Chapter 12 Dewitt questions and answers with complete top solutions

Chapter 12 Dewitt questions and answers with complete top solutions A CMO is a disease that diffusely affects the _______ resulting in enlargement and/or ventricular dysfunction a. endocardium b. epicardium c. myocardium d. pericardium c. myocardium valvular heart disease, previous MI, and long standing HTN are all potential causes of dilated CMO true/false true the patient presents in her third trimester of pregnancy with sudden onset of chest pain, hypotension, tachycardia, extreme fatigue, palpitations, and dizziness; which of the following CMO disease state is most likely? a. dilated CMO b. hypertrophic CMO c. hypertrophic non obstructive CMO d. infiltrative CMO a. dilated CMO patients with dilated CMO experience multiple complications, such as ___________ a. HTN b. increased cardiac output c. large pericardial effusion d. systemic embolization systemic embolization every dilated CMO patient requires treatment, even if they are asymptomatic true/false false _____________ CMO is the most common of all the CMO disease states a. dilated b. hypertrophic c. infiltrative d. restrictive a. dilated an ICD is used in CMO patients at high risk for sudden cardiac death true/false true dilated CMO is caused by _____________ a. idiopathic b. familial link/genetics c. infectious process d. all of the above d. all of the above utilize _________ while interrogating the apex for a thrombus a. different depths and windows b. lower frequency transducer c. spectral doppler d. all of the above a. different depths and windows ______________ causes HCMO a. chemotherapy b. gene mutations c. immune system disorder d. metabolic deficiency b. gene mutations HCMO is recognized for its hypertrophic, hyperdynamic, and dilated LV true/false false provocable HOCM is indicated when a LVOTO is provoked with the use of ___________ a. amyl nitrate b. exercise c. valsalva maneuver d. all of the above d. all of the above treatment options for HCMO include __________ a. alcohol septal ablation in the cath lab b. medical therapy c. surgical septal myectomy d. all of the above d. all of the above some facilities treat patients with HOCM by injecting pure alcohol into the branch of the coronary artery that feeds the IVS in order to cause controlled damage to the myocardium; what is the main goal of this procedure? a. create heart block that alters the contraction and decreases the LVOTO b. create heart block that alters the contraction and increases LVOT flow c. decrease IVS contraction and decrease the LVOTO d. increase IVS contraction and decrease the LVOT gradient c. decrease IVS contraction and decrease LVOTO stress echo is used to provoke a LVOTO true/false true which of the following is true regarding restrictive/infiltrative CMO? a. biventricular enlargement b. diastolic function is normal c. resembles constrictive pericarditis d. all of the above c. resembles constrictive pericarditis _____________ is a multisystem disease involving extracellular deposition of amyloid protein in multiple systems causing a stiffening of the heart that prevents complete filling and may be accompanied by pericardial effusion and irregular rhythms a. amyloidosis b. endomyocardial fibrosis c. hemochromatosis d. sarcoidosis a. amyloidosis _____________ is marked by granulomas that infiltrate the heart and various organs; complications include heart failure, pulmonary HTN, and irregular rhythms a. amyloidosis b. hemochromatosis c. pompes d. sarcoidosis d. sarcoidosis _______________typically occurs early in life and causes the heart to become enlarged and heavily thickened due to excessive glycogen storage in the tissues a. endocardial fibrosis b. hemochromatosis c. pompes d. sarcoidosis c. pompes hemochromatosis is the most common __________ overload disease that may result in multiple organ and tissue damage a. amyloid b. endomyocardial c. glycogen d. iron d. iron the sonographer should rule out __________ in the patient with endomyocardial fibrosis a. areas of necrosis and possible thrombus b. decreased LV function c. preserved valve function d. all of the above a. areas of necrosis and possible thrombus