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Chapter 5 ยท MCQ Read Mode

Biomedical Instrumentation- I

ABME05ยท78 Total MCQs
Question 1 of 78Fundamentals of Medical Instrumentation

The typical amplitude of a surface electroencephalogram signal is:

A1 to 10 volts
B0.5 to 5 millivolts
C100 to 500 millivolts
D10 to 100 microvolts
Answer is hidden
Question 2 of 78Fundamentals of Medical Instrumentation

Silver/silver chloride is the preferred material for biopotential electrodes because it is:

AA perfect insulator
BNon-polarisable, giving a stable low half-cell potential and little motion artefact
CHighly polarisable
DThe cheapest available metal
Answer is hidden
Question 3 of 78Fundamentals of Medical Instrumentation

The most important amplifier characteristic for rejecting 50 Hz mains interference in an ECG is a high:

ACommon-mode rejection ratio
BOffset voltage
CSlew rate
DOutput impedance
Answer is hidden
Question 4 of 78Fundamentals of Medical Instrumentation

The driven right-leg circuit in an electrocardiograph is used to:

AFeed back the inverted common-mode signal to the patient, improving interference rejection
BFilter baseline wander
CProvide the patient's earth connection for safety
DAmplify the R wave
Answer is hidden
Question 5 of 78Fundamentals of Medical Instrumentation

The current that may cause ventricular fibrillation when applied directly to the heart through an intracardiac catheter is as little as:

A10 microamperes
B1 ampere
C10 milliamperes
D100 milliamperes
Answer is hidden
Question 6 of 78Fundamentals of Medical Instrumentation

At a standard paper speed of 25 mm/s, one small 1 mm square of ECG paper represents:

A0.04 s
B0.2 s
C0.5 s
D0.1 s
Answer is hidden
Question 7 of 78Fundamentals of Medical Instrumentation

According to Einthoven's law, the relationship between the bipolar limb leads is:

ALead I = Lead II + Lead III
BAll three leads are equal
CLead II = Lead I + Lead III
DLead III = Lead I + Lead II
Answer is hidden
Question 8 of 78Fundamentals of Medical Instrumentation

Alpha rhythm in the electroencephalogram has a frequency of:

A8 to 13 Hz
B13 to 30 Hz
C4 to 8 Hz
DLess than 4 Hz
Answer is hidden
Question 9 of 78Fundamentals of Medical Instrumentation

EEG electrodes are positioned according to the:

AEinthoven triangle
BInternational 10-20 system
C10-100 grid
DWilson central terminal
Answer is hidden
Question 10 of 78Fundamentals of Medical Instrumentation

A transducer that requires no external excitation because it generates its own output is:

AA strain gauge
BAn LVDT
CA thermistor
DA piezoelectric crystal
Answer is hidden
Question 11 of 78Fundamentals of Medical Instrumentation

The gauge factor of a metal foil strain gauge is approximately:

A1,000
B50
C0.1
D2
Answer is hidden
Question 12 of 78Fundamentals of Medical Instrumentation

A linear variable differential transformer measures displacement with the advantage of:

AA self-generating output requiring no excitation
BFrictionless operation with direction indicated by phase-sensitive detection
CImmunity to all magnetic fields
DMeasurement of temperature simultaneously
Answer is hidden
Question 13 of 78Fundamentals of Medical Instrumentation

Fibrillation potentials recorded at rest with a needle electrode during electromyography indicate:

AAn artefact of the amplifier
BDenervation of the muscle
CNormal muscle at rest
DA myopathic process only
Answer is hidden
Question 14 of 78Patient Monitoring Systems

In automatic oscillometric blood pressure monitors, the parameter measured most reliably is:

ASystolic pressure
BPulse pressure
CDiastolic pressure
DMean arterial pressure
Answer is hidden
Question 15 of 78Patient Monitoring Systems

Using a blood pressure cuff that is too narrow for the patient's arm will give a reading that is:

AFalsely low
BFalsely high
CAccurate but noisy
DUnaffected
Answer is hidden
Question 16 of 78Patient Monitoring Systems

In an invasive arterial pressure monitoring system, air bubbles in the tubing will cause:

AA shift of the zero reference only
BUnder-damping, with overestimation of systolic pressure
CNo change in the waveform
DOver-damping, with underestimation of systolic pressure
Answer is hidden
Question 17 of 78Patient Monitoring Systems

A fluid-filled arterial pressure monitoring system should ideally have a damping ratio of about:

A1.5
B2.0
C0.6 to 0.7
D0.1
Answer is hidden
Question 18 of 78Patient Monitoring Systems

Impedance pneumography measures respiration by:

AMeasuring expired carbon dioxide
BMeasuring the temperature of expired air
CPassing a small high-frequency current between the ECG electrodes and sensing impedance change
DDetecting breath sounds
Answer is hidden
Question 19 of 78Patient Monitoring Systems

The principal limitation of impedance pneumography as an apnoea monitor is that it:

AMeasures only the depth of breathing
BCannot detect obstructive apnoea, because chest movement continues without airflow
CRequires an additional nasal sensor
DCannot be used in adults
Answer is hidden
Question 20 of 78Patient Monitoring Systems

The two wavelengths used in conventional pulse oximetry are:

A660 nm and 940 nm
B805 nm and 1,300 nm
C1,064 nm and 2,100 nm
D450 nm and 550 nm
Answer is hidden
Question 21 of 78Patient Monitoring Systems

A pulse oximeter distinguishes arterial from venous and tissue absorption by:

AHeating the skin
BMeasuring only the pulsatile (AC) component of the signal
CApplying a pressure cuff
DUsing a third wavelength
Answer is hidden
Question 22 of 78Patient Monitoring Systems

In carbon monoxide poisoning, a pulse oximeter will typically show a reading that is:

AZero
BFalsely low
CFalsely high, because carboxyhaemoglobin absorbs like oxyhaemoglobin at 660 nm
DExactly correct
Answer is hidden
Question 23 of 78Patient Monitoring Systems

The electromagnetic blood flowmeter is based on:

AThe Doppler effect
BThe piezoelectric effect
CThe Seebeck effect
DFaraday's law of electromagnetic induction
Answer is hidden
Question 24 of 78Patient Monitoring Systems

Alternating rather than direct current excitation is used in an electromagnetic flowmeter in order to:

AAvoid electrode polarisation and baseline drift
BReduce the size of the probe
CAllow non-invasive use
DIncrease the magnetic field strength
Answer is hidden
Question 25 of 78Patient Monitoring Systems

Late decelerations on a cardiotocograph indicate:

AHead compression
BUteroplacental insufficiency
CCord compression
DNormal fetal behaviour
Answer is hidden
Question 26 of 78Patient Monitoring Systems

A positive exercise stress test is conventionally defined by:

AA fall in respiratory rate
BHorizontal or downsloping ST depression of at least 1 mm
CThe appearance of a single atrial ectopic
DAny rise in heart rate above 100 per minute
Answer is hidden
Question 27 of 78Biomedical Telemetry and Telemedicine

A principal safety advantage of biotelemetry over wired monitoring is that it:

ARequires no battery
BRemoves the electrical connection between the patient and mains-powered equipment
CGuarantees freedom from interference
DEliminates the need for electrodes
Answer is hidden
Question 28 of 78Biomedical Telemetry and Telemedicine

Physiological signals cannot be radiated directly and must modulate a carrier because they:

AContain no useful information
BAre too large in amplitude
CAre digital in nature
DAre of very low frequency, requiring an impractically large antenna
Answer is hidden
Question 29 of 78Biomedical Telemetry and Telemedicine

Frequency modulation is preferred to amplitude modulation in analogue biotelemetry because it:

ATransmits DC levels directly
BIs far less affected by noise and amplitude fading
CRequires less bandwidth
DNeeds no carrier
Answer is hidden
Question 30 of 78Biomedical Telemetry and Telemedicine

In frequency division multiplexing of several physiological channels:

AEach channel is sent on a separate day
BEach signal modulates its own subcarrier and the subcarriers are summed
COnly one channel can be sent at a time
DThe channels are sampled in turn and interleaved
Answer is hidden
Question 31 of 78Biomedical Telemetry and Telemedicine

According to the Nyquist criterion, an ECG containing frequencies up to 100 Hz must be sampled at at least:

A50 Hz
B100 Hz
C1,000 Hz
D200 Hz
Answer is hidden
Question 32 of 78Biomedical Telemetry and Telemedicine

In a multi-patient telemetry ward, individual patients are distinguished by:

ATransmitting at different power levels
BUsing a different electrode type for each patient
CRecording each patient at a different time of day
DAssigning each transmitter a separate carrier frequency, time slot or code
Answer is hidden
Question 33 of 78Biomedical Telemetry and Telemedicine

Radio frequencies used for implantable telemetry are kept low principally because:

ALow frequencies need smaller antennas
BHigh frequencies are not permitted by any regulator
CLow frequencies carry more data
DAttenuation of radio waves by tissue increases sharply with frequency
Answer is hidden
Question 34 of 78Biomedical Telemetry and Telemedicine

Cochlear implants and rechargeable implanted devices commonly receive power by:

APiezoelectric harvesting from the heartbeat
BInductive coupling between an external and an internal coil
CA percutaneous mains cable
DSolar cells
Answer is hidden
Question 35 of 78Biomedical Telemetry and Telemedicine

Which telemedicine mode is best suited to reporting radiographs acquired at a remote district hospital?

AReal-time video consultation
BContinuous remote patient monitoring
CTelesurgery
DStore-and-forward
Answer is hidden
Question 36 of 78Biomedical Telemetry and Telemedicine

The greatest practical obstacle to telemedicine in rural Nepal is:

ALack of any clinical need
BAbsence of imaging standards
CExcessive numbers of specialists in rural areas
DConnectivity, bandwidth and reliable electricity
Answer is hidden
Question 37 of 78Biomedical Telemetry and Telemedicine

An implantable telemetry device must above all be designed for:

AMaximum transmission power
BOperation in air rather than tissue
CFrequent battery replacement
DExtremely low power consumption in a hermetically sealed biocompatible package
Answer is hidden
Question 38 of 78Biomedical Telemetry and Telemedicine

Remote home monitoring of pacemakers and implantable defibrillators is made possible by:

AManual patient-recorded diaries only
BShort-range wireless links such as the MICS band with automatic scheduled transmission
CWired connection to the hospital
DSatellite uplink from the implant itself
Answer is hidden
Question 39 of 78Biomedical Telemetry and Telemedicine

Encryption is particularly important in modern implantable telemetry because:

AIt reduces tissue attenuation
BIt is required for inductive coupling
CA device that can be programmed wirelessly could in principle be attacked
DIt increases battery life
Answer is hidden
Question 40 of 78Cardiac Output Measurement and Pulmonary Function

The Stewart-Hamilton equation calculates cardiac output as the mass of indicator injected divided by the:

APeak concentration reached
BDuration of the injection
CArea under the concentration-time curve
DTime to peak concentration
Answer is hidden
Question 41 of 78Cardiac Output Measurement and Pulmonary Function

In the thermodilution method of measuring cardiac output, the indicator is:

ARadioactive albumin
BCold saline, with temperature as the measured variable
CLithium chloride
DIndocyanine green dye
Answer is hidden
Question 42 of 78Cardiac Output Measurement and Pulmonary Function

A major practical advantage of thermodilution over dye dilution is that thermodilution:

AHas negligible recirculation, so measurements can be repeated frequently
BMeasures oxygen consumption directly
CIs unaffected by tricuspid regurgitation
DRequires no catheter
Answer is hidden
Question 43 of 78Cardiac Output Measurement and Pulmonary Function

Thermodilution cardiac output measurement is unreliable in the presence of:

AA correctly positioned catheter
BNormal body temperature
CSevere tricuspid regurgitation or an intracardiac shunt
DSinus rhythm at 70 per minute
Answer is hidden
Question 44 of 78Cardiac Output Measurement and Pulmonary Function

Which wavelength is used to detect indocyanine green in dye dilution because haemoglobin absorption is independent of saturation there?

A450 nm
B660 nm
C940 nm
D805 nm
Answer is hidden
Question 45 of 78Cardiac Output Measurement and Pulmonary Function

Pulse contour analysis estimates stroke volume from the arterial waveform using the principle that:

ADiastolic pressure equals mean pressure
BThe area under the systolic portion of the pressure curve is proportional to stroke volume
CThe heart rate determines the pulse pressure
DThe dicrotic notch height equals the stroke volume
Answer is hidden
Question 46 of 78Cardiac Output Measurement and Pulmonary Function

Impedance cardiography works because during systole:

AThe skin resistance changes
BThoracic impedance rises as the lungs inflate
CMuscle activity increases conductivity
DThoracic impedance falls as the aorta fills with conductive blood
Answer is hidden
Question 47 of 78Cardiac Output Measurement and Pulmonary Function

A significant limitation of thoracic impedance cardiography is that it is confounded by:

AA high cardiac output
BPulmonary oedema, pleural fluid and obesity
CThe use of surface electrodes
DNormal sinus rhythm
Answer is hidden
Question 48 of 78Cardiac Output Measurement and Pulmonary Function

In Doppler echocardiographic measurement of cardiac output, stroke volume is calculated as:

AThe pressure gradient divided by the valve area
BThe ejection fraction multiplied by heart rate
CThe peak velocity multiplied by the heart rate
DThe velocity-time integral multiplied by the outflow tract cross-sectional area
Answer is hidden
Question 49 of 78Cardiac Output Measurement and Pulmonary Function

A patient has an FEV1/FVC ratio of 0.55 with a reduced FEV1. This pattern indicates:

AA restrictive defect
BA normal result
CAn obstructive defect
DA mixed defect with normal FEV1
Answer is hidden
Question 50 of 78Cardiac Output Measurement and Pulmonary Function

Which lung volume cannot be measured by spirometry?

ATidal volume
BVital capacity
CResidual volume
DInspiratory reserve volume
Answer is hidden
Question 51 of 78Cardiac Output Measurement and Pulmonary Function

Helium dilution may underestimate total lung capacity in severe emphysema because:

AThe spirometer leaks helium
BHelium reacts with alveolar gas
CTrapped gas in poorly communicating areas does not equilibrate with the helium
DHelium is absorbed into the blood
Answer is hidden
Question 52 of 78Cardiac Output Measurement and Pulmonary Function

Body plethysmography measures thoracic gas volume by applying:

APoiseuille's law
BThe Fick principle
CBoyle's law to the compression and decompression of thoracic gas
DThe Stewart-Hamilton equation
Answer is hidden
Question 53 of 78Clinical Laboratory Equipment

According to the Beer-Lambert law, which quantity is directly proportional to the concentration of the absorbing substance?

AThe logarithm of transmittance divided by path length squared
BTransmittance
CThe wavelength
DAbsorbance
Answer is hidden
Question 54 of 78Clinical Laboratory Equipment

The principal difference between a colorimeter and a spectrophotometer is that the spectrophotometer:

ARequires no light source
BMeasures only transmittance
CUses filters and is limited to the visible range
DUses a prism or grating and can select any wavelength, including the ultraviolet
Answer is hidden
Question 55 of 78Clinical Laboratory Equipment

An enzyme assay in which the rate of change of absorbance is measured over time is called:

AA nephelometric assay
BA kinetic assay
CA turbidimetric assay
DAn end-point assay
Answer is hidden
Question 56 of 78Clinical Laboratory Equipment

Ion-selective electrodes measure ion concentration by a potential that varies with:

AThe absorbance of the solution
BThe logarithm of the ion activity, following the Nernst equation
CThe current flowing through the membrane
DThe square of the concentration
Answer is hidden
Question 57 of 78Clinical Laboratory Equipment

The Clark electrode used in a blood gas analyser measures:

ACarbon dioxide by a pH change behind a membrane
BHaemoglobin by absorbance
CpH potentiometrically
DOxygen tension amperometrically, from the current produced by reduction at a platinum cathode
Answer is hidden
Question 58 of 78Clinical Laboratory Equipment

An air bubble left in an arterial blood gas syringe will cause:

ANo change in the results
BA falsely high haemoglobin
CA falsely low PO2 and high PCO2
DA falsely high PO2 and a falsely low PCO2
Answer is hidden
Question 59 of 78Clinical Laboratory Equipment

Immersion oil improves the resolution of a light microscope because it:

AReduces chromatic aberration only
BIncreases the brightness of the lamp
CIncreases the numerical aperture by raising the refractive index between specimen and objective
DMagnifies the image further
Answer is hidden
Question 60 of 78Clinical Laboratory Equipment

Relative centrifugal force depends on the rotor radius and on the:

ASquare of the rotational speed
BSpeed only, linearly
CMass of the sample
DCube of the speed
Answer is hidden
Question 61 of 78Clinical Laboratory Equipment

In an ELISA, incomplete washing between steps will most likely cause:

AA falsely low signal in all wells
BFailure of the plate reader lamp
CA high background and falsely positive results
DComplete loss of the coating antigen
Answer is hidden
Question 62 of 78Clinical Laboratory Equipment

Which class of biosafety cabinet protects the operator, the sample and the environment, and is the standard in clinical laboratories?

AClass I
BA horizontal laminar flow bench
CClass II
DClass III
Answer is hidden
Question 63 of 78Clinical Laboratory Equipment

The standard autoclave cycle for sterilisation is:

A160 degrees Celsius dry heat for 5 minutes
B80 degrees Celsius for 1 hour
C100 degrees Celsius at atmospheric pressure for 10 minutes
D121 degrees Celsius at 15 psi for 15 to 20 minutes
Answer is hidden
Question 64 of 78Clinical Laboratory Equipment

Definitive confirmation that an autoclave cycle has achieved sterilisation is provided by:

AThe absence of visible moisture
BA biological indicator containing spores of Geobacillus stearothermophilus
CAutoclave tape changing colour
DThe pressure gauge reading
Answer is hidden
Question 65 of 78Clinical Laboratory Equipment

In a Coulter counter, the amplitude of the voltage pulse produced as a cell passes through the aperture is proportional to the cell's:

AVolume
BSurface charge
CHaemoglobin content
DNuclear density
Answer is hidden
Question 66 of 78Audiometers

An audiogram is plotted with hearing level on the vertical axis such that:

ALower positions indicate better hearing
BThe axis is linear in frequency
CIntensity is shown in dB SPL
DLower positions on the chart indicate worse hearing
Answer is hidden
Question 67 of 78Audiometers

The presence of an air-bone gap of more than 15 dB on an audiogram indicates:

AA retrocochlear lesion
BA conductive component to the hearing loss
CNormal hearing
DA purely sensorineural loss
Answer is hidden
Question 68 of 78Audiometers

Masking of the non-test ear is almost always required during bone conduction testing because:

ABone conduction thresholds are unreliable
BThe patient cannot hear the tone otherwise
CThe bone vibrator is too loud
DInteraural attenuation for bone conduction is essentially zero
Answer is hidden
Question 69 of 78Audiometers

Interaural attenuation for air conduction with standard supra-aural earphones is approximately:

A0 dB
B100 dB
C40 dB
D10 dB
Answer is hidden
Question 70 of 78Audiometers

In the modified Hughson-Westlake technique, after a positive response the intensity is:

ADecreased by 5 dB
BKept constant
CIncreased by 10 dB
DDecreased by 10 dB
Answer is hidden
Question 71 of 78Audiometers

A notch at 4 kHz on the pure-tone audiogram is characteristic of:

AOtosclerosis
BWax impaction
CNoise-induced hearing loss
DMeniere's disease
Answer is hidden
Question 72 of 78Audiometers

The speech reception threshold is the level at which the patient can correctly repeat:

AAll phonetically balanced words
B50 % of spondee words
C25 % of sentences
D100 % of monosyllabic words
Answer is hidden
Question 73 of 78Audiometers

A word recognition score that decreases as the presentation level is further increased is called rollover and suggests:

AConductive hearing loss
BA calibration error
CRetrocochlear pathology such as an acoustic neuroma
DNormal hearing
Answer is hidden
Question 74 of 78Audiometers

A patient with a purely conductive hearing loss would be expected to have a word recognition score that is:

AVery poor regardless of intensity
BHigh, close to 100 per cent, once the sound is made loud enough
CUnmeasurable
DExactly 50 per cent
Answer is hidden
Question 75 of 78Audiometers

In Bekesy audiometry, the patient:

APresses a button while the tone is audible and releases it when it is not
BRemains passive while an evoked potential is recorded
CAdjusts the frequency dial personally
DRepeats words heard through earphones
Answer is hidden
Question 76 of 78Audiometers

Bekesy tracings in which the continuous tone tracing falls far below the interrupted tone tracing at all frequencies (Jerger type III) suggest:

ARetrocochlear pathology
BNormal hearing
CConductive loss
DNon-organic hearing loss
Answer is hidden
Question 77 of 78Audiometers

A supra-aural earphone of an audiometer is calibrated using:

AAn artificial mastoid
BA free-field microphone at one metre
CA 2 cc coupler only
DA 6 cc coupler and a sound level meter
Answer is hidden
Question 78 of 78Audiometers

Audiometric testing must be carried out in a sound-treated booth because ambient noise:

APrevents the patient from pressing the button
BMasks the test tones and raises the apparent thresholds
CDamages the audiometer
DAlters the frequency of the oscillator
Answer is hidden
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