Kerala PSC Cath Lab Technician Grade II – Health Services Syllabus
കാത്ത് ലാബ് ടെക്നീഷ്യൻ ഗ്രേഡ് II – ആരോഗ്യ വകുപ്പ് – സിലബസ്
Technical posts and departmental tests · Category No. 029/2026
The full syllabus, organised section by section with the marks for each part: 9 sections and 75 topics, 100 marks in all. Tick topics off as you study and practise each part with the mock tests.
Objective-type test of 100 marks over 9 modules for Cath Lab Technician Grade II, Health Services Department (Cat. No. 029/2026). Kerala PSC objective tests of this kind run 1 hour 30 minutes, with questions in English.
Questions may also come from other topics prescribed for the post.
- Sections
- 9
- Topics
- 75
- Total marks
- 100
Exam pattern & marks · പരീക്ഷാ ഘടന
1
Module 1 – Electrocardiographyഇലക്ട്രോകാർഡിയോഗ്രഫി (ഇസിജി)
12 marks- Basics and principle of ECG
- Electrode / lead placements
- Normal ECG: wave form, intervals
- ECG machine: functions, frequency response, recording speed, sensitivity, standardisation, stylus lag (heat stylus)
- ECG and chamber hypertrophy
- ECG and arrhythmia
- ECG in myocardial infarction and myocardial ischemia
- ECG in miscellaneous conditions: metabolic, electrolyte changes
- ECG for technician: summary
2
Module 2 – Exercise ECGഎക്സർസൈസ് ഇസിജി
12 marks- Equipment and types of exercise ECG
- Indications and contraindications
- Lead placement: rationale, limitations
- Monitoring during exercise ECG: clinical, ECG, parameters
- Exercise ECG protocols: indications, advantages and disadvantages
- Exercise physiology
- Preparation: patient, equipment, defibrillators, emergency drugs
- Detection of arrhythmias and ischemia during exercise ECG and plan of action
- Endpoints: recognition and action
- Post-exercise ECG: observation, instructions
3
Module 3 – Echocardiographyഎക്കോകാർഡിയോഗ്രഫി
10 marks- Principle of echocardiography, transducers
- Anatomical planes for viewing in echocardiography
- Normal M-mode echo study: anatomy, function, measurements
- Echo for cardiac function: systolic and diastolic
- Echo in heart disease: acquired, congenital
- Contrast echocardiography: technique and indications
- Transesophageal echocardiography
- Echo technician's role: disposables, archiving, record keeping
- Stock: indents, stock maintenance, stock verification
4
Module 4 – Principle of Dopplerഡോപ്ലർ തത്വങ്ങൾ
12 marks- Measurement of flows and gradients: assessment of gradients, shunts, valve areas, cardiac output, assessment of valve regurgitations
- Utility of Doppler in assessment of cardiac disease: tissue Doppler
- Stress echocardiography: protocol, 2D echo views, analysis
- Trans-esophageal echo: indications, contraindications, patient preparation, transducer maintenance, sterilisation and handling, monitoring, emergency drugs, utility
- Intravascular ultrasound
- Intracoronary Doppler wire
5
Module 5 – Holter Recordingഹോൾട്ടർ റെക്കോർഡിംഗ്
4 marks- Principles of Holter
- Utility and indications
- Analysis of Holter
6
Module 6 – Cardiac Catheterisation Part Iകാർഡിയാക് കത്തീറ്ററൈസേഷൻ – ഭാഗം 1
15 marks- Cardiac catheterisation laboratory: set-up, types of procedures
- Sterile techniques in cath lab: sterile areas, sterile procedure, sterile trolley setting, scrubbing, gowns and gloves, scrubbing and draping patients, handling sterile disposables
- Sterilisation and re-use of hardware
- Cath lab equipment: defibrillator, pacemaker, IABP, Boyle's apparatus, suction machine, oxygen, infusion pumps, programmed stimulators, pacing system analysers
- Hemodynamic recorders and transducers: recording of pressure wave forms, range, gain, speed, systolic, diastolic and mean pressures in chambers and vessels
- Hazard management: radiation protection, infection prevention, electrical and mechanical injury prevention
- Waste management: plastics, biological wastes, glass, needles, syringes
- Technician's role: patient monitoring, procedure-related data collection, acquisition and entry of data, procedure books, log books, registers
- Stock and stores: stock of all disposables such as catheters, stores (disposable items), accounting (used items), equipment maintenance
- Cine angiography: cine filming, cine film processing and viewing, cine film library
- Contrast media
7
Module 7 – Cardiac Catheterisation Part IIകാർഡിയാക് കത്തീറ്ററൈസേഷൻ – ഭാഗം 2
15 marks- Cardiac catheterisation procedures: diagnostic studies, therapeutic / interventional procedures
- Acquisition of cath data: cardiac output, oximetry and shunts, pressures and wave forms, recording technique, analysis
- Angiography: technique, views, contrast media
- Hardware: catheters, connections, sheaths, stopcocks, wires, angioplasty catheters
- Complications of cardiac catheterisation: recognition and management, cardiopulmonary resuscitation
- Special procedures: pericardial tap, atrial septostomy, endomyocardial biopsy, balloon angioplasty (valve), coronary angioplasty
- Case study of simple cardiac disease: ASD, MS, Tetralogy of Fallot
- Hardware of catheterisation and interventions: venous and arterial check-flow sheaths, manifolds, 3-way stopcocks, guide wires and dilators, puncture (vascular access) needles
- Catheters: Woven Dacron (GL, NIH, Lehman, Woven Dacron electrode catheters), flow-directed (Swan-Ganz type), balloon angio catheters, polyurethane (pig tail, Judkins, coronary, Amplatz coronary, brachial coronary, Sones)
- Guide wires: short, normal length, exchange length, J-tipped, movable core, tips, deflectable types
- Valvuloplasty and atrial septostomy catheters; coronary angioplasty hardware: guide catheters, guide wire, balloon dilatation catheters, inflators, Y connectors
- Stents: bare stents, mounted stents, other types of stents
8
Module 8 – Cardiac Catheterisation Part III: Pacing and Electrophysiologyപേസിംഗ് & ഇലക്ട്രോഫിസിയോളജി
10 marks- Arrhythmias: brady and tachy arrhythmias
- Indications for temporary / permanent pacing, technique of temporary pacing
- Permanent pacing: VVI, AAI (single chamber pacing), DDD and other modes of pacing
- Pacemaker clinic: management of pacemaker patients, programmers
- Intracardiac electrogram: technique
- Electrophysiological studies
- Radiofrequency ablation for arrhythmias
- Implantable cardioverter defibrillator
9
Module 9 – Cardiac Emergencies and Recordsഅടിയന്തര പരിചരണവും റെക്കോർഡുകളും
10 marks- Cardiac arrest, cardiopulmonary resuscitation
- Hypotension, hypertensive crisis
- Cardiac tamponade
- Anaphylaxis
- Emergency drugs
- Intra-aortic balloon pump
- Record keeping: indents, stocks, log books, procedure books
- The official syllabus prints no title for this module; it is named here from its topics.
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This syllabus follows the one published by the Kerala Public Service Commission. Always confirm the latest syllabus and exam details in the official notification on keralapsc.gov.in.