Alex Final Review

Question 0

On a standard/average size patient, what would you use for a right coronary angiogram?

Answer 0

JR4

Question 1

On a standard/average size patient, what would you use for left coronary angiogram?

Answer 1

JL4

Question 2

On an average/standard size patient, what catheter would you use for a patient with a distended aorta?

Answer 2

A catheter larger than a JL4

Question 3

OM is a branch off of what vessel?

Answer 3

CX

Question 4

Diagonal is a branch off of what artery?

Answer 4

LAD

Question 5

What comes off of the RCA?

Answer 5

marginals

Question 6

What kind of catheters can engage into the RCA?

Answer 6

Williams right, amplatz right, JR4

Question 7

What angle would be preferable to engage into the ostium of the right or left coronary artery?

Answer 7

LAO

Question 8

Which view is preferable to cross into the aorta valve?

Answer 8

Choose RAO

Question 9

Radiation safety

Answer 9

Time
distance
shielding

Question 10

Thermal dilution catheter - Swan Ganz CO is normally accomplisbed with injection of cool or iced saline into the ______, while the thermister measures blood temp in the _____.

Answer 10

RA, PA

Question 11

For a pressure transducer to be accurately zeroed and calibrated it must be?

Answer 11

Open to air

Question 12

On the second day of PA catheter monitoring and RV waveform is observed from the distal catheter port. What do you need to do?

Answer 12

Inflate the balloon 1.5mm of air and advance the catheter.

Question 13

The normal blood O2 in the right heart is?

Answer 13

70-80%

Question 14

In Swan Ganz catheter, pullback waveform will be?

Answer 14

PCWP, PA, RV, RA

Question 15

Swan Ganz is usually inserted using what?

Answer 15

a Sheath, which is inserted using the seldinger technique

Question 16

Pressure sequence of swan ganz that is RV, PA, PCW is?

Answer 16

advance

Question 17

What kind of catheter do you need to perform thermal dilution output?

Answer 17

Swan Ganz

Question 18

Wires that can be used with Swan Ganz are:

Answer 18

J tip .035” 145cm wire
J tip .021” 150cm wire
J tip .021” 260cm wire
J tip .025” 260cm wire

Question 19

Grossman recommends passing the right heart catheter from RA to RV by gentle forward and backward motion and clockwise rotation of the catheter, while the pt takes a deep breath. If these manuvers fail to pass the tricuspid valve after several attempts Grossman recommends:

Answer 19

insertion of J tip guide wire through the catheter

Question 20

1 French size is equal to ____

Answer 20

0.33mm

Question 21

Guide wire diameters are usually measured in?

Answer 21

thousandths of inches

Question 22

Interventional guide catheters have ______ inner diameter and are more _____ ________ than diagnostic.

Answer 22

larger inner diameter and are more kink resistant

Question 23

Scalpels?

Answer 23

10 - large curve, for large skin incisions
11 - pointed blade
12 - hooked “eagle beak” for fine slicing
15 - small curve, for smaller skin incisions

Question 24

French size and colors?

Answer 24

6F Green 2.0mm 7F Orange 2.3 8F Blue 2.64

Question 25

What needle is used for deep tissue infiltration with local anesthetic before sheath?

Answer 25

22G

Question 26

What is the inner diameter of a 10F sheath?

Answer 26

3.3mm 10 * .33 =3.3mm

Question 27

What can fit in a 6F sheath?

Answer 27

6F or smaller. ie. 4F, 5F

Question 28

Manifold: from distal to proximal

Answer 28

``` Distal end: pt side (male end) Transducer Saline (waste bag) contrast Proximal end: Control Syringe (female end) ```

Question 29

Interventional guiding catheter layers are:

Answer 29

Outside: hydrophilic middle: mesh, PU (polyurethane), braided steel, or kevlar fibers Inside: Teflon -because it is low abrasive for the guide catheters to go through it

Question 30

Curve of Jedkins Left Coronary catheter is measured:

Answer 30

from primary to secondary

Question 31

Universal presautions in emergency situations:

Answer 31

ALL body fluids of all patients are considered infectious

Question 32

During catheterization you feel resistance, what do you do?

Answer 32

you stop and tell physician you feel resistance

Question 33

Preferable view for coronary arteries engagement is?

Answer 33

LAO

Question 34

The outer diameter of the 6F diagnostic catheter is?

Answer 34

2.0mm

Question 35

Diagnostic catheters have _______ diameter and are _______ to kink than interventional catheters.

Answer 35

smaller diameter and are easier to kink

Question 36

When do you need to flush the sheath?

Answer 36

after sheath insertion every 3 minutes if not in use after each catheter

Question 37

Radiation safety is:

Answer 37

everyones responsibility

Question 38

Pt has atherosclerotic calcified plaque in abdominal aorta. The best way to switch one diagnostic catheter for another one is to:

Answer 38

exchange over the wire

Question 39

Guide wire diameter are usually measured in?

Answer 39

thousandth of inches

Question 40

What chemical element in contrast makes it radiopaque (visible) to xray?

Answer 40

iodine

Question 41

Catheter trackability to follow the guide wire through the?

Answer 41

vascular anatomy

Question 42

During attempt to get femoral arterial access, non pulsatile dark blood appears from a seldinger needle. Visualized on the right side of the vertibral column. Physician got access into:

Answer 42

vein

Question 43

There is an opened sheath on the table. You can not see the sheath on the side arm and blue hub. Probably the inner diameter of this sheath is:

Answer 43

2.64mm