NCFE T Level Healthcare Science (HCS TQ)
T-Level Healthcare Science
Answer sheet
Physiological measurement
Separate mark scheme — do not issue with the student worksheet
Time guide: — · Questions: 32 · Total marks: 104
Written in Healthcare Science style. Refer to protocols, IQC/EQA, patient ID and scope of practice.
Indicative marking points. Award marks for equivalent scientific or mathematical wording. Do not issue this sheet with the student worksheet.
1. State what is meant by an ECG.
[1 mark]
- electrical activity of the heart
2. State what is meant by blood pressure.
[1 mark]
- force of blood on artery walls
3. State what is meant by spirometry.
4. State what is meant by pulse oximetry.
[1 mark]
- estimate of oxygen saturation
5. State what is meant by peak flow.
[1 mark]
- fastest blow into a meter
6. State what is meant by audiometry / vision (idea).
[1 mark]
- screening physiological tests
7. State what is meant by a biological signal.
8. State what is meant by calibration of physiological kit.
[1 mark]
- simulators and leak tests
9. State what is meant by patient preparation.
[1 mark]
- rest, clothing, explanation, consent
10. State what is meant by normal vs artefact.
11. Noah is asked about an ECG in a NCFE Healthcare Science paper.
(b) [3 marks]
- artefact from movement or poor contact
12. Noah is asked about blood pressure in a NCFE Healthcare Science paper.
(a) [2 marks]
- correct cuff size and position
(b) [3 marks]
- document arm and position
13. Noah is asked about spirometry in a NCFE Healthcare Science paper.
14. Noah is asked about pulse oximetry in a NCFE Healthcare Science paper.
(a) [2 marks]
- poor if cold hands or nail polish
(b) [3 marks]
- not the same as arterial blood gas
15. Noah is asked about peak flow in a NCFE Healthcare Science paper.
16. Noah is asked about audiometry / vision (idea) in a NCFE Healthcare Science paper.
(a) [2 marks]
- quiet room, calibrated kit
17. BP 118/76. Pulse pressure?
18. Best of three peak flows: 380, 400, 390. Record?
19. ECG paper 25 mm/s. 5 large squares is how many seconds?
20. HR from R-R of 20 small squares (1 mm = 0.04 s): 60 / 0.80
21. Spo2 readings 96, 97, 96. Mean?
[3 marks]
- Final answer: 96.3 (or 96%)
22. A clinic of 15 ECGs at 8 min each. Total time?
23. Noah carries out a T-Level occupational task on physiological measurement. This is a typical NCFE required-practical style question.
(a) [2 marks]
- Independent: the factor being investigated
- Dependent: the measured result or quality check
(b) [2 marks]
- follow the SOP and keep other variables constant
- so the test is fair / only one variable is changed
(c) [2 marks]
- not recording the batch/lot number or operator ID
24. Noah carries out writing or following an SOP for physiological measurement. This is a typical NCFE required-practical style question.
(a) [2 marks]
- Independent: a step in the method
- Dependent: whether the acceptance criteria are met
(b) [2 marks]
- same calibrated instrument
- so the test is fair / only one variable is changed
(c) [2 marks]
- skipping a verification check
25. Noah carries out a COSHH / risk-assessment review for physiological measurement. This is a typical NCFE required-practical style question.
(a) [2 marks]
- Independent: hazard
- Dependent: control measure effectiveness
(b) [2 marks]
- same PPE and waste route
- so the test is fair / only one variable is changed
(c) [2 marks]
- using expired reagents or the wrong waste stream
26. Noah carries out data review in a LIMS or quality log for physiological measurement. This is a typical NCFE required-practical style question.
(a) [2 marks]
- Independent: sample ID
- Dependent: result vs specification
(b) [2 marks]
- same calculation method
- so the test is fair / only one variable is changed
(c) [2 marks]
- transcription error between the instrument and the LIMS
27. Compare an ECG with pulse oximetry.
[4 marks]
- electrical activity of the heart
- estimate of oxygen saturation
- state one workplace implication
28. Compare blood pressure with peak flow.
[4 marks]
- force of blood on artery walls
- fastest blow into a meter
- state one workplace implication
29. Compare spirometry with audiometry / vision (idea).
[4 marks]
- lung volumes and flow
- screening physiological tests
- state one workplace implication
30. Compare pulse oximetry with a biological signal.
[4 marks]
- estimate of oxygen saturation
- small voltages or flows
- state one workplace implication
31. Apply your knowledge of a biological signal to this situation: need a good electrode / sensor
[3 marks]
- need a good electrode / sensor
32. Apply your knowledge of calibration of physiological kit to this situation: before the clinic