RCES

Question 1

What is the ion responsible for cardiac depolarization?

Answer 1

Soidium (Na+)

Question 2

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

Answer 2

Calcium (Ca+)

Question 3

What Xray position shows halo catheter in clock face view?

Answer 3

LAO 30

Question 4

What step is the sterile package flap opened towards you?

Answer 4

Last

Question 5

Name 3 important handoff details.

Answer 5

History and physical
complications
patient mental status and procedure results

Question 6

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?

Answer 6

RBBB, verified in LAO

Question 7

Quinidine is part of what antiarrhythmic drug class?

Answer 7

Class Ia

Question 8

Lidocaine is part of what antiarrhythmic drug class?

Answer 8

Class IV

Question 9

Flacanide is part of what antiarrhythmic drug class?

Answer 9

Class Ic

Question 10

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

Answer 10

0.5 mV

Question 11

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

Answer 11

Pseudoaneurysm

Question 12

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

Answer 12

Pseudoaneurysm

Question 13

What arrhythmia is induced by exercise and post exercise?

Answer 13

Brugadas syndrome

Question 14

What is the best view for RV catheter?

Answer 14

RAO 30

Question 15

What reverses benzodiazepines?

Answer 15

flumazil

Question 16

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

Answer 16

INR needs to be checked

Question 17

What is the range for the intraprocedure ACT ?

Answer 17

300 - 400 sec

Question 18

When would we difibrillate a patient?

Answer 18

unstable polymorphic VT

Question 19

When would we defibrillate a patient?

Answer 19

unstable polymorphic VT

Question 20

What would cause an increase in lead impedence?

Answer 20

Conductor fracture

Question 21

What would cause an increase in lead impedence?

Answer 21

Conductor fracture

Question 22

What does ACT stand for?

Answer 22

Activated clotting time

Question 23

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

Answer 23

15 f/s

Question 24

What is the optimal cryoablation temperature?

Answer 24

-65 degrees VS 4 min freeze

Question 25

What should you look for when pulling an arterial sheath?

Answer 25

a faint distal pulse

Question 26

Where would the transseptal needle be placed for transseptal access?

Answer 26

fossa ovalis

Question 27

What is a contraindication to a transseptal puncture?

Answer 27

dilated ascending aorta

Question 28

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

Answer 28

hyperventilation

Question 29

if H increases, what happens to the pH?

Answer 29

Increases

Question 30

How would you convert BPM to msec?

Answer 30

60 000 / BPM

Question 31

Define: ERP

Answer 31

longest coupling interval that fails to conduct

Question 32

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

Answer 32

Left sided accessory pathway

Question 33

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

Answer 33

Chlorahexadine

Question 34

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

Answer 34

Check BUN, creatinine and GFR, BUN/creatinine ratio

Question 35

What type of access is non-pulsatile?

Answer 35

venous access

Question 36

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

Answer 36

Physician's orders

Question 37

When should time out begin?

Answer 37

beginning of the procedure

Question 38

What is Ohm's law?

Answer 38

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

Question 39

What is a MSDS and what is it used for?

Answer 39

Material Safety Data sheet for chemical information in lab

Question 40

What is the angioplasty term for stretch?

Answer 40

compliance

Question 41

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

Answer 41

non-compliant balloon

Question 42

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

Answer 42

verify patient procedure surgical site

Question 43

What medication is given for SVT?

Answer 43

Adenosine

Question 44

What medication is given for TTT?

Answer 44

Isoproternol

Question 45

Other than pain what can morphine be given for?

Answer 45

vasodilation

Question 46

What does flacainide do to cardiac thresholds?

Answer 46

increases

Question 47

What is the most anterior chamber?

Answer 47

right ventricle

Question 48

What location would be prepped for pericardiocentesis?

Answer 48

subxyphoid

Question 49

What would be set the threshold for a pacemaker?

Answer 49

pacing threshold x2

Question 50

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

Answer 50

inguinal

Question 51

What allows for RA to LA conduction?

Answer 51

Bachmann's bundle

Question 52

Who can sign consent if the patient is sedated?

Answer 52

family

Question 53

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

Answer 53

aspirate and flush the sheath

Question 54

What electrode is positive?

Answer 54

Anode

Question 55

What is the best defense against infection?

Answer 55

Handwashing

Question 56

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

Answer 56

MADIT II

Question 57

When would we use DFT ?

Answer 57

patient taking amiodarone for new-onset AFib

Question 58

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

Answer 58

close to the SA node

Question 59

What is the highest cSNRT?

Answer 59

550 msec

Question 60

How long should an exchange guidewire be?

Answer 60

long enough to fit the length of the catheter

Question 61

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

Answer 61

DDDR

Question 62

What is the Wedensky effect?

Answer 62

lowered threshold of excitability induced | by a strong stimulus

Question 63

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

Answer 63

lowers the threshold of the myocardium

Question 64

What equipment is used for a pericardiocentesis?

Answer 64

sterile table and echo tech

Question 65

Where would you prep for a pericardiocentesis?

Answer 65

subxyphoid

Question 66

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

Answer 66

high mA output

Question 67

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

Answer 67

Raise PT's head

Question 68

What is the equation for pulse pressure?

Answer 68

pulse pressure = systolic-diastolic

Question 69

ETCO2 measure what?

Answer 69

COs expelled

Question 70

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

Answer 70

turn patient to side

Question 71

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?

Answer 71

Intrinsic Activity/Rhythm

Question 72

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

Answer 72

Dual chamber ICD

Question 73

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

Answer 73

LAO 30

Question 74

What returns oxygenated blood to the LA?

Answer 74

PV

Question 75

Where does the CS return deoxygenated blood?

Answer 75

RA

Question 76

What is the antagonist to heparin?

Answer 76

Protamine

Question 77

What is the therapeutic INR?

Answer 77

2.1-4

Question 78

What is the body's normal pH?

Answer 78

7.35

Question 79

What is the ACT range for a transseptal puncture?

Answer 79

250-350 sec

Question 80

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

Answer 80

6'= 72'' * 2.54 = 189 cm

Question 81

What is the length of an exchange wire?

Answer 81

300 cm

Question 82

A holter monitor is used to assess what?

Answer 82

frequency and severity of arrhythmias