RCIS Vascular Access and Closure Devices 2

Question 1

Radial artery spasm during transradial catheterization is best managed initially with:

Accepted Answer

Intra-arterial nitroglycerin or verapamil through the sheath

Answer

Intra-arterial vasodilators such as nitroglycerin or verapamil administered through the sheath are first-line treatment for radial artery spasm.

Question 2

What is the recommended activated clotting time (ACT) target during percutaneous coronary intervention (PCI) with unfractionated heparin?

Accepted Answer

250–300 seconds

Answer

An ACT of 250–300 seconds is the standard anticoagulation target during PCI with unfractionated heparin to prevent catheter-related thrombosis.

Question 3

After femoral sheath removal, a pulsatile mass develops at the access site — this is most consistent with:

Accepted Answer

Femoral pseudoaneurysm

Answer

A pulsatile mass at the femoral access site after sheath removal is the classic presentation of a pseudoaneurysm, confirmed by ultrasound with a characteristic to-and-fro Doppler signal.

Question 4

Which hemostasis device is most commonly used to achieve radial artery compression after transradial catheterization?

Accepted Answer

TR Band (transradial compression device)

Answer

The TR Band is a pneumatic wristband device specifically designed for radial artery hemostasis after transradial catheterization.

Question 5

Subclavian vascular access for catheterization carries the highest risk of which complication compared to femoral or radial access?

Accepted Answer

Pneumothorax

Answer

Subclavian vascular access carries a significant risk of pneumothorax due to the proximity of the subclavian vessels to the lung apex.

RCIS - Registered Cardiovascular Invasive Specialist Practice Test

RCIS - Registered Cardiovascular Invasive Specialist Practice Test

RCIS Vascular Access and Closure Devices 2