SCHOOL OF ALLIED HEALTH SCIENCES,SALEM

VINAYAKA MISSION’S RESEARCH FOUNDATION -DU

CATH LAB - QUESTION BANK(2021)

10 MARKS;

1. Types of catheters. Explain any 2 catheters a) why it is choosen and b)it’s

significance
2. Sterilization methods used at cathlab.
3. Angiographic veiws. Explain them with a neat diagram .
4. Coronary angiography catheters (how to select them according to the patient
based on coronary anomalies ).
5. Shunt detection and calculation.
6. Define Left ventriculography. why it is done.procedure involved in it and its
significance
7. Right heart catheterization.
8. Aortic angiography.
9. PTCA
10. Contrast agents used in CAG.
11. Balloon mitral valvuloplasty(BMW).
12. Device closure of PDA.
13. Pediatric intervention.
14. IABP.
15. Types of pacemaker.Explain them with a neat diagram ,and explain how to select
pacemaker for each case.
16. Define Cardiac pacing
A)types of pacemakers.
B)Why it is used.
C)setting up of cath lab during cardiac pacing.
D)How the procedure is done.
17. Device closure of ASD.
18. Device closure of VSD.

5 MARKS;

1. Catheter cleaning and packing.

2. Table movements.
3. Merits and Demerits of the types of sterilization.
4. Image intensifier positioning and mechanism of action.
5. What is Intra cardiac pressure and write it’s significance.
6. Artifacts, damping - ventricularization.
7. Oxygen dilution method.
8. Thermo dilution method.
9. Principles of oximetry.
10. Procedure involved in Coronary angiography.
11. Lab preparation of CA.
12. Procedure involved in Peripheral angiography and its importance .
13. ASD cath procedure.
14. VSD cath procedure.
15. PDA cath procedure.
16. Ionic and non ionic contrast.
17. Contrast induced nephropathy.
18. Setting up of lab for PTCA.
19. Management of complication of angioplasty.
20. Acute-stent thrombosis.
21. DefinePerforation and How it is managed .
22. Aortic valvuloplasty.
23. Pulmonary valvuloplasty.
24. Co- arctation angioplasty.
25. Trans-aortic pressure gradient.
26. Management of cardiac tamponade.
27. Peripheral interventions.
28. Trans-septal puncture.
29. Trans-mitral pressure gradients.
30. Management of cardiac tamponade.
31. Self expanding stents.
32. Indications of IABP.
33. Techniques of thrombolysis- drugs and catheters used.
34. Define EP study.its uses, indications and contra-indications.
35. Setting up the lab for cardiac pacing.Explain its types and its significance.
36. Connection of catheters during an EP study.
37. Explain the complications of cardiac pacing.
38. Temporary pacing(TPI).
39. Thromboembolic disease.
40. Oximetry in ASD.
41. Fractional Flow Rate(FFR).
42. Swan-Ganz catheter.
43. Explain the types of stents with its significance.
44. Write down the indications of PPI and its significance.
45. Explain aneurysm and write in detail about the options available for the treatment
of aneurysm.

2 MARKS;
1. Femoral approach catheters.
2. Radial approach catheters.
3. Define Therapeutic catheters with example.
4. Explain any 3 table movement.
5. Draw image intensifier.
6. Draw a diagram of heart with intra cardiac pressure.
7. Overdamping.
8. Underdamping.
9. Autoclave method in cathlab.
10. Define ETO.
11. Catheters used in angiography.
12. Uses of fluid filled catheters.
13. Factors influencing cardiac output.
14. Define Thermo dilution.
15. What and why are the aldehydes are used in cathlab.
16. Define oxygen dilution method,
17. Principle of oximetry.
18. Define shunt circulation.
19. Manifold diagram.
20. Draw arteries in LAO caudal and name those arteries.
21. Draw arteries in LAO cranial and name those arteries.
22. Draw arteries in RAO cranial and name those arteries.
23. Draw arteries in RAO caudal and name those arteries.
24. Draw arteries in AP caudal and name those arteries.
25. Draw arteries in AP view and name those arteries.
26. Anomalies of coronary with diagram.
27. Things used in angioplasty.
28. Things used in angiogram.
29. Indications of aortic angiography.
30. What are the indications for use of co2 as a contrast agent.
31. Indications of peripheral diagnostic angiography.
32. Define contrast agents.
33. Contraindications of contrast agents.
34. Define contrast nephropathy.
35. Measure to reduce incidence of contrast nephropathy.
36. Things used in BMV procedure.
37. Types of stent.
38. Define IABP.
39. IABP indications.
40. IABP contra indications.
41. Define counter pulsation in IABP.
42. Define Thrombus aspiration.
43. Define thromboembolism and its complication.
44. Indications of cardiac pacing.
45. Types of pacemakers.
46. Components of pacemaker.
47. Define EP study and its indications.
48. Define EP mapping.
49. Define radiofrequency ablation.
50. Define pacemaker parameters.
51. Pull back gradient.
52. Importance of isocentre in the lab.
53. Forssmann catheter.
54. Wedge pressure.
55. DSA.
56. Fricks principle and thermodilution.
57. Catheter tipped manometer.
58. Gorlin formula.
59. Hakki formula.
60. Fourier analysis.
61. Swan ganz catheter diagram.
62. Complications of PTCA.
63. What are the phases involved in follow up of pacemaker patients.
64. Complications of PPI.
65. What are the treatment of aneurysm.
1.MARK
1. The method used for sterilizing the catheter is :
a) chemical b) dry heat c) moist heat d) ETO
2. which range of polymers used in catheter is anti-infetive:
a) polyethylene b) teflon c) silicone d) fluropolymers
3. autoclave method can be used to the following thing except:
a) bowls b) forceps c) kidney trays d) thermostable products.
4. what is the time period required for autoclaving method?
a) 12min b) 15min c) 13min d) 14min
5. temperature setup at autoclave method is:
a) 121°c b) 115°c c) more than 100°c d) 123°c
6. flash sterilization takes place at a time period of:
a) 5min b) 15min c) 3min d) 8min
7. ethylene oxide has a boiling point:
a) <10°c b) at 10°c c) >10°c d) none of the above
8. stearothermophillis is used as biological indicator for verifying exposure of a
product in ------------- method of sterilization.
a) dry heat b) moist heat c) ETO d) all the above
9. catheter are disposed in -------- colour bags.
a) red b) blue c) yellow d) blue
10. primary procedure in cath lab includes:
a) angiogram b. c) angiogram+angioplasty d) angiogram+related
treatment
11. the PCWP will not reflect the left atrial pressure if
a) pulmonary venous obstruction b)PS c) pulmonary insufficiency d) PAH
12. aortic valve opens when
a) LVP<AO pressure b)LVP>AO pressure c) AO-P> central pressure
13. catheter is used for PWCP monitor
a) side hole b) end hole with side hole c) end hole
14. dicrotic notch means closure of:
a) mitral valve b) tricuspid valve c) aortic valve d) NOA
15. low pulmonary artery pressure seen at
a) pulmonary valve insufficiency b) MV stenosis c) LV failure d) pulmonary
emboli
16. input cathode is made up of:
a)caesium b) antimony c) both a and b
17.size of output anode is :
a) 0.5inch b)0.7inch c) 0.9inch d)1inch
18. high right ventricular systolic pressure Is seen at
a) COPD b) cardiac tamponade c) pericarditis d) all the above
19. high pulmonary artery pressure are seen except
a) pulmonary emboli b) mystenosis c) LV failure d) pulmonary valve
insufficiency
20. Swan-ganz catheter is used in:
a) pulmonary artery b) pulmonary vein c) SVC d) IVC
21. low left ventricular pressure can be caused by:
a) LV failure b) HTN c) AV stenosis d) peripheral arterial vascular disease.
22. ------------ catheter is used during haemodynamics:
a)RADI pressure b) nudge c) milar microtip d) all of the above
23. RVEDP indicates:
a) contraction b) pulmonary artery bed c) hydration d) ATA
24. RVESP indicates:
a) contraction b) hydration c) myocardial elasticity d) ATA
25. factors influencing cardiac output include:
a) saturation b) density of blood c) deliver of oxygen d) all of the above
26. 2 signs of decreased blood supply include:
a) cool skin b) pale skin c) constipation d) increased respiration rate.
27. ------------- fluid is often used as an indicator in thermodilution.
a)hot b) normal c) cold d) all of the above
28. thermodilution is done by:
a) swan-ganz catheter b) thermistor catheter c) thermo catheter
d)cournand catheter
29. thermodilution method is used to find:
a) cardiac output b) stroke volume c) heart rate d) both a and b
30. the volume of cold saline used in thermodilution is :
a) ~15ml b) ~5ml c) ~10ml d) ~7ml
31. the readings of thermodilution method are measured by
a) ammeter b) galvanometer c) potentiometer d) thermistor
32. normal residual lung volume
a) 1.2L b) 1L c) 1.5L d) 800ML
33.fick technique is used to identify
a) CO b) SV c) oxygen saturation d) oxygen consumption
34.--------------light is used in oximeter:
a) Infrared light b) UV light c) luminous light d) oblique light
35. oxygen saturation can change due to :
a) heart function b) lung function c) pulse artery d) All the above
36. shunt detection in cath lab is detected using
a) sphygmomanometer b) infusion pump c) Oxygen saturation d) oximetry
37.QP(MVO 2 content − PAO 2 content ) ÷ ( MVO 2 content − PVO2 content )=
a. Left to right b)right to left c)biventricular shunt
38.Pressure limit for 4F catheter
a) ≥1100PSI b)≥1200PSI c)≥800PSI
39. Pressure limit for 5F catheter
a) ≥1100PSI b)≥1200PSI c)≥800PSI
39. Pressure limit for 6F catheter
a) ≥1100PSI b)≥1200PSI c)≥800PSI
40.________ Water is used in thermo dilution method
a) hot water b)warm water c)cold water d) D and C
41. Proximal part of catheter is known as ________
a) tip b)body c)hub d)none of the above
42. Swan-Ganz catheter is used to measure _________
a)cardiac output b)temperature c)flow of blood d)all the above
43.PCWP is measure by _______ catheter
a)Swan-Ganz b)micromiller c)EBU d)pigtail
44.Normal Left main artery ,then the standard selection of catheter is
a)XB b)EBU c)amplatz L d) all the above
45. In shepherd’s crook origin the standard choice of catheter is
a) internal mammary b)amplatz L1 c)amplatz L2
d) all the above
46.short left main standard choice of catheter is
a)JL b)EBU c)Amplatz d)internal mammary
47. Two lessions close to each others with a normal segment inbetween is known as
a)tandem lesion b)discrete lesion c)tubular lesion d)edge lesion
48.Which of the following things are used during procedure in cath lab
a)manifold b)pressureline c)syringepump d)all the above
49. Shunts are calculated using
a)echo b)oximetry c)ECG d)both a and b
50. The following arteries are seen at LAO caudal except
a)LAD b) LMCA c) Proximal LCX d) OM2
51. The following arteries are seen at LAO Cranial except
a)LM b)LAD c)LCX d)RCA
52. The following things are seen in a sterile trolly except
a)lignocaine b)bowls c)foreceps d)kidney tray
53. Medication used in cathlab
a)tyrocip b)pantacid c)atropine d)all the above
54. The catheter used in PTCA is known as
a)guiding catheter b)diagnostic catheter c)theraupatic catheter d)both Band C
e)both A and C
55, contrast containing iodine is known as
a)ionic contrast media b)non ionic contrast media c)both d)none
56, Peripheral angiography is done in case of
a)accident b)injury c)redused pulsation d)all the above
57,The cardiac features of Tamponade includes the following except
A)less cardiac output b)hypotension c)LVDDF d)LVSDF
58,complications of PCI includes
a)cardiac tamponade b)MI c)cardiogenic shock d)all the above
59, A rare serious life-threatening complication of PCI includes
a)cardiac tamponade b)shock c)arrhythmias d)perforation
60, Implantation of ______ stent includes treatment of perforation
a)drug elucting b)mesh c)covered d)baremetal
61, The stent that is used to prevent the re-occurance of coronary occlusion is
a)baremetal b)covered c)drug eluting d)mesh
62, Coronary stents are majorly classified into ______types
a) 2 B) 3 c) 4 d)5
64,The medication that is given to a post MI patient for life is
a)clopidogrel b)ticagrealor c)thiopentone d)aspirin
65, Balloon valvuloplasty is done at ______ valve
a) Stenotic b)flial c)regurgitic d)endocarditic
67, Bio prosthetics are usually made up of _____
a)heterograft b)d and c c)porcine d)bovine e) all the above
68, There are _____ major classes of Prosthetic valve
a)2 b)3 c)4 d)5
69, To prevent rejection and calcification _____ valve is used
a)homograft b)xenograft c)hetrograft d)all the above
70,Minimally invasive techniques that allows the surgeon to repair or to treat heart
valves is
a)trans catheter b)balloonactomy c)valvuloplasty d)all the above
71, _______ is used in angiogram with the patients with risk of allergy
A) non-ionic contrast b)ionic contrast c)visipaque d)omnipaque
72, IODIXANOL is also known as
A) omnipaque b)visipaque c)ionic contrast d)non-ionic contast
73, Dyes are injected In
A) intra-arterial b)intra-veinial c)intra vascular d)all the above
74, Oxygen dilution method works on the basis of_____
A) FickS principle b)oximentry c)thermistor d)rickS principle.
75, EARLY SURVILANCE is the 1st phase of post- _____
A) PPI b)TPI c)PCI d)PTCA
st
76, Post -PPI 1 phase duration includes______weeks
A) 4-5 b)4-7 c)4-8 d)4-6
77, Which one of the following is an important indication for PPI

A) Tachycardia
B) Brady cardia
C) 3* and advanced 2* av nodal block.
D) arrythmias
78, Monitoring of a cardiac patient with syncope includes
A) EKG b)TMT c)blood test D)HOLTER MONITOR
79, Thrombus is fragmented and aspirated . This technique is known as
A) Revasculerzation b)thrombolysis c)rheolytic thrombectomy d)all the above.
80, Ablation technique is done at
A) brain b)heart c)endometrium d)all the above.
81, Endovascular stenting, clipping, coiling ,emboliztion are treatment of
A) MI b) arryhthmias c)PDA D)ANEURYSM
82) mapping is a technique done at
A) PTCA b)PPI c)TPI d)EP STUDY
83) Complications of DVT includes
A) Pulmonary embolism b)intermident claudation c)clammy skin d)all the above.
84, Amplatzer Duct Occluder is a device used in the procedure of
A) Vsd b)ASD c)PDA d)all the above .
85, Amplatzer Duct Occluder is used in
A) small sized PDA b)Medium sized PDA c)Large sized
E) Large sized PDA