wave
-
v wave
-
y wave
-
p wave
-
qrs complex
-
t wave
Frage 162
Frage
Mitral regurgitation is virtually certain when atrial "v" waves:
Antworten
-
Are over 40 mmHg
-
Exceed the height of the "a" wave
-
Exceed 3 times the atrial mean pressure
-
Occur throughout systole and extend into diastole
Frage 163
Frage
High PCWP with normal EDP is:
Frage 164
Frage
High "v" wave equals:
Frage 165
Frage
What is the normal range of pH in the blood?
Antworten
-
7.45 - 7.55
-
7.25 - 7.35
-
7.35 - 7.45
-
None of these
Frage 166
Frage
What is the normal range of PaCO2 in the blood?
Antworten
-
35 - 45
-
25 - 35
-
45 - 55
-
None of these
Frage 167
Frage
What is the normal range of HC03 in the blood?
Antworten
-
22 - 26
-
20 - 30
-
25- 30
-
None of these
Frage 168
Frage
Identify the ports labeled.
Antworten
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Proximal
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Guide wire
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Thermistor connector
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Balloon
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Distal
Frage 169
Frage
What is the best view for visualization of a stent?
Antworten
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LAO 40, Cranial 0
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RAO 40, Caudal 0
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LAO 30, Cranial 0
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LAO 60, Cranial 0
Frage 170
Frage
Which imaging results in a image with more NOISE?
Frage 171
Frage
Cine acquisition delivers a lower dose of radiation to the patient than Fluoro imaging.
Frage 172
Frage
Which image delivers a HIGHER amount of energy to the patient?
Antworten
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Cine imaging
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Fluoro imaging