| Post Name | CATH LAB TECHNICIAN-MEDICAL EDUCATION DEPARTMENT |
|---|---|
| Question Paper Code | 057/2020 |
| Category Code | 202/2019 |
| Date of Test | 1 December 2020 |
| Medium of Question | ENGLISH |
| Exam Type | OMR Examination |
| Total Questions | 100 |
1
Who published first human Electrocardiogram ?
Answer
B. Augustus D Waller
2
Exercise ECG is a valuable procedure for the assessment of
Answer
D. Ischemic Heart Disease
3
In an ECG paper each large square equals _________ in height.
Answer
C. 0.5 mv
4
What is the normal value of ST segment in an ECG ?
Answer
C. 0.05 – 0.15 second
5
How to calculate the target heart rate of a female patient, to stop the Tread mill test ?
Answer
A. 210-age
6
Which one of the following test is used to detect arrhythmias, ischemia or coronary
artery spasm ?
Answer
Question Cancelled
7
Lead V6 is placed over ___________ intercostals space in the left mid axillary line.
Answer
A. 5
8
In which year first human Electrocardiogram is published ?
Answer
D. 1887
9
Which one of the following measures blood flowing through the arteries and shows
the pattern of flow through the heart ?
Answer
D. Doppler Echocardiogram
10
For hypertrophy condition which of the following is selected for standardization ?
Answer
B. 5 mm
11
________ is used for scanning and imaging purpose of the body.
Answer
C. Ultrasound
12
The process of recording electrical activity of the heart over a period of time using
electrode is called
Answer
Question Cancelled
13
In a normal ECG waveform the amplitude of R wave is
Answer
B. 1.60 mv
14
In echocardiography position of the transducer over the apex in the 5th intercostal
space is called
Answer
A. Apical location
15
The loss of rhythmical activity of the heart is called
Answer
C. Arrhythmias
16
Which of the following is known as ambulatory ECG Recording ?
Answer
C. Holter Monitoring
17
Lead aVF records the actual potential in
Answer
D. Left Foot
18
Which type of transducer is used in Echocardiography ?
Answer
B. Piezoelectric Transducer
19
T wave in normal ECG is due to
Answer
B. Repolarisation of ventricles
20
The range of ultrasound frequency used for echocardiography is
Answer
D. 1 to 7 MHz
21
In an electrocardiograph flow of current perpendicular to lead shows _________
deflection.
Answer
B. Biphasic
22
In echocardiography which type of signals are used in paediatric cases ?
Answer
C. High frequency ultrasonic signals
23
The standard speed for recording ECG is ________ mm/sec.
Answer
B. 25 mm/sec
24
Based on universal colour code ‘Yellow colour’ is used for ________ lead position.
Answer
D. Left Arm
25
What will do when the graph paper showing excessive ST depression in exercise
test ?
Answer
D. Stop the test
26
When the amplitude of the ECG too low, ______ is to be adjusted.
Answer
B. Gain control
27
Which test is used to assess the size of cardiac chambers, ventricular functions,
valvular functions and nature of pericardium ?
Answer
D. Echocardiography
28
The theoretical straight line joining the two electrode is called
Answer
C. Lead axis
29
In echocardiography which technique gives detailed information about atherosclerosis
of heart blood vessel ?
Answer
B. Intravascular ultrasound
30
Holter Monitor was developed in which year ?
Answer
D. 1949
31
It is said that yearly 3 to 4 patients are rejected for cardiac catheterisation due to
overweight in USA. What is the limit for maximum patient weight for the X-ray table
on which patient is positioned in cath lab ?
Answer
B. 250 kg
32
What is the loading dose of Ticagrelor before coronary Angioplasty in a patient with
acute coronary syndrome ?
Answer
D. 180 mg
33
Which among the following drug is not a coronary artery Dilator ?
Answer
B. Ergonovine
34
Which test is performed before radial artery catheterisation, to assess patency of
radial and ulnar arteries ?
Answer
C. Both
35
Balloon Assisted Tracking
Answer
A. Trans radial catheterisation for negotiating loops, tortuosities and spasm
36
Approximately how long manual compression be applied after sheath removal for
attaining hemostasis
Answer
D. 5 minutes per sheath size in F
37
Which size of JL catheter will you select for coronary angiogram in a patient with
aortic regurgitation and dilated aorta of 50 mm ?
Answer
D. None of these
38
The number of holes in a Multipurpose Catheter
Answer
B. An end hole and 2 side holes
39
Which among the following catheter you prefer to engage a high left coronary take
off from ascending aorta ?
Answer
D. Both
40
Normal TIMI Frame Count for LAD artery is
Answer
A. 36
41
In approximately what percentage of population you see left coronary dominance ?
Answer
A. 7%
42
Which LV wall is not seen in a 30 degree RAO view during standard left
ventriculography ?
Answer
C. Septal
43
Which angiographic projection is used to demonstrate shunt through ASD after
injecting dye into pulmonary artery ?
Answer
A. LAO cranial
44
What percentage of electrical energy provided to the tube is eventually converted to
X-ray ?
Answer
A. 0.2 to 0.6%
45
During angiographic studies, what percentage of the X-ray energy entering the body
is absorbed ?
Answer
D. 90%
46
Which of the following contrast is iso-osmolar non-ionic dimer ?
Answer
B. lodixanol
47
Total pulmonary resistance is calculated as
Answer
C. Mean PA pressure/CO
48
In a patient with Aortic stenosis and resting cardiac output of 5L/minute with a
LV-Aortic peak to peak pressure difference of 65mm Hg, quick aortic valve area by
Hakke formula in cm2 is
Answer
A. 0.63
49
How a low flow state affect the estimation of severity of valve stenosis by Gorlin’s
equation ?
Answer
B. Overestimate severity
50
If SVC saturation is 70% and IVC saturation is 82% the MVO2 will be
Answer
A. 73%
51
What change in hemodynamic tracing is produced if there is an air bubble in LV
pressure line ?
Answer
A. Exaggerated systolic and diastolic over shoot
52
In which condition you see LV pressure lower than aortic pressure ?
Answer
D. All the above
53
For every waveform, the LA pressure rise precedes that of PCWP by approximately
Answer
B. 100 to 150 msec
54
The W or M pattern in RA pressure tracing is seen in
Answer
C. Constrictive pericarditis
55
Brockenbrough-Braunwald-Morrow phenomenon is seen during catheterisation of a
case of
Answer
C. HOCM
56
Which of the following right heart catheterisation data is consistent with diagnosis of
Primary Pulmonary Hypertension ?
Answer
B. mPAP > 25 mm Hg, PCWP < 15 mm Hg, PVR > 3 Wood units
57
Which leads represent the electrical activity of the inferior wall of the heart ?
Answer
A. II, III, aVF
58
Pacemaker Syndrome occur in patients with
Answer
C. Both VVI and DDD pacemakers
59
Pacemaker Mediated Tachycardia (PMT) can be terminated with
Answer
D. All the above
60
Normal H-V interval is
Answer
A. 30 – 55 msec
61
A regular narrow QRS tachycardia with a rate of 150 in a patient with rheumatic heart
disease is most likely
Answer
B. Atrial flutter
62
The initial current used for defibrillation using biphasic defibrillator for treating VF is
Answer
A. Unsynchronised 200 J
63
During IABP, balloon inflation should occur at
Answer
D. Dicrotic notch of aortic tracing
64
Considering its effect on augmenting circulation, which among the following give
“complete support” ?
Answer
B. ECMO
65
Optical Coherance Tomography
Answer
D. CT) is a catheter based imaging system that uses
________ for imaging.
66
“Differential Cutting” is the machanism of plaque modification technique by
Answer
C. Rotational Atherectomy
67
WATCHMAN device is used for
Answer
C. LA appendage closure
68
Which of the following wire is hydrophilic polymer coated wire ?
Answer
D. All
69
Which is the correct statement regarding Left Main intervention ?
Answer
A. Provisional stenting is adequate in most cases rather than routine 2 stent
strategy
70
If the distal LM-LCX angle is T shaped with significant disease of ostium of both LAD
and LCX, the best stenting strategy among the following is
Answer
Question Cancelled
71
Chronic Total Occlusion
Answer
B. Three months
72
An operator is doing LAD-CTO angioplasty with an Amplatz guide in power position.
Patient suddenly become restless with tachycardia, severe hypotension and
tachypnoea but no chest pain. ECG monitor doesn’t show much ischemic changes.
Echo doesn’t show pericardial effusion. The anxious operator after taking a check
angio find it difficult to arrive at a conclusion. You have to warn the operator for
possible
Answer
C. Acute Aortic regurgitation
73
The tip stiffness in g of Cross-It 400 wire is
Answer
Question Cancelled
74
Which of the following wire is not a tapered tip wire ?
Answer
A. Pilot 50
75
Which among the following is the least traumatic hydrophilic wire ?
Answer
C. Whisper
76
Correct statement regarding Tornus Catheter is
Answer
A. Used during CTO angioplasty
77
Which of the following catheter is used for re-entry after subintimal passage while
doing CTO angioplasty ?
Answer
D. Both
78
Corsair Catheter is used during
Answer
A. CTO angioplasty using retrograde approach
79
While doing a bifurcation angioplasty, the size of main vessel stent must be
preferably the size of
Answer
B. Diameter of main vessel distal to the bifurcation
80
For a Medina 1.1.1 bifurcation lesion, if the size of distal branches are 3 mm each,
the minimum size of the proximal vessel needed for doing Simultaneous Kissing
Stenting (SKS) is
Answer
C. 4.2 mm
81
Correct statement regarding perfect kissing balloon inflation is
Answer
D. All are correct statements
82
What is the size of balloon preferred for doing pulmonary valvuloplasty ?
Answer
C. 1.2 to 1.5 times the size of pulmonary annulus
83
A minute of cine is essentially equivalent to ________ minutes of fluoroscopy.
Answer
B. 10 minutes
84
Correct statement regarding radiogenic neoplasm is
Answer
C. Both
85
Regarding retroperitoneal hematoma, which of the following is/are correct statements ?
Answer
C. Deformed urinary bladder in fluoroscopy
86
Hepatoclavicular view is
Answer
Question Cancelled
87
The ideal projection for imaging Main pulmonary artery Branch origins is
Answer
C. 15° LAO, 30° cranial
88
Significant step up from RV to PA is diagnosed when O2 % saturation rise is more
than _____%.
Answer
B. ��5
89
Normal arterio-venous oxygen difference in ml/L is
Answer
C. 30 to 50
90
Equalisation of diastolic pressures across all four cardiac chambers during
hemodynamic study suggest
Answer
D. Constrictive pericarditis
91
During RF ablation of AVNRT, dual AV nodal physiology is suggested by
Answer
A. AH jump more than 50 msec for a decrease of 10 msec S1-S2 interval
92
Which of the following patient benefit from IABP ?
Answer
C. Acute MI with cardiogenic shock and VSR
93
Select the correct statement from the following regarding use of rotablator.
Answer
C. Never advance the burr in dynaglide mode
94
Late stent thrombosis is defined as thrombosis of stent
Answer
B. From 30 days to one year
95
Cut off value for normal ankle brachial index is
Answer
A. > 0.9
96
The radiation exposure to cath lab technician is much less than that of the operator
in a given case. The basis for the statement is
Answer
C. Inverse square law
97
When blindly puncturing femoral artery under X-ray guidance, the land mark for
needle entry into CFA is
Answer
A. Inferior medial quadrant of femoral head
98
What is the maximum occupational radiation limit for an invasive cardiologist ?
Answer
B. 5 rem per year
99
Which angiographic view leads to greatest amount of radiation exposure to the
operator ?
Answer
C. LAO cranial
100
Resting coronary flow diminishes when the stenosis severity is
Answer
D. � 90%
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