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RCES Flashcards

Pass the RCES exam

1
Q

What is the ion responsible for cardiac depolarization?

A

Soidium (Na+)

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2
Q

What is the ion responsible for SA node and AV node depolarization?

A

Calcium (Ca+)

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3
Q

What Xray position shows halo catheter in clock face view?

A

LAO 30

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4
Q

What step is the sterile package flap opened towards you?

A

Last

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5
Q

Name 3 important handoff details.

A

History and physical
complications
patient mental status and procedure results

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6
Q

The doctor puts in RV lead which he suspects went through an ASD. What indications will appear on the EKG and what angle should the C-arm be in to check the lead?

A

RBBB, verified in LAO

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7
Q

Quinidine is part of what antiarrhythmic drug class?

A

Class Ia

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8
Q

Lidocaine is part of what antiarrhythmic drug class?

A

Class IV

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9
Q

Flacanide is part of what antiarrhythmic drug class?

A

Class Ic

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10
Q

What should the mapping person set the voltage for scar on the mapping system?

A

0.5 mV

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11
Q

What complication at the access site causes pain, swelling and bruit sounds?

A

Pseudoaneurysm

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12
Q

What complication at the access site causes pain, swelling and bruit sounds?

A

Pseudoaneurysm

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13
Q

What arrhythmia is induced by exercise and post exercise?

A

Brugadas syndrome

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14
Q

What is the best view for RV catheter?

A

RAO 30

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15
Q

What reverses benzodiazepines?

A

flumazil

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16
Q

What should we educate our patients’ about when they are discharged on coumadin?

A

INR needs to be checked

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17
Q

What is the range for the intraprocedure ACT ?

A

300 - 400 sec

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18
Q

When would we difibrillate a patient?

A

unstable polymorphic VT

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19
Q

When would we defibrillate a patient?

A

unstable polymorphic VT

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20
Q

What would cause an increase in lead impedence?

A

Conductor fracture

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21
Q

What would cause an increase in lead impedence?

A

Conductor fracture

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22
Q

What does ACT stand for?

A

Activated clotting time

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23
Q

What changes to the frames per second will reduce radiation dosage?

A

15 f/s

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24
Q

What is the optimal cryoablation temperature?

A

-65 degrees VS 4 min freeze

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25
Q

What should you look for when pulling an arterial sheath?

A

a faint distal pulse

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26
Q

Where would the transseptal needle be placed for transseptal access?

A

fossa ovalis

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27
Q

What is a contraindication to a transseptal puncture?

A

dilated ascending aorta

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28
Q

What kind of ventilation is it when you have pCO2=20 and a respiratory rate = 24?

A

hyperventilation

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29
Q

if H increases, what happens to the pH?

A

Increases

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30
Q

How would you convert BPM to msec?

A

60 000 / BPM

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31
Q

Define: ERP

A

longest coupling interval that fails to conduct

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32
Q

What kind of pathway is it if the VA interval increases with LBBB ?

A

Left sided accessory pathway

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33
Q

What would you use if the patient is allergic to iodine?

A

Chlorahexadine

34
Q

What lab values would be checked if the patient is allergic to iodine?

A

Check BUN, creatinine and GFR, BUN/creatinine ratio

35
Q

What type of access is non-pulsatile?

A

venous access

36
Q

Where do you find the correct information of a patient’s device?

A

Physician’s orders

37
Q

When should time out begin?

A

beginning of the procedure

38
Q

What is Ohm’s law?

A

V(volts) = I(Amps) R(ohms)

39
Q

What is a MSDS and what is it used for?

A

Material Safety Data sheet for chemical information in lab

40
Q

What is the angioplasty term for stretch?

A

compliance

41
Q

What balloon would be used for a rigid coronary sinus lesion?

A

non-compliant balloon

42
Q

During timeout the joint commission requires we mention what three things?

A

verify patient
procedure
surgical site

43
Q

What medication is given for SVT?

A

Adenosine

44
Q

What medication is given for TTT?

A

Isoproternol

45
Q

Other than pain what can morphine be given for?

A

vasodilation

46
Q

What does flacainide do to cardiac thresholds?

A

increases

47
Q

What is the most anterior chamber?

A

right ventricle

48
Q

What location would be prepped for pericardiocentesis?

A

subxyphoid

49
Q

What would be set the threshold for a pacemaker?

A

pacing threshold x2

50
Q

To reduce the risk of retroparitoneal bleed getting arterial access should be below what ligament?

A

inguinal

51
Q

What allows for RA to LA conduction?

A

Bachmann’s bundle

52
Q

Who can sign consent if the patient is sedated?

A

family

53
Q

If the LA pressure waveform is dampened, what do you do?

A

aspirate and flush the sheath

54
Q

What electrode is positive?

A

Anode

55
Q

What is the best defense against infection?

A

Handwashing

56
Q

What trial established that a patient should consider an ICD post MI with an EF <30%?

A

MADIT II

57
Q

When would we use DFT ?

A

patient taking amiodarone for new-onset AFib

58
Q

When the P wave of a PAC is upright in II,III and AVF where is the focus located?

A

close to the SA node

59
Q

What is the highest cSNRT?

A

550 msec

60
Q

How long should an exchange guidewire be?

A

long enough to fit the length of the catheter

61
Q

A woman with paroxysmal atrial fibrillation, chronotropic incompetence, 1:1 AV conduction @100BPM. What would you program her device to?

A

DDDR

62
Q

What is the Wedensky effect?

A

lowered threshold of excitability induced

by a strong stimulus

63
Q

What is the Wedensky effect when you increase the voltage of a pacing stimulus?

A

lowers the threshold of the myocardium

64
Q

What equipment is used for a pericardiocentesis?

A

sterile table and echo tech

65
Q

Where would you prep for a pericardiocentesis?

A

subxyphoid

66
Q

When pacing in the HRA, a QRS of 210ms results indicate what?

A

high mA output

67
Q

What would you do physically for the patient when the patient has pulmonary edema?

A

Raise PT’s head

68
Q

What is the equation for pulse pressure?

A

pulse pressure = systolic-diastolic

69
Q

ETCO2 measure what?

A

COs expelled

70
Q

30 mins after removal of a right femoral venous and arterial sheath, patient complains of back pain. What should you do?

A

turn patient to side

71
Q

After a PM is removed from the pocket with a bifurcated V. lead, 1 pin capped and 1 pin in the header; What should you look for?

A

Intrinsic Activity/Rhythm

72
Q

What device would be implanted in a patient with an EF of 58%, Hx of VT and ischemia?

A

Dual chamber ICD

73
Q

What view is used during an A. flutter ablation to view clock faced valves?

A

LAO 30

74
Q

What returns oxygenated blood to the LA?

A

PV

75
Q

Where does the CS return deoxygenated blood?

A

RA

76
Q

What is the antagonist to heparin?

A

Protamine

77
Q

What is the therapeutic INR?

A

2.1-4

78
Q

What is the body’s normal pH?

A

7.35

79
Q

What is the ACT range for a transseptal puncture?

A

250-350 sec

80
Q

How tall in cm is a patient who is 6 feet tall?

A

6’= 72’’ * 2.54 = 189 cm

81
Q

What is the length of an exchange wire?

A

300 cm

82
Q

A holter monitor is used to assess what?

A

frequency and severity of arrhythmias

Advanced EP (10 decks)

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