| Post Name | Cath Lab Technician - Medical Education Services |
|---|---|
| Question Paper Code | 106/2024/OL |
| Category Code | 525/2023 |
| Date of Test | 4 September 2024 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
Wilson Central terminal
Answer
A. WCT = (LA + LL + RA)/2
2
Standard Ampliļ¬cation for routine ECG is
Answer
D. 1000
3
Left Atrial Activation happening through
Answer
B. Bachmann's bundle
4
Analysis of beat-to-beat changes in heart rate and related dynamic change is known as
Answer
C. Heart Rate variability
5
Bazzet equation for corrected QTc is
Answer
A. QTc = QT/āRR
6
Romhilt - Estes point scoring system is for
Answer
B. Left Ventricular hypertrophy
7
Pardis Sign is seen in
Answer
C. Acute Myocardial Infarction
8
ECG moving around an axis is known as
Answer
A. Torsedes des Point
9
Osborn wave is seen in
Answer
D. Hypothermia
10
Saw tooth pattern is seen in
Answer
C. Atrial Flutter
11
Rate calculation in ECG
Answer
A. 1500/Number of small divisions
12
Delta wave and short PR interval in ECG is seen in
Answer
D. Pre excitation
13
Which of the following is not a contraindication for exercise stress testing?
Answer
C. Asymptomatic severe aortic stenosis
14
Which of the following statements are true regarding exercise physiology? (i) Dynamic arm exercise elicits higher heart rate and BP response than dynamic leg exercise (ii) Systolic and diastolic BP increases during isotonic exercise (iii) Rise in cardiac output is more in resistance exercise compared to endurance exercise (iv) Rate pressure product is a reliable index of myocardial oxygen demand during exercise
Answer
A. (i) and (iv) only
15
Which of the following does not interfere with interpretation in an exercise ECG testing?
Answer
B. Right bundle branch block
16
A period of active cool-down may be included in the recovery period following high levels of exercise
Answer
C. To minimize post-exercise hypotension
17
Which of the following is true regarding treadmill exercise protocols?
Answer
C. Modiļ¬ed Naughton protocol is useful for patients with congestive heart failure
18
Handrail gripping during treadmill exercise results in
Answer
A. Alter the BP response to exercise
19
All of the following are indications for terminating exercise ECG test except
Answer
D. ST segment depression
20
Sensitivity and speciļ¬city of a standard exercise ECG test with 1 mm horizontal or downsloping ST depression as cut oļ¬ point are respectively
Answer
A. 68% and 77%
21
The following are true regarding Duke treadmill score
Answer
C. High risk score less than or equal to -11
22
Which of the following is/are true regarding ST deviation during exercise? (i) ST depression does not localize ischemia to a precise region (ii) ST elevation in leads with Q waves indicates high risk (iii) Rapidly upsloping ST depression is usually not pathologic (iv) ST depression in aVR indicates left main CAD
Answer
B. (i) and (iii) only
23
Mason-Liker modiļ¬cation of ECG lead placement results in
Answer
D. All of the above
24
Which of the following is true regarding exercise ECG test
Answer
D. Submaximal exercise test is used after MI before discharge
25
In the human body propagation velocity of sound waves is maximum in which tissue
Answer
A. Bone
26
Doppler Shift is directly proportional to all except
Answer
D. Velocity of sound in tissues
27
Which of the following does not meet criteria for severe Aortic Stenosis?
Answer
D. Velocity ratio of less than 0.5
28
Which of the following is not a component of Wilkins Score of Mitral valve anatomy?
Answer
C. Commissural fusion
29
Which of the following Echocardiographic studies speciļ¬cally helps to identify Low ļ¬ow low gradient Aortic Stenosis with low ejection fraction?
Answer
C. Dobutamine Stress Echo cardiography
30
Early appearance of Agitated saline contrast in Left atrium can be indicative of all of the following except
Answer
D. Pulmonary ArterioVenous Fistula
31
Persistant sub aortic conus with Loss of Aorto Mitral continuity favours a diagnosis of
Answer
A. Double outlet right ventricle
32
Cleft Anterior mitral leaļ¬et points to a diagnosis of
Answer
B. Endocardial cushion defect
33
Which qualiļ¬es the VSD in a Tetralogy of Fallot?
Answer
C. Both of the above
34
Supra systemic pulmonary arterial hypertension can be associated with which of the following conditions?
Answer
A. Atrial Septal defect with Eisenmenger syndrome
35
Doppler principle is used in the myocardial imaging in which of the following?
Answer
D. All of the above
36
Sample volume on 2D ultrasound image is used to assess the velocity at a particular point using
Answer
C. Pulsed wave Doppler echocardiography
37
Which of the following echocardiographic modalities is used to assess higher velocities (ā„1.5m/s)?
Answer
B. Continuous wave Doppler echocardiography
38
Colour ļ¬ow Doppler is based on which of the following echocardiographic modality
Answer
C. Pulsed wave Doppler echocardiography
39
In colour ļ¬ow Doppler ļ¬ow moving away from the transducer is encoded in which colour?
Answer
B. Blue
40
The formula for estimation of pressure gradient (ĪP) between two chambers by echocardiography is
Answer
A. ĪP =
41
Application of continuity equation in Doppler echocardiography is useful for
Answer
D. Assessment of myocardial strain
42
About the Nyquist limit, the following statements are true except
Answer
D. The numeric value equals 2 times the pulse repetition frequency
43
Stroke Volume (SV) can be estimated by using Pulsed wave Doppler echocardiography as per the formula :
Answer
A. SV =
44
All the following statements about the Doppler Tissue Imaging are true EXCEPT
Answer
B. eā wave denotes late relaxation in diastole
45
All the following statements regarding pulmonary venous Doppler ļ¬ow pattern are correct EXCEPT
Answer
C. AR wave corresponds to augmented forward ļ¬ow from the pulmonary veins into the atrium during atrial systole
46
All the following statements about left ventricular diastolic function are true EXCEPT
Answer
D. Average E/eā ratio will be < 10 in Grade III LV diastolic dysfunction
47
Holter monitoring is most useful for monitoring patients having symptoms
Answer
A. Daily
48
All the following ļ¬ndings on Holter recording can be normal EXCEPT
Answer
D. Type II second degree Atrio-Ventricular block
49
All of the following are the uses of Holter recording EXCEPT
Answer
D. 3 lead Holter provides the same information as a 12 lead Holter in patients with VT
50
All the following are true regarding Holter recording EXCEPT
Answer
C. Younger patients have a higher prevalance of arrhythmias
51
All of the following are techniques for determination of cardiac output EXCEPT
Answer
B. Manometric method
52
Mixed venous oxygen content is derived using the following :
Answer
D. Flamm's formula
53
In oximetry run all of the following are causes of signiļ¬cant step up at atrial level EXCEPT
Answer
A. Coronary ļ¬stula to RV
54
The Gorlin formula for valve area estimation is based on which hemodynamic principle :
Answer
C. Torricelli's law
55
Which of the following is an angiographic measure of myocardial perfusion at capillary level :
Answer
D. Myocardial blush score
56
All are methods of invasive intracoronary physiological assessment EXCEPT
Answer
A. QFR
57
All are intravascular imaging modalities EXCEPT
Answer
B. IVL
58
Following are the current indications of Endomyocardial biopsy except
Answer
C. Takotsubo cardiomyopathy
59
All are contraindications of IABP EXCEPT :
Answer
C. Previous Ischemic CVA
60
All are novel techniques of coronary calcium modiļ¬cation in PCI EXCEPT
Answer
D. Penumbra system
61
PCWP tracing diļ¬ers from direct LA pressure tracing by all of the following EXCEPT
Answer
A. Waves occur earlier in time than LA waveforms
62
Following are hemodynamic hallmarks of Constrictive pericarditis EXCEPT :
Answer
B. Reduced ventricular interdependance
63
All are methods to reduce radiation exposure to operator in cathlab EXCEPT
Answer
A. Using more steeper cranial or caudal imaging views
64
Autoclaving and microwaving are done for which of the following types of medical wastes
Answer
C. Recyclable contaminated waste
65
FALSE statement about YELLOW coloured bags in biomedical waste management is?
Answer
B. Soiled gloves are disposed in it
66
What is the percentage of shepherd crook RCA?
Answer
A. 5%
67
Anterolateral papillary muscle derives blood supply from
Answer
D. Diagnol branches of LAD
68
Anterior muscular defects in ventricular septum are best demonstrated by
Answer
B. RAO view
69
Normal right atrial pressure is
Answer
A. 2-6 mm Hg
70
Tipload of progress 120 wire is
Answer
D. 13.9 g
71
Inverse square law states that intensity of radiation is
Answer
D. Inversely proportional to the square of the distance
72
Time weighted average radiational exposure is usually given as
Answer
A. 8 hrs
73
During IABP balloon deļ¬ation should occur at
Answer
C. Before the onset of systole
74
What is the sensitivity of Allen's test?
Answer
B. 55%
75
How many endholes does an NIH catheter have?
Answer
D. 0
76
Intravascular lithotripsy uses
Answer
B. Sonic waves
77
Which among the following is a low osmoler contrast media?
Answer
B. Iopromide
78
Distal landmark used for TIMI frame count in Right coronary artery
Answer
D. First branch of posterolateral artery
79
In sarcoidosis diagnostic yield of endomyocardial biopsy is
Answer
B. 20-30%
80
An a wave equal to V wave in left atrial pressure waveform may be due to
Answer
C. Both (1) and (2)
81
Saw-toothed atrial activity in the electrocardiogram (ECG), is seen in
Answer
D. Atrial ļ¬utter
82
In AV nodal re-entrant tachycardia, electrophysiological ablation is done in the area of
Answer
A. Slow pathway
83
Implantable cardioverter deļ¬brillators distinguish between ventricular tachycardia and ventricular ļ¬brillation by
Answer
B. QRS rate
84
Coronary sinus electrograms are studied using
Answer
C. Decapolar catheter
85
Deta waves in the electrocardiogram is indicative of
Answer
C. Accessory AV pathway
86
During electrophysiological study, during atrial extra stimulus, an AH jump indicates
Answer
B. AV nodal dual pathway
87
Capture beats are characteristic of
Answer
D. Ventricular tachycardia
88
Which is true about complete heart block?
Answer
C. There is AV dissociation
89
AAI permanent pacemaker was used for
Answer
B. Sick sinus syndrome
90
During ventricular pacing in electrophysiological study, an eccentric retrograde activation noted in the coronary sinus catheter indicates
Answer
A. Left lateral AV pathway
91
Synchronized DC shock should not be given in
Answer
B. Ventricular ļ¬brillation
92
Drug of choice in severe anaphylaxis
Answer
A. Adrenalin
93
Cardiac tamponade is relieved by
Answer
D. Aspiration of pericardial ļ¬uid
94
During cardiac resuscitation, chest compressions are given at a rate of
Answer
D. 100 per minute
95
Which is a contraindication for intra-aortic balloon pump?
Answer
C. Severe aortic regurgitation
96
Which drug can be given intra-coronary to relieve coronary slow ļ¬ow?
Answer
B. Adrenalin
97
The balloon of the Intra aortic balloon pump is inļ¬ated using
Answer
C. Helium
98
Drug used to treat hypertensive crisis
Answer
A. Sodium nitroprusside
99
Dreaded complication of anaphylaxis is
Answer
C. Laryngeal edema
100
Basic life support includes
Answer
B. Chest compressions
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