CCI ARDMS Registry Review Practice Questions with COMPLETE SOLUTIONS

CCI ARDMS Registry Review Practice Questions with COMPLETE SOLUT IONS Which of the following would most likely result in a late systolic murmur? - ✔✔MVP typically happens late and has a late click.. And you would get a later murmur associated the MR Called "click murmur syndrome" Electrical alternans is usually associated with - ✔✔pericardial effusion Electrical alternans= the height of QRS varies (taller and shorter) this is cause by the fluid around the heart causing the heart to swim around so the electrical axis is constantl y changing Which coronary artery feeds the "free wall" of the LV seen in an apical 4 chamber view? - ✔✔circumflex The finding of an overriding aorta in the parasternal long -axis view of an echocardiogram is most consistent with? - ✔✔VSD (bc TOF) The res istance against which the ventricle contracts is known as? - ✔✔Afterload is - end systolic wall stress (will never ask this one) and systemic vascular resistance Prinzmetal is associated with a type of - ✔✔angina; caused by coronary vasospasm Valvular atr esia is a valve that is - ✔✔underdeveloped or absent Which of the following may be caused by rapid accumulation of fluid in the pericardial space? - ✔✔cardiac tamponade A ventricular wall motion abnormality that is reversible with nitroglycerin is - ✔✔myocardial ischemia Fine high frequency diastolic flutter of the mitral valve is most consistent with - ✔✔Aortic insufficiency - called austin flint murmur Which of the following echocardiographic findings is most likely to be found with Marfan's syndrome? - ✔✔dilated AO root What causes a pseudoaneurysm? - ✔✔myocardial rupture What would a dry nonproductive cough and dyspnea suggest in the cardiac patient? - ✔✔LV failure; Back up of the blood in the left side which can cause the LA size to increase which would tickle the laryngeal nerve. What is the condition where bacteria fro m the blood stream settle on the valves of the heart? - ✔✔infective endocarditis A patient is admitted to the ICU suffering a myocardial infarction. On day 7 a new holosystolic murmur is heard and the patient begins to appear in shock. What two cardiac di sorders would you look for on the echocardiogram to answer the clinical question? - ✔✔papillary muscle rupture or ventricular septal defect The most common cause of papillary muscle dysfunction is - ✔✔CAD Antibiotics prophylaxis is used with which of the following, due to the increased incidence of infective endocarditis? - ✔✔MVP What type of defect is indicated in a cyanotic child? - ✔✔right to left shunt A high (outflow) ventricular septal defect is anatomically located - ✔✔superior to the supraventri cular crest. During the development of the fetal heart, the conus arteriosus will eventually become - ✔✔the right ventricular outflow tract.