Final exam 1st year

Question 1

catheter with one curve is called

Answer 1

amplatz left

Question 2

catheter with two curves is called

Answer 2

jl4

Question 3

most common cause of ECG artificat is

Answer 3

poor skin prep

Question 4

bulging or aneurysmal LV wall segment is termed

Answer 4

dyskinteic

Question 5

fuzzy looking ECG is

Answer 5

60 cycle ac poer

Question 6

wandering ECG is called

Answer 6

baseline drift

Question 7

bradycardic and pt ECG has a fall of BP to 80/50

Answer 7

have the pt cough

Question 8

what hemodynamic tracings are likely to contain c waves

Answer 8

atrial

Question 9

standard ECG gain

Answer 9

1mv=1cm

Question 10

by definition Nonsustained vtach lasts

Answer 10

less than 30 seconds

Question 11

The T wave on an ECG corresponds to phase ___of the action potential

Answer 11

3

Question 12

the pt has as. you cross av with AR1 Cath. You measure LVedp at 31. for LV gram what do you do next

Answer 12

administer 200mcg of intraventricular nitroglycerin to try to lower the EDP before proceeding

Question 13

pacing mode that indicates atrial sensing only but both sensing and pacing in the ventricle

Answer 13

VDI

Question 14

after stent BP drops to 84/52

Answer 14

dopamine IV at 10 mcg/kg/min

Question 15

distance between the proximal and distal ports of a swan Ganz cath

Answer 15

30 cm

Question 16

A lao 45 degree view of the cardiac arteries is done to

Answer 16

profile the RCA

Question 17

highest velocity of backward blood flow is from

Answer 17

MR

Question 18

pulsus alternans with st segment elevation during insertion of a TVP into RV suggests

Answer 18

RV failure

Question 19

physician has to cut through heavy muscle. which sisscors most appropriate

Answer 19

curved mayo

Question 20

max dose of nitroglycerin for treatment of hypertensive crisis is________ If BP remains high, try another medication

Answer 20

200 mcg/min

Question 21

swan Ganz catheters should be connected to a continuous flush device which at 300mmHg infusion pressure will deliver

Answer 21

3-8ml flush/hr

Question 22

diseases that causes an increased diastolic gradient between right and left ventricles

Answer 22

CP

Question 23

your pt blood gas returns with low pH a low pco2 and a low bicarbonate level, you suspect

Answer 23

compensated metabolic acidosis

Question 24

the appx percentage of o2 delivered by a simple facemask at 8-10 L/min

Answer 24

40%-60%

Question 25

the dosage range for intravenous Lasix is

Answer 25

20-200mg

Question 26

bumetadine drop 4mcg/kg/min. your pt Isabel e Aiken weighs 140 Ibs and cannot urinate. you mic 10 mg bumex of D5W. How fast should your infusion run in ml/hr

Answer 26

154ml/hr

Question 27

finding a pulse, making a small decision and puncturing and pulling back leaving the stylet in place is called

Answer 27

modified seldinger technique

Question 28

on power injector the time from when you push the exposure switch to the delivery of the programmed rate for the contrast is called rate of rise or

Answer 28

transition time

Question 29

on the power injector the max pressure is measured in

Answer 29

PSI

Question 30

The brachial cutdown approach or the cardiac Cath is called

Answer 30

sones technique

Question 31

a catheter measured as 3F is equal to

Answer 31

1mm

Question 32

the purpose of the hearing device on the contrast injector is to

Answer 32

decrease contrast viscosity

Question 33

which vascular closure devices has a suture that is self tightening

Answer 33

preclose

Question 34

a patient is noted to have a hematoma post procedure and manual pressure is held. if ongoing bleeding is stopped, the hematoma will usually resolve in

Answer 34

1-2 weeks

Question 35

why are bleeding complications related to a back wall arterial stick using the seldinger less likely to happen

Answer 35

the stylet punctures the wall spreading the fibers rather than cutting them as with the single wall needle

Question 36

methods requires the use of external pacing pads

Answer 36

transcutaneous

Question 37

drug that is contraindicated to reverse the effects of heparin in a patient that has an allergy to egg white prior to a sheath removal

Answer 37

protamine sulfate

Question 38

lab test is preformed to verify protamine sulfate effect and what result is needed prior to sheath pull

Answer 38

ACT >180 s

Question 39

what complication is associated with mechanical cardiac valves

Answer 39

thrombus formation

Question 40

minimum amount of ma required to elicit a a ventricular response

Answer 40

temporary pacemaker

Question 41

which ofd the following can finish the validity of ventriculography

Answer 41

catheter tip too close to the mitral valve

Question 42

chief complaint of MR

Answer 42

shortness of breath

Question 43

condition that results from the PCW pressure exceeding oncotic pressure of plasma proteins

Answer 43

CHF

Question 44

what length diagnostic guidewire is needed to exchange a JR4 or an IMA catheter in the subclavian artery

Answer 44

260cm

Question 45

the rao projection provides the best imaging of which LV walk

Answer 45

anterior;inferior

Question 46

when the fluoroscopic c arm is angled into a cardiac view so that the x-rays exit from the pt's left abdominal area what angiographic view is this

Answer 46

caudal LAO

Question 47

which artery is sometimes seen branching directly from the aorta

Answer 47

conus

Question 48

Your patient Jack Hacker, a code monkey known to his friends as Cyber Jack, presents in the cath lab with an acute myocardial infarction. He develops ventricular tachycardia and immediately loses consciousness. He is pulseless and not breathing. Which should be done first?

Answer 48

deliver an unsynchronized shock

Question 49

You are administering magnesium sulfate to your patient Ms. Alberta Einstein, a bagel maker who works at light speed. Not now, she is in cardiac arrest. The recommended dose is:

Answer 49

1 to 2 g diluted in 10 ml slow IV push

Question 50

Your patient Mr. Jim Carjackian, a reality TV star on Grand Theft Auto, has pulseless electrical activity. While considering treatable causes, an IV is started and a saline infusion begun. The first medication you should give is:

Answer 50

Epinephrine 1 mg IV