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ICVT senior Quarterl

Practice Cumulative Quarterly Exam i

QuestionAnswer
The most serious complication associated with incompetent operation of the power injector is air embolism
Mucomyst (Acetylcysteine) is administered orally prior to cath to: Renal failure patients
On the morning of cardiac cath, insulin dependent diabetics are kept NPO and administered Half dose insulin
Your patient, Ms. Claire Voyant, a fortune teller from Ecorse, is allergic to lidocaine. What alternative can be used for local anesthesia? Bupivacaine
Your pt receives a transvenous pacemaker. The measurements that you document regarding voltage, amperage and resistance are called: Thresholds
You are first scrub assistant on a a diagnostic left heart cath. The cardiologist, Dr. Charles Munson tells you to "pin the wire". This means: Hold the end of the wire securely while the doctor continues to advance the catheter
Ethylene Oxide gas is used for Sterilizing plastic or rubber supplies which cannot be steam autoclaved
Resection with end to end anastomosis is the treatment for: Coarctation of the aorta
Eisenmenger's Syndrome is treated by: Heart and Lung Transplant
Which of the following is characterized by a systolic gradient? Pulmonic Stenosis; Cor Triatrium; Total Anomolous Pulmonary Venous Return; Glycogen Storage Disease; Dextrocardia Pulmonic Stenosis
Which of the following may be useful in diagnosing coarctation of the aorta? Digital subtraction angiography; blood pressure by cuff on all 4 extremities; magnetic resonance imaging; sixteen slice multidirectional CT scan; all of the above All of the above
Your pt 18 yo Billy Buttons presents with SOB upon exertion, saturations at catheterization are SVC: 65%; IVC 80%; RA 78%; PA 78%; PCW99%; AO98%. These findings are consistent with: Partial anomalous Pulmonary venous return
A prolonged P-R interval is often found on the ECG in: Congenital bicuspid aortic valve; pulmonic stenosis; cortriatrium; ebstein's anomaly; pectus carinatum Ebstein's Anomaly
Clubbing of the fingers is associated with: Mitral valve prolapse; cyanotic heart disease; acynotic heart disease; Marfan's Syndrome; Dextrocardia Cyanotic Heart Disease
The fish mouth appearance of stenotic mitral valves comes from: Fusion of the commisures
In severe aortic stenosis the EKG shows: P mitrale; Atrial flutter; LV Hypertrophy; Wenkebach ; prolonged QT interval LV Hypertrophy
In cardiogenic shock activation of the Renin Angoitensin Aldosterone System results in: Retention of Sodium and water
Mediastinal widening at the transvers sinus of the pericardium suggests Aortic Aneurysm
Valve doming with distal chamber enlargement is associated with: Valvular stenosis
Sydenham's Chorea, erythema marginatum, fever, endocarditis and arthritis are all features of: Rheumatic fever
Reactive pulmonary hypertension is a complication of chronic untreated: Mitral Stenosis
Severe aortic stenosis can cause angina in the absence of CAD due to: widened pulse pressure reducing O2 supply; rapid HR reducing O2 supply; LVH resulting in O2 demand exceeding O2 supply; reversal of the usual o2- CO2 gradient in muscle LVH Resulting in Oxygen demand exceeding oxygen supply
Your pt Mr. Boyce N. Berry, has developed symptoms of aortic stenosis including syncope, angina, paroxysmal nocturnal dyspnea. Untreated the likely outcome is: sudden death from ventricular fibrillation within 3 years
HOCM is most similar in its effects to what other cardiac pathology: aortic stenosis, aortic regurgitation; pericarditis; mitral stenosis; atrial septal defect aortic stenosis
"Water hammer pulse" de Musset's sign (head bobbing) and Quincke's sign (Pulsations in the fingernail bed) are all suggestive of: aortic regurgitation
Intra-aortic balloon counterpulsation would be harmful in which of the following conditions?: Mitral regurgitation; Aortic Stenosis; Aortic Aneurysm; Aortic regurgitation; C & D Aortic Aneurysm and aortic regurgitation
The cause of 25% of all deaths in the United States is: AMI (Acute Myocardial Infarction)
In an artery with 50% stenosis, blood flow is reduced by: 15/16
Your Pt Ms. Angela Devlin, has an anomalous communication between the RCA and the RA. This is a type of a/an: A-V fistula
Your Pt Dr. Pluto Zorbette has a totally occluded mid RCA but has developed bridging collaterals with antegrade flow around the total occlusion. The angiographic appearance of the phenomenon is sometimes described as: Capet Medusa
Your PT Miss Ginger Vitas a dental hygienist from Midland had a sudden inflammatory arteritis of unknown etiology which left her left coronary artery system diffusely aneurysmal. This pathology is most likely: Kawasaki's Disease; Hashimoto's Disease Kawasaki's Disease
Your PT Mr. Duncan Hoops, has undergone EBCT which resulted in a CA score of < 300. His BP often reaches 200/100. An angiogram reveals a flap of tissue partially occluding the proximal portion of a large dominant LCX. This finding most likely indicates: A spontaneous coronary artery dissection
Pressure tubes connect the fluid filled catheter to the pressure transducer. Which tube below will have the poorest frequency response?: 50cm long soft small diameter; 50cm long stiff large diameter; 100cm long soft small diameter; 100cm long stiff large 100cm long soft small diameter pressure tube
What is the normal range of adult body surface area 2-3 meters squared
The Stewart Hamilton equation is a formula for calculating Cardiac output by indicator dilution
Your PT Mr. Lon Dury, has an indwelling Swan Ganz catheter. A cardiac pressure recording made with a transducer draped over an IV pole at a level 25cm above the PTs mid chest level will record readings that are: 20mmHg too low
The following readings RA = 0, RV = 10/0/3, PA = 10/5/7, PCW = 5, LV = 80/0/5, AO = 80/50 are most consistent with hypovolemia
Created by: ICVT2b
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