Echo Registry UPDATED Test Questions and CORRECT Answers Which view is the best view for diagnosing mitral valve prolapse? ✔✔✔ apical 3 Severe mitral stenosis creates a pressure overloa d of the right heart, resulting in: ✔✔✔ right ventricular hypertrophy right ventricular enlargement "D" sign on the short axis A patient with AI has an initial peak velocity of 5 m/s and an end diastolic velocity of 3 m/s. Blood pressure is 130/60. Calculat e this patient's LVEDP. ✔✔✔ 24 mmHg After birth, the ductus venosus becomes the: ✔✔✔ ligamentum venosum What is the "Gold Standard" for determining cardiac output by cardiac catheterization? ✔✔✔ Fick Method The Senning or Mustard procedure is used with which congenital abnormality? ✔✔✔ L-
Transposition A patient complaining of severe DOE the last two months has an echo performed. M -Mode findings include increased EPSS and a B -notch on the mitral valve. What cardiomyopathy is associated with these findings? ✔✔✔ congestive What type of VSD is associated with truncus arteriosus? ✔✔✔ outlet Which mechanical valve was a single disc tilting valve? Smeloff Cutter Starr Edwards Medtronic Hall Carbomedic ✔✔✔ Medtronic Hall Which of the following is not present in Tetrology of Fallot? VSD RVH PS ASD✔✔✔ ASD All of the following are absolute reasons for stopping a stress test except: patient request development of new chest pain ST changes of 2 mmHg triplets and/or runs of V -tach✔✔✔ ST changes of 2 mmHg Which of the following would cause paradoxical splitting of S2? ✔✔✔ Severe Aortic Stenosis Which statement about L -Transposition is true? The PA comes off the LV The RV is the more anterior chamber. The LA connects to the LV . This is also called Complete Transposition. ✔✔✔ The PA comes off the LA A definitive diagnosis of amyloid heart disease is best made with: ✔✔✔ endomyocardial biopsy Mid-systolic closure of the aortic valve cusps seen on M -Mode occurs with which type of cardiom yopathy?✔✔✔ Hypertrophic Obstructive The peak velocity from a CW waveform through the aortic valve is 3.7 m/s. Based on the peak pressure gradient calculated, what if any amount of stenosis is present? ✔✔✔ moderate stenosis 4(3.7)2 = 54.76 mmHg A 24 year old female has a deceleration time of 180 msec and the pulmonary veins show the S wave shorter than the D wave. What can you say about the diastolic function of the patient?✔✔✔ normal All of the following are normal 2D measurements from the PLAX except: the left ventricle measuring 5.8 cm an aorta measuring 3.7 cm. a left atrium measuring 3.9 cm. an EPSS of .9 cm. ✔✔✔ the left ventricle measuring 5.8 cm LVOT diameter is 1.9 cm and the AI jet height is .7 cm. How severe is the AI? ✔✔✔ moderate . x 100 = @37% 25-65 % is moderate Constrictive pericarditis: ✔✔✔ impairs diastolic filling Which pulse demonstrates a strong beat and then a weak beat and can be seen with arrythmias or severe left heart failure? ✔✔✔ Pulsus Alternans A patient with a s uspected hypertrophic cardiomyopathy has an echo. There is a 3.6 m/s gradient across the aortic valve at rest and the sonographer wants to check for obstruction. What should be done? ✔✔✔ have patient valsalva
Transposition A patient complaining of severe DOE the last two months has an echo performed. M -Mode findings include increased EPSS and a B -notch on the mitral valve. What cardiomyopathy is associated with these findings? ✔✔✔ congestive What type of VSD is associated with truncus arteriosus? ✔✔✔ outlet Which mechanical valve was a single disc tilting valve? Smeloff Cutter Starr Edwards Medtronic Hall Carbomedic ✔✔✔ Medtronic Hall Which of the following is not present in Tetrology of Fallot? VSD RVH PS ASD✔✔✔ ASD All of the following are absolute reasons for stopping a stress test except: patient request development of new chest pain ST changes of 2 mmHg triplets and/or runs of V -tach✔✔✔ ST changes of 2 mmHg Which of the following would cause paradoxical splitting of S2? ✔✔✔ Severe Aortic Stenosis Which statement about L -Transposition is true? The PA comes off the LV The RV is the more anterior chamber. The LA connects to the LV . This is also called Complete Transposition. ✔✔✔ The PA comes off the LA A definitive diagnosis of amyloid heart disease is best made with: ✔✔✔ endomyocardial biopsy Mid-systolic closure of the aortic valve cusps seen on M -Mode occurs with which type of cardiom yopathy?✔✔✔ Hypertrophic Obstructive The peak velocity from a CW waveform through the aortic valve is 3.7 m/s. Based on the peak pressure gradient calculated, what if any amount of stenosis is present? ✔✔✔ moderate stenosis 4(3.7)2 = 54.76 mmHg A 24 year old female has a deceleration time of 180 msec and the pulmonary veins show the S wave shorter than the D wave. What can you say about the diastolic function of the patient?✔✔✔ normal All of the following are normal 2D measurements from the PLAX except: the left ventricle measuring 5.8 cm an aorta measuring 3.7 cm. a left atrium measuring 3.9 cm. an EPSS of .9 cm. ✔✔✔ the left ventricle measuring 5.8 cm LVOT diameter is 1.9 cm and the AI jet height is .7 cm. How severe is the AI? ✔✔✔ moderate . x 100 = @37% 25-65 % is moderate Constrictive pericarditis: ✔✔✔ impairs diastolic filling Which pulse demonstrates a strong beat and then a weak beat and can be seen with arrythmias or severe left heart failure? ✔✔✔ Pulsus Alternans A patient with a s uspected hypertrophic cardiomyopathy has an echo. There is a 3.6 m/s gradient across the aortic valve at rest and the sonographer wants to check for obstruction. What should be done? ✔✔✔ have patient valsalva
