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Ec8073 Medical Electronics
Ec8073 Medical Electronics
Answer: a
Explanation: The input resistance of both the
EC8073 MEDICAL inputs is very high and does not change as the
gain is varied in and instrumentational
ELECTRONICS
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amplifier. Voltage gain from differential input
(V1–V2) to single ended output, is set by one
resistor. V0 does not depend on common-
ECE -
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mode voltage, but only on their difference.
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of the instrumentational amplifier?
ELECTIVE I a) Extremely high input impedance
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b) Low bias and offset currents
c) High slew rate
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Answer: d
Explanation: Instrumentational amplifiers
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have very high CMRR. The instrumentation
amplifier offers the following advantages for
UNIT I ELECTRO- its applications in the biomedical field. Some
of them are like extremely high input
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PHYSIOLOGY AND BIO- impedance, low bias and offset currents, high
POTENTIAL slew rate.
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b) the input resistance of both the inputs is common voltages on its two input leads is
very low and does not change as the gain is known as common-mode rejection. It is
varied specified as the ratio of common-mode input
c) the input resistance of both the inputs is to differential input to elicit the same
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varied amplifier.
a) True
b) False
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voltage. The transducers, which require ac Explanation: The isolation includes different
excitation, are those whose impedance is not supply voltage sources and different grounds
on each side of the isolation barrier. Three
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purely resistive.
methods are used in the design of isolation
5. Electromagnetic coupling cannot be amplifiers: (i) transformer isolation (ii)
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reduced by ___________ optical isolation (iii) capacitive isolation.
a) shielding Isolation amplifiers are commonly used for
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b) wire twisting providing protection against leakage currents.
c) multiple grounding
d) common grounding 8. _________ are commonly used for
providing protection against leakage currents.
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Answer: c a) Isolation amplifiers
Explanation: Having multiple grounds in a b) Differential amplifiers
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single circuit increases the electromagnetic c) Instrumentational amplifiers
coupling effect by producing ground loop d) Inverting amplifiers
which may generate so much noise that it
may completely obscure the useful signal. Answer: a
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Thus, the electromagnetic coupling is reduced Explanation: Isolation amplifiers are
by shielding, wire twisting and proper commonly used for providing protection
grounding which provide a balanced signal against leakage currents. They break the
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pair with satisfactory noise rejection ohmic continuity of electric signals between
characteristics. the input and output of the amplifier. The
isolation includes different supply voltage
6. Which on the following is not a type of sources and different grounds on each side of
.B
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b) active muscles occurs when the potential of the membrane of
c) voluntary muscles a given axonal position increases and
d) involuntary muscles
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decreases rapidly. This depolarization causes
depolarization of adjacent positions in a
Answer: a similar way.
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Explanation: Palsied is an adjective that
means paralyzed. It is used to describe a 5. The variation of the electrical potential
T.
muscle on which an individual has lost all associated with the passage of a pulse along
control (cannot move). Voluntary muscles are the membrane of a muscle cell or a nerve cell
the muscles on which the individual has is called __________
complete control. Involuntary muscles are the a) muscle potential
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ones on which the individual has no control b) action potential
for example heart wall muscles. c) resting potential
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d) half cell potential
3. The principal ion that is not involved with
the phenomena of producing cell potentials is Answer: b
______________ Explanation: An action potential occurs
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a) sodium when the potential of the membrane of a
b) potassium given axonal position increases and decreases
c) chlorine rapidly. This depolarization causes
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a) arm muscle sound
Answer: b b) lungs sound
Explanation: After a cell is stimulated, a c) heart sound
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finite period of time is required for the cell to d) respiratory tract sound
return to its pre-stimulus state. This is
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because the energy associated with the action Answer: c
potential is developed from metabolic process Explanation: A phonocardiogram (or PCG)
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within the cell which takes time for is a record high-constancy recording of
completion. This time period is called sounds and mumble made by the heart with
refactory period. the assistance of the machine called
phonocardiography. Consequently,
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8. Electrooculography (EOG/E.O.G.) is a phonocardiography is the chronicle of the
technique for measuring what? considerable number of sounds made by the
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a) abnormal function of the retina heart amid a heart cycle. Mostly stethoscope
b) heart rate is used phonocardiography.
c) respiration rate
d) cornea-retinal standing potential
TOPIC 1.3 BIOPOTENTIAL
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Answer: d ELECTRODES
Explanation: Electrooculography (EOG /
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E.O.G) is a technique for measuring the 1. The material used in limb surface electrode
potential of the corneal retinal standing is ___________
potential that exists between the front and a) German silver
back of the human eye. The resulting signal is b) Copper
.B
Answer: a
Explanation: Electrocardiography (ECG or 2. Welsh cup electrodes have __________
EKG) is the way toward recording the a) low contact impedance
electrical action of the heart over some stretch b) negligible contact impedance
of time utilizing anodes put on the skin. It c) high contact impedance
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contact impedance as only the rim of the a) EEG
electrode is in contact with the skin. It is b) EOG
c) EMG
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commonly used to record the unipolar chest
leads. d) ECG
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3. In floating electrodes metal electrode does Answer: d
not make direct contact with the skin. Explanation: The recording of the electrical
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a) True activities associated with the functioning of
b) False the heart is known as electrocardiogram. ECG
is a quasi-periodical, rhythmically repeating
Answer: a signals synchronized by the function of the
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Explanation: In floating electrode the metal heart, which acts as a generator of bioelectric
electrode does not make direct contact with events. This generated signals can be
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the skin. The electrode consists of a light described by the means of a simple electric
weighted metalled screen or plate held away dipole.
from the subject by a flat washer which is
connected to the skin. Floating electrodes can 6. Which of the following is considered to be
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be recharged, i.e. the jelly in the electrodes the primary pacemaker of the heart?
can be replenished if desired. a) sino-atrial node
b) atrio-ventricular node
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a) low absorbency buffer layer with isotonic Explanation: Located in the top right atrium
electrolyte near the entry of the vena cava, are a group of
b) high absorbency buffer layer with isotonic cells known as the sino-atrial node (SA node)
electrolyte that initiates the heart activity. Because this is
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c) high absorbency buffer layer without also considered as the primary pacemaker of
isotonic electrolyte the heart. The SA node is 25 to 30 mm in
d) low absorbency buffer layer without length and 2 to 5 mm in thickness.
isotonic electrolyte
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movement of the electrode in relationship to d) upper part of the heart wall above the two
the skin and attempts to maintain the atrial
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fibrous barrier of non-excitable cells that a) wet
effectively prevent its propagation from b) dry
c) hairy
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continuing beyond the limits of stria.
d) oily
8. Buffer amplifier converts ____________
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a) low impedance signals to high impedance Answer: b
signals Explanation: The skin should be dry. Poor
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b) high impedance signals to low impedance skin prep prompts undesirable curio and not
signals putting the terminals where they ought to be
c) ac impedance signals to dc impedance can change the morphology (shape) of the
signals waveforms the specialist will decipher. The
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d) dc impedance signals to ac impedance purpose of decent skin prep is to expel soil,
signals dead skin cells, oils, skin cream, counterfeit
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tan, body powder, sweat and so forth. These
Answer: b sources can prompt poor contact with the
Explanation: Noise is typically generated sensors and ancient rarity.
from motion artefacts and power line
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interference. A common solution used to
suppress noise in dry electrode signals is a
TOPIC 1.4 BIOLOGICAL
buffer amplifier. A buffer amplifies is AMPLIFIERS
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Explanation: Smart pad is a system that terminals. Bio potential amplifiers are also
displays patients electrocardiogram signals known as differential amplifiers. The
without adhesive pads, wires or active differential amplifier is employed when it is
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intervention from a clinician. The system necessary to measure the voltage difference
automatically selects three electrodes from an between two points, both of them varying in
array of Cu/Ni fabric based electrodes amplitude at different rates and in different
patterned on a thin pad on which the patient patterns.
lies. The selected electrodes are used to
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Answer: c a) 10-50dB
Explanation: The ability of the amplifier to b) 20-40dB
reject common voltages on its two input leads c) 60-90dB
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is known as common-mode rejection. It is d) 100-120dB
specified as the ratio of common-mode input
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to differential input to elicit the same Answer: c
response. It is abbreviated as CMRR Explanation: The common mode rejection
T.
(Common-mode rejection ratio). for most op-amps is typically between 60 dB
and 90 dB. This may not be sufficient to
3. CMRR is measured in ____________ reject common mode noise generally
a) V/s encountered in biomedical measurements.
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b) dB Also, the input impedance is not very high to
c) dB/s handle signals from high impedance sources.
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d) dB/ms
6. The output of differential gain is given by
Answer: b _________
Explanation: CMRR is an important a) (difference of the two input voltage)*
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specification referred to the differential (feedback resistance/input resistance)
amplifier and is normally expressed as b) (sum of the two input voltage)*(feedback
decibels. The ability of the amplifier to reject resistance/input resistance)
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common voltages on its two input leads is c) (difference of the two input voltage)*(input
known as common-mode rejection. It is resistance/feedback resistance)
specified as the ratio of common-mode input d) (sum of the two input voltage)*(input
to differential input to elicit the same resistance/feedback resistance)
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response.
Answer: a
4. CMRR of the preamplifiers should be as Explanation: The output of differential gain
high as possible. is given by (difference of the two input
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8. The impedance of the input should be Answer: c
________ in order to obtain high CMRR in Explanation: A notch filter is employed to
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the differential amplifier. suppress the hum noise generated by the
a) low power supply in the ECG circuit. CMRR of
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b) High the order of 100–120 dB with 5 kW
c) Does not matter unbalance in the leads is a desirable feature of
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d) Very low ECG machines. The instability of the
baseline, originating from the changes of the
Answer: b contact impedance, demands the application
Explanation: This shows that high input of the automatic baseline stabilizing circuit.
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impedance is very necessary in order to
obtain a high CMRR. Also, the electrode skin 3. The branch of medicine that deals with the
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resistance should be low and as nearly equal provision and use of artificial devices such as
as possible. In order to be able to minimize splints and braces is _________
the effects of changes occurring in the a) prosthetics
electrode impedances, it is necessary to b) orthotics
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employ a preamplifier having a high input c) laproscopic
impedance. d) augmentative communication
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Answer: c
TOPIC 1.5 ECG Explanation: The branch of medicine that
deals with the provision and use of artificial
1. The frequency range of ECG is devices such as splints and braces are
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measurements are made horizontally on the change in resistance with volume of the cell
electrocardiogram. to hold good, it is recommended that the ratio
of the aperture length to the diameter of the
5. The volume of blood within the dialyzer is aperture should be 0.75:1, i.e. for an orifice of
known as ___________ 100 m diameter the length should be 75 m.
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a) secondary volume The instrument based on the Coulter principle
b) quarterly volume works most satisfactorily when the average
c) priming volume
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diameter of the particles ranges between 2 to
d) residual volume 40% of the diameter of the measuring hole.
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Answer: c 8. The blood is a poor conductor of
Explanation: The volume of blood within the electricity.
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dialyzer is known as priming volume. It is a) True
desirable that this should be minimal. Priming b) False
volume of present day dialyzers ranges from
75 to 200 ml, depending on the membrane Answer: a
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area geometry and operating conditions. Explanation: It is true. Blood is a poor
conductor of electricity. This principle is used
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6. The ideal membrane should possess in Coulter counters to count the number of
___________ to water. RBCs in the blood.
a) low permeability to water
b) high permeability to water 9. In floating electrodes metal electrode does
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c) medium permeability to water not make direct contact with the skin.
d) high permeability to waste a) True
b) False
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Answer: b
Explanation: The ideal membrane should Answer: a
possess high permeability to water, organic Explanation: In a floating electrode, the
metabolites and ions, and the capability of metal electrode does not make direct contact
.B
retaining plasma proteins. The membrane with the skin. The electrode consists of a light
should be of sufficient wet strength to resist weighted metalled screen or plate held away
tearing or bursting and non-toxic to blood and from the subject by a flat washer which is
all body cells. connected to the skin. Floating electrodes can
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a) 75:1
b) 0.75:100 a) forehead
c) 0.75:1 b) scalp
d) 0.5:10 c) cheek
d) ears
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Answer: c
Explanation: To achieve optimum Answer: b
performance and to enable the relationship of Explanation: Electrode to measure EEG are
placed on the scalp. The position of each 5. The letter T in the EEG electrode
electrode is specified using the International placement system denotes?
10/20 system. Each electrode site is labeled a) temporal lope
with a letter and a number. b) temper lobe
c) trace
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2. According to the international 10/20 d) timpanic
system to measure EEG, even number
denotes which side of the brain? Answer: a
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a) left Explanation: T denotes temporal lobe of the
b) top head. The position of each electrode is
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c) bottom specified using the International 10/20
d) right system. Each electrode site is labeled with a
T.
letter and a number.
Answer: d
Explanation: The position of each electrode 6. According to the international 10/20
is specified using the International 10/20 system to measure EEG, odd number denotes
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system. Each electrode site is labeled with a which side of the brain?
letter and a number. Even number denotes the a) left
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right side of the head. b) right
c) top
3. Letter F in the EEG electrode placement d) front
system denotes?
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a) front Answer: a
b) face Explanation: The position of each electrode
c) frontal lobe is specified using the International 10/20
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head. The position of each electrode is 7. The delta wave in EEG ranges from
specified using the International 10/20 ___________
system. Each electrode site is labeled with a a) 0.5-4Hz
letter and a number. b) 4-8Hz
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c) 8-13Hz
4. Normal EEG frequency range is _______ d) 13-22Hz
a) 50-500Hz
b) 0.5-50HZ Answer: a
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Answer: c a) (7.07,45⁰,53⁰)
Explanation: Disturbance in the EEG pattern b) (0.707,45⁰,53⁰)
resulting from the external stimuli is called c) (7.07,54⁰,63⁰)
evoked response. The stimuli could be a flash d) (0.707,54⁰,63⁰)
light or a click of sound. The stimuli can be
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repeated and the EEG waveform can be Answer: a
observed to find the activities occurring Explanation: r = √(x2+y2+z2) = √50 = 7.07
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because of the stimuli. Θ = cos-1(z/r) = cos-1(5/5√2) = 45⁰
9. The peak to peak amplitude of the waves Φ = tan-1(y/x) = tan-1(4/3) = 53⁰.
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that can be picked from the scalp is
______________ 2. Example of spherical system in the
following is
T.
a) 100mV
a) Charge in space
b) 100V
b) Charge in box
c) 100uV
c) Charge in dielectric
d) 10mV
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d) Uncharged system
Answer: c
Answer: a
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Explanation: The EEG signal can be picked
Explanation: From a point charge +Q, the
up with electrodes either from the scalp or
electric field spreads in all 360 degrees. The
directly from the cerebral cortex. The peak to
calculation of electric field in this case will be
peak amplitude of the waves that can be
spherical system. Thus it is charge in the
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picked up from the scalp is normally 100uV.
space.
The frequency varies greatly with different
behavioral states.
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a) theta rhythm
Answer: b
b) gamma rhythm
Explanation: There is no waveguide
c) beta rhythm
designed spherically to avoid absorption,
d) alpha rhythm
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Answer: c
Explanation: A waveguide need not be
1. Convert the point (3,4,5) from Cartesian to
spherical, it has to be rectangular or circular,
spherical coordinates
as it violates the propagation of the wave.
5. Find the spherical coordinates of A(2,3,-1) 9. The scalar factor of spherical coordinates is
a) (3.74, 105.5⁰, 56.13⁰) a) 1, r, r sin θ
b) (3.74, 105.5⁰, 56.31⁰) b) 1, r, r
c) (3.74, 106.5⁰, 56.13⁰) c) r, r, 1
d) (3.74, 106.5⁰, 56.31⁰) d) r, 1, r
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Answer: b Answer: a
Explanation: r = √(x2+y2+z2) = √14 = 3.74 Explanation: The radius varies from unity to
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infinity, the plane angle from zero to 360 ⁰
Θ = cos-1(z/r) = cos-1(-1/3.74) = 105.5⁰
and the z plane from (-∞, ∞) .
Φ = tan-1(y/x) = tan-1(3/2) = 56.31⁰.
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10. Transform the vector (4,-2,-4) at (1,2,3)
6. Find the Cartesian coordinates of
T.
into spherical coordinates.
B(4,25⁰,120⁰) a) 3.197i – 2.393j + 4.472k
a) (0.845, 1.462, 3.625) b) -3.197i + 2.393j – 4.472k
b) (-0.845, 1.462, 3.625) c) 3.197i + 2.393j + 4.472k
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c) (-8.45, 2.462, 6.325) d) -3.197i – 2.393j – 4.472k
d) (8.45, 2.462, 6.325)
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Answer: b
Answer: b
Explanation: r = √(x2+y2+z2) = 3.74
Explanation: x = r sin θ cos φ = 4 sin25⁰ cos
120⁰ = -0.845 Θ = cos-1(z/r) = cos-1(3/3.74) = 36.7⁰
y = r sin θ sin φ = 4 sin 25⁰ sin 120⁰ = 1.462 Φ = tan-1(y/x) = tan-1(2/1) = 63.4⁰
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z = r cos θ = 4 cos 25⁰ = 3.625. A = (4 sin θ cos φ – 2 sin θ sin φ – 4cos θ)i +
(4 cos θ cos φ – 2 cos θ sin φ + 4 sin θ)j + (-4
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d) 6/min or 12/min Answer: b
Explanation: In signal conditioning, ECG
Answer: d signal is amplified, filtered and digitized
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Explanation: In arrhythmia monitoring using an 8 or 12 bit analog-to-digital
instrument, it gives alarm light signals converter with a typical sampling rate of 250
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whenever the prematured or widened ectopic Hz.
beat exist up to the rate of 6/min or 12/min.It
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is one of the operating sequences of the 6. By using a _________ rather than a
arrhythmia monitoring instrument. _________ the amplitude of low frequency
noise as well as the low frequency
3. In automated arrhythmia monitoring components of the ECG will be reduced
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system, which task is performed after the without affecting the QRS.
Ventricular fibrillation detection? a) High-pass filter, Band-pass filter
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a) Rhythm definition b) Low-pass filter, Band-pass filter
b) Beat labeling c) Band-pass filter, Low-pass filter
c) Atrial fibrillation detection d) Band-pass filter, High-pass filter
d) Noise detection
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Answer: c
Answer: a Explanation: The maximum of the QRS
Explanation: In automated arrhythmia energy spectrum is in the vicinity of 10 Hz,
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fibrillation detection in automated arrhythmia frequency noise as well as the low frequency
monitoring and analysis system. components of the ECG will be reduced
without affecting the QRS.
4. In signal conditioning, ECG signal is
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amplified, filtered with 0.05-100 Hz for 7. The steep, large amplitude variation of the
monitoring purposes and 1-40 Hz for QRS complex is the obvious characteristics to
diagnostic purposes. use and this is the function of the R wave
a) True detector.
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b) False a) True
b) False
Answer: b
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5. Which analog-to-digital converter is used the obvious characteristics to use and this is
in the digitization of ECG signal in signal the function of the R wave detector.
conditioning?
8. In the process of the ECG waveform, the maintain no more than 10-20 clusters at a
detection filter removes _______ and time, order to limit the amount of
_______ computation needed to assign a QRS complex
a) Baseline wander, motion noise to a cluster.
b) Muscle artifact, motion noise
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c) Low frequency noise, motion noise 11. When will be R-R interval declared
d) Baseline wander, muscle artifact premature?
a) If it is greater than 85% of the predicted
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Answer: c interval
Explanation: The ECG waveform is b) If it is less than 85% of the predicted
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processed by two digital filters: a detection interval
filter and a classification filter. The detection c) If it is greater than 75% of the predicted
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filter removes low frequency noise (baseline interval
wander) and muscle artifact. P waves and T d) If it is less than 75% of the predicted
waves are diminished. interval
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9. How many steps are there in QRS Answer: b
detection? Explanation: In timing classification, the
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a) Three steps observed R-R interval is compared to an
b) Two steps estimate of the expected R-R interval. An R-
c) Four steps R interval will be declared premature if it is
d) One step less than 85% of the predicted interval.
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Similarly, an R-R interval is long if it is
Answer: b greater than 110% of the predicted value.
Explanation: QRS detection is now almost
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universally performed digitally in a two-step 12. Which is the final stage in arrhythmia
process. The ECG is first preprocessed to analysis?
enhance the QRS complex while suppressing a) Beat labeling
noise, artifact and non-QRS portions of the b) Alarms
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energy concentrated in a band around 5-6 Hz. 1. The variation of a quantity such as voltage
It can be distinguished from noise by or current shown on a graph is known as
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appropriately designing band-pass filters. ___________
a) Waveform
14. Which techniques are used in a new b) Peak value
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algorithm proposed by Jen and Hwang to c) Instantaneous value
obtain the long term ECG signal feature and d) Period
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extract the meaningful information hiding in
the QRS complex? Answer: a
a) Cepstrum time warping and Dynamic Explanation: The variation of a quantity,
coefficient
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which is voltage or current in this case,
b) Cepstrum coefficient and Dynamic time shown on a graph with the x-axis as time is
warping known as a waveform.
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c) QRS detection and Dynamic coefficient
d) QRS detection and Cepstrum time warping 2. What is the duration of one cycle known as
_________
Answer: b a) Waveform
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Explanation: Jen and Hwang proposed a new b) Peak value
algorithm using cepstrum coefficient and the c) Instantaneous value
dynamic time warping techniques to obtain
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d) Period
the long term ECG signal feature and extract
the meaningful information hiding in the QRS Answer: d
complex. This algorithm may also be used for Explanation: The duration of one cycle is
arrhythmia detection by simply checking the known as a period. A function which repeats
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difference of R-R wave intervals through the same waveform at equal intervals of time
signal feature extraction comparison for a is known as a periodic function.
certain period of time.
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b) 215 Hz c) Cycle
c) 40-100 Hz d) Period
d) 200-215 Hz
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Answer: c
Answer: a Explanation: Each repetition of a variable
Explanation: In signal conditioning, ECG quantity, recurring at equal intervals, is
signal is amplified, filtered (0.05-100 Hz for termed as a cycle.
diagnostic purposes, 1-40 Hz for monitoring
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purposes) and digitized using an 8 or 12-bit 4. The value of a given waveform at any
analog-to-digital converter with a typical instant time is termed as ___________
sampling rate of 250 Hz. a) Waveform
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Explanation: Instantaneous value is the value the peak voltage.
of the waveform at that instant. Hence the a) 10V
value of a given waveform at any instant time b) 2V
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is termed as instantaneous value. c) 4V
d) 5V
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5. The maximum instantaneous value
measured from zero value is known as? Answer: d
T.
a) Peak value Explanation: Vp-p=2Vp
b) Peak to peak value Substituting the values from the question, we
c) Cycle get Vp=5V.
d) Period
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9. If the peak voltage is 9V, calculate the peak
Answer: a to peak voltage.
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Explanation: The maximum instantaneous a) 9V
value measured from the zero value is termed b) 20V
as the peak value. c) 18V
d) 12V
6. The maximum variation between the
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maximum positive and the maximum Answer: c
negative value is known as? Explanation: Vp-p=2Vp
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Answer: b
Explanation: The maximum variation UNIT II BIO-CHEMICAL
between the maximum positive instantaneous
AND NON ELECTRICAL
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2. Pure water is known to be which of the Answer: c
following? Explanation: In water, the value of hydrogen
a) Weak electrolyte and hydroxyl ion concentrations are the same.
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b) Strong electrolyte It can be represented as [H+]=[OH-].
c) Neither weak nor strong
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d) Not an electrolyte 6. The Nernst equation is given by which of
the following statements?
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Answer: a a) E=Eo + 2.303 RT/F log CH
Explanation: Pure water is a weak b) E=Eo – 2.303 RT/F log CH
electrolyte. It dissociates to form hydrogen c) E=Eo + 2.303 RT×F log CH
ions and hydroxyl ions.
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d) E=Eo – 2.303 RT×F log CH
3. Which of the following is the value of
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hydrogen ion concentration of pure water? Answer: a
a) 1×107 moles/litre Explanation: The Nernst equation is
represented as, E=Eo + 2.303 RT/F log CH. it
b) 1×105 moles/litre
is used for measuring the potential of
c) 1×106 moles/litre
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electrodes.
d) 1×108 moles/litre
7. Which of the following is the relation
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a) 1×107 moles/litre
b) 1×105 moles/litre Answer: a
c) 1×106 moles/litre Explanation: In acidic solution, the value of
d) 1×108 moles/litre hydrogen ion concentration is greater than
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of pure water is 1×107 moles/litre. It can be 8. Which of the following is the relation
between the concentration of hydrogen and
represented as [OH-]=1×107 moles/litre. hydroxyl ions in a basic solution?
a) Value of hydrogen ion concentration is
5. Which of the following is the relation
greater
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hydroxyl ion concentration is greater than that a) Platelets
of hydrogen ion concentration. It can be b) Red Blood Cells
represented as [H+]<[OH-]. c) White Blood Cells
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d) Plasma
9. The measurement of hydrogen ion
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concentration can be made by measuring the Answer: d
potential developed in an electrochemical Explanation: The plasma (liquid part of the
T.
cell. blood) is a very poor carrier of oxygen. At the
a) True pressures available, only 0.3 ml of oxygen
b) False can dissolve in 100 ml of plasma, which is
quite insufficient for the needs of the body.
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Answer: a
Explanation: The measurement of hydrogen 3. What does red blood cells contain for
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ion concentration can be made by measuring combining with a large volume of oxygen?
the potential developed in an electrochemical a) Proteins
cell. b) Haemoglobin
c) Lipids
10. Slope factor is independent of
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d) Platelets
temperature.
a) True Answer: b
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a) oxygen
b) carbon dioxide Answer: c
c) hydrogen Explanation: The total quantity of oxygen
d) nitrogen bound with haemoglobin in the normal
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a) in vitro Answer: c
b) in vivo Explanation: Blood in the ear must be made
similar to arterial blood in composition. This
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c) transmission
d) reflection is done by increasing the flow through the ear
without appreciably increasing the
C
Answer: a metabolism. Maximum vasodilatation is
Explanation: When blood is withdrawn from achieved by keeping the ear warm.
T.
the subject under anaerobic conditions and
measurement for oxygen saturation is made at 9. By keeping the ear warm, maximum
a later time in the laboratory, the procedure is vasodilatation is achieved.
referred to as in vitro oximetry. a) True
O
b) False
6. For discrete blood samples, a
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spectrophotometric measurement of oxygen Answer: a
saturation can be made by which method? Explanation: Yes, maximum vasodilatation is
a) in vitro achieved by keeping the ear warm. It takes
b) in vivo about 5 or 10 min for the ear to become fully
G
c) transmission dilated after the ear unit has been put up in
d) cannot be determined place and the lamp turned on.
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d) Intravascular
8. Blood in _________ must be made similar
to arterial Blood in composition.
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independent of a wide range of encountered
variables and is made without involving
TOPIC 2.3 PCO2
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patients in any calibration or standardization
procedure. 1. pH meters can be considered as voltage
sources with which of the following internal
C
12. This technique involves measuring the resistances?
optical transmittance of the ear at how many a) Very low resistance
T.
wavelengths? b) Moderate resistance
a) 12 c) Very high resistance
b) 6 d) No resistance
c) 8
O
d) 10 Answer: c
Explanation: pH meters can be considered as
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Answer: c voltage sources with very high internal
Explanation: In brief, the technique involves resistance. In order to eliminate errors, no
measuring the optical transmittance of the ear current should flow from the source.
at 8 wavelengths in the 650 to 1050 nm range.
G
A 2.5 m long flexible fibre ear probe connects 2. The electrodes used in pH measurement
the patient to the instrument. have which of the following internal
resistances?
LO
13. Ear probe which connects the patient to a) Very low resistance
instrument is ___________ m long. b) Moderate resistance
a) 1.5 c) Very high resistance
b) 2.0 d) No resistance
.B
c) 2.5
d) 3.0 Answer: c
Explanation: The electrodes used in pH
Answer: c measurement have very high internal
17
Explanation: A 2.5 m long flexible fibre ear resistance. It is of the order of 1000M ohm.
probe connects the patient to the instrument.
The ear probe can be either held in position 3. Which of the following is not a failure in
for discrete measurements or can be pH meters?
-R
M
d) Modern pH meter
8. Which of the following is not the
Answer: a characteristic of direct reading type pH
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Explanation: Null-detector type pH meter is meters?
the simplest of all pH meters. It is also known a) Simple operation
C
as the potentiometer type. b) Quick to use
c) Continuous indication output
T.
5. In which of the following ways can zero d) It requires balancing process
drift be reduced in pH meters?
a) Using filter Answer: d
b) Giving zero adjustment arrangement Explanation: Direct reading type pH meters
O
c) Keeping the input impedance high do not require balancing process. Its
d) Using balanced and differential amplifiers operation is simple and readings can be read
SP
directly.
Answer: d
Explanation: Zero drift be reduced in pH 9. Which of the following is not the
meters using balanced and differential characteristic of chopper amplifier pH meter?
G
amplifiers. Their response to external signals a) Direct voltage from the electrodes is
are additive and to internal noise are chopped at the main frequency
subtractive. b) Using choppers for high-input resistance
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meter be overcome?
7. Which of the following is not the a) Using zero corrected DC amplifier
characteristic of null-detector type pH meter? b) Using modern design
a) It can be battery operated c) Using digital design
b) It has less accuracy d) Using vibrating condenser
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c) It is easy to maintain
d) Its electronic circuits are simple Answer: d
Explanation: The disadvantages of chopper
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amplifier type pH meter is much better than a
direct coupled amplifier.
a) True
O
b) False
C
Answer: a
Explanation: The zero stability of vibrating
a) Filter
T.
condenser amplifier type pH meter is much
better than a direct coupled amplifier. The b) Buffer
capacity can be changed by vibrating one of c) A/D converter
its plates. d) D/A converter
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12. In vibrating condenser amplifier type pH Answer: c
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meter, to maintain good performance which Explanation: The unmarked component is
of the following has to be done? A/D converter. Microprocessor operates only
a) Frequency of the vibrator should be stable on digital data. Electrodes give analog
b) Frequency of the vibrator should be signals. Hence, A/D converter must be
present.
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constant
c) Amplitude of the vibrator should be
constant TOPIC 2.4 COLORIMETER
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pressure oxygen?
14. Given below is the block diagram of a) To increase the rate of reaction
digital pH meter. Identify the unmarked b) To ensure that the given sample in the
M
Explanation: A pressure of 30 bar should be
used to carry out this whole process. The 6. Why only Beckmann or fixed zero
oxygen assists in the burning of coal sample. thermometer are used to note down the
O
temperature reading?
3. Which material is used in the making of the a) Since they can read temperature difference
C
cylindrical bomb? upto 1/100th of a degree
a) Carbon steels b) Since they have a high mercury level
T.
b) Alloy steels c) Since they give a precise value of the
c) Ferritic stainless steels temperature
d) Austenitic stainless steels d) Since they give accurate readings when
dissolved in water
O
Answer: d
Explanation: These steels are used to prevent Answer: a
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the bomb from corrosion. These steels are Explanation: When the current is supplied
also capable of withstanding a pressure of at from a 6 volt battery, then there is a rise in
least 50 atm. temperature, due to which some temperature
change occurs which is very small, so to
4. What is the role of the small ring attached
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calculate a perfect value for this temperature
to the electrode in a bomb? change Beckmann thermometer is used.
a) It acts as a support to the crucible
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b) It is used to connect the electrode and the 7. What is the use of gas releasing pin in the
crucible bomb?
c) It is used as an intermediate for magnesium a) To remove the oxygen gas from the bomb
wire b) To release the pressure from the bomb
.B
d) It helps to collect the fuel at a point in the c) To release the water vapour
crucible d) To remove the carbon containing gases
(such as CH4, CO2 etc)
Answer: a
17
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to the electrode from the crucible, they should
be good conductors. Platinum is also used for 2. Which of the following instrument is most
this process. commonly used for measurement of blood
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flow?
9. What is the basic formulae for calculating a) NMR Blood Flowmeter
C
gross calorific value in bomb calorimeter? b) Ultrasonic Blood Flowmeter
a) θ = [(W+w)(t2+t1)]/m c) Electromagnetic Blood Flowmeter
T.
b) θ = [(W-w)(t2-t1)]/m d) Laser Doppler Blood Flowmeter
c) θ = [(W+w)(t2-t1)]/m
Answer: c
d) θ = [(W+w)(t2+t1)]/m Explanation: The most commonly used
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instrument for the measurement of blood flow
Answer: c is of the electromagnetic type. With this type
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Explanation: Its unit is cal/gm. Here t2-t1 is of instrument, blood flow can be measured in
the temperature difference and W+w is the intact blood vessels without cannulation and
total weight. under conditions which would otherwise be
θ = [(W+w)(t2-t1)]/m impossible. However, this method requires
G
where θ is gross calorific value, W is the that the blood vessel be exposed so that the
weight of the water sample taken in flow head or the measuring probe can be put
calorimeter, w is the weight of water across it.
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Answer: b
1. Which of the following physiological Explanation: The magnitude of the voltage
parameter is most difficult to measure picked up is directly proportional to the
accurately? strength of the magnetic field, the diameter of
-R
M
picked up is directly proportional to the diameter have been reported in the literature.
strength of the magnetic field, the diameter of
the blood vessel and the velocity of blood 7. The operating principle underlying all
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flow, i.e. e = CHVd, where e = induced electromagnetic type flowmeters is based
voltage, H = strength of the magnetic field, V upon Kirchoff’s law.
C
= velocity of blood flow, d = diameter of the a) True
blood vessel and C = constant of b) False
T.
proportionality.
Answer: b
5. The induced emf is picked by point Explanation: False, The operating principle
electrodes made from ______ in underlying all electromagnetic type
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electromagnetic blood flowmeter. flowmeters is based upon Faraday’s law of
a) copper electromagnetic induction which states that
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b) graphite when a conductor is moved at right angles
c) platinium through a magnetic field in a direction at right
d) copper tungsten angles both to the magnetic field and its
length, an emf is induced in the conductor. In
G
Answer: c the flowmeter, an electromagnetic assembly
Explanation: In actual practice, the provides the magnetic field placed at right
electromagnetic flowmeter transducer (Wyatt, angles to the blood vessel in which the flow is
LO
platinum.
Answer: d
6. What is the external diameter of flow Explanation: The flow-induced voltage of an
heads? electromagnetic flowmeter is, within certain
-R
c) 12 to 18 cm/s a) True
d) 20 to 25 cm/s b) False
Answer: b Answer: a
Explanation: The flow-induced voltage of an Explanation: True, To protect the probe from
M
electromagnetic flowmeter is, within certain chemical attack, it must be encapsulated in a
limitations, proportional to the velocity of the biologically inert material having a high
flow. This velocity is the average across the electrical and chemical resistance, e.g.
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flow stream with an axis symmetric velocity silicone rubber. The probes can generally be
profile. The average flow velocity appears to sterilized by chemical means. Probe
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be 20 to 25 cm/s in arteries and 10 to 12 cm/s calibration is carried out in 0.9% saline
in veins. during manufacture and each probe is given a
T.
calibration factor that is engraved on the
10. What is velocity for the cardiovascular connector.
system taken for designing the probe?
a) 5 cm/s 13. The cable from the transducer to an
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b) 10 cm/s instrument is sleeved with medical grade
c) 15 cm/s silicon rubber.
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d) 20 cm/s a) True
b) False
Answer: c
Explanation: For designing the probe, Answer: a
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velocity for the cardiovascular system is Explanation: True, the cable from the
taken as 15 cm/s. For non-cannulated probes, transducer to the instrument should comprise
a uniform magnetic field over the measuring of a teflon insulated wire completely shielded
LO
area is so selected that it has a convenient with a tinned copper braid. The entire cable is
shape and the smallest size (Cunningham et sleeved with medical grade silicone rubber
al. 1983). tubing and impregnated with silicone rubber
to minimize leakage and electrical noise.
.B
c) 8.2 to 10 mm b) between 1 to 2 mm
d) 10 to 15 mm c) below 8.2 mm
d) above 8.2 mm
Answer: b
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used in diameters above 8.2 mm. Cannulated to 8.2 mm, and air cored electromagnets are
probes for extracorporeal use can have greater used in diameters above 8.2 mm. Cannulated
field strengths and magnet size as the probes for extracorporeal use can have greater
constraint of small size is no longer present. field strengths and magnet size as the
constraint of small size is no longer present.
C
1. Which of the following statement is for the age of the person. High BP is when
correct? blood pressure is high than 120/80 mm Hg.
a) 130/90 mm Hg is considered high and
require treatment 5. A normal heart rate in an adult at rest is
b) 100/55 mm Hg is considered an ideal ______________
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blood pressure a) 110
c) 105/50 mm Hg makes one active b) 125
c) 60
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d) 190/110 mm Hg may harm vital organs
d) 75
Answer: d
C
Explanation: The high blood pressure may Answer: d
harm vital organs of the body. It is the Explanation: A normal resting heart rate for
T.
condition in which the force of blood against an adult ranges from 70-85 beats a minute.
the artery valve is very high. Generally, a lower heart rate at rest implies
more efficient heart function and better
2. Blood pressure is the pressure exerted by cardiovascular fitness.
O
blood against ___________
a) kidneys 6. Unhealthy growth of tissue due to higher
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b) artery walls pressures on the walls of the artery is termed
c) brain as __________
d) stomach a) atheroma
b) aroma
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Answer: b c) adenoma
Explanation: Blood pressure exerted by d) aroma and adenoma
circulating blood on the walls of blood
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vessels. Answer: a
Explanation: Atheroma is the growth of
3. Blood pressure is measured in terms of tissues due to higher pressure on walls of
____________ artery. High pressures increases heart work
.B
a) mm Hg load.
b) mm
c) cm Hg 7. Any mechanism that increases heart rate is
d) Hg said to have a positive ________ effect.
17
a) cholinergic
Answer: a b) inotropic
Explanation: Blood pressure values are c) chronotrophic
generally measured in terms of millimeters of d) feedback
-R
pressure and high blood pressure. by affecting the electrical conduction system
a) True of the heart.
b) False
8. The colloid osmotic pressure of blood
C
M
Explanation: Albumin is a family of globular bronchi are the parts of the respiratory
protein. The most important function is system.
maintaining intra vascular colloid osmotic a) True
O
pressure. b) False
C
9. The sinoatrial node depolarizes more Answer: a
frequently under the influence of ________ Explanation: Respiratory system consists of
T.
a) medulla oblongata all the organs which take part in the
b) vagus nerve respiration. It includes bronchi, trachea,
c) norepinephrine lungs, nose, larynx, and pharynx.
d) acetylcholine
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3. Which of the following is NOT the
Answer: c function of the respiratory system?
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Explanation: Norepinephrine is similar to a) Regulate blood pH
adrenaline. It is used to treat life threatening b) Helps in gaseous exchange
low BP that can occur with certain medical c) Protection against blood loss
conditions. d) Contains receptors for the sense of smell
G
10. _________ is the enzyme that converts Answer: c
Angiotensinogen to Angiotensin I. Explanation: Respiratory system helps in
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of blood clots.
Answer: a
Explanation: Angiotensin is a peptide 4. Which of this statement is TRUE for
hormone that causes an increase in blood pulmonary respiration?
17
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d) Dorsal respiratory group clock.
Answer: d
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Explanation: Ventral respiratory group TOPIC 2.8 BLOOD PRESSURE
contains both inspiratory and expiratory
C
neurons and controlled forced breathing while 1. Which of the following statement is
dorsal respiratory group contains only correct?
T.
inspiratory neurons control normal breathing. a) 130/90 mm Hg is considered high and
require treatment
6. Oxygen and hemoglobin bind in a b) 100/55 mm Hg is considered an ideal
reversible manner to form______ blood pressure
O
a) Carboxyhemoglobin c) 105/50 mm Hg makes one active
b) Oxyhemoglobin d) 190/110 mm Hg may harm vital organs
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c) Methoglobin
d) BPG Answer: d
Explanation: The high blood pressure may
Answer: b harm vital organs of the body. It is the
G
Explanation: Oxyhemoglobin is formed by condition in which the force of blood against
the combination of oxygen and hemoglobin. the artery valve is very high.
Oxygen binds to the hemoglobin in a
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reversible manner. 98% of oxygen is trapped 2. Blood pressure is the pressure exerted by
inside RBC. blood against ___________
a) kidneys
7. How many oxygen molecules bound to b) artery walls
.B
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a) True
b) False 8. The colloid osmotic pressure of blood
plasma is due to high concentration of
O
Answer: a _______
Explanation: Low blood pressure is when the a) albumin
C
systolic and diastolic blood pressure is below b) hemoglobin
for the age of the person. High BP is when c) sodium
T.
blood pressure is high than 120/80 mm Hg. d) glucose
O
a) 110 protein. The most important function is
b) 125 maintaining intra vascular colloid osmotic
SP
c) 60 pressure.
d) 75
9. The sinoatrial node depolarizes more
Answer: d frequently under the influence of ________
Explanation: A normal resting heart rate for
G
a) medulla oblongata
an adult ranges from 70-85 beats a minute. b) vagus nerve
Generally, a lower heart rate at rest implies c) norepinephrine
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b) inotropic
c) chronotrophic
d) feedback
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for recording the electrical activity of the 4. Which of the following is material is used
brain? to improve electrical contact?
a) Silver Tungsten
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a) ECG
b) EMG b) Electrode jelly
c) PCG c) Silver Graphite
C
d) EEG d) Copper Tungsten
T.
Answer: d Answer: b
Explanation: Electroencephalograph is an Explanation: Electrode jelly or paste is used
instrument for recording the electrical activity to improve the electrical contact. If the
of the brain, by suitably placing surface electrodes are intended to be used under the
O
electrodes on the scalp. EEG, describing the skin of the scalp, needle electrodes are used.
general function of the brain activity, is the They offer the advantage of reducing
SP
superimposed wave of neuron potentials movement artefacts.
operating in a non-synchronized manner in
the physical sense. 5. Whose electrodes give high skin
impedance as compared to ECG?
G
2. EEG electrodes are larger in size than ECG a) VCG
electrodes. b) PCG
a) True c) EMG
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b) False d) EEG
Answer: b Answer: d
Explanation: Several types of electrodes may Explanation: EEG electrodes give high skin
.B
be used to record EEG. These include: Peel contact impedance as compared to ECG
and Stick electrodes, Silver plated cup electrodes. Good electrode impedance should
electrodes and Needle electrodes. EEG be generally below 5 kilohms. The impedance
electrodes are smaller in size than ECG between a pair of electrodes must also be
17
synchrronized manner in a physical sense. high value of input impedance to take care of
a) VCG high electrode impedance?
b) ECG a) Montages
SE
c) EEG b) Electrodes
d) PCG c) Preamplifiers
d) Filters
Answer: c
Explanation: Electroencephalograph is an Answer: c
C
instrument for recording the electrical activity Explanation: Good electrode impedance
of the brain, by suitably placing surface should be generally below 5 kilohms.
electrodes on the scalp. EEG, describing the Impedance between a pair of electrodes must
also be balanced or the difference between several hundred microvolts, but 50 microvolts
them should be less than 2 kilohms. EEG peak-to-peak is the most typical.
preamplifiers are generally designed to have a
very high value of input impedance to take 10. A pattern of electrodes on the head and
care of high electrode impedance. the channels they are connected to are
M
__________
7. Voltage difference between an active a) Amplifiers
electrode on the scalp with respect to b) Oscilloscope
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reference electrode at ear lobe or any other c) Montage
part of body is known as ___________ d) Wires
C
recording.
a) Monopolar Answer: c
T.
b) Bipolar Explanation: A pattern of electrodes on the
c) Unipolar head and the channels they are connected to is
d) Nonpolar called a montage. Montages are always
symmetrical. The reference electrode is
O
Answer: a generally placed on a nonactive site such as
Explanation: EEG may be recorded by the forehead or earlobe.
SP
picking up the voltage difference between an
active electrode on the scalp with respect to a 11. Where is the reference electrode placed?
reference electrode on the ear lobe or any a) nasal
other part of the body. This type of recording b) cervical
G
is called ‘monopolar’ recording. c) forehead
d) facial
8. How is bipolar recording done?
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between two scalp electrodes is recorded. 12. What is the typical value of the
Such recordings are done with multi-channel calibration signal?
electroencephalographs. a) 10 uV/cm
b) 30 uV/cm
-R
a) True
b) False Explanation: A calibrating signal is used for
controlling and documenting the sensitivity of
Answer: a the amplifier channels. This supplies a
Explanation: Yes, EEG signals picked up by voltage step of adequate amplitude to the
C
the surface electrodes are usually small as input of the channels. A typical value of the
compared with the ECG signals. They may be calibration signal is 50 uV/cm.
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TOPIC 2.10 BLOOD CELL
Answer: a COUNTERS.
Explanation: Yes, preamplifier used in
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electroencephalographs must have high gain 1. The blood corpuscles are of _________
and low noise characteristics because the kinds.
C
EEG potentials are small in amplitude. In a) 5
addition, the amplifier must have very high b) 4
T.
common-mode rejection to minimize stray c) 2
interference signals from power lines and d) 3
other electrical equipment.
Answer: d
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14. EEG machines have notch filter sharply Explanation: The blood corpuscles are of 3
tuned at _______ Hz as to eliminate mains types. They are colored corpuscles-
SP
frequency interference. erythrocytes, Colorless corpuscles –
a) 10 Leucocytes and blood platelets.
b) 30
c) 50 2. Blood is stained with _________ stain.
G
d) 70 a) Methylene blue
b) Safranin
Answer: c c) Leishman stain
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they produce a damped oscillatory response microscopy for staining blood smears. It is
to a square wave calibration waveform or a generally used to differentiate and identify
muscle potential. The use of notch filters leucocytes malaria parasites and
should preferably be restricted to exceptional trypanosomas.
17
b) 0.05 to 0.1 Hz
c) 0.1 to 70 Hz Answer: c
d) 70 to 140 Hz Explanation: The Process of formation of
blood corpuscles is called Haemopoesis. It
Answer: c occurs in the bone marrow.
C
M
Explanation: Old red blood cells are recycled b) Respiratory pigment
in the spleen. Platelets and white blood cells c) Carbohydrate
are stored there. Spleen also helps fight d) Fat
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certain kinds of bacteria that cause
pneumonia and meningitis. Answer: b
C
Explanation: Hemoglobin is a protein in
5. Which leucocytes release heparin and RBC that carries oxygen throughout the body.
T.
histamine in blood? Lower Hemoglobin counts indicate anemia.
a) Neutrophil
b) Basophil 9. Absence of which clotting factor leads to
c) Eosinophil Hemophilia-A?
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d) Monocytes a) Factor VII
b) Factor VIII
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Answer: b c) Factor IX
Explanation: Basophil contains heparin d) Factor X
which is an anticoagulant. It is a type of white
blood cell. Answer: b
Explanation: Hemophilia-A is also called
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6. Which blood cells secrets antibody? factor VIII deficiency or classic hemophilia.
a) Eosinophils It is a genetic disorder caused by missing or
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7. Vitamin essential for blood clotting is used to treat blood clots in veins arteries or
_____________ lung.
a) Vitamin K
b) Vitamin A 11. Red cell count is carried out by
SE
c) Vitamin B _________
d) Vitamin C a) Electrogram
b) Sphygmomanometer
Answer: a c) Haemoglobinometer
C
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12. Blood is five times more viscous than primarily based on ECG wave shapes that
distilled water. attempt to describe the state of the working
a) True muscle masses. The other type of diagnostic
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b) False statement is Rhythm statement. These both
diagnostic statements are observed from the
C
Answer: a ECG records.
Explanation: When hematocrit raised to 60%
T.
or 70% the blood viscosity can become as 3. Rhythm statements concerned with the site
great as 5 to 6 times that of water and it flows and rate of the cardiac pacemaker and the
through blood vessels is greatly retarded propagation of impulses through the
because of increased resistance to flow. conduction system.
O
a) True
b) False
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Answer: a
UNIT III ASSIST DEVICES Explanation: Rhythm statements concerned
with the site and rate of the cardiac
G
pacemaker and the propagation of impulses
TOPIC 3.1 CARDIAC through the conduction system is true because
PACEMAKERS the other type of the diagnostic statements is
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b) Cardiac arrest
c) Arrhythmias 4. Which wave from ECG waveforms
d) Premature contraction becomes widened when the self-triggering
impulse does not arrive through the AV node?
17
Answer: c a) P wave
Explanation: Any disturbance in the heart’s b) QRS wave
normal rhythmic contraction is called an c) ST wave
d) T wave
-R
5. When the self-triggering impulse does not when the heart-rate is to fast(greater than
arrive at the AV node and travels a different 100). Here the answer is Bradycardia because
and slower path over the ventricles, the QRS heart rate is less than 60.
becomes widened and is classified as
___________ 8. Which of the following are resuscitation
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a) Ectopic beat techniques?
b) Ventricular-ectopic beat a) Cepstrum coefficient
b) Prophylactic therapy
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c) Ventricular beat
d) Atrio-ventricular beat c) Transthoracic defibrillation
d) Dynamic time warping
C
Answer: b
Explanation: Sometimes irritation occurs in Answer: d
T.
the ventricles, the self-triggering impulse Explanation: The necessity for early
does not arrive through the node and thus detection of the arrhythmias led to the
travels a different and slower path in establishment of coronary care units in
spreading over the ventricles. The QRS wave hospitals for the intensive monitoring and
O
then becomes widened, and is classified as a treatment of such patients. The attempt in
ventricular ectopic beat. This ectopic beat is these units was to effectively carry out
SP
classified from ventricles so it is called as a resuscitation techniques such as cardiac
ventricular ectopic beat. massage and transthoracic defibrillation.
premature ventricular contraction (PVC), i.e. the answer is Bradycardia because,heart rate
it occurs sooner than the next expected beat. is less than 60.
7. When the heartbeat is slower than the 10. Photo-diodes work in ___________
-R
Explanation: There are 2 types of operated in the reversed biased condition. The
arrhythmias, i) Bradycardia-when the heart- light is always focused through a glass lens
rate is to slow(less than 60), ii)Tachycardia- on the junction of the photo diode.
11. Parallel flow dialyzer has a low internal arrhythmias or cardiac dysrhythmia. In this
resistance. Because of this blood pump is arrhythmias heart can’t beat in a regular
required. rhythm. In arrhythmia heart-rate will be
a) True higher than normal rate or will be less than
b) False the normal rate.
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Answer: b 2. Which diagnostic statement is based on
Explanation: Parallel flow dialyzer has a low ECG wave shapes that attempt to describe the
O
internal resistance which allows adequate state of the working muscle masses?
blood flow through the dialyzer with the a) Rhythm statements
C
patient’s arterial blood pressure, eliminating b) Morphological statements
the need for a blood pump. The dialyzing c) Morphological-Rhythm statements
T.
surface area of a parallel flow dialyzer is d) Rhythm-Morphological statements
about 1 sq m. At a blood flow rate of 200
ml/min and a dialysate flow of 500 ml/min, Answer: b
the urea and creatinine clearance is about 80 Explanation: Morphological statement-
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and 64 ml/min. primarily based on ECG wave shapes that
attempt to describe the state of the working
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12. CMRR is measured in _______________ muscle masses. The other type of diagnostic
a) V/s statement is Rhythm statement. These both
b) dB diagnostic statements are observed from the
c) dB/s ECG records.
G
d) dB/ms
3. Rhythm statements concerned with the site
Answer: b and rate of the cardiac pacemaker and the
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a) Heart stroke
b) Cardiac arrest 4. Which wave from ECG waveforms
c) Arrhythmias becomes widened when the self-triggering
d) Premature contraction impulse does not arrive through the AV node?
a) P wave
C
Answer: b a) Bradycardia
Explanation: Sometimes irritation occurs in b) Tachycardia
the ventricles, the self-triggering impulse c) Arterial contraction
does not arrive through the node and thus d) Ventricular contraction
travels a different and slower path in
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spreading over the ventricles. The QRS wave Answer: a
then becomes widened and is classified as a Explanation: There are 2 types of
arrhythmias, i) Bradycardia-when the heart-
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ventricular ectopic beat.
rate is to slow(less than 60), ii)Tachycardia-
5. When the self-triggering impulse does not when the heart-rate is to fast(greater than
C
arrive at the AV node and travels a different 100). Here the answer is Bradycardia because
and slower path over the ventricles, the QRS heart rate is less than 60.
T.
becomes widened and is classified as
___________ 8. Which of the following are resuscitation
a) Ectopic beat techniques?
b) Ventricular-ectopic beat a) Cepstrum coefficient
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c) Ventricular beat b) Prophylactic therapy
d) Atrio-ventricular beat c) Transthoracic defibrillation
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d) Dynamic time warping
Answer: b
Explanation: Sometimes irritation occurs in Answer: d
the ventricles, the self-triggering impulse Explanation: The necessity for early
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does not arrive through the node and thus detection of the arrhythmias led to the
travels a different and slower path in establishment of coronary care units in
spreading over the ventricles. The QRS wave hospitals for the intensive monitoring and
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then becomes widened, and is classified as a treatment of such patients. The attempt in
ventricular ectopic beat. This ectopic beat is these units was to effectively carry out
classified from ventricles so it is called as a resuscitation techniques such as cardiac
ventricular ectopic beat. massage and transthoracic defibrillation.
.B
Answer: d
Answer: d Explanation: There are 2 types of
Explanation: An ectopic beat is a beat, which arrhythmias,i)Bradycardia-when the heartrate
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starts in an abnormal location in the heart and is to slow(less than 60), ii)Tachycardia-when
is often premature, therefore also called the heartrate is to fast(greater than 100).Here
premature ventricular contraction (PVC), i.e. the answer is Bradycardia because,heart rate
it occurs sooner than the next expected beat. is less than 60.
C
7. When the heartbeat is slower than the 10. Photo-diodes work in ___________
normal rate of the heart(less than 60), this a) forward biased
type of arrhythmias called _______ b) reverse biased
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junction semiconductor diode. It always
operated in the reversed biased condition. The Answer: a
light is always focused through a glass lens Explanation: When the term dialysis is
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on the junction of the photo diode. mentioned, it usually means the purification
of blood and removal of nitrogenous wastes
C
11. Parallel flow dialyzer has a low internal from the body. It refers to the work done by
resistance. Because of this blood pump is the kidney by drawing out blood and
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required. purifying it.
a) True
b) False 2. The membrane used for dialysis is made of
____________
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Answer: b a) cellulose
Explanation: Parallel flow dialyzer has a low b) polyvinyl chloride
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internal resistance which allows adequate c) polyethylene
blood flow through the dialyzer with the d) chitin
patient’s arterial blood pressure, eliminating
the need for a blood pump. The dialyzing Answer: a
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surface area of a parallel flow dialyzer is Explanation: Cellulose is an easily available
about 1 sq m. At a blood flow rate of 200 material which does not cause any harm to
ml/min and a dialysate flow of 500 ml/min, the blood or body. It is cheap and with certain
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the urea and creatinine clearance is about 80 tampering, it’s strength can be increased. It
and 64 ml/min. has a good pore size, small enough to stop the
blood cells but large enough to pass out the
12. CMRR is measured in _______________ waste products.
.B
a) V/s
b) dB 3. The latest form of dialysis machine being
c) dB/s used has what kind of membrane
d) dB/ms arrangements
17
a) Parallel Plate
Answer: b b) Hollow Fibre
Explanation: CMRR is an important c) Coil Tube
specification referred to the differential d) Hollow Plate
-R
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Answer: b the body for up to 6 hours during which the
Explanation: When a person is suspected of person’s blood vessels and diaphragm act as
acute poisoning, the person may be made to
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filtering membranes and the unwanted
undergo dialysis. Poison will be regarded as a products like creatinine and urea get filtered
toxin by the body and will be removed out. Then the stopper on the cannula is
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normally by kidney and liver which may opened once more and the electrolyte is
cause damage to these organs. Thus, the allowed to flow out.
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blood is extracted out and sent to the dialysis
machine so that any harm to the organs and 7. The principle behind dialysis is ________
the body can be minimized. a) Adhesion
b) Cohesion
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5. The parameters being monitored during c) Capillary Action
dialysis are _________ d) Reverse – Osmosis
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i. Blood Pressure
ii. Diabetes Answer: d
iii. Embolus Formation Explanation: It is the movement of solutes
iv. Pulse from the area of high concentration to low
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v. Temperature concentration through a semi permeable
vi. Flow Rate membrane. Dialysis is done with the
v. Albumin level electrolytes flowing through one side and the
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mmol / l. Normally, these ions are present in
the blood plasma as well. Since the principle
TOPIC 3.4 VENTILATORS
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is osmosis under high pressure, also called as
ultra-filtration, these salts help create a 1. The term _________ is used to mean the
pressure difference across the membrane. free passage of clean air in a structure.
C
This causes the unwanted materials like a) Circulation
creatinine and urea to be filtered out from the b) Ventilation
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blood. c) Dissipation
d) Condensation
9. How does the doctor diagnose dialysis?
a) GFR via Blood Test Answer: b
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b) Number of WBCs in Blood Test Explanation: In other words, the removal of
c) Presence of blood in urine all vitiated air from a building and its
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d) Low urine quantity replacement with fresh air is known as
ventilation. It is important from the
Answer: a engineering viewpoint for various reasons.
Explanation: Glomerular Filtration Rate
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(GFR) is used to test if the kidneys are 2. For comfortable working, the
functioning normally. In kidneys, the ___________ content should be limited to
glomerulus is the site for ultrafiltration, i.e. about 0.6% by volume.
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b) Shunt
c) Graft known as ___________
d) Fistula a) Ventilation
b) Diffusion
Answer: a c) Condensation
C
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room. is obtained by comparing dry bulb and wet
bulb temperature. For higher temperatures,
4. Where people are working, there has to be the low humidity and greater air movements
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______________ to cause proper ventilation are necessary for removing greater portion of
of the premises. heat from the body.
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a) Air change
b) Humidity 7. The ________________ plays an important
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c) Temperature role in the comfort of persons affected by
d) Moisture ventilation system.
a) Carbon monoxide
Answer: a b) Purity of air
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Explanation: The minimum and maximum c) Volume of room
rates of air change per hour is 1 and 60 d) Health of occupant
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respectively. If the rate of change is less than
1/hour, it will not create any appreciable Answer: b
effect of the ventilation system. On the other Explanation: The air should be free from
hand, at the rate of air changes more than odours, organic matter, inorganic dust and
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60/hour, it will result in discomfort due to unhealthy fumes of gases such as carbon
high velocities of air. monoxide, carbon dioxide and Sulphur
Dioxide, etc. All the above impurities depend
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5. The rate of amount of water vapour present on the habits of occupants, volume of a room,
to the amount it would have contained, had it source of ventilating air, etc.
been saturated, is known as the ___________
the temperature being same. 8. It is quite evident that the incoming air for
.B
b) warm, cool
Answer: a c) humid, dry
Explanation: When a certain volume of air at d) dry, humid
a certain temperature contents as much water
-R
a) Saturated air
b) Dry bulb temperature 9. __________________ is an index which
combines the effect of air movement,
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12. In _____________ system, some
Answer: d mechanical arrangement is adopted to provide
Explanation: Effective temperature indicates enough ventilation to the room.
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the temperature of air at which sensation of a) Natural ventilation
same degree of cold or warmth will be b) Skylight
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experienced as in quite a fully saturated at the c) Artificial ventilation
same temperature. Thus, if two rooms have d) Man made
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the same effective temperature, no change of
temperature will be experienced by a person Answer: c
when he suddenly leaves one room and enters Explanation: Mechanical or Artificial
the room. ventilation has become popular due to recent
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change in notion regarding ventilation. At
10. The value of ______________ depends present, the ventilation is required not nearly
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on type of activity, geographical conditions, to furnish warm air or cool air. But the
age of occupants, etc. ventilation system should provide air of such
a) Saturated air qualities regarding humidity, temperature, etc.
b) Relative humidity
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c) Effective temperature 13. Exhaust system, supply system, air
d) Condensation conditioning, etc. comes under ________
type of ventilation system.
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Answer: c a) Natural
Explanation: The popular values of effective b) Mechanical
temperature in winter and summer or 20°C c) Man made
and 22°C respectively. It should however be d) Doors
.B
ventilated.
a) Artificial ventilation 14. In ______________ system, the partial
b) Air conditioning vacuum is created inside of the room by
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Answer: d a) Helium
Explanation: In exhaust system, the b) Neon
extraction of air from inside sets of the c) Argon
current of fresh air from outside to inside and d) Xenon
thus, it becomes possible to provide fresh air
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to the room through doors and windows. The Answer: a
fans or blowers are installed at suitable places Explanation: Helium is a noble gas which is
non reactive in nature. A good coolant has a
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in the outside wall and they are connected to
different rooms through duct system. high thermal capacity, low viscosity, non
toxic, chemically inert, all the properties that
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15. _______________ system is just the Helium possesses. Another advantage is that
reverse of the exhaust system. Helium does not have the tendency to absorb
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a) Air conditioning any neutrons and so it cannot become
b) Exhaust radioactive. Being a noble gas, it is non
c) Plenum reactive and so non corrosive in nature. Thus,
d) Supply it is used a coolant for the MRI machine,
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especially the magnet.
Answer: d
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Explanation: Supply system consist in 3. If an MRI was done for a long bone, the
supplying fresh air to the room by installing part of the bone that will be imaged is the
input fans in outside walls. This system is _________
used for ventilating rooms near an unusual a) Bone salts
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quantity of heat or odours is not produced. b) Bony Prominence
c) Inflamed Joints
d) Bone Marrow
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c) 6 – 12 Tesla
d) 12 – 24 Tesla making it difficult to move or be magnetized.
Thus, it is difficult to image any other parts of
Answer: a the bone with MRI except for the bone
Explanation: MRI’s have three major marrow.
-R
produces a Magnetic Field of the strength of nitrogen for study. The gyrometric ratio of
1.5 – 3 Tesla. Commercially, 1.5 – 2 T was nitrogen 15 is -4.316. Find the Lamar
used but now even with 3T have been frequency.
introduced. For research purposes, MRI of 7T a) -35.889
b) – 30.212
C
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the element will undergo a change in b) temporal
orientation when placed in a strong external c) frequency
d) magnitude
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magnetic field. Lamar frequency is given by
the formula: f = γn x B0/2Π
Here γn/2Π is the gyrometric ratio. Thus, Answer: a
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f = -4.316*7 = -30.212. Explanation: MRI can form a 3D image of
the organ which is anatomical in nature. It
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5. If the XY grid is selected in MRI then the gives good clarity and resolution for the finer
slice selection is in which plane? details of the image. In the same way, fMRI
a) X plane has a good temporal resolution. It maps the
b) Y plane brain with respect to time, scanning the
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c) Z plane oxygen used at the regular intervals.
d) XY plane
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8. In a brain scan of a person
Answer: c suffering/suspected of suffering from
Explanation: An MRI can give a 3D image schizophrenia, the brain _______
of an object and we can choose the form a) has gray matter which more than normal
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which direction and from which angle we b) has white matter which more than normal
would like to view the image. The image is c) is of a size bigger than normal
always perpendicular to the grid that has been d) has shrunk
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pixel. MRI is unique in a way that it can matter will look white. Thus, in a scan, if
image segments of the organ from different there is a large gray area and the person
angles with various slice selections. These suffers from symptoms like hallucinations or
slice selections help choose which layer of anxiety etc, then it’s a high possibility that
the organ will be imaged and the smallest unit they have schizophrenia.
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a) with no gyri and sulci wave gets refracted when the medium
b) with excess gyri and sulci changes and are reflected back that the image
c) with deformed brain structure is formed. Thus, the principle for ultrasound
d) with a smaller than normal brain size is reflection and refraction.
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Answer: a 2. Ultrasound is also useful for __________
Explanation: Lissencephaly is a neuronal i. detecting fault in metal sheets ii. imaging
defect that is present right from birth. It may marine depths iii. looking for metals beneath
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or may not be detected in the fetal stage. In the earth’s surface iv. detecting distances v.
this disorder, the brain in smooth without the detecting earthquakes
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presence of any gyri and sulci. A child born a) ii, iii, v
with lissencephaly often has a normal head b) i, iv, v
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structure so it is often difficult to detect the c) i, ii, iv
presence of this defect till a later age. d) ii, iii
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shows a __________ Explanation: Ultrasound is used for detecting
a) growing brain the fault in metal sheets, imaging marine
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b) shrinking brain depths and detecting distances. If the metal
c) brain with lesions sheets have faults like cracks or deformity,
d) brain with a tumour the reflected sound waves will not be
uniform. SONAR and RADAR are used to
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Answer: b detect distances and work on the principle of
Explanation: Frontotemporal Dementia ultrasound.
(FTD) is the most common kind of dementia
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found in the population. In this, the neural 3. Which of the following medical imaging
cells of the brain go for apoptosis (cell death) modality other than ultrasound does not use
causing an atrophy (shrinkage) of the brain. any form of radiation?
This causes the person to have memory a) PET Scan
.B
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providers to ultrasound and so if any organ is by it is 1.63 X 106 kg/m2s. What is the
covered or surrounded by bones, it is not density of the soft tissue?
possible or very difficult to take their
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a) 0.1058441 kg/m3
ultrasound. For an infant, their bones are soft
and do not provide so much of a resistance to b) 10.58441 kg/m3
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the passage of the ultrasound waves. Thus, it c) 1058.441kg/m3
is possible to take an ultrasound of the brain d) 105844.1 kg/m3
T.
at an infant stage but not at an adult stage.
Answer: c
5. A piezoelectric crystal is used to produce Explanation: The impedance is given by z =
the ultrasound waves. What kind of ρc where z = impedance, ρ = density and c =
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ultrasound is produced? velocity of the ultrasound. Since the wave
a) Pressure wave ultrasound velocity and the impedance offered are given,
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b) Electrical wave ultrasound ρ = z/c. This results in 1058.441 kg/m3 of
c) Sound wave ultrasound density for the soft tissue.
d) Simple ultrasound
8. Which of the following relations are true?
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Answer: a a) γ increases, penetration of sound increases,
Explanation: A piezoelectric crystal is a resolution decreases
special transducer which converts mechanical b) γ increases, penetration of sound decreases,
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resistance that a sound wave faces when it 9. When an abdominal ultrasound is done,
propagates from one medium to another in why is it advised to have a full bladder?
the body. Thickness, density and water a) To have a good acoustic window
content (for a living body) are all factors that b) To increase the water content
are taken into account when measuring the
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c) To lower impedance
acoustic impedance. Thus the medium is d) To allow for better propagation of waves
characterized by its acoustic impedance. The
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properly stretched and the folds of the bladder diathermy is used for therapeutic purposes.
do not provide any impedance. The water When the heat is increased and concentrated
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helps in the better propagation of the sound at a point, it can cause cutting action by
and visualization of the structures beyond the boiling and burning the cells. This type of
bladder. diathermy is used for surgical purposes.
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10. What does the red dot on the probe help 2. What surgical functions are performed by
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within the produced image? the diathermy machine?
a) To check if the correct probe was used a) cutting, coagulation, fulguration
b) To check the probe orientation b) cutting, fulguration
c) To check the depth of the probe that was c) cutting, coagulation
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used d) coagulation, fulguration
d) To check the plane of the image.
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Answer: a
Answer: b Explanation: Cutting happens when the heat
Explanation: When the probe is being used, is given is so high that the cell burns and is
it can move in various ways but the image separated. This causes the incision to be
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being formed is a horizontal image. Thus, the formed, hence cutting. Coagulation happens
red dot at the head of the probe appears to the when the cytoplasm is heated so much that it
left of the image and helps in working out the boils and joins together. Fulguration is a
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orientation of the organ or the foetus. process in which the heat is applied and a
spread out action takes place. It covers a
larger area.
.B
SHORTWAVE
Answer: a
1. For what all purposes is diathermy Explanation: Shortwave diathermy uses the
SE
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Answer: a a) 3.2 K ohm
Explanation: The short wave diathermy b) 32 K ohm
produces heat by sending in infrared waves.
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c) 320 K ohm
These waves are produced by the plates or d) 3200 K ohm
coils that are placed around the area to be
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treated. These heat waves can travel deeper Answer: b
into the body than the waves produced by Explanation: The simple formula for power,
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microwave diathermy or ultrasound voltage and resistance is used. P = V2/R
diathermy. R = V2/P
R = 40002/500
5. What is the frequency range of the sound R = 32 K ohm.
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used for ultrasound diathermy?
a) 0.1 – 0.7 MHz 8. Which of the following is used to measure
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b) 0.7 – 3.3 MHz the biological damage caused by radiation?
c) 3.3 – 5 MHz a) Curie
d) 5 – 15 MHz b) Rem
c) Rad
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Answer: b d) Roentgens
Explanation: The ultrasound treatment can
penetrate up to 2 – 5 cm deep within the skin Answer: b
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to relieve pain. The frequency of 0.7 – 3.3 Explanation: Rem is also a forming unit of
MHz is used. If the frequency is increased, it radiation. It is used to measure the amount of
can cause excess heat causing heat burns in exposure to radiation the person has had and
the body and doing damage rather than determine if it is within safe limits or beyond
.B
performing it, both can get severely injured. high resistance to radioactivity. Nerve cells
Thus, electrode gel and pads are both used for once generated, they stay for a long period of
diathermy, surgical and therapeutic.
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λ is the decay constant. Thus, putting the
a) 1 Rad ≈ 1.5 Rem ≈ 1000 R values in the formula, we get :
b) 1 Rad ≈ 10 Rem ≈ 1.8 R -17
c) 1 Rad ≈ 1 Rem ≈ 1 R N = 20000 * e(- (4.916* 10 ) *
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d) 1 Rad ≈ 10 Rem ≈ 100 R 365*100*24*60*60)= 19999.99999.
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Answer: c 13. If the half life is found to be 100 msec,
Explanation: All three units have almost the what is the decay constant?
a) 693 per second
T.
same values and they all are units and doses
of radiations. Rad stands for radiation b) 24948 per hour
absorbed dose and it measures the radiation c) 0.1155 per minute
absorbed by the tissues of the body. Rem is d) 59875.2 per day
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radiation equivalent and it measures the
biological damage caused by different types Answer: b
Explanation: Half life is and decay constant
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of radiation.R is for Roentgens and is used as
a unit for X – Rays. are related by t 1/2 = ln2/λ
t 1/2 = 0.693/λ
11. The two known units of radioactivity and Since the half life is given in seconds,
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the relation between the two are _______ appropriate conversions are used for hours,
a) Curie and Becquerel 1 Ci = 3.7 x 1010 Bq minutes and day. By this, we get:
b) Curie and Becquerel 1 Bq = 3.7 x 1010 Ci λ = 0.693*3600/t1/2 = 249480 per hour.
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Explanation: Curie and Becquerel signify the cm on the both sides and the emerging
amount of disintegration of the radioactive intensity of the X – Ray is 200MeV.
substance in a unit time. Curie was an older (impedance for bone = b for skin = s )
unit and had a very high value which was not
17
b) 19,999.9999
c) 19.999999
d) 123.99999
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1. Basically sound waves are d) None of the mentioned
______________
Answer: d
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a) Voltage signals
b) Pressure waves Explanation: Both piezo electric and
c) Current magnetostrictive devices are successful
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d) Radiation sources of sound waves.
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Answer: b 6. Mosaic regarding sonar is ____________
Explanation: Sound waves are pressure a) Surface of sonar
waves in character. b) Frequency of sound wave
c) Pattern of vibrating elements
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2. Which of the following is not a character of d) Depth of sea to which it is applicable
a sensor of a sound wave?
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a) Causes no health hazard Answer: c
b) They are suitable in a harsh environment Explanation: Specific pattern of the vibrating
c) They are only suitable in cold environment element is known as mosaic.
d) They can be used in corrosive environment
7. All elements of sonar are driven
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Answer: c electrically.
Explanation: Sound sensors can be used in a) True
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a) True
b) False supply.
Answer: d Answer: a
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Explanation: ADP and Roscelle salt are used Explanation: Cutting happens when the heat
as sealed with oil since they are soluble in is given is so high that the cell burns and is
water. separated. This causes the incision to be
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formed, hence cutting. Coagulation happens
10. Magnetostriction transmitter uses when the cytoplasm is heated so much that it
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_______________ boils and joins together. Fulguration is a
a) Electrostrictive phenomena process in which the heat is applied and a
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b) Horizontal vibration of nickel tube spread out action takes place. It covers a
c) Longitudinal vibration of nickel tube larger area.
d) All of the mentioned
3. The types of therapeutic diathermy
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Answer: c machines that exist are ___________
Explanation: Magnetostriction transmitter a) Short wave, micro wave and ultrasound
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uses longitudinal vibration of nickel tube b) Short wave, ultrasound and cold compress
used. c) Cold compress, microwave and electrical
impulse
TOPIC 4.3 SURGICAL d) Electrical impulse, microwave and
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ultrasound
DIATHERMY
Answer: a
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1. For what all purposes is diathermy Explanation: Shortwave diathermy uses the
principal used? infrared heat waves to treat the patient while
a) Surgical and Therapeutic microwaves go inside the body and produce
b) Therapeutic and Diagnostic heat for treatment. Ultrasound also produces
.B
When the heat is increased and concentrated Explanation: The short wave diathermy
at a point, it can cause cutting action by produces heat by sending in infrared waves.
boiling and burning the cells. This type of These waves are produced by the plates or
diathermy is used for surgical purposes. coils that are placed around the area to be
treated. These heat waves can travel deeper
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2. What surgical functions are performed by into the body than the waves produced by
the diathermy machine? microwave diathermy or ultrasound
a) cutting, coagulation, fulguration diathermy.
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d) 5 – 15 MHz a) Curie
b) Rem
Answer: b c) Rad
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Explanation: The ultrasound treatment can d) Roentgens
penetrate up to 2 – 5 cm deep within the skin
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to relieve pain. The frequency of 0.7 – 3.3 Answer: b
MHz is used. If the frequency is increased, it Explanation: Rem is also a forming unit of
T.
can cause excess heat causing heat burns in radiation. It is used to measure the amount of
the body and doing damage rather than exposure to radiation the person has had and
therapy. determine if it is within safe limits or beyond
it. If the safety limits have been crossed, the
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6. What precaution is used in diathermy? person must stay away from the radiology
a) the patient is made to lie on a soft pillow area for a specific period of time of quit
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b) pads are used for grounding and working there altogether.
completing the circuit
c) the patient is made to drink a large number 9. Beyond what dose is the cerebral system
of fluids shows signs of failure?
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d) wooden blocks are used for grounding a) 25 – 200 rad
b) 200 – 600 rad
Answer: b c) 600 – 1000 rad
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being performed and the one who is mature a cell, higher is its resistance to
performing it, both can get severely injured. radiations. Nerve cells and muscle cells show
Thus, electrode gel and pads are both used for high resistance to radioactivity. Nerve cells
diathermy, surgical and therapeutic. once generated, they stay for a long period of
17
Explanation: The simple formula for power, same values and they all are units and doses
voltage and resistance is used. P = V2/R of radiations. Rad stands for radiation
R = V2/P absorbed dose and it measures the radiation
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are related by t 1/2 = ln2/λ
11. The two known units of radioactivity and
t 1/2 = 0.693/λ
the relation between the two are _______
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Since the half life is given in seconds,
a) Curie and Becquerel 1 Ci = 3.7 x 1010 Bq appropriate conversions are used for hours,
b) Curie and Becquerel 1 Bq = 3.7 x 1010 Ci minutes and day. By this, we get:
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c) Curie and Roentgens 1 Ci = 1000 R
d) Roentgen and Becquerel 1 R = 1000 Bq λ = 0.693*3600/t1/2 = 249480 per hour.
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Answer: a 14. With what energy must the radiation be
Explanation: Curie and Becquerel signify the given to image a bone of thickness 5 cm
amount of disintegration of the radioactive which has covering of skin of thickness of 2
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substance in a unit time. Curie was an older cm on the both sides and the emerging
unit and had a very high value which was not intensity of the X – Ray is 200MeV.
(impedance for bone = b for skin = s )
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feasible for elements with lower activity.
Thus, Becquerel unit was created which is a) 2000e9
one disintegration per second. b) 200e(4s + 5b)
c) 20/e
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12. In a hypothetical radioactive material, the d) 2e
total number of active photons are 20000 and
the decay constant is found out to be 4.916 X Answer: b
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10-17 per second. How much of the material Explanation: The formula goes like : I =
will be left in a 100 years? (1 year = 365 I0e(-μt) where I is the final radiation, I0 is the
days. Leap year is not assumed in the initial radiation, μ is the impedance and t is
calculations) the thickness. Since we know the emerging
.B
d) 123.99999
TOPIC 4.4 BIOTELEMETRY
Answer: b
Explanation: N = N0 e -λt where N = 1. Leucocytes are in the shape of ________
-R
-17
N = 20000 * e(- (4.916* 10 ) *
365*100*24*60*60)= 19999.99999. Answer: a
Explanation: Leucocytes are in the shape of
13. If the half life is found to be 100 msec, a sphere. Leucocytes have a nucleus. They
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what is the decay constant? live for seven to fourteen days and there is a
a) 693 per second rapid turn over, with constant destruction and
b) 24948 per hour replacement. There are normally 5000–
10,000 white cells per cubic mm of blood but reluctance of the coupling capacitors. The
their number varies during the day. response should be down to less than one
hertz which is a very frequent requirement.
2. What should be the frequency response of To achieve the low frequency response
the amplifiers that are used for the required for medical applications, the
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amplification purpose of the input signal in amplifier must have large values of coupling
medical devices? capacitance.
a) high frequency response
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b) low frequency response 5. Neutrophils are bigger than the red cells.
c) frequency response has no role to play in it a) True
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d) average frequency response b) False
T.
Answer: b Answer: a
Explanation: The response should be down Explanation: It is True. Neutrophils are
to less than one hertz which is a very frequent nearly twice as big as the red
requirement. The bioelectric signals in cells.Lymphocytes are of the same size as the
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medical science contain components of red cells but contain a large density staining
extremely low frequency. Thus the amplifiers nucleus and no granules. Neutrophils contain
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must also have a low frequency response. both a nucleus divided into several lobes and
granules in their protoplasm.
3. Leucocytes are not responsible for the
formation of the defence mechanism of the 6. High pass filter amplifies frequency
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body that fights against infection. _____________
a) True a) above certain value
b) False b) below certain value
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infection. The number and proportion of these Explanation: High pass filter amplifies signal
types of leucocytes may vary widely in above a certain frequency. Band pass filter
response to various disease conditions. They amplifies frequencies with in a certain band.
are of two main types: the neutrophils and the Band stop filter amplifies all the frequencies
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lymphocytes. Neutrophils ingest bacteria and except those in a certain band. Low pass filter
lymphocytes are concerned with amplifies signals below a certain frequency.
immunological response.
7. Mean Platelet Volume is the ratio of the
-R
Answer: d count
Explanation: In all RC-coupled amplifiers,
low frequency response is limited by the
Answer: a Answer: b
Explanation: Mean Platelet Volume (MPV) Explanation: Plateletcrit is the percentage of
is the ratio of the integrated platelet volume to the total specimen volume occupied by the
the platelet count and is expressed in platelets. Red Cell Distribution Width is a
femolitres. Platelet Distribution Width is numerical expression of the width of the size
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related to the size range covered by those distribution of red cells. Mean Platelet
platelets lying between the sixteenth and Volume is the ratio of the integrated platelet
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eighty fourth percentile. Red Cell Distribution volume to the platelet count and is expressed
Width is a numerical expression of the width in femolitres.
of the size distribution of red cells.
C
11. Modern instrument use ________ for
8. Unit of Mean Platelet Volume is expressed intravascular oximetry?
T.
in? a) photodiode
a) millilitres b) red and infrared LED’s
b) femolitres c) optical fibre
c) picolitres d) phototransistor
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d) decilitres
Answer: c
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Answer: c Explanation: For intravascular oximetry,
Explanation: Unit of Mean Platelet Volume modern instruments make use of optical
is expressed in femolitres. 1f/l = 10–15 . 1 fibres to guide the light signal inside the
litre of blood contains 0.45 litres of red cells. vessel and the reflected light from the red
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Mean Platelet Volume (MPV) is the ratio of blood cells back to the light detector.
the integrated platelet volume to the platelet
count and is expressed in femolitres. 12. Optical fiber sensors are immune to
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electromagnetic disturbances.
9. Low pass filter amplifies signals below a a) True
certain frequency. b) False
a) True
.B
b) False Answer: a
Explanation: It is True. Optical fiber sensors
Answer: a are electrically passive and consequently
Explanation: It is true. Low pass filter immune to electromagnetic disturbances.
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amplifies signals below a certain frequency. They can be miniaturized and are most
Band stop filter amplifies all the frequencies suitable for telemetry applications. They are
except those in a certain band. High pass geometrically flexible and corrosion resistant.
filter amplifies signal above a certain
-R
frequency. Band pass filter amplifies 13. Currently available oximeters utilize
frequencies within a certain band. __________ wavelengths.
a) Equal to 2
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14. Mix venous saturation is measured by
__________
IN MEDICAL
a) Ear Oximeter INSTRUMENTATION 9
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b) Intravascular Oximeter
c) Skin Reflectance Oximeter
d) Pulse Oximeter TOPIC 5.1 TELEMEDICINE
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Answer: b 1. _______________ will reject any common
T.
Explanation: Mixed venous saturation varies mode signal that appears simultaneously at
in reflecting the changes of oxygen both amplifier input terminal.
saturation, cardiac output, haematocrit or a) ac coupled amplifiers
haemoglobin content and oxygen
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b) dc amplifiers
consumption. Intravasacular oximeters are c) carrier amplifiers
normally used to measure mixed venous d) differential amplifiers
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saturation, from which the status of the
circulatory system can be deduced. Answer: d
Explanation: Most of the amplifiers used for
15. Which of the following is correct measuring bioelectric signals are of the
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expression for RDW index? differential type. A differential amplifier is
a) [(20th – 80th) Percentile Volume / (20th – one which will reject any common mode
signal that appears simultaneously at both
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80th) Percentile Volume] X 100 X K only for special medical applications such as
d) [(20th + 80th) Percentile Volume / (20th + electrocardiograph machine.
80th) Percentile Volume] X 100 X K
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c) ac coupled amplifiers
thresholding circuit. The RDW index is d) carrier amplifiers
expressed by the following equation [(20th –
80th) Percentile Volume / (20th + 80th) Answer: a
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3. Which of the following amplifiers are used as compared to analog filters. Their response
with transducers which require an external is completely reproducible and predictable,
source of excitation?
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and software simulations can exactly reflect
a) ac coupled amplifiers product performance.
b) dc amplifiers
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c) carrier amplifiers 6. The number of amplifiers incorporated in
d) differential amplifier the module of a Chopper stabilized dc
T.
amplifiers are ___________
Answer: c a) 1
Explanation: Carrier amplifiers are used with b) 2
transducers which require an external source c) 3
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of excitation. They essentially contain a d) 4
carrier oscillator, a bridge balance and
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calibration circuit, a high gain ac amplifier, a Answer: c
phase-sensitive detector and a dc output Explanation: Chopper stabilized dc
amplifier. They are characterized by high amplifiers are used for low level but
gain, negligible drift, extremely low noise and preferably wideband applications such as
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the ability to operate with resistive, inductive oscilloscopes, tape recorders and light beam
or capacitive type transducers. oscilloscope recorders. This includes an ac
amplifier for signals above about 20 Hz, a dc
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4. Which feedback system is employed in DC chopper input amplifier for signals from
amplifiers? about 20 Hz down to dc plus wideband
a) Can be any positive or negative doesn’t feedback stabilized dc amplifier. These are
matter complex amplifiers having three amplifiers
.B
Answer: b of excitation.
Explanation: DC amplifiers are generally of a) differential amplifier
the negative feedback type. They are not b) dc bridge amplifier
practical for very low level applications c) carrier amplifier
-R
and offer operating simplicity and high- the amplifier must have large values of
frequency response. coupling capacitance. The response should be
down to less than one hertz which is a very
8. Which of the following IC is a variable frequent requirement. In all RC-coupled
negative voltage regulator? amplifiers, low frequency response is limited
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a) 7912 by the reluctance of the coupling capacitors.
b) 7905
c) LM337
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d) LM317 TOPIC 5.2 INSULIN PUMPS
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Answer: c 1. Diabetes insipidus is due to insufficient
Explanation: LM337 is a variable negative release of _________
T.
voltage regulator IC. It is capable of drawing a) Insulin
current up to 1.5A and voltage range from b) ADH
(-1.25V) – (-30V) ideally. LM317 is a c) Thyroxine
variable positive voltage regulator IC. 7905 d) Glucagon
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and 7912 are fixed voltage regulator IC that
give output voltage as -5V and -12V Answer: b
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respectively. Explanation: Diabetes insipidus is a disorder
of salt and water metabolism marked by
9. Chopper input dc amplifiers are preferred intense thirst and heavy urination. Diabetes
for high level inputs to instrumentation insipidus is due to insufficient release of
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systems because of their high sensitivity, ADH.
negligible drift and excellent common mode
rejection capability. 2. Which of the following gastrointestinal
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a) higher resistance
b) lower resistance a) Vanadium
c) lower capacitance b) Molybdenum
d) higher capacitance c) Selenium
d) Chromium
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Answer: d
Explanation: To achieve the low frequency Answer: d
response required for medical applications, Explanation: Chromium is an essential
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Explanation: Alpha glucagon is secreted by
4. Insulin promotes _______ endocrine cells of the pancreas. They make
a) Glucosuria up to 20% of human islet cells synthesizing
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b) Glycogenesis and secreting glucagon.
c) Glycogenolysis
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d) Gluconeogenesis 8. Where does synthesis of insulin begin?
a) rRER
T.
Answer: b b) sRER
Explanation: Glycogenesis is a process of c) Nucleolus
glycogen synthesis from sugar. Insulin d) Mitochondria
promotes Glycogenesis.
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Answer: c
5. Humulin is being commercially produced Explanation: Nucleolus is a part of eukaryote
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from a transgenic species of _______ cell where ribosomes are made. It is the
a) Rhizobium largest structure in the nucleus. Synthesis of
b) Saccharomyces insulin begins in Nucleolus.
c) Escherichia
9. How many intermolecular and
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d) Mycobacterim
interamolecular disulfide bond is present in
Answer: c insulin?
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7. What do endocrine cells of the pancreas disulfide bonds and an additional disulfide
secrete? bond is formed within A chain.
a) Omega growth hormone
11. What is the beta subunit of the insulin 1. Radio telemetry is useful when source and
receptor? receiver is at ________________
a) Protein kinase a) Long distance separation
b) Tyrosine kinase b) Short distance separation
c) Tryptophan kinase c) Varying separation distance
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d) Taurine kinase d) All of the mentioned
Answer: b Answer: d
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Explanation: Tyrosine kinase is an enzyme Explanation: Radio telemetry can be used
that can transfer a phosphate group from ATP where the distance between source and
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to a protein in the cell. It functions as an on or receiver may vary.
off switch in many cellular functions.
T.
2. PLCC stands for _________________
12. What do delta cells secrete? a) Power Load Carrier Current
a) Cortisol b) Power Line Carrier Current
b) Glucose c) Peak Line Carrier Current
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c) Pancreatic enzyme d) None of the mentioned
d) Somatostatin
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Answer: b
Answer: d Explanation: PLCC is the short of power line
Explanation: Somatostatin is also known as carrier current.
growth hormone. It is a peptide hormone.
3. Multiplexing is not possible in radio
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Somatostatin is secreted by delta cells.
telemetry.
13. What is the function of GLUT 4? a) True
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Answer: a
Explanation: GLUT 4 is the insulin regulated 4. Carrier frequency in radio telemetry will be
glucose transporter found primarily in _________________
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a) True
b) False Answer: d
Explanation: For multiplexing in radio
Answer: a telemetry, carrier frequency should be
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frequency helps in reducing antenna size. ______________
a) 2 to 10 w
6. Frequency range of space telemetry should b) 2 to 50 w
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be _________________ c) 2 to 100 w
a) Less than 216 MHz d) Above 100 w
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b) Between 216 – 235 MHz
c) Between 235 – 412 MHz Answer: c
T.
d) Above 412 MHz Explanation: Output power of the transmitter
is always kept very low and it lies in the
Answer: b range of 2 to 100 w.
Explanation: Carrier frequency range of
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space telemetry system should be between
216 MHz and 235 MHz. TOPIC 5.4 ENDOMICROSCOPY
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7. Which of the following represent stability 1. The endoscope that examines the
relaxation for RF carrier? respiratory tract is called as ____________
a) 0 % a) Bronchoscopy
b) +/- 1 %
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b) Laparoscopy
c) +/- 0.1 % c) Colonoscopy
d) None of the mentioned d) Arthroscopy
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Answer: c Answer: a
Explanation: RF carrier must remain stable Explanation: Broncoscope is inserted in the
within +/- 0.1 %. body via the nasal passage and it used to
.B
Answer: b
Explanation: For FM/FM modulation, 2. Endoscope used to examine the upper GI
bandwidth allowed is 0.5 MHz. tract is ___________
a) Laparoscopy
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c) Varying Answer: c
d) None of the mentioned Explanation: As the name suggests, this
particular endoscope has a really long range
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taking images.
a) CCD camera Answer: a
b) LED camera Explanation: The body of an endoscope is
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c) X-Ray camera flexible because it is made of polymers. The
d) US camera cleaning agents used need to be harsh enough
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for the microbes that may get attached to the
Answer: a endoscope as it is examining the patient but
T.
Explanation: The CCD (Charge coupled they should not corrode or harm the body of
device) camera is small and is easily fitted in the endoscope.
the capsule. It does not require too much
energy and the range of the camera is wide 6. None of the endoscopic procedures require
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enough. It may also be called as CMOS any cuts.
(Complementary Metal Oxide a) True
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Semiconductor) imager. b) False
is its cell. Every organ is made of tissues and 7. Which of the following operations can be
tissues are a collection of similar cells. Thus, done with an endoscope?
what a tissue system does is a result of the i. Bypass surgery
network of the similar cells. So, when a tissue ii. Cardiac Catherization
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visualization and surgery.
2. Elementary linguistic units that are smaller
8. Which if the following diagnostic than words are?
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procedures require an endoscope? a) allophones
a) Transesophagal Echocardiography b) phonemes
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b) X Ray of the Chest c) syllables
c) Counting the Number of Platelets d) all of the mentioned
T.
d) Detecting Leukemia
Answer: d
Answer: a Explanation: None.
Explanation: This is a type of Ultrasound of
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the heart where the endoscope is sending 3. In LISP, the atom that stands for “true” is
through the oral cavity and placed close to the _____________
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heart via the oesophagus. This helps in taking a) t
an unhindered ultrasound of the heart. b) ml
c) y
9. Which endoscope can be used to look at d) time
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the knees before and after a surgery?
a) Colonoscopy Answer: a
b) Arthroscopy Explanation: None.
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c) Bronchoscopy
d) Laryngoscopy 4. A mouse device may be _____________
a) electro-chemical
Answer: b b) mechanical
c) optical
.B
_____________
operations regarding the bones can be
a) contains declarative knowledge
performed with the help of the arthroscope.
b) contains procedural knowledge
c) features the retrieval of stored information
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Answer: b
1. What is the primary interactive method of
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Explanation: None.
communication used by humans?
a) reading 6. Arthur Samuel is linked inextricably with a
b) writing program that played _____________
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Answer: a d) More than 3000
Explanation: None.
Answer: a
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7. Natural language understanding is used in Explanation: The first generation ICs
_____________ belongs to small scale integration, which
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a) natural language interfaces consists of 3-30 gates per chip
b) natural language front ends (approximately).
T.
c) text understanding systems
d) all of the mentioned 2. Find the chip area for a Medium Scale
Integration IC?
Answer: d a) 8 mm3
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Explanation: None.
b) 4 mm2
c) 64 mm3
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8. Which of the following are examples of
software development tools? d) 16 mm2
a) debuggers
b) editors Answer: d
c) assemblers, compilers and interpreters Explanation: The approximate length and
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d) all of the mentioned breadth of Medium Scale Integration would
be 4 mm. Therefore, its area is given as =
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Answer: d .
length × breadth = 4mm × 4mm = 16mm2
Explanation: None.
3. The number of transistors used in Very
9. Which is the first AI programming
Large Scale Integration is
language?
.B
Explanation: None.
b) Medium Scale Integration (MSI)
c) Large Scale Integration (LSI)
TOPIC 5.6 LAB ON A CHIP. d) Very Large Scale Integration (VLSI)
Answer: b Semiconductor
Explanation: Fabrication of ICs like counter, b) Bell telephone laboratories and Fair child
multiplexers and Adders requires 30-300 Semiconductor
gates per chip. Therefore, Medium Scale c) Fairchild Semiconductor
Integration is best suitable. d) Texas instrument and Bell telephone
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Laboratories
5. Determine the chip area for Large Scale
Integration ICs. Answer: a
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a) 1,00,000 mil2 Explanation: The concept of Integrated
circuits was introduced by Texas instrument
b) 10,000 mil2
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and Fairchild Semiconductor, whereas Bell
c) 1,60,000 mil2 telephone laboratories developed the concept
d) 16,000 mil2
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of transistors.
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Integration IC is 1 cm2. a) Photo etching
=> Area of LSI = 10mm × 10mm = 1cm × 1 b) Coordinatograph
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cm = 1cm2. c) Photolithography
d) Ion implantation
=> 1,60,000mil2 (1cm=400mil).
Answer: c
6. Ultra Large Scale Integration are used in
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Explanation: It is possible to fabricate as
fabrication of
many as 10,000 transistors on a 1cmX1cm
a) 8-bit microprocessors, RAM, ROM chip, using photolithography process.
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