UPDATED ACTUAL Exam Questions and
CORRECT Answers
RV pressure overload causes what, while RV volume overload causes what? - CORRECT
ANSWER - rv pressure = septal flattening during whole cardiac cycle
rv volume = septal flattening only in diastole
what is the most common complication seen with a septal myectomy that is performed to correct
asymmetrical septal hypertropny? - CORRECT ANSWER - vsd
chest pain increasing at night and dyspnea, accompanied by a "knocking" sound with
auscultation are clinical findings that are most consistent with? - CORRECT ANSWER -
pericarditis (restricted diastolic filling = knock)
What must be present in order to diagnose overriding aorta? - CORRECT ANSWER - vsd
(overriding aorta refers to aorta receiving blood from both ventricles)
a 50 year old presents with a recent onset of dyspnea and an abnormal ekg tracing a recent MI? -
CORRECT ANSWER - a patient most likely has an RV infarct that causes the flail
tricuspid leaflet
vegetation formation on a starr-edwards valve is called? - CORRECT ANSWER - sub-
acute bacterial endocarditis
there are two types of endocarditis, what are they? - CORRECT ANSWER - 1. acute -
infection of a normal cardiac valve
2. sub acute - infection of abnormal valve (associated with prolapse, rheumatic disease, and
prosthetic valves)
, the ____ defect is located adjacent to the atrioventricular valves in the inferior septum? -
CORRECT ANSWER - septum primum
the ___ defect is located adjacent to the atrioventricular valves in superior ventricular septum? -
CORRECT ANSWER - perimembranous
the pattern of wall hypertrophy in hypertension heart disease is ___, and in hypertrophic
cardiomyopathy the pattern is usually ___? - CORRECT ANSWER - symmertic,
asymmetric
carnitine deficiency is associated with? - CORRECT ANSWER - dilated cardiomyopathy
what is the most common type to infiltrative cardiomyopathy? - CORRECT ANSWER -
amyloidosis
patients with marfan syndrome have abnormal levels of what proteins that affect the connective
tissues of the body? - CORRECT ANSWER - increased levels of transforming growth
factor beta and decreased fibrillin-1
what effect will dilated cardiomyopathy have on the left ventricle outflow velocity? - CORRECT
ANSWER - decrease
you are performing an echo on a patient with suspected congenital heart disease. you identify a
bi-leaflet valve that demonstrates an anterior leaflet that is longer than the posterior leaflet. the
posterior leaflet also appears to have a scalloped edge. these characteristics are most consistent
with the normal? - CORRECT ANSWER - mitral valve
____ is associated with syncope due to decreased oxygenated blood flow reaching the brain? -
CORRECT ANSWER - moderate/severe aortic stenosis