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Kerala PSC Cath Lab Technician Grade II – Health Services
കാത്ത് ലാബ് ടെക്നീഷ്യൻ ഗ്രേഡ് II – ആരോഗ്യ വകുപ്പ്
Technical posts and departmental tests
- Syllabus sections
- 9
Mock Tests
Tests coming soon.
About the exam
About the post
- Department: Health Services Department
- Category No: 029/2026
- Method: Direct Recruitment
- Pay scale: ₹31,100 – 66,800
- Vacancies: 1
- Notification: Gazette 30 May 2026; last date to apply was 1 July 2026
Qualification
- Basic: Plus Two (Science) or an equivalent qualification
- Technical (any one): Bachelor's degree in Cardio Vascular Technology (NMC-recognised university, national institute or Kerala Government institution); or Diploma in Cardio Vascular Technology from the Directorate of Medical Education or an NMC-recognised medical college; or SCTIMST Diploma in Cath Lab Technology
- Experience: 1 year as a Cath Lab Technician in a Central or State Government institution (including Defence, Railway and ESI hospitals and Government autonomous institutions)
- Registration: Kerala Para Medical Council
- Equivalent or higher qualifications declared by Government order are also accepted
Who can apply
- Age: 18–40 (usual relaxations apply)
Always confirm the details in the official notification on keralapsc.gov.in before you apply or prepare.
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.
1Module 1 – Electrocardiographyഇലക്ട്രോകാർഡിയോഗ്രഫി (ഇസിജി)9 topics12 marks›
Module 1 – Electrocardiographyഇലക്ട്രോകാർഡിയോഗ്രഫി (ഇസിജി)
9 topics
- 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
2Module 2 – Exercise ECGഎക്സർസൈസ് ഇസിജി10 topics12 marks›
Module 2 – Exercise ECGഎക്സർസൈസ് ഇസിജി
10 topics
- 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
3Module 3 – Echocardiographyഎക്കോകാർഡിയോഗ്രഫി9 topics10 marks›
Module 3 – Echocardiographyഎക്കോകാർഡിയോഗ്രഫി
9 topics
- 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
4Module 4 – Principle of Dopplerഡോപ്ലർ തത്വങ്ങൾ6 topics12 marks›
Module 4 – Principle of Dopplerഡോപ്ലർ തത്വങ്ങൾ
6 topics
- 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
5Module 5 – Holter Recordingഹോൾട്ടർ റെക്കോർഡിംഗ്3 topics4 marks›
Module 5 – Holter Recordingഹോൾട്ടർ റെക്കോർഡിംഗ്
3 topics
- Principles of Holter
- Utility and indications
- Analysis of Holter
6Module 6 – Cardiac Catheterisation Part Iകാർഡിയാക് കത്തീറ്ററൈസേഷൻ – ഭാഗം 111 topics15 marks›
Module 6 – Cardiac Catheterisation Part Iകാർഡിയാക് കത്തീറ്ററൈസേഷൻ – ഭാഗം 1
11 topics
- 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
7Module 7 – Cardiac Catheterisation Part IIകാർഡിയാക് കത്തീറ്ററൈസേഷൻ – ഭാഗം 212 topics15 marks›
Module 7 – Cardiac Catheterisation Part IIകാർഡിയാക് കത്തീറ്ററൈസേഷൻ – ഭാഗം 2
12 topics
- 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
8Module 8 – Cardiac Catheterisation Part III: Pacing and Electrophysiologyപേസിംഗ് & ഇലക്ട്രോഫിസിയോളജി8 topics10 marks›
Module 8 – Cardiac Catheterisation Part III: Pacing and Electrophysiologyപേസിംഗ് & ഇലക്ട്രോഫിസിയോളജി
8 topics
- 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
9Module 9 – Cardiac Emergencies and Recordsഅടിയന്തര പരിചരണവും റെക്കോർഡുകളും7 topics10 marks›
Module 9 – Cardiac Emergencies and Recordsഅടിയന്തര പരിചരണവും റെക്കോർഡുകളും
7 topics
- 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.