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WorksheetsPSE QUIZ BOWL REVIEW 2021 PART 6
Total questions: 25
Worksheet time: 19mins
A late peaking systolic velocity signal is found in which of the following
conditions?
Mitral valve prolapse causing late systolic mitral regurgitation (MR)
MR due to systolic anterior motion of the mitral leaflet
LV cavity obliteration
Acute severe MR
A patient with a St. Jude mitral valve no. 29 has a mean diastolic gradient of
3mmHg and a pressure half-time of 70 ms at a heart rate of 70 beats/min. This
is consistent with:
Normal prosthetic valve function
Prosthetic valve thrombosis
Significant pannus growth
Severe MR
The part of the flow curve denoted by the arrow in this pulmonary vein flow is
caused by:
LEFT ATRIAL RELAXATION
RV EJECTION
MITRAL VALVE OPENING
MITRAL ANNULAR DESCENT
This signal was obtained from a right upper parasternal location with the patient
turned to the right using a dedicated continuous wave Pedoff transducer. The
likely diagnosis is:
SEVERE MITRAL REGURGITATION
SEVERE TRICUSPID REGURGITATION
SEVERE AORTIC STENOSIS
NONE OF THE ABOVE
IDENTIFY THE POINTED STRUCTURE.
(a)
GLENN SHUNT AUGMENTS PULMONARY BLOOD FLOW BY CONNECTING THE SUPERIOR VENA CAVA TO THE (a)
THE FONTAN ANATAMOSIS IS A CONNECTION BETWEEN THE SYSTEMIC (a) AND THE PULMONARY CIRCUIT THAT IS DESIGNED TO INCREASED PULMONARY BLOOD FLOW.
ONE FORM OF FONTAN PROCEDURE IS CONNECTING SUPERIOR VENA CAVA TO THE RIGHT PULMONARY ARTERY.
TRUE
FALSE
The Fontan conduits are more easily visualized and appear as a circular insert within the right atrium. Once the connection is visualized, Doppler imaging plays an important role in assessing the flow pattern and in determining the presence of dysfunction. Normal pulmonary artery flow after a Fontan procedure is uniphasic.
TRUE
FALSE
THE PERICARDIAL APPEARANCE IN PATIENTS WITH CONSTRICTIVE PERICARDITIS APPEARS
NORMAL
THICK/BRIGHT
THE MITRAL E/A IN BOTH CONSTRICTIVE AND RESTRICTIVE PERICARDITIS IS
≥2.0
≥3.0
≥2.5
≥3.5
WHAT IS THE RESPIRATORY VARIATION OF MITRAL E VELOCITY IN PATIENTS WITH CONSTRICTIVE PERICARDITIS?
≥35%
≥25%
≥20%
NORMAL
THE COLOR M-MODE OF MITRAL VALVE (Vp) PATIENTS WITH CONSTRICTIVE PERICARDITIS IS INCREASED BY?
≥65 cm/sec
≥35 cm/sec
≥55 cm/sec
REDUCED
INTERPRET THE RESULT OF DSE IN A PATIENT WITH AORTIC STENOSIS AND LEFT VENTRICULAR DYSFUNCTION.
BASELINE
LVOT VELOCITY= 0.6 m/s JET VELOCITY= 3.0m/s MAX GRADIENT= 36.0 mmHg
LOW DOSE
LVOT VELOCITY= 0.8 m/s JET VELOCITY= 3.2m/s MAX GRADIENT= 41.0 mmHg
MID DOSE
LVOT VELOCITY=1.0 m/s JET VELOCITY= 3.4 m/s MAX GRADIENT= 46.0 mmHg
SEVERE AS WITH LV DYSFUNCTION
MODERATE AS WITH LV DYSFUNCTION
AS WITH LV DYSFUNCTION AND NO EVIDENCE OF MYOCARDIAL VIABILITY
THE 4TH CUSP IN CASES OF QUADICASPAL AORTIC VALVE IS CALLED (a)
THIS M-MODE SAMPLE IS SUGGESTIVE OF THE PRESENCE OF ____________
MITRAL REGURGITATION
TRICUSPID REGURGITATION
AORTIC REGURGITATION
AORTIC STENOSIS
PROVIDE THE ECHOCARDIOGRAPHIC DIAGNOSIS AS SEEN IN THE M-MODE.
(a)
THIS IS TAKEN FROM A PATIENT WITH SEVERE AORTIC REGURGITATION, WHAT IS POINTED BY THE ARROW?
(a)
WHAT IS BEING SHOWN BY THE ARROW?
(a)
WHAT IS THE INTERPRETATION FOR THIS PATIENT UNDERGOING STRESS ECHO PROCEDURE?
WALL MOTION RESPONSE AT REST= AKINETIC
WALL MOTION RESPONSE DURING STRESS= NORMAL
(a)
(a) IS THE MILDEST FORM OF ABNORMAL WALL MOTION.
WHAT IS THE AVA (cm2)?
LVOT DIAMETER= 1.7cm
LVOT VTI= 20.0cm
AV VTI= 40.0cm
(a)
WHAT IS THE LV SV (mL)?
LVOT= 2.2 cm
LVOT VTI= 21.3 cm
(a)
CALCULATE MVA (cm2)
MV DT= 312 ms
(a)
CALCULATE TVA (cm2)
TV DT= 420 ms
(a)
