The Society for Cardiological Science and Technology

This page contains a mock set of questions which are similar to the ones used in the ASCST Pt 2 Exam

 

1 a) Describe the difference between a maximal and a submaximal exercise test.

b) Describe the Bruce protocol, including its advantages and disadvantages.

c) With the aid of simple diagrams, describe the ECG changes which would be seen in a positive exercise test.

d) List FOUR indications for exercise testing the cardiac patient.

 2

5

3

2
2 a) Using a simple sketch, indicate the positions of electrode for a two-channel ambulatory recording of the electrocardiogram which should produce the optimum signal for accurate analysis.

Give reasons for your choice.

b) Describe the purpose of a diary in ambulatory recordings.

c) Describe the information given to a patient undergoing ambulatory blood pressure recording.

d) Describe the attachment of the blood pressure cuff and microphone to produce an accurate and artefact –free recording.

 4

2

3


3
3 Describe how the Karotkoff sounds are used in the determination of the systolic and diastolic blood pressure 4
4 Describe briefly the vaso-depressor and cardio-inhibitory Reponses to head up tilt testing 4

Match the measurements made during an echo examination of the patient marked A-E with the values marked 1 – 9

 

A. LA   1 1.7-2.5 cm
B. IVSd   2 2.3-4.0
C. LVDs   3 4.0-4.3
D. PW   4 2.3-4.0
E. RV   5 3.5
      6 2.7-4.0
      7 0.6-1.3
      8 0.5-1.2
      9 4.3

 

A

B

C

D

E
         

 

Match the cardiac chamber or structure marked A-D with the pressure values marked 1 to 7

A. RA mean   1 120 mm/Hg
B RV systolic   2 15 mm/Hg
C. PA diastolic   3 120 mm/Hg
D. Aorta diastolic   4 4. 0 - 5 mm/Hg
E. LV end diastolic   5 5. 0-12 mm/Hg
      6 15-30 mm/Hg
      7 5-15 mm/Hg
      8  
      9  

 

A

B

C

D

E
         

 

Match the pathologies marked A to D with the pressure findings marked 1-6.

A. Aortic Valvular stenosis   1 end diastolic pressure gradient between LA/LV
B. Mitral Stenosis   2 End diastolic gradient between RA/RV
C. Coarctation of aorta   3 systolic gradient between LV/AO
D. VSD   4 Systolic pressure gradient between RV/PA
      5 A pressure gradient between ascending and descending aorta
      6 Equal RV/LV pressures

 

List THREE indications for permanent pacemaker implantation:

1)______________________________________

2)______________________________________

3)______________________________________

 

List THREE possible pacing modes for a patient with sick sinus syndrome:

1)_________________________________________

2)_________________________________________

3)_________________________________________

 

Give the normal value for oxygen saturation in :

1) RA ________________________

2) PA ________________________

3) Aorta_______________________

 

Write out in full the following abbreviations which are used during echocardiographic examination of the heart:

1. AML __________________________________________________________

2. DAO ___________________________________________________________

3. LVPW ___________________________________________________________

4. RVOT ___________________________________________________________

5. TGC ___________________________________________________________

 

FIGs

a) The voltage threshold is measured in__________________________

b) The impedance is measured in _______________________________

c) The sensing threshold in measured in ____________________________

d) The pacing interval is measured in______________________________

 

 

a) The minimum voltage required to produce continuous pacing is called the ____________________

b) For a ventricular lead the intrinsic R wave should be greater than ________________ to ensure adequate sensing.

c) The impedance of the heart/lead interface is measured in _________________

d) High impedance at follow-up may indicate ____________________________

e) Pacing at 5v is used to check for_____________________________________

 

 

a) Ventricular pacing leads generally have _______________ fixation devices to prevent lead displacement

b) Atrial leads are usually placed in the _______________________________

c) In a unipolar pacing system the anode of the electrode is in the ______________

d) In unipolar pacing _________________________ inhibition is seen.

 

a) if there is air in a catheter the pressure waveform will be _____________damped

b) If the transducer is placed higher than the level of the heart, the pressure would be recorded________________than it should be

c) An aortic pressure of 120/80 would be recorded on range___________________

d) If an air bubble enters the patient’s circulation, this may cause_________________

END