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DEPARTMENT OF ECE
ELECTIVE -I
EC2021 MEDICAL ELECTRONICS
QUESTION BANK
SEM/YEAR : VI/III
EC2021
UNIT I
ELECTRO-PHYSIOLOGY AND BIO-POTENTIAL RECORDING
The origin of Bio-potentials; biopotential electrodes, biological amplifiers, ECG, EEG, EMG,
PCG, EOG, lead systems and recording methods, typical waveforms and signal characteristics.
UNIT II BIO-CHEMICAL AND NON ELECTRICAL PARAMETER MEASUREMENT
PH, PO2, PCO2, PHCO3, Electrophoresis, colorimeter, photometer, Auto analyzer, Blood flow
meter, cardiac output, respiratory measurement, Blood pressure, temperature, pulse, Blood cell
counters.
UNIT III ASSIST DEVICES AND BIO-TELEMETRY
Cardiac pacemakers, DC Defibrillator, Telemetry principles, frequency selection, Biotelemetry,
radio-pill and tele-stimulation.
UNIT IV RADIOLOGICAL EQUIPMENTS
Ionizing radiation, Diagnostic x-ray equipments, use of Radio Isotope in diagnosis, Radiation
Therapy.
UNIT V RECENT TRENDS IN MEDICAL INSTRUMENTATION
Thermograph, endoscopy unit, Laser in medicine, Diathermy units, Electrical safety in medical
equipment.
. TEXTBOOKS
1. Leislie Cromwell, Biomedical instrumentation and measurement, Prentice Hall of India,
New Delhi, 2007.
REFERENCES
1. Khandpur, R.S., Handbook of Biomedical Instrumentation, TATA McGraw-Hill, New Delhi,
2003.
2. Joseph J.Carr and John M.Brown, Introduction to Biomedical equipment Technology, John
Wiley and Sons, New York, 2004.
4.
Define resting and action potential. (NOV/DEC 2008) (May /June 2009) unit-1
The membrane potential caused by the different concentration of ions is called as resting
potential of the cell. The positive potential of the cell membrane during excitation is called as
action potential and it is about 20mV.
6. Define Latency as related to EMG. (NOV/DEC 2008) unit-1
Latency is defined as the elapsed time between the stimulating impulse and the muscles
action potential.
7. List the names and frequency bands of EEG signals(May 2007) unit-1
5.
The voltage developed at an electrode-electrolyte interface is designated as the half cell potential
or electrode potential. A Characteristics potential difference established by the electrode and its
surrounding electrolyte which depends on the metal, concentration of ions in solution and
temperature.
12. Give the EMG Signal Characteristics. (Apr/May 2011) unit-1
The EMG signal ranges from 0.1mV to 0.5mV.The frequency components of the EMG signal
vary from 20HZ to 10 KHz and they are restricted to the frequency range of 20HZ to 200HZ for
Clinical purpose using a low pass filter.
13. What is EOG? (Nov/Dec 2011) unit-1
EOG Electro oculography It is the recording of the biopotential generated by the movement of
eyes.
14. Compare the signal characteristics of ECG and PCG. (Nov/Dec 2011) unit-1
PCG related to mechanical events of heart while ECG related to electrical activity of heart. PCG
has three different waves but ECG has only one wave from to analysis the function of heart.
15. What is PCG? (Apr/May 2012) unit-1
The graphic record of the heart sounds is called as phonogram. Because the sound is from the
heart, it is called phonocardiogram. The instrument used to measure the heart sounds is called as
phonocardiograph.
16. What are the different types of electrodes used in bipolar measurement? (Apr/May 2012)
unit-1
a) Metal plate electrodes, b) Suction cup electrode, c) Adhesive tape electrode,
d) Multipoint electrode, e) Floating electrode.
UNIT-1 PART B
1. i) Discuss in detail about Action Potential and Resting Potential.(Apr/May 2011)
ii) Write short notes on microelectrodes. (MAY/JUNE2007) unit-1
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:4-8 & 24-27.
2. i) Explain the working principle of a ECG machine with a neat block diagram.
ii) What is Phonocardiography? (MAY/JUNE2007) unit-1
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:117-142.
3.
4. i) Draw an action potential waveform and discuss in detail about polarization and repolarization.
ii) Draw the bipolar limb lead system of an ECG. (AP/MAY 2008) unit-1
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:4-8 & 120-121.
5. i)What is Half cell potential?
ii) What are the three types of electrodes and mention its use.
iii) Discuss Microelectrodes in detail. (NOV/DEC 2008) unit-1
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no: 21, 24 -27.
6. i) Bring out the salient features of phonocardiography. .(Apr/May 2011)
ii) With suitable diagram, explain the method of measurement of conduction velocity in
peripheral nerves. (NOV/DEC 2008) unit-1
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no: 133-142 & 153-156.
12.
13.
14.
15.
16.
17.
PART B (UNIT-2)
1. a) i) Discuss the working principle of a colorimeter with a neat block Diagram.
ii) How will you measure blood pressure using Sphygmomanometer? (May/June 2007)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:284-286 & Notes.
2. a) i) Explain the working principle of a electromagnetic type blood flow Meter.
ii) Define Cardiac output .Discuss a technique to determine cardiac Output.
(May/June
2007) (Apr/May 2012)(Nov/Dec 2011)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:233-237 &246-253.
3. a) i) Explain the working principle of a electromagnetic type blood flow Meter.
ii) Describe the operation of a blood cell counter. (April/ May 2008) unit-II
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no: 233-237 & 274-277.
4. a) i) Define the terms : residual volume , tidal volume ,vital capacity and Total lung capacity.
ii)Discuss Ficks method for determining cardiac output. (April/ May 2008) unit-II
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:254&246-247.
5. a) i) Describe the measurement of pH in blood.(Nov/Dec2011)
ii) Describe the principle of working of an Electrophoresis apparatus. Nov/Dec 2008) unit-II
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:265-267 &Notes.
6. Draw a block diagram of ultrasonic blood flow meter .Explain the method of measuring the
velocity of blood flow using (i) Transit time principle (2) Doppler effect.(Apr/May 2011)
(Nov/Dec2007) unit-II
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:237-244.
PART A
1. Why should a patient susceptible to ventricular fibrillation be watched continuously?
Ventricular fibrillation is far more dangerous, for under this condition the ventricles are unable to
pump blood and if the fibrillation is not corrected death will usually occurs with in a few minutes.
So patient should be watched continuously.
2. List out any six bioelectric and physiological variables adaptable for biotelemetry
Measurements
Bioelectric variables---ECG, EEG, EMG and Physiological variables---blood pressure,
gastrointestinal pressure, blood flow, temperature.
3. What is radio pill?(Apr/May2012)
Radio pill is used to monitor stomach pressure or pH. A pill consisting of a sensor and
miniature transmitter is swallowed and the data are picked up by a receiver and recorded
4. List out the advantages of a Bio-telemetry system. (May/June 2007) unit-III
Bio-telemetry helps us to record the bio-signals over long periods and while the patient is
engaged in his normal activities.
Computer or the medical attendants can easily diagnosis the nature of disease by seeing the
telemetric bio-signals without attending the patients room.
Patient is in his room without any mechanical (or) physical disturbance during recording by
means of Bio-telemetry
For future reference (or) to study the treatment effect, the bio-telemetry is the essential one.
For recording on animals, particularly for research, the bio-telemetry is greatly used.
For monitoring the person who is in action, the bio-telemetry is an ideal one.
5. Classify pacing modes. (NOV/DEC 2007) unit-III
Competitive mode
Pacing modes
Asynchronous mode
( fixed rate)
Ventricular programmed
Demand mode
(R-wave inhibited)
Atrial programmed
Standby mode
(R-wave triggered)
Synchronous mode
(P-wave)
8. Draw the block diagram of a Bio Telemetry system. (Nov/Dec 2008) unit-III
Biological
Signal
Transducer
Conditioner
Transmission
Link
Read-out
Devices
9. Draw the circuit of DC Defibrillator and give its output specification.(Apr/May2011 &2012)
PART B (Unit-3)
1. a) i) What is ventricular fibrillation ? Discuss in detail direct current Defibrillator.
ii) Discuss the power sources used and electromagnetic interference that arise in a pacemaker.
(April/ May 2008) unit-III
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:185,188-190 &175-182.
2. a) i) Explain in detail the components of a Bio telemetry system.
ii) Discuss the various applications of telemetry in patient care.(April/ May 2008) unit-III
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:311&320.
3. a) Discuss with suitable block diagram the different modes of operation of Cardiac pacemakers.
(Nov/ Dec 2008) unit-III(Apr/May 2011 & 2012) (Nov/Dec 2011)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:167-175.
4. a) i) What is defibrillator?
ii) Distinguish between Internal and External Defibrillator.
iii) With block diagram describe the operation of synchronized D.C Defibrillator.
(Nov/ Dec 2008) unit-III (Apr/May 2011)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:185-186 &190-193.
5. a) i) Explain working principle of a single channel telemetry system with a neat block diagram.
ii) Discuss working principle of a DC defibrillator with a neat circuit diagram.
(May/ June 2007) unit-III)(Apr/May 2012) (Nov/Dec2011)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:312&188-190
10. In what way X-ray equipment are useful for diagnostics purpose? (May /June 2010)
The use of x-rays as a diagnostic tool is based on the fact that various components of the body
have different densities for the rays. When X-rays from point sources penetrate a body section the
internal structure of the body absorbs varying amount of the radiation. The radiation that leads the
body therefore has a spatial intensity variation ie., an image of the internal structure of the body.
11. Brief about the effectiveness of radio isotopes? (Nov /Dec 2010)
The radio isotopes techniques are all based on actually counting the number of nuclear disintegrations that occur in a radioactive sample during a certain time interval, this will avoid the
statistical errors. Photographic records has the disadvantage, the scan of larger organ can take a
long time, which can effectively overcome by radio isotopes.
12. What is the need of cooling system in X- ray tube?(Apr/May 2011)
1. To get better throughput
2. To reduce the heat in focal spot area which improves the quality of the image.
13. How the radio isotopes are used for therapy?(Apr/May 2011)
Radio Isotopes are used to identify the tumor location, detect any urinary tract obstruction, in
diagnosis of coronary heart diseases.
14. What is ionizing radiation?(Nov/Dec 2011)
It is the radiation originating in radioactive materials is that it ionizes the gases through
which it travels.
15. What are radio isotopes?(Nov/Dec 2011)
Radio isotopes are the element which exists the radiation during disintegration. They are
chemically identical to their mother element.
16. Mention the different types of radiation generated from radio isotopes.(Apr/May 2012)
Iodine 131, Tritium, Carbon 14, Chromium 51
17. List the characteristics of X-rays?(Apr/May 2012)
1. X-rays are invisible.
2. X-rays are electrically neutral. They have neither a positive nor a negative charge. They
cannot be accelerated or made to change direction by a magnet or electrical field.
3. X-rays have no mass.
4. X-rays travel at the speed of light in a vacuum.
PART B (Unit-4)
1. a) Draw the block diagram of an X-ray machine and explain the function of each block.
(Nov/Dec 2008) (Apr/May 2012 ,2011)(Nov/Dec 2011)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:299-303.
2. a) Write short note on: a) Image intensifiers b) Fluoroscopy. (Nov/Dec 2008) (Apr/May 2011)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:304-305.
3. a) i) Explain the principle involved in the production of X-rays.
ii) Draw and explain the block diagram of an image intensifier unit (Apr/ May 2008)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:297 &305.
4. a) i) Differentiate between radiography and fluoroscopy.
ii) Write a short on Scintillation Detector.
iii) Explain the principle of angiography. (Apr/ May 2008)
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:304& Notes &306.
5.
MACRO SHOCK
A physiological response to a current
applied to the surface of the body that
produces unwanted or unnecessary
stimulation like muscle contraction or
tissue injury is called Macro shock.
PART A (10*2=20Marks)
1. What is half cell Potential?
The voltage developed at an electrode-electrolyte interface is designated as the half cell
potential or electrode potential. A Characteristics potential difference established by the
electrode and its surrounding electrolyte which depends on the metal, concentration of
ions in solution and temperature.
2. Give the EMG Signal Characteristics.
The EMG signal ranges from 0.1mV to 0.5mV.The frequency components of the EMG
signal vary from 20HZ to 10 KHz and they are restricted to the frequency range of 20HZ
to 200HZ for Clinical purpose using a low pass filter.
3. How is the pulse rate measured?
The pulse rate is measured using one of the following methods
e) Electrical Impedance Method
f) Strain gauge Method
g) Photoelectric Method
h) Microphone Method
4. What is Stroke Volume?
Stroke Volume (SV) is the Volume of blood pumped from one ventricle of the heart with
each beat.
5. Draw the circuit of DC Defibrillator and give its output specification.
PART B (5*16=80Marks)
11. a i) Draw the action potential wave form and explain the following terms
a) Resting Potential
b) Action Potential
c) Absolute Refractory period
d) Relative refractory period
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:4-8 +Notes.
(OR)
b) i) Draw the 12 lead system used in ECG.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:120-121 +Notes.
ii) How the PCG signals are generated? Explain the measurement of PCG.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:117-142 +Notes.
(OR)
b) Explain the principle of Following
i) PH measurement
ii) Auto analyzer.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:265 -267 +Notes.
(OR)
b) What is the need of pacemaker? Explain the different types of pacemakers?
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:167 -175 +Notes.
14. a) Draw the block diagram of X-ray imaging system and explain the components.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no: 299-303+Notes.
(OR)
b) Explain production, properties, isotopes used and application of the following
radiation.1) Alpha, 2) Beta, 3) Gamma
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:297 +Notes.
15. a) Explain the function of surgical diathermy and various modes of operation.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:219 -223 +Notes
(OR)
PART A (10*2=20Marks)
1. What is EOG?
EOG Electro oculography It is the recording of the biopotential generated by the
movement of eyes.
2. Compare the signal characteristics of ECG and PCG
PCG related to mechanical events of heart while ECG related to electrical activity of
heart. PCG has three different waves but ECG has only one wave from to analysis the
function of heart.
3. What is systolic and diastolic pressure?
Contraction of heart muscle is called as systolic. The systolic pressure is 120 mm of Hg.
Relaxation of heart muscle is called as diastole. The diastolic pressure is 80 mm of Hg.
4. How is respiration rate measured?
The measurement of respiration rate provides ideas about relative respiratory activity
.Various techniques are used for this measurement are
6. Displacement method
7. Thermistor Method
8. Impedance pneumography
9. CO2 Method
10. Apnora Detector
5. What is photometer?
Photometer is used to measure the protein and iron levels in blood. These biological
substances can be determined by analyzing their absorbance and transmittance
characteristics.
6. What is tele- stimulation?
Tele-stimulation is the measurement of biological signals over long distance. Telestimulation refers to study of diseases by stimulating into animals without killing them
and to monitor them by receiving their bio signals.
7. What is ionizing radiation?
It is the radiation originating in radioactive materials is that it ionizes the gases through
which it travels.
8. What are radio isotopes?
Radio isotopes are the element which exists the radiation during disintegration . They are
chemically identical to their mother element.
PART B (5*16=80Marks)
11. a) Discuss the different types of Bio-potential electrodes used in measurement of
Bio- signals?
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:21-33 + Notes
(OR)
b) i) Draw the 12 lead system in ECG
ii) Explain the 10-20 electrode placement used in EEG.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:120 & 153 + Notes
12. a)i) Explain the blood flow measurement using following technique.
1. Electromagnetic principle
2. Dye dilution
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:233-237 + Notes
(OR)
b) Explain the principle of following
1. PH Measurement
2. Electrophoresis.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:265 + Notes
13. a) Explain any two types of pacemakers with neat block diagram.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:167-175 + Notes
(OR)
b) i)Explain the principle of DC defibrillator with neat diagram.
ii) Explain the operation of Bio telemetry systems.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:190 & 310 + Notes
14. a) Draw the block diagram of X-Ray machines, explain its operation.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:299-303 + Notes
(OR)
b) Discuss the uses of radio isotopes in medical applications.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:305 + Notes
(OR)
b) Write short notes on
1. Argon Laser
2. CO2 Laser
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:352 + Notes
PART A (10*2=20Marks)
1. What is PCG?
The graphic record of the heart sounds is called as phonogram. Because the sound is from
the heart, it is called phonocardiogram. The instrument used to measure the heart sounds
is called as phonocardiograph.
2. What are the different types of electrodes used in bipolar measurement?
a) Metal plate electrodes, b) Suction cup electrode, c) Adhesive tape electrode,
d) Multipoint electrode, e) Floating electrode.
3. Which transducer is used for measuring temperature? Why?
Thermoelectric type transducer is used for measuring temperature, because to store and
carry plasma, antibiotics etc.
4. What is the principle used in pulse rate measurement?
Piezoelectric type transducer is the principle used in pulse rate measurement.
5. Draw the defibrillator output wave form and indicate the output energy level.
PART B (5*16=80Marks)
11. a)i) Explain the origin of Bio potential
ii) Compare the signal Characteristics of ECG and EMG
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:23 & 117 + Notes
(OR)
b) i) Draw the bipolar lead system used in ECG and give its significance.
ii) Explain the 10-20 electrode placement system used in EEG.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:120 &153 + Notes
12. a) Explain the blood flow measurement using the following technique.
1. Electromagnetic principle
2. Thermo dilution
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:233 &246 + Notes
(OR)
b) Explain the principle of following
1. Photometer
2. Auto analyzer
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no: 248+ Notes
13. a) What is pacemaker? What are the different types of pacemakers? Explain the RWave inhibited pacemakers with a neat block diagram?
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:167 + Notes
(OR)
b) Explain the single channel ECG biotelemetry system with neat block diagram.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:310 + Notes
(OR)
b) Explain, how the gamma radiation is used for imaging.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:297 + Notes
(OR)
b) Explain the different types of Laser used in medicine.
Ans: Text book: Bio medical instrumentation By Arumugam .pg.no:347 + Notes
PART B (5 X 16 = 80 marks)
11. (a) (i) Discuss about the different types of electrode used in bio potential
measurement. (10)
Micro electrode/Intracellular electrode
(OR)
(b) Draw and explain the different lead configuration and its significances in
ECG.
Bipolar limb leads or standard leads
Augmented unipolar limb leads
Chest leads(or) precordial leads
Frank lead system or corrected orthogonal leads
Text book: Bio medical instrumentation By Arumugam .pg.no:120-123+Notes
(OR)
(b) Explain the Multi-channel Bio telemetry system with neat diagram. (16)
14. (a) Explain the need of following in the X-ray imaging system:
(i) Collimator (5)
(ii) Bucky grid (5)
(iii) Image intensifier (6)
(OR)
(b) Explain the Principle of Nuclear Imaging with neat diagram. (16)
15. (a) Write brief notes on:
(i) Thermograph (8)
(ii) Endoscopy unit (8)
(OR)
(b) Explain the following:
(i) Surgical diathermy (8)
(ii) Argon Laser and its medical application (8)
13. (a) Explain the function and characteristics of the various types
of on-demand cardiac
pacemakers
(Or)
(b) Show how tele-stimulation is achieved and write the merits
and demerits of EHealth.
14. (a) Explain the function of diagnostic X-ray equipment with neat
block diagram.
(Or)
(b) Discuss how the radioisotopes are used as
(i) Diagnostic imaging (8)
(ii) Radiation therapy (8)
15. (a) (i) With neat block diagram explain the working of an
endoscopy unit (8)
(ii) Write a brief note on the functioning of microwave
diathermy unit (8)
(Or)
(b) Explain the different types of Lasers in medicine.