Free CCI RCIS Exam Flashcards

Correct patient, planned procedure and site, consent, allergies, relevant imaging or implants, and readiness of the team and required equipment.

Impaired kidney function increases risk from contrast exposure and may change hydration, contrast-volume, medication, or procedural planning.

To evaluate hand perfusion pathways before radial access and identify findings that require operator review or an alternate plan.

The patient's usual rhythm, vital signs, symptoms, pulses, neurovascular status, labs, allergies, medications, and level of consciousness.

Left-ventricular ejection creates the systolic rise; aortic valve closure produces the dicrotic notch before diastolic runoff.

Atrial contraction. It is absent in atrial fibrillation and may become prominent when the atrium contracts against increased resistance.

Venous filling of the right atrium while the tricuspid valve is closed during ventricular systole.

Oxygen consumption divided by the arterial-minus-mixed-venous oxygen content difference.

A left-to-right shunt entering at or before the chamber where a reproducible rise in oxygen saturation first appears.

Left-atrial pressure when the catheter is correctly wedged and there is no important obstruction between pulmonary capillaries and the left atrium.

A systolic pressure gradient between the left ventricle and aorta during pullback, interpreted with waveform quality and flow conditions.

Distal coronary pressure with aortic pressure during maximal hyperemia to estimate the physiologic effect of a coronary stenosis.

iFR uses a specific diastolic wave-free period without routine pharmacologic hyperemia; FFR is measured during maximal hyperemia.

IVUS uses ultrasound and penetrates deeper; OCT uses light, provides higher surface resolution, and requires blood clearance for imaging.

The degree of antegrade coronary blood flow beyond a lesion, from no perfusion to normal flow.

The anterior wall and septum, with exact territory depending on anatomy and branch distribution.

The lateral left-ventricular wall through obtuse marginal branches; contribution to the inferior wall depends on dominance.

Which coronary artery gives rise to the posterior descending artery, not which vessel is physically largest.

Acute transmural injury or another ST-elevation cause; correlate immediately with symptoms, leads involved, hemodynamics, and angiographic findings.

To assess the dynamic response of a fluid-filled pressure system and identify underdamping or overdamping.

It blunts detail, tends to underestimate systolic pressure, and can overestimate diastolic pressure.

Leveling establishes the reference height; zeroing removes atmospheric pressure so displayed values reflect intravascular pressure.

Increasing distance from the radiation source and scatter field sharply reduces exposure; maximize distance whenever the task permits.

Keep radiation as low as reasonably achievable through time, distance, shielding, collimation, positioning, and appropriate imaging settings.

Air or clot introduced through the system can embolize; all connections must be secure, flushed, and continuously observed.

Enlarge a narrowed vessel lumen by controlled balloon expansion, often as preparation for or optimization of stent placement.

To scaffold the vessel and maintain lumen gain after lesion preparation or balloon dilation.

It modifies or removes selected plaque, often calcified tissue, to improve device delivery and lesion expansion.

Inadequate microvascular perfusion despite opening the epicardial vessel, often associated with distal embolization or microvascular injury.

A tear separating layers of the vessel wall that may create a false lumen and compromise flow.

Contrast exiting the vessel or collecting outside its expected lumen, especially with new hypotension or pericardial effusion.

The anticoagulant effect of procedural therapy at the point of care; targets depend on the procedure, device, and medication strategy.

It reduces platelet-mediated stent thrombosis risk; regimen and duration are determined by the clinical and bleeding-risk context.

To capture or limit embolic debris traveling downstream during selected vascular interventions.

It inflates in diastole to augment coronary perfusion and deflates before systole to reduce afterload.

It provides temporary mechanical circulatory support by moving blood from the left ventricle into the aorta.

To provide short-term ventricular stimulation when clinically significant bradycardia or conduction failure requires support.

Hemodynamically significant pericardial fluid, including tamponade, by draining fluid from the pericardial space.

Transcatheter aortic valve replacement: catheter-based implantation of a prosthetic valve for selected patients with aortic valve disease.

The appendage where thrombus commonly forms in atrial fibrillation, reducing embolic risk in appropriately selected patients.

It helps select an appropriate entry site and avoid adjacent structures, reducing failed access and complication risk.

Falling blood pressure, rising filling pressures, tachycardia, and worsening perfusion; confirm rapidly with hemodynamics and imaging.

Recognize pulseless arrest, activate the emergency response, begin high-quality CPR, and deliver prompt defibrillation per protocol.

Bleeding, including retroperitoneal hemorrhage, along with tamponade, arrhythmia, ischemia, reaction, or other procedural causes.

A rapid systemic hypersensitivity reaction with airway, breathing, or circulatory compromise requiring immediate emergency treatment.

Critical tissue hypoperfusion caused primarily by inadequate cardiac pump function despite sufficient circulating volume.

Clear leadership and simultaneous coverage of compressions, airway, defibrillation, medications, procedure support, documentation, and communication.

Bleeding control plus hand perfusion, sensation, movement, pain, and device pressure, with gradual adjustment per protocol.

A painful pulsatile access-site mass or bruit after arterial access; protect the site and obtain prompt clinical evaluation.

Procedure and access details, medications and contrast, hemostasis plan, pulses, complications, vital trends, restrictions, and required monitoring.