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Refresher Quiz 2

Total questions: 145

Worksheet time: 2hrs 36mins

Name
Class
Date
1.

What is the definition of Cardiac Catheterization?

a)

The surgical repair of heart valves

b)

The insertion and passage of small plastic tubes (catheters) into arteries and veins to the heart to obtain x-ray images and measure pressures

c)

The use of ultrasound to visualize heart structures

d)

A procedure to remove fluid from the pericardial sac

2.

After donning sterile attire, what is the standard buffer that should be maintained between the sterile area and non-sterile objects/field?

a)

Greater than 1 inch

b)

Less than 1 foot

c)

No less than 1 foot

d)

Greater than 2 inches

3.

True or False: In a surgical hand scrub, each arm can be washed and rinsed simultaneously.

a)

True

b)

False

4.

How long should a proper surgical hand scrub last?

a)

2-5 minutes

b)

3-5 minutes

c)

4-7 minutes

d)

5 minutes exactly

5.

What does REM stand for and what is the maximum dose one can receive in a year?

a)

Roentgen Equivalents Man; 2.5 REM per year

b)

Radiation Exposure Measure; 5 REM per year

c)

Roentgen Equivalents Man; 5 REM per year

d)

Radiation Equivalent Man; 10 REM per year

6.

Which precautions are a standard set of guidelines to prevent the transmission of bloodborne pathogens from exposure to blood and other potentially infectious materials?

a)

Contact Precautions

b)

Universal Precautions

c)

Airborne Precautions

d)

Droplet Precautions

7.

Standard precautions apply to which of the following? (Select all that apply)

a)

1. All patients, irrespective of disease state

b)

2. Sweat

c)

3. Non-intact skin

d)

4. Mucous membranes

e)

5. All body fluids, secretions, and excretions (except sweat)

8.

Why do CVTs wear lead aprons?

a)

To protect from primary radiation

b)

To protect from secondary (scatter) radiation

c)

To protect from thermal injury

d)

To maintain sterility

9.

Where should radiation badges be worn when wearing protective aprons and why?

a)

Inside the apron at waist level

b)

Outside the apron at the thyroid collar on the side closest to the image intensifier

c)

Inside the apron at chest level

d)

On the back of the apron

10.

True or False: Secondary radiation is an unattenuated beam from the X-ray tube.

a)

True

b)

False

11.

Explain the Inverse Square Law.

a)

The intensity is directly proportional to the distance

b)

The intensity is inversely proportional to the square of the distance; if moved twice as far away, the object receives one-quarter of the radiation

c)

If moved twice as far away, the object receives half the radiation

d)

Distance has no effect on radiation intensity

12.

Which precautions are used for patients with known/suspected infection spread by direct and indirect patient contact?

a)

Airborne

b)

Droplet

c)

Contact

d)

Standard

13.

Which precautions are used for pathogens spread by respiratory secretions suspended in the air for limited time periods?

a)

Airborne

b)

Droplet

c)

Contact

d)

Universal

14.

Which precautions are used for pathogens spread by dust particles containing the infectious agent?

a)

Airborne

b)

Droplet

c)

Contact

d)

Standard

15.

Identify the correct sequence of steps for gaining radial arterial access.

1. Insert sheath/dilator over wire

2. Insert the access needle with the beveled end facing up until a bleed back is observed

3. Numb the targeted access site subcutaneously

4. Insert access (J-wire) into the hub of the needle, thread up the artery, and remove the needle

5. Remove dilator & access wire, flush sheath

a)

3,2,4,1,5

b)

1,2,3,4,5

c)

2,3,5,1,4

d)

3,2,1,4,5

16.

When obtaining femoral access, at what angle should the access needle be inserted?

a)

50-65 degrees

b)

30-45 degrees

c)

45-65 degrees

d)

20-30 degrees

17.

One French (1 Fr) size is equal to how many millimeters?

a)

1 mm

b)

0.5 mm

c)

0.33 mm

d)

3 mm

18.

When pulling an arterial sheath, how long should pressure be held per French size?

a)

1-2 minutes

b)

2-3 minutes

c)

3-5 minutes

d)

5-10 minutes

19.

Where should one hold pressure when pulling an arterial sheath versus a venous sheath?

a)

Arterial: Below access site; Venous: Above access site

b)

Arterial: Above access site; Venous: Below access site

c)

Both: Directly on the site

d)

Arterial: Above access site; Venous: Above access site

20.

Which of the following can be evaluated during a left heart cath? (Select all that apply)

a)

1. Aortic Pressure

b)

2. Right Ventricle Pressure

c)

3. Left Ventricle

d)

4. Left Coronary Artery

e)

5. Right Coronary Artery

21.

Where is the femoral vein located in relationship to the femoral artery?

a)

Lateral

b)

Medial

c)

Anterior

d)

Posterior

22.

What is the standard left coronary catheter for performing femoral approach angiography?

a)

JL4

b)

3DRC

c)

JR 4

d)

Pigtail

23.

Which artery is located on top of the foot and used for distal pulse assessment prior to cardiac catheterization?

a)

Posterior Tibial

b)

Popliteal

c)

Dorsalis Pedis

d)

Radial

24.

What is the greatest radiation hazard to cath lab personnel and what is the biggest source of this?

a)

Primary beam; X-ray tube

b)

Scatter radiation; Patient

c)

Leakage; Image intensifier

d)

Secondary radiation; Lead apron

25.

Which distal pulse(s) are routinely assessed before a percutaneous femoral approach? (Select all that apply)

a)

1. Radial

b)

2. Popliteal

c)

3. Dorsalis pedis

d)

4. Ulnar

e)
  1. 5. Posterior tibial

26.

In a Reverse Barbeau's test, where is the pulse oximetry placed and why?

a)

On the index finger to test radial patency

b)

On the thumb to assess patency of the radiopalmar arch

c)

On the pinky to test ulnar patency

d)

On the toe to test pedal flow

27.

What is the optimal catheter for left ventricular angiography?

a)

3DRC

b)

Pigtail

c)

JR4

d)

AL2

28.

What are the standard femoral approach catheters for a left heart cath? (Select all that apply)

a)

1. JL4

b)

2. Pigtail

c)

3. JR4

d)

4. Multipurpose

29.

What does ACLS stand for?

a)

Advanced Cardiac Life Support

b)

Advanced Cardiovascular Life Support

c)

American Cardiovascular Life Support

d)

Acute Coronary Life Support

30.

The main organs involved in excretion are?

a)

Liver and Lungs

b)

Kidneys and Liver

c)

Skin and Kidneys

d)

Intestines and Spleen

31.

What does ANS stand for?

a)

Anterior Nervous System

b)

Autonomic Nervous System

c)

Automatic Neural System

d)

Advanced Neural Support

32.

What labs are used to assess kidney function?

a)

PTT, ABG, Cr

b)

Hgb, Cr, GFR

c)

Hct, CrCl, Cr

d)

GFR, Cr, CrCl

33.

What relates to the relationship between preload and contractility and directly connects to cardiac output?

a)

End Diastolic Volume

b)

Pulmonary Capillary Wedge Pressure

c)

Frank Starling's Law

d)

Cardiac Index

34.

Label the stages of pharmacokinetics in the correct numerical order.

a)

Absorption, Metabolism, Distribution, Elimination

b)

Absorption, Distribution, Metabolism, Elimination/Excretion

c)

Distribution, Absorption, Metabolism, Elimination

d)

Metabolism, Absorption, Elimination, Distribution

35.

Match the medication class to its mechanism of action or focus.

1. Class I

2. Class II

3. Class III

4. Class IV

A) Potassium Blockers

B) Calcium Channel Blockers

C) Sodium Channel Blockers

D) Beta Blockers

a)

1= C (Sodium) 2 = D (Beta Blockers) 3 = A (Potassium) 4 = B (Calcium)

b)

1 = D (Beta Blockers) 2 = A (Potassium) 3 = C (Sodium) 4 = B (Calcium)

c)

1 = C (Sodium) 2 = D (Beta Blockers) 3 = B (Calcium) 4 = A (Potassium)

d)

1 = A (Potassium) 2 = B (Calcium) 3 = C (Sodium) 4 = D (Beta Blockers)

36.

What do LOCM and HOCM stand for, and which is better for the patient?

a)

Low Osmolar Contrast Media (better) and High Osmolar Contrast Media

b)

Large Osmolar Contrast Media and High Osmolar Contrast Media (better)

c)

Low Osmolar Contrast Media (better) and Heavy Osmolar Contrast Media

d)

Light Osmolar Contrast Media and High Osmolar Contrast Media (better)

37.

Which of the following are characteristics of contrast agents? (Select all that apply)

a)

Hydrophilicity

b)

Viscosity

c)

Osmolality

d)

Iodine Concentration

38.

Match the contrast complication to its correct reaction level (Mild, Moderate, Severe).

1. Flushing

2. Vomiting

3. Death

4. Hypotension

5. Urticaria

6. Headache

7. Arrhythmias

a)

1-Moderate, 2-Moderate, 3-Severe, 4-Severe, 5-Mild, 6-Moderate, 7-Mild

b)

1-Mild, 2-Moderate, 3-Severe, 4-Severe, 5-Mild, 6-Mild, 7-Severe

c)

1-Mild, 2-Moderate, 3-Moderate, 4-Severe, 5-Mild, 6-Mild, 7-Severe

d)

1-Mild, 2-Moderate, 3-Severe, 4-Severe, 5-Mild, 6-Moderate, 7-Severe

39.

How many cc's of fluid are contained in the pericardium?

a)

5-20cc

b)

15-50cc

c)

10-20cc

d)

10-30cc

40.

Using the proper medical abbreviation, which artery determines right versus left coronary dominance in the heart?

a)

LAD

b)

RCA

c)

PDA

d)

LCx

41.

Label the proper sequence of the electrical conduction of the heart.

1. SA Node

2. Internodal Pathways

3. AV Node

4. Bundle of His

5. Left & Right Bundle Branches

6. Purkinje Fibers

a)

1-SA Node, 2-AV Node, 3-Internodal Pathways, 4-Bundle of His, 5-Bundle Branches, 6-Purkinje Fibers

b)

1-SA Node, 2-Internodal Pathways, 3-AV Node, 4-Bundle Branches, 5-Bundle of His, 6-Purkinje Fibers

c)

1-SA Node, 2-Internodal Pathways, 3-AV Node, 4-Bundle of His, 5-Bundle Branches, 6-Purkinje Fibers

d)

1-Purkinje Fibers, 2-Internodal Pathways, 3-AV Node, 4-Bundle of His, 5-Bundle Branches, 6-SA-Node

42.

True or False: Systemic capillary beds are where blood is received and O2 exchange occurs.

a)

True

b)

False

43.

What are anticoagulants?

a)

Drugs that inhibit clot formation by targeting phase 1 of the clotting cascade

b)

Drugs that breakdown thrombus

c)

Drugs that work against clot formation by reducing the blood's ability to clot

d)

Drugs that increase platelet aggregation

44.

What are antiplatelets?

a)

Drugs that inhibit clot formation by targeting phase 2 of the clotting cascade

b)

Drugs that inhibit clot formation by targeting phase 1 of the clotting cascade

c)

Drugs that breakdown clots

d)

Drugs that act as thrombin inhibitors

45.

Are antiplatelets and thrombin inhibitors considered anticoagulants?

a)

No, they are different classes entirely

b)

Yes, because overall they inhibit successful clot formation

c)

Only thrombin inhibitors are anticoagulants

d)

Only antiplatelets are anticoagulants

46.

Which of the following are examples of antiplatelets? (Select all that apply)

a)

Aspirin

b)

Aggrastat (Tirofiban)

c)

Effient (Prasugrel)

d)

Integrilin (Eptifibatide)

47.

What are thrombin inhibitors?

a)

Drugs that target phase 1 of clotting

b)

Drugs that breakdown thrombus

c)

AKA antithrombins; drugs that inhibit clot formation by targeting phase 2 of the clotting process

d)

Drugs that prevent platelet aggregation

48.

Which of the following are examples of thrombin inhibitors?

a)

Alteplase and Reteplase

b)

Aspirin and Plavix

c)

Angiomax (Bivalirudin), Heparin, Lovenox (Enoxaparin)

d)

Reopro and Effient

49.

What are thrombolytics?

a)

Drugs that inhibit phase 1 clotting

b)

Drugs that strive to breakdown thrombus

c)

Drugs that inhibit phase 2 clotting

d)

Drugs that increase blood viscosity

50.

Which of the following are examples of thrombolytics?

a)

Heparin and Angiomax

b)

Activase (Alteplase/tPA) and Retavase (Reteplase)

c)

Aspirin and Plavix

d)

Integrilin and Aggrastat

51.

What happens in Phase 1 of the clotting cascade?

a)

Thrombin converts fibrinogen to fibrin

b)

Prothrombin is activated and converted into thrombin; thrombin and platelets aggregate to form a porous platelet plug

c)

The clot is dissolved by plasmin

d)

Thrombin signals fibrinogen to convert to fibrin; fibrin reinforces the porous platelet plug to form a solid clot

52.

What happens in Phase 2 of the clotting cascade?

a)

Prothrombin is activated and converted into thrombin; thrombin and platelets aggregate to form a porous platelet plug

b)

Thrombin signals fibrinogen to convert to fibrin; fibrin reinforces the porous platelet plug to form a solid clot

c)

Platelets aggregate loosely

d)

Red blood cells are released

53.

Identify the examples of ARBs (Angiotensin II Receptor Blockers).

a)

Lisinopril and Enalapril

b)

Losartan (Cozaar) and Valsartan (Diovan)

c)

Metoprolol and Atenolol

d)

Amlodipine and Diltiazem

54.

59. Match the generic medication name to its trade name.

1. Sotalol

2. Diltiazem

3. Metoprolol

4. Integrilin

A) Lopressor

B) Eptifibatide

C) Betapace

D) Cardizem

a)

1-C, 2-A, 3-D, 4-B

b)

1-B, 2-D, 3-A, 4-C

c)

1-C, 2-D, 3-B, 4-A

d)

1-C, 2-D, 3-A, 4-B

55.

Match the anesthesia type to its definition.

1. Conscious Sedation

2. Local Anesthetic

3. General Anesthesia

A) Medication-induced reversible unconsciousness with loss of protective reflexes

B) Combination of meds (e.g., midazolam/fentanyl) for relaxation and pain relief during procedures

C) Medication injected into the skin to achieve numbness

a)

1-B, 2-A, 3-C

b)

1-B, 2-C, 3-A

c)

1-A, 2-C, 3-B

d)

1-C, 2-B, 3-A

56.

Methylprednisolone (Solu-medrol) is classified as what and used for what?

a)

Beta blocker; hypertension

b)

Corticosteroid; rapidly control severe allergic or respiratory conditions

c)

Opioid; pain relief

d)

Anticoagulant; blood thinning

57.

What drug binds to opioid receptors to alter pain perception and produce CNS depression?

a)

Naloxone

b)

Morphine

c)

Aspirin

d)

Lidocaine

58.

Regarding Naloxone: What is its trade name, classification, mechanism, and use?

a)

Narcan; Opioid Antagonist; Reverses opioid effects (respiratory depression); Treats overdose

b)

Narcan; Opioid Agonist; Enhances opioid effects; Treats pain

c)

Romazicon; Benzodiazepine Antagonist; Reverses sedation; Treats overdose

d)

Adrenaline; Sympathomimetic; Increases HR; Treats arrest

59.

Scenario: 92-year-old post-op patient on morphine is hard to arouse. BP 102/72, Resp 8, SpO2 86%. What are the priority actions? (Select all that apply)

a)

Insert Foley catheter

b)

Raise head of bed

c)

Increase IV fluid

d)

Administer oxygen

e)

Administer Naloxone

60.

When should Naloxone take effect, and when should respiratory status be reassessed?

a)

5 minutes; every hour

b)

Immediately; every 15 minutes

c)

10 minutes; every 30 minutes

d)

Immediately; every 5 minutes

61.

The Right Coronary Artery (RCA) supplies blood to which of the following? (Select all that apply)

a)

Left Atrium

b)

Right Ventricle

c)

Right Atrium

d)

Anterior surface of Left Ventricle

e)

Inferior surface of Left Ventricle

62.

What is the ultimate purpose of the cardiovascular system?

a)

To pump blood only

b)

To facilitate exchange of gases, fluid, electrolytes, large molecules, and heat between cells and the outside environment

c)

To maintain body temperature only

d)

To transport hormones only

63.

The _____ and the _____ ensure that adequate blood flow is delivered to organs for exchange to take place.

a)

Lungs, Kidneys

b)

Arteries, Veins

c)

Heart, Vasculature

d)

Brain, Heart

64.

Match the Cardiac Cycle Phase to its description (Valves, ECG, etc.):

1. Phase 1

2. Phase 2

3. Phase 3

4. Phase 4

5. Phase 5

6. Phase 6

7. Phase 7

Options:

A) Rapid Filling: AV Open, Semilunar Closed

B) Isovolumetric Contraction: S1 Sound, QRS Complex

C) Atrial Systole: AV Open, Semilunar Closed, P Wave

D) Reduced Ejection: Semilunar Open, AV Closed, Ventricular Repolarization (T wave)

E) Isovolumetric Relaxation: All Valves Closed

F) Rapid Ejection: Semilunar Open, AV Closed

G) Reduced Filling: AV Open, Semilunar Closed

a)

1-C, 2-B, 3-F, 4-D, 5-E, 6-A, 7-G

b)

1-C, 2-F, 3-B, 4-D, 5-E, 6-A, 7-G

c)

1-C, 2-B, 3-F, 4-E, 5-D, 6-A, 7-G

d)

1-C, 2-B, 3-F, 4-D, 5-E, 6-G, 7-A

65.

True or False: The QRS complex represents ventricular depolarization.

a)

True

b)

False

66.

True or False: The AV node is the primary pacemaker in the heart.

a)

True

b)

False

67.

What causes the first heart sound (S1)?

a)

Closure of Semilunar Valves

b)

Closure of Atrioventricular Valves

c)

Ventricular Filling

d)

Atrial Contraction

68.

True or False: S1 sounds like "DUB" and S2 sounds like "LUB"

a)

True

b)

False

69.

What causes the second heart sound (S2)?

a)

Closure of Atrioventricular Valves

b)

Ventricular Filling

c)

Closure of Semilunar Valves

d)

Atrial Contraction

70.

True or False: The aortic pulse pressure is the average pressure over time.

a)

True

b)

False

71.

What is Preload and what does it influence?

a)

Volume of blood in LV after systole; influences HR

b)

Resistance in aorta; influences afterload

c)

Pressure in RA; influences venous return

d)

Volume of blood in LV after diastole; influences contractility

72.

True or False: The T wave represents electrical depolarization of the atria.

a)

True

b)

False

73.

During the cardiac phase of Systole, what is the status of the valves?

a)

AV valves open, Semilunar valves closed

b)

All valves are closed

c)

Semilunar valves open, AV valves closed

d)

All valves are open

74.

During the cardiac phase of Diastole, what is the status of the valves?

a)

Semilunar valves open, AV valves closed

b)

All valves are open

c)

All valves are closed

d)

AV valves open, Semilunar valves closed

75.

What does GFR stand for and what does it represent?

a)

Glomerular Function Ratio; kidney efficiency percentage

b)

Glomerular Filtration Rate; amount of blood passing through glomeruli each minute

c)

Gastric Filtration Rate; rate of digestion

d)

Global Flow Rate; cardiac output measurement

76.

What is the normal PaCO2 level in an ABG?

a)

45-55 mm Hg

b)

25-32 mm Hg

c)

30-40 mm Hg

d)

35-45 mm Hg

77.

What is the normal HCO3 level in an ABG?

a)

22-24 mmol/L

b)

35-45 mmol/L

c)

20-26 mmol/L

d)

30-42 mmol/L

78.

True or False: The respiratory system compensates for metabolic disturbances and the renal system compensates for carbon dioxide disturbances.

a)

True

b)

False

79.

True or False: At rest, an adult heart beats 60 to 110 times per minute.

a)

True

b)

False

80.

What is the definition of depolarization?

a)

The relaxation of tissue after contraction

b)

A change in electrical charge distribution in pacemaker cells that causes contraction

c)

The filling of the ventricles with blood

d)

The mechanical opening of the heart valves

81.

What is the time duration represented by one small horizontal box on an ECG grid?

a)

0.20 seconds

b)

0.12 seconds

c)

0.04 seconds

d)

0.10 seconds

82.

What is the time duration represented by one large horizontal box on an ECG grid?

a)

0.20 seconds

b)

0.40 seconds

c)

0.04 seconds

d)

0.12 seconds

83.

What is the voltage represented by a large vertical box on an ECG?

a)

1.0 mV

b)

0.1 mV

c)

0.25 mV

d)

0.5 mV

84.

Which method is used to calculate a patient's Heart Rate (HR) from an ECG rhythm strip?

a)

Divide 1500 by the number of large boxes

b)

Count the P waves in 6 seconds and multiply by 10

c)

Divide 300 by the number of large boxes between R waves

d)

Multiply the QRS duration by the PR interval

85.

Which leads correspond to the Lateral Wall of the heart?

a)

V1, V2

b)

II, III, aVF

c)

I, aVL, V5, V6

d)

V3, V4

86.

Which leads correspond to the Inferior Wall of the heart?

a)

I, aVL, V5, V6

b)

II, III, aVF

c)

V1, V2

d)

V3, V4

87.

Which leads correspond to the Anterior Wall of the heart?

a)

V3 and V4

b)

I and aVL

c)

V1 and V2

d)

II and III

88.

Which leads correspond to the Septal Wall of the heart?

a)

V5 and V6

b)

V1 and V2

c)

V3 and V4

d)

aVR and aVL

89.

Where is lead V1 placed anatomically?

a)

Fourth intercostal space, left sternal border

b)

Mid-clavicular line, fifth intercostal space

c)

Fourth intercostal space, right sternal border

d)

Fifth intercostal space, anterior axillary line

90.

Where is lead V2 placed anatomically?

a)

Fourth intercostal space, left sternal border

b)

Fourth intercostal space, right sternal border

c)

Fifth intercostal space, mid-clavicular line

d)

Fifth intercostal space, mid-axillary line

91.

Where is lead V3 placed anatomically?

a)

Fourth intercostal space, right sternal border

b)

Mid-clavicular line, fifth intercostal space

c)

Anterior axillary line, fifth intercostal space

d)

Halfway between V2 and V4

92.

Where is lead V4 placed anatomically?

a)

Mid-clavicular line, fifth intercostal space

b)

Axillary line, sixth intercostal space

c)

Mid-axillary line, sixth intercostal space

d)

Fourth intercostal space, left sternal border

93.

Where is lead V5 placed anatomically?

a)

Halfway between V4 and V6

b)

Anterior axillary line, fifth intercostal space

c)

Mid-axillary line, sixth intercostal space

d)

Mid-clavicular line, fifth intercostal space

94.

Where is lead V6 placed anatomically?

a)

Mid-clavicular line, fifth intercostal space

b)

Anterior axillary line, fifth intercostal space

c)

Mid-axillary line, sixth intercostal space

d)

osterior axillary line, seventh intercostal space

95.

What is the definition of Depolarization?

a)

The relaxing of tissue to its normal state

b)

A change in electrical charge distribution in pacemaker cells that causes contraction

c)

The movement of blood from the atria to the ventricles

d)

The period of rest between heartbeats

96.

What is the definition of Repolarization?

a)

The contraction of the myocardium

b)

The firing of the SA node

c)

The relaxing of the tissue (pacemaker cells) to their normal state after depolarization

d)

The conduction of impulses through the AV node

97.

True or False: ECG deflections that record below the isoelectric line are considered positive deflections.

a)

True

b)

False

98.

True or False: Deflections recorded above the isoelectric line are negative deflections.

a)

True

b)

False

99.

Which Phase of the cardiac cycle corresponds with the P wave?

a)

Phase 1

b)

Phase 2

c)

Phase 4

d)

Phase 3

100.

True or False: The PR interval reflects conduction from the sinus node to the atrium.

a)

True

b)

False

101.

What is the normal range for the PR interval?

a)

0.08–0.12 seconds

b)

0.20–0.30 seconds

c)

0.12–0.20 seconds

d)

0.12–0.24 seconds

102.

True or False: The PR segment represents atrial repolarization.

a)

False

b)

True

103.

What does the QRS complex represent?

a)

Atrial Repolarization

b)

Ventricular Repolarization

c)

Ventricular Depolarization

d)

Atrial Depolarization

104.

Which cardiac cycle phase corresponds with the QRS Complex?

a)

Phase 4

b)

Phase 1

c)

Phase 3

d)

Phase 2

105.

What does the T wave represent?

a)

Atrial Depolarization

b)

Ventricular Depolarization

c)

Ventricular Repolarization

d)

Atrial Repolarization

106.

True or False: The T wave represents electrical depolarization of the atria.

a)

False

b)

True

107.

What is the normal duration of a QT segment?

a)

0.12–0.20 seconds

b)

0.25–0.40 seconds

c)

0.04–0.12 seconds

d)

0.40–0.50 seconds

108.

What does the QT interval represent?

a)

Beginning of atrial depolarization to end of ventricular repolarization

b)

Beginning of ventricular depolarization to end of ventricular repolarization

c)

End of P wave to beginning of QRS complex

d)

Beginning of QRS complex to end of T wave

109.

An elongated QT segment can give rise to which of the following arrhythmias? (Select all that apply)

a)

Torsade de pointes

b)

Ventricular Fibrillation

c)

Ventricular Bradycardia

d)

Heart Block

110.

How is First Degree Heart Block described?

a)

PR interval is variable with dropped beats

b)

PR interval >0.20 seconds; the rate is regular

c)

No relationship between P waves and QRS complexes

d)

PR interval gradually lengthens until a beat is dropped

111.

How is Second Degree Mobitz I Heart Block described?

a)

PR interval >0.20 seconds and constant

b)

PR becomes longer and longer until one is dropped, leaving an unconducted beat

c)

ndependent atrial and ventricular rhythms

d)

PR elongated and regular until one unconducted beat is seen

112.

What is the alternative name for Second Degree Mobitz I heart block?

a)

Complete Heart Block

b)

Wenkebach

c)

Mobitz II

d)

Torsades

113.

How is Second Degree Mobitz II Heart Block described?

a)

PR elongated and regular until one unconducted beat is seen

b)

PR becomes longer and longer until a beat is dropped

c)

Independent atrial and ventricular rhythms

d)

PR interval >0.20 seconds with a regular rate

114.

How is Third Degree Heart Block described?

a)

No supraventricular impulses conduct past the AV node, leading to independent atrial and ventricular rhythms

b)

PR interval >0.20 seconds with dropped beats

c)

PR interval lengthens progressively until a beat is dropped

d)

Regular PR interval with occasional dropped beats

115.

What is the alternative name for Third Degree Heart Block?

a)

Wenkebach

b)

Complete heart block

c)

Mobitz II

d)

Bundle Branch Block

116.

Where is the Phlebostatic Axis located? (Select all that apply)

a)

2nd Intercostal Space

b)

4th Intercostal Space

c)

Below Xiphoid Process

d)

Midaxillary Line

e)

At the Apex of the heart

117.

Which atrial wave represents a rise in pressure in the atrium during atrial contraction?

a)

C wave

b)

V wave

c)

A wave

d)

y descent

118.

In relation to the ECG, when does the A wave occur?

a)

Immediately after the QRS complex

b)

Slightly after the P wave

c)

During the T wave

d)

Exactly at the J-point

119.

Which wave represents the peak of passive filling of the right atrium when the tricuspid valve closes?

a)

A wave

b)

y descent

c)

C wave

d)

V wave

120.

Which hemodynamic wave corresponds to the tricuspid valve closing

a)

C wave

b)

V wave

c)

A wave

d)

x descent

121.

What does the y descent represent in the atrial pressure waveform?

a)

Atrial contraction

b)

Isovolumetric contraction

c)

Blood moving into the right ventricle

d)

Closure of the aortic valve

122.

What is the general formula and units for Cardiac Output (CO)?

a)

O = SV / HR (L/min)

b)

CO = HR x SV (L/min)

c)

CO = HR x SV (mL/beat)

d)

CO = EDV - ESV (L/min)

123.

What is the general formula for Ejection Fraction (EF)?

a)

EF = (SV / EDV) x 100

b)

EF = (EDV - ESV) x 100

c)

EF = (CO / BSA) x 100

d)

EF = (HR x SV) / 100

124.

What is the formula and unit for Cardiac Index (CI)?

a)

CI = CO / BSA (L/min/m²)

b)

CI = CO x BSA (L/min)

c)

CI = SV / BSA (mL/beat/m²)

d)

CI = HR x SV (L/min/m²)

125.

What is the formula for Fick Cardiac Output?

a)

O2 Consumption / (Art O2 sat - Ven O2 sat) x 1.36 x Hgb x 10

b)

O2 Consumption x 1.36 x Hgb / (Art O2 sat - Ven O2 sat)

c)

(Art O2 sat - Ven O2 sat) / O2 Consumption x 1.36

d)

HR x SV

126.

What is the Hakki formula for Aortic Valve Area (AVA)?

a)

AVA = CO (L/min) / square root of MPG

b)

AVA = CO (mL/min) / MPG

c)

AVA = SV / square root of MPG

d)

AVA = CO x square root of MPG

127.

What Aortic Valve Area (AVA) size would typically require a TAVR?

a)

Less than 1.5 cm²

b)

Less than 1.0 cm²

c)

Less than 2.0 cm²

d)

Greater than 1.0 cm²

128.

What is the Grolin formula for Aortic Valve Area (AVA)?

a)

(CO (mL/min) / (SEP x HR)) / 44.3 x (sqroot MPG)

b)

(CO (mL/min) / (DFP x HR)) / 37.7 x (sqroot MPG)

c)

CO (L/min) / 44.3 x (sqroot MPG)

d)

CO / (SEP x HR)

129.

What is the Grolin constant for Aortic Valve Area (AVA)?

a)

37.7

b)

1.36

c)

44.3

d)

10

130.

What is the Grolin formula for Mitral Valve Area (MVA)?

a)

CO (mL/min) / (SEP x HR)) / 44.3 x (sqroot MPG)

b)

(CO (mL/min) / (DFP x HR)) / 37.7 x (sqroot MPG)

c)

CO / (sqroot MPG)

d)

CO (L/min) / 37.7 x (sqroot MPG)

131.

What is the Grolin constant for Mitral Valve Area (MVA)?

a)

44.3

b)

50

c)

1.36

d)

37.7

132.

What Mitral Valve Area (MVA) size would require open-heart surgery?

a)

Less than 2.0 cm²

b)

Less than 1.5 cm²

c)

Less than 1.0 cm²

d)

Greater than 1.5 cm²

133.

What is the formula for Regurgitant Fraction (RF)?

a)

RF = (Fick CO - Angio CO / Fick CO) x 100

b)

RF = (Angio CO - Fick CO / Angio CO) x 100

c)

RF = (SV / EDV) x 100

d)

RF = (CO / BSA) x 100

134.

What does the MVO2 sat represent?

a)

O2 filtration rate in RBC (Hgb)

b)

RBC (Hgb) CO2 carrying capacity.

c)

RBC (Hgb) O2 carrying capacity.

d)

CO2 filtration rate in RBC (Hgb)

135.

How is MVO2 stat found?

a)

Flamm formula

b)

Hakki AVA Formula

c)

Grolin MVA Formula

d)

Fick Cardiac Output

136.

What is the Flamm Formula?

a)

(1(SVC) + 3(IVC)) / 4

b)

(3(SVC) + 1(IVC)) / 4

c)

(SVC + IVC) / 2

d)

(3(IVC) + 1(SVC)) / 4

137.

What is the formula for Shunt Calculation?

a)

(AO O2sat - MV O2sat) / (PV O2sat - PA O2sat)

b)

(PV O2sat - PA O2sat) / (AO O2sat - MV O2sat)

c)

CO / BSA

d)

SV x HR

138.

A shunt calculation result greater than 1 indicates what type of shunt?

a)

Right to Left

b)

Left to Right

c)

No Shunt

d)

Bidirectional

139.

A shunt calculation result less than 1 indicates what type of shunt?

a)

Bidirectional

b)

Left to Right

c)

No Shunt

d)

Right to Left

140.

What are the standard right atrium pressure values and O2 saturation?

(a)  

141.

What are the standard left atrium pressure values and O2 saturation?

(a)  

142.

What are the standard right ventricle pressure values and O2 saturation?

(a)  

143.

What are the standard left ventricle pressure values and O2 saturation?

(a)  

144.

What are the standard pulmonary artery pressure values and O2 saturation?

(a)  

145.

What are the standard aorta pressure values and O2 saturation?

(a)