CCI Registered Cardiovascular Invasive Specialist (RCIS) Practice Exam

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• Which is a PRIMARY indication for the administration of sodium bicarbonate?
• A typical finding in hypertrophic cardiomyopathy includes decreased LV compliance with which pattern of LV function?
• Which of the following is commonly used to treat flow-limiting dissections during PCI?
• The cephalic vein is located?
• Which antiplatelet is routinely given before or during PCI?
• Which action is appropriate when prepping a patient for transradial cardiac catheterization?
• Cardiac index is calculated by dividing cardiac output in liters per minute by what variable?
• Which procedure is used to treat a hemopericardium?
• A ventricular gallop is heard as which heart sound?
• Which ECG finding is diagnostic of STEMI?
• A percutaneous left ventricular assist device pumps blood from which chamber to the aorta?
• Which imaging modality is used to confirm proper stent apposition?
• Alcohol Septal Ablation creates which physiologic effect to relieve LVOT obstruction?
• In peripheral interventions, which equipment is used to steer across a lesion?
• What instrument is traditionally used to puncture the interatrial septum in a transseptal procedure?
• In peripheral interventions, which device is described as a torque device?
• In preparation for a pericardiocentesis, the patient should be at what degree angle?
• In a patient who has a pulse but is in respiratory arrest, how often should you give one breath?
• Which ECG lead combination demonstrates ischemic changes corresponding to the lesion?
• When using a rotational atherectomy device in the RCA, which of the following should you consider using?
• Which post-procedure guidance is typically recommended after vascular access?
• Which represents the greatest risk during left ventriculography?
• Which change to pacemaker sensitivity would push the device toward asynchronous pacing?
• IVUS image interpretation: The difference in the circular tracings represents which finding?
• Which best defines fractional flow reserve (FFR)?
• Fondaparinux is which type of anticoagulant?
• Which projection exposes an operator standing on the patient's right side to the highest dose of radiation?
• Which closure device uses a suture-mediated closure mechanism?
• In peripheral interventions, which device is primarily used to cross a lesion?
• The Angio-Seal closure device uses which mechanism?
• Which statement is NOT an absolute contraindication to thrombolysis?
• Which statement best describes TAVR in severe aortic stenosis?
• In thermal dilution for cardiac output measurement, which port is used for saline injection?
• Equalization of aortic and arterial pressures is associated with which procedural device?
• Alcohol Septal Ablation is primarily performed to treat which condition?
• Which item would NOT typically be part of the pacemaker/ICD implant prep?
• When transferring a patient to recovery after a procedure, which action regarding the hemostasis site should the care team take?
• Which left ventricular wall-motion pattern is described by infero-apical anterior akinesis?
• If cardiac output is 6 L/min and body surface area is 2 m^2, what is the cardiac index?
• For contrast load planning, which laboratory value is most important?
• Which inotropic agent predominantly stimulates beta-1 receptors?
• Given the following hemodynamic data for a patient at rest: Systolic 140 mmHg, Diastolic 80 mmHg, what is the mean arterial pressure?
• During PFO closures, which imaging modality is commonly used to guide the procedure?
• OTW PTA size:
• Which option represents a form of radiation used in imaging?
• In the SVR calculation, which measurement is the right atrial mean pressure?
• A Fogarty balloon is commonly used to ___________.
• Which parameter in the vasculitis test panel is used to assess kidney function?
• What is the normal range for cardiac index?
• Which artery lies near the sternomastoid muscle?
• A widened pulse pressure is most commonly associated with which condition?
• Which statement is NOT an absolute contraindication to peripheral thrombolysis?
• Which type of angina occurs with activity and subsides with rest?
• Which of the following is responsible for producing the S2 heart sound?
• What vascular access is used to perform a transseptal left heart catheterization?
• Which view is NOT the best for visualizing the most lateral wall of the left ventricle?
• In CRT therapy, the left ventricular pacing lead is placed in which structure?
• Which of the following represents the S2 heart sound?
• What component in fluoroscopy converts x-rays into visible light?
• Which imaging modality is commonly used during PCI to assess lesion morphology and vessel size?
• Which hemodynamic abnormality would be observed with mitral stenosis?
• Which imaging modality provides cross-sectional visualization of the vessel lumen and plaque characteristics?
• Stroke Acronym:
• In determining cardiac output by thermal dilution, saline is injected into which port of the PA catheter?
• Which of the following is a calcium channel blocker?
• Which closure device uses collagen & suture mediated closure?
• Radial access compared with femoral access generally reduces which complication?
• One advantage of a percutaneous left ventricular assist device is that they provide perfusion in which scenario?
• A ventricular gallop is associated with which heart sound?
• When is a vena cava filter most appropriately used?
• Which of the following are TYPICAL findings in patients with hypertrophic cardiomyopathy?
• For planning transcatheter aortic interventions, which imaging modality provides detailed 3D anatomy of the aortic root?
• ACT monitoring during heparin administration uses which drug?
• Which statement accurately describes distal protection during embolic procedures?
• In LV wall-motion assessment, infero-apical anterior akinesis describes akinesis in which region?
• Which is an advantage of using a filter distal protection device during endovascular protection?
• A Waterhammer Pulse is caused by which valvular disease?
• Which vascular closure device uses a collagen plug to seal the arteriotomy?
• Which type of valvuloplasty requires a transseptal puncture?
• Transcatheter Aortic Valve Replacement (TAVR) primarily relieves what in severe aortic stenosis?
• Which condition is an absolute contraindication for intra-aortic balloon counterpulsation?
• Which statement BEST describes the threshold for a temporary pacemaker?
• Which balloon catheter is used to treat fibrotic plaque and neo-intimal hyperplasia?
• Which vascular closure device has a self-tightening suture?
• Which action helps reduce the risk of hypoxia during suctioning?
• The Barbeau test is used to evaluate radial artery patency after radial sheath removal and compression device.
• What is the term for the minimum electrical impulse required to capture cardiac tissue?
• Which vessel diameter would have the highest restenosis rate?
• Excimer lasers are primarily used to treat which lesions?
• Which imaging modality is used to confirm stent apposition by directly visualizing the vessel wall?
• Which item would NOT typically be included in the procedural setup for a pacemaker/ICD implant?
• What is the electrical current that determines the number of protons generated by an x-ray tube called?
• What is the initial dose range for Midazolam for procedural sedation?
• The subclavian vein is the continuation of which vein?
• During transseptal puncture, the needle is typically directed toward which region of the interatrial septum?
• Which temporary pacemaker adjustment would change the unit from the demand mode to the asynchronous mode?
• Which pacing method requires external pacing pads?
• Which emergency equipment should be readily accessible during a cardiac catheterization procedure?
• The term 'standard precautions' refers to which concept?
• A rigid catheter is used to access which of the following sites?
• The Starclose closure device uses which mechanism?
• Which measurement is used to assess flow reserve by comparing pressures across a coronary lesion?
• Which of the following lists valid vascular access options for a left femoral artery intervention?
• Which imaging modality is NOT typically used to diagnose aortic insufficiency?
• In Orbital Atherectomy, where does the burr reside?
• Which parameter is a non-specific inflammatory marker used in vasculitis testing?
• What French size corresponds to a 1.5 mm rotational atherectomy burr?
• Which parameter in the vasculitis test panel serves as a marker of systemic inflammation?
• Which statement about scoring balloon catheters is true?
• An implanted prosthetic valve is visible in the image. In which heart valve position is it located?
• Which interpretation best matches the ECG in the image?
• Which imaging modality is most commonly used to visualize coronary arteries during PCI?
• Which imaging modality is used to confirm proper stent apposition?
• In TIMI grading, which grade indicates no perfusion?
• What type of imaging is MOST COMMONLY used during PFO closures?
• Which device is used to seal flow-limiting dissections or aneurysms in coronary arteries?
• Which complication is associated with mechanical cardiac valves?
• Which type of angina is caused by vasospasm and often occurs at rest?
• What is used to induce maximal hyperemia during FFR measurement?
• Which combination of symptoms characterizes cardiogenic shock?
• Which closure device uses a nitinol clip mechanism?
• Which balloon characteristic describes its ability to yield to changes in pressure?
• Which category of drugs is used for peripheral thrombectomy?
• What is the recommended management for peripheral extravasation of IV medication?
• Why is rapid ventricular pacing used during an aortic balloon valvuloplasty?
• During balloon angioplasty, which balloon is specifically designed to score the lesion?
• Which scenario is an indication to place a vena cava filter?
• What lab test is used to validate the effects of protamine sulfate?
• Which sign is most characteristic of a vasovagal response?
• Which device is used to macerate/break down a clot during thrombectomy procedures?
• What is an absolute contraindication for the use of intra-aortic balloon counterpulsation?
• OTW PTA size notation represents which dimensions?
• Which imaging modality is commonly used to diagnose Aortic Insufficiency?
• Prior to deploying a vascular closer device in the femoral artery, which angiographic view should be used to visualize the femoral artery bifurcation?
• The Mynx vascular closure device closes by which mechanism?
• During rapid loss of balloon pressure on a non-compliant balloon, what should be done first?
• Which is an initial sign of retroperitoneal bleed?
• Which condition would invalidate FICK cardiac output results?
• What type of catheter is used for a thrombectomy?
• During aortic balloon valvuloplasty, rapid ventricular pacing primarily serves to:
• Which of the following is NOT among the four commonly listed radial complications?
• Which of the following is a complication commonly associated with vascular closure devices?
• A 1.66 mm diameter sheath is equivalent to which French size?
• The 12-lead ECG shows elevation in which leads?
• Which view provides the best visualization of the most lateral wall of the left ventricle?
• Which vasculitis test parameter is a classic marker of inflammation?
• What is the typical anatomical position of the kidneys relative to the spine?
• Which medications are used to pre-treat a patient with a history of contrast allergies?
• Which of the following is a GP IIb/IIIa inhibitor?
• Which of the following is a contraindication for rotational atherectomy?
• What is the desired hemodynamic effect of an intra-aortic balloon counterpulsation?
• Which imaging modality uses intravascular ultrasound to visualize vessel walls?
• Which cardiac condition is associated with longer femoral artery hemostasis hold time?
• Which device is commonly used to retrieve thrombus by occluding and removing clots during vascular procedures?
• Which statement about rotational atherectomy devices is true?
• Which catheter is commonly used to engage the left internal mammary artery during angiography?
• Which closure device uses a PEG hydrogel plug mechanism?
• In CRT, the LV pacing lead is delivered via which venous structure?
• Which parameter in the vasculitis test panel is commonly used to assess coagulation status?
• What is the most common complication during an endomyocardial biopsy?
• Which atherectomy catheters shave and sand away plaque?
• What is the primary therapeutic reason for using rotational atherectomy as an adjunctive therapy for PCI?
• What TIMI grade represents complete perfusion?
• Which of the following is associated with in-stent restenosis?
• When intervening in the mid/distal right leg from a radial approach, which guidewire size and length is preferred?
• In a standard 12-lead ECG, which myocardial wall is represented in leads V3 and V4?
• A cutting balloon should be left inflated for how many seconds at nominal pressure to score the lesion?
• Which drug is MOST commonly used for sedation during a cardiac catheterization?
• What catheter could be used as an alternative for LIMA angiography?
• Which myocardial region is most likely affected by a significant right coronary artery stenosis?
• Which vessel is bypassed in the angiographic image?
• Which item is specifically used to verify patient identity before a procedure?
• ______ is used to reduce the cavitation effect and expanding gas bubbles inside the artery during laser atherectomy procedures.
• Which vasculitis test parameter is commonly used as a point-of-care coagulation monitor?
• Which imaging modality helps assure good stent apposition during PCI?
• During x-ray production, photons are emitted from which part of the tube?
• Distal filter should be placed at what distance from the lesion?
• Bivalirudin is which type of antithrombotic agent?
• Which of the following is NOT a commonly used access site for right ventricular biopsy?
• The Perclose vascular closure device closes by which mechanism?
• Which item is essential to verify patient identity before any invasive procedure?
• Which formula is commonly used to estimate mean arterial pressure from systolic and diastolic pressures?
• Which drug category is used for peripheral thrombectomy?
• Door-to-balloon time for STEMIs should be within how many minutes?
• Activated clotting time is used to assess the effects of which medication during procedures?
• Which blood chemistry value is used to determine the amount of contrast used in an angiographic procedure?
• What is the calculated Systemic Vascular Resistance (SVR) given the following values? CO = 5.23 L/min; AO mean = 100; RA mean = 4.
• Which catheter is primarily used for right heart procedures?
• The device that converts x-rays into visible light in fluoroscopic imaging is the...
• Which of the following should be considered for radial artery spasm during sheath removal?
• Initial dosage for Midazolam (Versed)?
• In the AP projection, which structure is the most posterior?