CCI RCS REGISTRY PREP QUESTIONS
AND CORRECT ANSWERS
What is the meaning of hemochromatosis? ANSW✅✅Excessive iron
What type of cardiomyopathy presents with a "ground glass" appearance? ANSW✅✅Restrictive
(infiltrative)
What cardiomyopathy involves abnormal proteins? ANSW✅✅Amyloidosis
How are abnormal proteins associated with Amyloidosis described? ANSW✅✅A translucent waxy
protein build up on the myofibrils
"Ground glass appearance" is associated with what? ANSW✅✅Infiltrative myocarditis
A restrictive cardiomyopathy has which of the following? ANSW✅✅Decreased LV compliance
A typical ejection fraction in a dilated cardiomyopathy patient might be? (or for a HCM patient?)
ANSW✅✅15-25%
If/when asked about dilated cardiomyopathy, we should pick the _____________ EF.
ANSW✅✅lowest
If/when asked about hypertrophic cardiomyopathy, we should pick the _______________ EF.
ANSW✅✅Highest
The majority of ventricular filling occurs during: ANSW✅✅First third of diastole
*****Know filling patterns for normal & diastolic dysfunction***** ANSW✅✅Pg. 127 in book
,If a patient has a normal MV inflow but pulm. veins showed a decreased S-wave and D-wave
consider that they might have a ___________________ pattern. ANSW✅✅pseudonormal
*TRUE/FALSE* In elderly patients (>60) the A-wave is normally equal to or higher than the E-wave.
ANSW✅✅True
How would you determine if a patient has constrictive versus restrictive disease? ANSW✅✅MV
inflow with respiration variation
In constrictive pericarditis does the E wave increase or decrease with inspiration?
ANSW✅✅Decrease
This is the thick outer sack ANSW✅✅Fibrous pericardium
This is bound to the fibrous pericardium smooth; the wall of the cavity ANSW✅✅Serous parietal
This is bound to epicardium smooth; toward the organ ANSW✅✅Serous visceral
Where is pericardial fluid found? ANSW✅✅Between the two serous layers
Name the 3 layers of the pericardium ANSW✅✅Fibrous pericardium, serous parietal, serous
visceral
A pericardial effusion can often be seen in patients with: ANSW✅✅Renal failure
What is the murmur of a pericardial effusion? ANSW✅✅friction rub
*****Know classic M-mode pattern of a pericardial effusion***** ANSW✅✅Pg. 139-141 in book
What is the grading criteria for a small pericardial effusion? ANSW✅✅Posterior fluid; < 1 cm
,What is the grading criteria for a medium pericardial effusion? ANSW✅✅Anterior and posterior;
1-2 cm
What is the grading criteria for a large pericardial effusion? ANSW✅✅Surrounding the heart; > 2
cm
What to do if tamponade is suspected? ANSW✅✅immediate interpretation
This condition requires emergent pericardiocentesis: ANSW✅✅Tamponade
During a pericardiocentesis, where is the needle inserted? ANSW✅✅Subcostal approach into the
posterior pericardial space
What 3 signs make up becks triad? ANSW✅✅Elevated venous pressure
Hypotension
Quiet Heart
What can the ECG show if tamponade is present? ANSW✅✅Electrical alternans
The most sensitive way to diagnose cardiac tamponade is: ANSW✅✅Respiratory variation
What does Doppler usually show if tamponade is present? ANSW✅✅Respiratory variation in
transvalvular flow > 25%
What cardiac condition would prevent diastolic right ventricular collapse? ANSW✅✅Pulmonary
hypertension
We can produce a false positive diagnosis of tamponade is there is an: ANSW✅✅Unstable sample
volume
*****Know pg. 145 in book***** ANSW✅✅Ok
, What other pericardial abnormality also causes impaired ventricular filling? ANSW✅✅Constrictive
pericarditis
Pericardial knock; leads to tamponade
With this condition we can note flat LV posterior wall motion in diastole ANSW✅✅Constructive
pericarditis
With this condition we can see a septal shift/bounce with inspiration ANSW✅✅Constructive
pericarditis
When constructive pericarditis is suspected, we should look for what? ANSW✅✅Septal bounce
What will the Doppler of constructive pericarditis look like? ANSW✅✅Similar to restrictive
cardiomyopathy but with respiratory variation
A huge dilated PA, severe TR and RV enlargement best describes? ANSW✅✅pulmonary
hypertension
What is Eisenmenger's syndrome? ANSW✅✅Phenomenon that occurs from long-standing L to R
shunt that leads to Pulmonary Vascular Resistance...eventually the magnitude of the shunt become
"equal" and then reversed with a net R to L shunt (increase pulmonary arterial pressure leads to
intimal and medial hyperplasia)
What is represented with a decreased "A" wave and a flying W? ANSW✅✅Pulmonary
hypertension by M-mode
With a small pulmonary emoboli the heart may be? ANSW✅✅normal
With a large pulmonary emboli the heart will be? ANSW✅✅RV/RA will dilate, PHTN or RV systolic
dysfunction may be present
*****Know pg. 150***** ANSW✅✅Ok
AND CORRECT ANSWERS
What is the meaning of hemochromatosis? ANSW✅✅Excessive iron
What type of cardiomyopathy presents with a "ground glass" appearance? ANSW✅✅Restrictive
(infiltrative)
What cardiomyopathy involves abnormal proteins? ANSW✅✅Amyloidosis
How are abnormal proteins associated with Amyloidosis described? ANSW✅✅A translucent waxy
protein build up on the myofibrils
"Ground glass appearance" is associated with what? ANSW✅✅Infiltrative myocarditis
A restrictive cardiomyopathy has which of the following? ANSW✅✅Decreased LV compliance
A typical ejection fraction in a dilated cardiomyopathy patient might be? (or for a HCM patient?)
ANSW✅✅15-25%
If/when asked about dilated cardiomyopathy, we should pick the _____________ EF.
ANSW✅✅lowest
If/when asked about hypertrophic cardiomyopathy, we should pick the _______________ EF.
ANSW✅✅Highest
The majority of ventricular filling occurs during: ANSW✅✅First third of diastole
*****Know filling patterns for normal & diastolic dysfunction***** ANSW✅✅Pg. 127 in book
,If a patient has a normal MV inflow but pulm. veins showed a decreased S-wave and D-wave
consider that they might have a ___________________ pattern. ANSW✅✅pseudonormal
*TRUE/FALSE* In elderly patients (>60) the A-wave is normally equal to or higher than the E-wave.
ANSW✅✅True
How would you determine if a patient has constrictive versus restrictive disease? ANSW✅✅MV
inflow with respiration variation
In constrictive pericarditis does the E wave increase or decrease with inspiration?
ANSW✅✅Decrease
This is the thick outer sack ANSW✅✅Fibrous pericardium
This is bound to the fibrous pericardium smooth; the wall of the cavity ANSW✅✅Serous parietal
This is bound to epicardium smooth; toward the organ ANSW✅✅Serous visceral
Where is pericardial fluid found? ANSW✅✅Between the two serous layers
Name the 3 layers of the pericardium ANSW✅✅Fibrous pericardium, serous parietal, serous
visceral
A pericardial effusion can often be seen in patients with: ANSW✅✅Renal failure
What is the murmur of a pericardial effusion? ANSW✅✅friction rub
*****Know classic M-mode pattern of a pericardial effusion***** ANSW✅✅Pg. 139-141 in book
What is the grading criteria for a small pericardial effusion? ANSW✅✅Posterior fluid; < 1 cm
,What is the grading criteria for a medium pericardial effusion? ANSW✅✅Anterior and posterior;
1-2 cm
What is the grading criteria for a large pericardial effusion? ANSW✅✅Surrounding the heart; > 2
cm
What to do if tamponade is suspected? ANSW✅✅immediate interpretation
This condition requires emergent pericardiocentesis: ANSW✅✅Tamponade
During a pericardiocentesis, where is the needle inserted? ANSW✅✅Subcostal approach into the
posterior pericardial space
What 3 signs make up becks triad? ANSW✅✅Elevated venous pressure
Hypotension
Quiet Heart
What can the ECG show if tamponade is present? ANSW✅✅Electrical alternans
The most sensitive way to diagnose cardiac tamponade is: ANSW✅✅Respiratory variation
What does Doppler usually show if tamponade is present? ANSW✅✅Respiratory variation in
transvalvular flow > 25%
What cardiac condition would prevent diastolic right ventricular collapse? ANSW✅✅Pulmonary
hypertension
We can produce a false positive diagnosis of tamponade is there is an: ANSW✅✅Unstable sample
volume
*****Know pg. 145 in book***** ANSW✅✅Ok
, What other pericardial abnormality also causes impaired ventricular filling? ANSW✅✅Constrictive
pericarditis
Pericardial knock; leads to tamponade
With this condition we can note flat LV posterior wall motion in diastole ANSW✅✅Constructive
pericarditis
With this condition we can see a septal shift/bounce with inspiration ANSW✅✅Constructive
pericarditis
When constructive pericarditis is suspected, we should look for what? ANSW✅✅Septal bounce
What will the Doppler of constructive pericarditis look like? ANSW✅✅Similar to restrictive
cardiomyopathy but with respiratory variation
A huge dilated PA, severe TR and RV enlargement best describes? ANSW✅✅pulmonary
hypertension
What is Eisenmenger's syndrome? ANSW✅✅Phenomenon that occurs from long-standing L to R
shunt that leads to Pulmonary Vascular Resistance...eventually the magnitude of the shunt become
"equal" and then reversed with a net R to L shunt (increase pulmonary arterial pressure leads to
intimal and medial hyperplasia)
What is represented with a decreased "A" wave and a flying W? ANSW✅✅Pulmonary
hypertension by M-mode
With a small pulmonary emoboli the heart may be? ANSW✅✅normal
With a large pulmonary emboli the heart will be? ANSW✅✅RV/RA will dilate, PHTN or RV systolic
dysfunction may be present
*****Know pg. 150***** ANSW✅✅Ok
