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