Diagnostic Cardiac Catheterization and Coronary Angiography
1 Risk of death from elective cardiac catheterization is about ?
A. 1 in 1000
B. 1 in 5,000
C. 1 in 10,000
D. 1 in 100,000
2 Risk of stroke, MI, transient tachy- or bradyarrhythmias from elective cardiac catheterization is about ?
A. 1 in 1000
B. 1 in 5,000
C. 1 in 10,000
D. 1 in 100,000
3 Transient deterioration in renal function in patients undergoing cardiac catheterization is reduced by ?
A. Adequate prehydration
B. Preprocedure N-acetylcysteine
C. Use of isoosmolar contrast agent
D. All of the above
4 Which of the following is recommended in those undergoing diagnostic catheterization for suspected coronary disease ?
A. Warfarin
B. Prophylactic antibiotics
C. Oral aspirin
D. All of the above
5 Pulmonary wedge pressure approximates which of the following pressures ?
A. Right atrial
B. Left atrial
C. Right ventricular
D. Left ventricular
6 Normal value of systemic arterial peak systolic / end-diastolic pressure is ?
A. 90 - 110 / 60 - 90 mmHg
B. 100 - 140 / 60 - 90 mmHg
C. 130 - 160 / 60 - 90 mmHg
D. 140 - 160 / 60 - 90 mmHg
7 Normal value of mean systemic arterial pressure is ?
A. 50 - 90 mm Hg
B. 60 - 100 mm Hg
C. 70 - 105 mm Hg
D. 80 - 110 mm Hg
8 Normal value of left ventricular peak systolic / end-diastolic pressure is ?
A. 100 - 140 / 0 - 3 mm Hg
B. 100 - 140 / 1 - 5 mm Hg
C. 100 - 140 / 2 - 8 mm Hg
D. 100 - 140 / 3 - 12 mm Hg
9 Normal value of mean left atrial or pulmonary capillary wedge pressure is ?
A. 2 - 10 mm Hg
B. 4 - 15 mm Hg
C. 6 - 20 mm Hg
D. 8 - 25 mm Hg
10 Normal value of “a” wave left atrial pressure is ?
A. 1 - 5 mm Hg
B. 2 - 10 mm Hg
C. 3 - 15 mm Hg
D. 4 - 20 mm Hg
11 Normal value of “v” wave left atrial pressure is ?
A. 1 - 5 mm Hg
B. 2 - 10 mm Hg
C. 3 - 15 mm Hg
D. 4 - 20 mm Hg
12 Normal value of pulmonary artery peak systolic / end-diastolic pressure is ?
A. 5 - 8 / 4 - 12 mmHg
B. 10 - 20 / 4 - 12 mmHg
C. 15 - 30 / 4 - 12 mmHg
D. 20 - 40 / 4 - 12 mmHg
13 Normal value of mean pulmonary artery pressure is ?
A. 5 - 12 mm Hg
B. 7 - 15 mm Hg
C. 9 - 18 mm Hg
D. 11 - 22 mm Hg
14 Normal value of right ventricular peak systolic / end-diastolic pressure is ?
A. 10 - 20 / 2 - 8 mmHg
B. 15 - 30 / 2 - 8 mmHg
C. 20 - 40 / 2 - 8 mmHg
D. 25 - 50 / 2 - 8 mmHg
15 Normal value of mean right atrial pressure is ?
A. 2 - 4 mm Hg
B. 2 - 6 mm Hg
C. 2 - 8 mm Hg
D. 2 - 10 mm Hg
16 Normal value of “a” wave right atrial pressure is ?
A. 1 - 5 mm Hg
B. 2 - 10 mm Hg
C. 3 - 15 mm Hg
D. 4 - 20 mm Hg
17 Normal value of “v” wave right atrial pressure is ?
A. 1 - 5 mm Hg
B. 2 - 10 mm Hg
C. 3 - 15 mm Hg
D. 4 - 20 mm Hg
18 Normal value of arteriovenous oxygen difference is ?
A. 10 - 30 (mL/L)
B. 30 - 50 (mL/L)
C. 50 - 80 (mL/L)
D. 80 - 110 (mL/L)
19 Fick principle is used to measure ?
A. Oxygen consumption index
B. Cardiac output
C. Arteriovenous oxygen difference
D. Systemic vascular resistance
20 For calculating cardiac index (CI), cardiac output (Q) is divided by ?
A. Body surface area
B. Body mass index
C. Height
D. Weight
21 Which of the following variables is not included in calculating systemic vascular resistance (SVR) ?
A. Mean aortic pressure
B. Right atrial pressure
C. Left atrial mean pressure
D. Systemic blood flow
22 Gorlin formula is used to calculate which of the following ?
A. Oxygen consumption index
B. Cardiac output
C. Systemic blood flow
D. Valve orifice area
23 In a normal heart, during systole, left ventricular pressure should be equal to that in ?
A. Left atrium
B. Right ventricle
C. Aorta
D. Pulmonary artery
24 In a normal heart, during diastole, left atrial (pulmonary capillary wedge) pressure should be equal to that in ?
A. Left ventricle
B. Right ventricle
C. Aorta
D. Pulmonary artery
25 In adults, normal value for left ventricular end-diastolic volume is ?
A. 42 ± 15 mL/m2
B. 52 ± 15 mL/m2
C. 62 ± 15 mL/m2
D. 72 ± 15 mL/m2
26 In adults, normal value for left ventricular end-systolic volume is ?
A. 10 ± 8 mL/m2
B. 20 ± 8 mL/m2
C. 30 ± 8 mL/m2
D. 40 ± 8 mL/m2
27 Assessment of mitral and aortic valves during left ventriculography done in which projection ?
A. Right anterior oblique
B. Left anterior oblique
C. Antero-posterior
D. Postero-anterior
28 Assessment of hypertrophic cardiomyopathy during left ventriculography done in which projection ?
A. Right anterior oblique
B. Left anterior oblique
C. Antero-posterior
D. Postero-anterior
29 Assessment of ventricular septal defect during left ventriculography done in which projection ?
A. Right anterior oblique
B. Left anterior oblique
C. Antero-posterior
D. Postero-anterior
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