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Echocardiography

Total questions: 40

Worksheet time: 20mins

Name
Class
Date
1.

What structure is the arrow pointing to?

a)

Descending thoracic aorta

b)

Coronary Sinus

c)

Pericardial Effusion

d)

Left atrium

2.

What is the name of this arrhythmia?

a)

Third degree (Complete) heart block

b)

Mobitz Type 2

c)

Mobitz Type 1 (Wencheback)

d)

First degree heart block

3.

If the TR velocity is 3 m/s, IVC is 2.4 cm and doesn't collapse with a sniff, what is the RVSP? Hint: use the 3, 8, 15 method for the RAP

a)

39 mmHg

b)

43 mmHg

c)

51 mmHg

d)

60 mmHg

4.

Name the arrhythmia

a)

Left bundle branch block

b)

Right bundle branch block

c)

NSR w/PJC's

d)

First degree heart block

5.

Which of the following are contraindications to using a contrast agent?

a)

Pregnancy

b)

Hypersensitivity to blood products

c)

PEG allergy

d)

All of the above are contraindications

6.

Which of the following is NOT a reason why the valsalva maneuver is performed during an echocardiogram?

a)

Estimation of LA filling pressures

b)

To rule out a right to left atrial shunt

c)

Provoke a dynamic LVOT obstruction

d)

Estimation of LV filling pressures

7.

Which of the following are a component(s) of Beck's Triad?

a)

Hypertension

b)

All are components of Beck's Triad

c)

Pericardial Knock

d)

Jugular venous distension

8.

What type of VSD is this?

a)

Perimembranous

b)

Muscular

c)

Conal septal

d)

Atrioventricular canal

9.

What type of ASD is a PFO?

a)

Ostium Primum

b)

Sinus Venosum

c)

Ostium Secundum

d)

Coronary sinus

10.

What is the degree of aortic stenosis? *AV Vmax - 3.4 m/s // MN Gradient 36 mmHg // AVA 1.3 cm2

a)

Severe

b)

Mild

c)

AV Sclerosis

d)

Moderate

11.

What is this type of arrhythmia?

a)

Right Bundle Branch Block

b)

NSVT

c)

Left Bundle Branch Block

d)

Atrial flutter

12.

How would you describe this structure?

a)

Pedunculated LV Thrombus

b)

Mural LV Thrombus

c)

Calcified Papillary Muscle

d)

Calcified LV False Tendon

13.

What does the term "coanda" mean in terms of echocardiography?

a)

Eccentric blood flow caused by a stenosis

b)

Normal flow pattern of blood

c)

Wall hugging jet

d)

Flow from an ASD/VSD

14.

What pathology best describes the images?

a)

LV Non-Compaction

b)

Hypertrophic Cardiomyopathy (HCM)

c)

Hypertensive Heart Disease

d)

Bi-ventricular apical hypertrophy

15.

Which of the following structures CANNOT be seen in the right side of the heart?

a)

Eustachian Valve

b)

Moderate Band

c)

False Tendon

d)

Crista terminalis

16.

Which of the following is a NOT a benign cardiac tumor?

a)

Hemangioma

b)

Angiosarcoma

c)

Myxoma

d)

Rhabdomyoma

17.

How would you classify the diastolic function with the values listed below? *E/A </= 0.8 // Average E/E' < 14 // TR < 2.8 m/s // LA Volume < 34 mL/m2

a)

Normal

b)

Grade 1 LVDD

c)

Grade 2 LVDD

d)

Grade 3 LVDD

18.

What is the typical frequency of a pedoff probe?

a)

0.5 MHz

b)

1.0 MHz

c)

1.5 MHz

d)

2.0 MHz

19.

What is the rhythm?

a)

Atrial Fibrillation w/RVR

b)

SVT

c)

NSR w/PACs

d)

Atrial Flutter

20.

What structure is the arrow pointing at?

a)

Aneurysmal IAS

b)

Crista Terminalis

c)

Chiari Network

d)

Eustachian Valve

21.

Which aortic valve cusps are most commonly fused in a bicuspid aortic valve?

a)

They are all equal

b)

Right and left leaflets

c)

right and non-coronary leaflets

d)

left and non-coronary leaflets

22.

What is the speed of sound in soft tissue?

a)

1540 mm/s

b)

154 cm/s

c)

1.54 mm/s

d)

1540 m/s

23.

What values are considered moderate concentric LVH?

a)

0.6 - 1.0 cm

b)

1.1 - 1.3 cm

c)

1.4 - 1.6 cm

d)

> 1.6 cm

24.

Clinically speaking, at what EF should you automatically use contrast to rule out a blood clot?

a)

40%

b)

30%

c)

35%

d)

25%

25.

How many PVCS must be in a row for it to be considered ventricular tachycardia?

a)

None - it has nothing to do with PVCS

b)

3 or more

c)

5 or more

d)

7 or more

26.

Which number is considered mild left atrial enlargement (LAE)?

a)

24 mL/m2

b)

32 mL/m2

c)

37 mL/m2

d)

42 mL/m2

27.

The law of refraction is also known as ___________.

a)

Smell's Law

b)

Snell's Law

c)

Snail's Law

d)

Small's Law

28.

What does the following equation represent?

a)

Doppler Shift

b)

Nyquist Limit

c)

Law of Reflection

d)

Law of Refraction

29.

Which of the following is NOT associated with Tetralogy of Fallot?

a)

VSD

b)

Right ventricular hypertrophy

c)

ASD

d)

Pulmonic stenosis

30.

Which lead is considered the "ground lead" on an ECG?

a)

aVR

b)

aVL

c)

aVF

31.

Which lead DOESN'T correspond to an inferior wall?

a)

aVF

b)

aVL

c)

II

d)

III

32.

Which wall corresponds to V5?

a)

Anterior

b)

Septal

c)

Inferior

d)

Lateral

33.

The Left Anterior Descending Artery (LAD) is reflected in all of the following ECG leads EXCEPT:

a)

V2

b)

V3

c)

V4

d)

V5

34.

Which of the following arteries arises from the aortic arch?

a)

Brachiocephalic

b)

Left Subclavian

c)

All of the following

d)

Left Common Carotid

35.

Which vessel has to be blocked to cause an Anterior MI?

a)

Circumflex (Cx)

b)

Left Anterior Descending (LAD)

c)

Right Coronary Artery (RCA)

36.

Which wall segments can be visualized in an Apical 2ch view?

a)

Anterior and Inferoseptal

b)

Anterior and Inferior

c)

Anteroseptal and posterolateral

d)

Anterolateral and inferoseptal

37.

Which is not the name of one of the tricuspid valve leaflets?

a)

Septal

b)

Membranous

c)

Anterior

d)

Posterior

38.

What is the name of this equation?

a)

Continuity Equation

b)

Continuation Equation

c)

Common Law Equation

d)

Commanding Equation

39.

What is the innermost layer of heart muscle called?

a)

Pericardium

b)

Myocardium

c)

Endocardium

d)

Epicardium

40.

Aliasing occurs when the ________ limit is achieved.

a)

Nyquil

b)

Nyquist

c)

Nylon

d)

Nymph