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Prosthetic Valves

Total questions: 80

Worksheet time: 46mins

Name
Class
Date
1.

What Justifies a Prosthetic Valve?

a)

Stenosis

b)

Regurg

c)

Infective Endocarditis

d)

Aortic Dissection w/ severe regurg

2.

What are 2 main types of prosthetic heart valves?

a)

Bioprosthetic

b)

Tissue

c)

Mechanical

d)

Man-Made

3.

Bioprosthetic Valves are?

a)

Synthetic

b)

Mechanical

c)

Lab Grown

d)

Tissue Valves

4.

Bioprosthetic Vales estimated to last?

a)

2-5 years

b)

10-15 years

c)

5-10 years

d)

20-30 years

5.

What type of PT's are more likely to get Bioprosthetic valves due to life expectancy?

a)

Elderly

b)

Younger

c)

New Born

6.

Heterograft Valve

a)

Transfers from an animal to a human

b)

Transfers from human to human

c)

Transfers from animal to animal

7.

Heterograft common brand names?

a)

Medtronic

b)

Marc-Jackson

c)

Carpentier-Edwards

d)

Handcock

8.

T/F Heterograft Valves can be either Stended or Stentless?

a)

True

b)

False

9.

Stented Heterograft has

a)

Trivial or no regurg

b)

Improved Hemodynamics

c)

Durability

10.

Common types of Heterograft Stented/Stentless Valves ?

a)

Porcine

b)

Stentless

c)

Bovine Pericardium

11.

Porcine uses

a)

on a supporting stent

b)

pericardium

c)

No stent

d)

3 leaflets on a supporting stent

12.

Stentless Heterograft Valves are developed to improve?

a)

Stenosis

b)

Hemodynamics

c)

Regurg

d)

Durability of bioprosthetic Valves

13.

Autograft Valves also know as?

a)

Allograft

b)

Single Disk

c)

Self-to-Self

d)

Ball and Cage

14.

Autograft Valves are transferred from?

a)

Human to animal

b)

One position to another on the same individual

c)

one person to another

d)

animal to human

15.

Ross Procedure

a)

Native Pulmonary valve sewn into Tricuspid Valve

b)

Native Pulmonary valve sewn into aortic position

c)

Native Aortic Valve sewn into Pulmonary Valves position

d)

Native pulmonary valves sewn into Mitral valves position

16.

With the Ross Procedure what must me repositioned?

a)

Coronary Arteries

b)

Valves

c)

Aorta

d)

Coronary sinus

17.

What could be used for an Autograft valve?

a)

Thigh Graft

b)

Fascia Lata

c)

Calf Muscle

d)

Cartilage Graft

18.

Autograft Valves attains ability to?

a)

Become Stenotic

b)

Grow

c)

Not work

d)

Have regurg

19.

T/F With Autograft Valves there is trivial or no regurg?

a)

True

b)

False

20.

Homograft also known as?

a)

Self-to-Self

b)

Ball and Cage

c)

Allograft

d)

Single Disk

21.

Homograft is a transfer from?

a)

Self

b)

Animal

c)

Human to Human

d)

Mechanical

22.

Homograft Valves are developed from?

a)

Aortic Valve

b)

Dura Mater

c)

Pulmonary Valve

d)

Mitral Valve

23.

What is Dura Mater?

a)

Heart covering

b)

Valve covering

c)

Brain covering

d)

Skin covering

24.

Homograft valves are?

a)

Stented

b)

Stentless

c)

Both

25.

Homograft Valves appears very similar to a?

a)

Mechanical valve

b)

Native valve

c)

Bileaflet

d)

Single Disk

26.

T/F Homograft Valves will have trivial to no regurg?

a)

True

b)

Fasle

27.

Percutaneous Bioprosthesis refers to?

a)

MV Replacement

b)

TV Replacement

c)

TAVR

d)

PV Replacement

28.

TAVR Stands for?

a)

Transcranial Aortic Valve Replacement

b)

Transcatheter Annulus Valve Replacement

c)

Transcatheter Aortic Valve Replacement

d)

Transdoppler Aortic Valve Replacement

29.

Percutaneous Bioprosthesis is _____ Invasive?

a)

Highly

b)

Severely

c)

Minimally

d)

Not

30.

TAVR is?

a)

Stentless

b)

Stented

31.

A (a)   catheter is used with a TAVR to inflate in the AoV.

32.

Porcine is?

a)

Cow

b)

Monkey

c)

Dog

d)

Pig

33.

Bovine is?

a)

Pig

b)

Dog

c)

Monkey

d)

Cow

34.

With a TAVR they first enter through the ___ to get to the AO?

a)

LA

b)

MV

c)

CFA

d)

Coronary Artery

35.

After a Bioprosthetic Valves is place a serial ultrasounds to check for change in?

a)

Stenosis

b)

Velocities

c)

Regurg

d)

Function

36.

T/F All prosthetic valves are inherently stenotic?

a)

True

b)

False

37.

Thrombus can form on ?

a)

Stents

b)

Leaflets

c)

Discs

d)

Valves

38.

Pannus is?

a)

Growth of tissue

b)

Fibrous tissue

c)

Fibrous ingrowth of tissue

d)

Tissue loss

39.

Pannus may lead to?

a)

Regurg

b)

Stenosis

c)

Both

40.

Perivalvular Leak is?

a)

a leak in the valve

b)

a leak outside the valve

c)

a leak close to the valve

d)

a leak around the valve

41.

Dehiscence means?

a)

Come off the hinges

b)

Stenotic Hinges

c)

Leak around the Hinges

42.

Complications of Bioprosthetic Valves

a)

Regurg (small, central jet)

b)

Abscess

c)

Prosthetic Valve Endocarditis

d)

Dehiscence

43.

Bioprosthetic Valves include?

a)

Heterograft

b)

Autograft

c)

Homograft

d)

TAVR

44.

Mechanical Vales include?

a)

Bileaflet

b)

Tilting

c)

Ball and Cage

d)

Single Disk

45.

Name of Valve?

a)

Bileaflet

b)

Ball and Cage

c)

Tilting

d)

Single Disk

46.

Two semicircular disks attached to a rigid valve ring by small hinges?

a)

Tilting

b)

Ball and Cage

c)

Allograft

d)

Bileaflet

47.

(Bileaflet) leaflets create __ orifices?

a)

2; one small and one large, consistent flow

b)

3; one large two small, more central flow

c)

4; two large and two small, to create high flow

d)

3; two large and one small central orifice, to create central flow

48.

What is the most common Bileaflet valve in the U.S?

a)

Stented

b)

Porcine

c)

St. Jude

d)

Bovine

49.

Least obstructive mechanical prothesis; allows more laminar blood flow?

a)

Ball and Cage

b)

Bileaflet

c)

Tilting

50.

T/F Normal leakage volume at margin of central discs and at the edge between disc and sewing ring w/ Bileaflet?

a)

True

b)

False

51.

Single Circular disk rotates within a rigid annulus, with the disk secured by lateral or central metal struts.

a)

Tilting

b)

Ball and Cage

c)

Bileaflet

d)

Single Disk

52.

What is the original version of the tilting disc?

a)

Hancock

b)

Medtronic

c)

Marc-Jackson

d)

Bjork-Shiley

53.

The original Tilting (single disk) was used in?

a)

1996

b)

1965

c)

1970

d)

1969

54.

What valve creates a Major and Minor orifice?

a)

Tilting

b)

Bileaflet

c)

Ball and Cage

d)

Autograft

55.

Which valve is no longer used?

a)

Allograft

b)

self-to-self

c)

Single Disk

d)

Ball and Cage

56.

Circular sewing ring with several metal struts that "cage" a small hollow ball?

a)

Heterograft

b)

Ball and Cage

c)

Tilting

d)

Bileaflet

57.

What causes the ball to move with a Ball and Cage valve?

a)

Change in Velocity

b)

Change in blood flow

c)

Change in Regurg

d)

Change in pressure

58.

Which valve is the least optimal hemodynamics?

a)

Ball and Cage

b)

Tilting

c)

Bileaflet

d)

Homograft

59.

Ball and Cage valves were used on PT's with?

a)

Small amount of Regurg

b)

Stenosis

c)

Small leaflets

d)

Small ventricles

60.

When was the Ball and Cage valve first used?

a)

1956

b)

1962

c)

1996

d)

1960

61.

Most common type of Ball and Cage?

a)

Starr-Edwards

b)

Mike Jones

c)

Marc-Jackson

d)

St. Jude

62.

Complications of Mechanical Valves?

a)

Mechanical Failure

b)

Valves completely shut

c)

Hemolysis

d)

Valves don't open

63.

what is Hemolysis?

a)

Damage of Leaflets

b)

Damage of valves

c)

Damage of ventricles

d)

Damage of RBC

64.

Advantages of Tissue Prostheses?

a)

Less obstructive

b)

better hemodynamics

c)

Fewer complications due to thromboembolism

d)

May not require anticoagulants

65.

Disadvantages of Tissue Prostheses?

a)

Less durable

b)

Leaflets may become regurgitant or stenotic

c)

limited availability of homografts

d)

More durable

66.

Advantages of Mechanical Prostheses?

a)

Less Obstructive

b)

Fewer complications

c)

Extremely Durable

d)

Better Hemodynamics

67.

Disadvantages of Mechanical Prostheses?

a)

More obstructive

b)

More vulnerable to thromboembolism

c)

Requires anticoagulants

d)

May experience catastrophic failure

68.

2D Echo of bioprosthetic valves?

a)

Evaluate leaflet mobility and thickness

b)

Evaluate disc motion

c)

TTE is very helpful to rule out veggies or thrombi

d)

TTE is partially helpful

69.

2D Echo of Mechanical Valves?

a)

TTE is very helpful

b)

Evaluate disc motion

c)

Evaluate leaflet mobility

d)

TTE is partially helpful due to artifacts

70.

T/F Pt's don't need to have documentation of valve info w/ normal ranges.

a)

True

b)

False

71.

Which type of valve is also known as porcine or bovine valve?

a)

Homograft

b)

Heterograft

c)

Tilting

d)

Ball and Cage

72.

In which valve does flow occur as a central jet through a trileaflet valve, much like a native valve?

a)

Homograft

b)

Autograft

c)

Allograft

d)

Heterograft

73.

Which valve is also know as a mono leaflet valve?

a)

Ball and Cage

b)

Bileaflet

c)

Tilting

d)

Autograft

74.

T/F Prosthetic valves are implanted when the pt has hemodynamically significant valvular heart disease?

a)

True

b)

False

75.

All prosthetic valves are inherently stenotic; the degree of stenosis depends on?

a)

Prosthesis type

b)

prosthesis site

c)

prosthesis size

d)

all of the above

76.

If a pt pulmonic valve annulus and truck are removed and relocated to the aortic position, they now have a___?

a)

Homograft

b)

Bileaflet

c)

Autograft

d)

Self-to-self

77.

T/F A Bioprosthetic valve is expected to last 20+ years?

a)

True

b)

False

78.

Name this valve?

a)

Ball and Chain

b)

Ping Ball

c)

Cage and Ball

d)

Ball and Cage

79.

T/F With a Ball & Cage valve, blood flows centrally?

a)

True

b)

False

80.

What valve is this?

a)

Ball and Chain

b)

Tilting

c)

Bileaflet

d)

Homograft