Practice Cumulative Quarterly Exam i
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| The most serious complication associated with incompetent operation of the power injector is | air embolism
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| Mucomyst (Acetylcysteine) is administered orally prior to cath to: | Renal failure patients
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| On the morning of cardiac cath, insulin dependent diabetics are kept NPO and administered | Half dose insulin
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| Your patient, Ms. Claire Voyant, a fortune teller from Ecorse, is allergic to lidocaine. What alternative can be used for local anesthesia? | Bupivacaine
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| Your pt receives a transvenous pacemaker. The measurements that you document regarding voltage, amperage and resistance are called: | Thresholds
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| 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
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| Ethylene Oxide gas is used for | Sterilizing plastic or rubber supplies which cannot be steam autoclaved
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| Resection with end to end anastomosis is the treatment for: | Coarctation of the aorta
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| Eisenmenger's Syndrome is treated by: | Heart and Lung Transplant
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| 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
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| 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
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| 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
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| 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
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| Clubbing of the fingers is associated with: Mitral valve prolapse; cyanotic heart disease; acynotic heart disease; Marfan's Syndrome; Dextrocardia | Cyanotic Heart Disease
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| The fish mouth appearance of stenotic mitral valves comes from: | Fusion of the commisures
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| In severe aortic stenosis the EKG shows: P mitrale; Atrial flutter; LV Hypertrophy; Wenkebach ; prolonged QT interval | LV Hypertrophy
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| In cardiogenic shock activation of the Renin Angoitensin Aldosterone System results in: | Retention of Sodium and water
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| Mediastinal widening at the transvers sinus of the pericardium suggests | Aortic Aneurysm
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| Valve doming with distal chamber enlargement is associated with: | Valvular stenosis
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| Sydenham's Chorea, erythema marginatum, fever, endocarditis and arthritis are all features of: | Rheumatic fever
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| Reactive pulmonary hypertension is a complication of chronic untreated: | Mitral Stenosis
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| 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
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| 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
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| HOCM is most similar in its effects to what other cardiac pathology: aortic stenosis, aortic regurgitation; pericarditis; mitral stenosis; atrial septal defect | aortic stenosis
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| "Water hammer pulse" de Musset's sign (head bobbing) and Quincke's sign (Pulsations in the fingernail bed) are all suggestive of: | aortic regurgitation
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| 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
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| The cause of 25% of all deaths in the United States is: | AMI (Acute Myocardial Infarction)
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| In an artery with 50% stenosis, blood flow is reduced by: | 15/16
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| 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
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| 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
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| 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
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| 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
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| 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
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| What is the normal range of adult body surface area | 2-3 meters squared
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| The Stewart Hamilton equation is a formula for calculating | Cardiac output by indicator dilution
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| 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
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| 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
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