Free Printable Cardiomyopathy

1.

What is a Cardiomyopathy?

a)

Disease of the whole heart

b)

Disease of the vessels

c)

Disease of the Chambers

d)

Disease of the Myocardium

2.

Types of Cardiomyopathy:

a)

Dilated

b)

Hypertrophic

c)

Restrictive

d)

Hyperdynamic

3.

There is some overlap between each category, but most often between?

a)

Dilated

b)

Hypertrophic

c)

Restrictive

4.

Dilated Cardiomyopathy also known as?

a)

Hypertension cardiomyopathy

b)

Infiltrated cardiomyopathy

c)

Congestive Cardiomyopathy

d)

Large Cardiomyopathy

5.

How many champers are typically enlarged with DCMO?

a)

1

b)

2

c)

3

d)

4

6.

Impaired systolic & diastolic function of both RV and LV?

a)

Restrictive CMO

b)

Dilated CMO

c)

Hypertrophic CMO

7.

Causes of Dilated Cardiomyopathy

a)

Unknown

b)

Chemo

c)

Valvular Heart disease

d)

Drugs/Alcohol abuse

8.

Familial Inheritance (1/3 cases are inherited)

a)

Restrictive CMO

b)

Hypertrophic CMO

c)

Dilated CMO

9.

CAD/infarction, Untreated HTN, and infections that cause heart inflammation... are causes of?

a)

Dilated CMO

b)

Restrictive CMO

c)

Hypertrophic CMO

10.

With DCMO Dilatation of all chamber due to ?

a)

Increased volume

b)

Increased Mass

c)

Increase dilation

d)

Increased volume and mass

11.

(DCMO) with dilatation come decreased?

a)

Systolic function

b)

Diastolic Function

c)

Both

12.

On a 2D Echo of DCMO you'll see?

a)

Thick walls

b)

Thin leaflets

c)

Thin walls

d)

Thick leaflets

13.

2D Echo of DCMO you'll see?

a)

Possible thrombus (in RV apex)

b)

Spontaneous echo contrast (Smoke)

c)

Possible thrombus (in LV apex)

d)

High flow

14.

Spontaneous echo contrast (smoke) is due to?

a)

increased flow

b)

increased pumping

c)

Decreased flow

d)

Decreased pumping

15.

Heart failure sign/symptoms?

a)

Dyspnea

b)

orthopnea

c)

pulmonary edema

d)

cough

16.

symptoms of decreased CO?

a)

tachycardia

b)

syncope

c)

fatigue

d)

weakness

17.

M-Mode of DCMO: you will see?

a)

thick walls and increased function

b)

increased chamber size

c)

decreased MV D-E excursion

d)

Thin walls and decreased function

18.

w/ DCMO: ____ MV EPSS on m-mode?

a)

increased

b)

decreased

19.

(DCMO)

Increased MV EPSS that is greater than?

a)

0.5 cm

b)

0.2cm

c)

0.10cm

d)

0.7cm

20.

(DCMO) Why is there a B notch on MV on M-mode?

a)

decreased LV end diastolic pressure

b)

increased RV end diastolic pressure

c)

Decreased RV end diastolic pressure

d)

Increased LV end diastolic pressure

21.

(DCMO)

B notch on MV due to increased LV End diastolic pressure of ___?

a)

<15 mmHg

b)

>13mmHg

c)

>15mmHG

d)

<10mmHg

22.

T/F with doppler of DCMO regurg is probable.

a)

true

b)

false

23.

What do you want to evaluate with doppler of DCMO?

a)

systolic funciton

b)

diastolic function

24.

T/F No treatment of DCMO with no symptoms.

a)

true

b)

false

25.

Can DCMO come and go?

a)

Yes

b)

No

26.

Treatment of DCMO relies on?

a)

underlying cause

b)

symptoms

c)

echo

27.

How do we treat DCMO?

a)

Treat underlying disease

b)

prevent from processing

c)

Life style adjustments

d)

worse case transplant

28.

What CMO?

a)

Dilated

b)

Hypertrophic

c)

Restrictive

29.

M-Mode of?

a)

Dilated

b)

Hypertrophic

c)

Restrictive

30.

a)

Restrictive

b)

Hypertrophic

c)

Dilated

31.

Hypertrophic Cardiomyopathy know for its?

a)

Hypertrophic

b)

Hyperdynamic

c)

non-dilated LV

d)

Dilated LV

32.

With Hyperdynamic EF is?

a)

Under 55%

b)

60%

c)

Over 70%

d)

Normal

33.

HCMO can sometimes cause?

a)

RV outflow tract obstruction

b)

Normal LV outflow tract

c)

Normal RV outflow tract

d)

LV outflow tract obstruction

34.

Causes of Hypertrophic Cardiomyopathy:

a)

Stress

b)

Idiopathic

c)

STDs

d)

Autosomal dominant gene

35.

T/F Idiopathic means unknown.

a)

True

b)

False

36.

What CMO?

a)

Dilated

b)

Restrictive

c)

Hypertrophic

37.

What CMO?

a)

Dilated

b)

Hypertrophic

c)

Restrictive

38.

What CMO?

a)

Hypertrophic

b)

Dilated

c)

Restrictive

39.

What CMO?

a)

Dilated

b)

Restrictive

c)

Hypertrophic

40.

Which CMO?

a)

Hypertrophic

b)

Dilated

c)

Restrictive

41.

What CMO in Short Axis looks like a donut?

a)

Restrictive

b)

Hypertrophic

c)

Dilated

42.

Types of HCMO?

a)

Hypertrophic Obstructive

b)

Restrictive

c)

Provocable

d)

Non-Obstructive

43.

LVH that is Asymmetric, Concentric, or Midventricular with a LVOTO

a)

HOCMO

b)

HCMO provable

c)

HCMO non-obstructive

d)

Dilated HCMO

44.

ASH Stands for?

a)

Asymmetrical Spacial Hypertrophy

b)

Acute septal Hypertrophy

c)

Asymmetrical Septal Hypertrophy

d)

Asymmetrical septal Hypertension

45.

IHSS stands for?

a)

Ideal Hypertrophic Subaortic Stenosis

b)

Idiopathic Hypertension Subaortic Stenosis

c)

Idiopathic Hypertrophic Subaortic Stenosis

d)

Identical Hypertrophic Subaortic Stenosis

46.

SAM stands for?

a)

Systolic Anterior Motion of MV leaflets

b)

Septal Anterior Motion

c)

Systolic Anterior Motion

d)

Systolic Acute Stenosis

47.

Concentric mean?

a)

on wall segment

b)

All wall segments

c)

No wall segment

d)

2 wall segments

48.

How does HOCMO create an LVOTO?

a)

IHSS+ASH+SAM

b)

HOCM w/ concentric LVH +SAM

c)

ASH+IHSS

d)

HOCM w/ midventricular LVH

49.

a)

SAM

b)

IHSS

c)

ASH

d)

HOCM

50.

a)

ASH

b)

IHSS

c)

SAM

d)

HOCM

51.

Concentric HOCM consists of?

a)

All LV wall segments thickened

b)

No LV Wall segments are thickened

c)

1 LV Wall segments are thickened

d)

2 LV Wall segments are thickened

52.

a)

Midventricular HOCM

b)

ASH

c)

Provocable HOCM

d)

Concentric HOCM

53.

A Midventricular HOCM could cause a(n)?

a)

Thrombus

b)

Apical Aneurysm

c)

Basal Aneurysm

d)

Mid-Cavity Hypertrophy

54.

LVH with LVOT obstruction, but only when provoked?

a)

Midventricular HOCM

b)

Concentric HOCM

c)

Non-obstructive HCM

d)

Provocable HOCM

55.

What could provoke, provocable HOCM?

a)

Exercise

b)

Coughing

c)

Drugs (Amyl Nitrite)

d)

Valsalva maneuver

56.

a)

Concentric HOCM

b)

ASH

c)

Midventricular HOCM

d)

Provocable HOCM

57.

a)

Provocable HOCM

b)

Midventricular HOCM

c)

Concentric HOCM

d)

ASH

58.

Classic HOCM = ?

a)

SAM

b)

IHSS

c)

ASH

d)

LVOTO

59.

(Valsalva Maneuver)

a)

Non-obstructive HCM

b)

Midventricular HOCM

c)

Provocable HOCM

d)

Concentric HOCM

60.

Non-obstructive HCM

a)

Doesn't cause an obstruction

b)

King of Diamonds

c)

LVH that is apical or other

d)

Ace of spades

61.

a)

Provocable HOCM

b)

Non-obstructive HCM

c)

Midventricular HOCM

d)

Concentric HOCM

62.

a)

Non-Obstructive HCM

b)

ASH

c)

IHSS

d)

Concentric HOCM

63.

Orthopnea means?

a)

SOB

b)

Severe SOB

c)

SOB while laying down

d)

SOB while sitting down

64.

Its w/ non-obstructive HCM may be

a)

Severely SOB

b)

Fatigue

c)

Asymptomatic

d)

Dyspnea

65.

Symptoms of HCM on exertion/exercise:

a)

Dyspnea on exertion (DOE)

b)

Asymptomatic

c)

CP

d)

Orthopnea

66.

Other symptoms of HCM:

a)

Palpitations

b)

Fatigue

c)

Syncope

d)

pulmonary Edema

67.

Complications of HCM:

a)

Infective Endocarditis

b)

Asymptomatic

c)

Embolus most likely due to LA thrombus

d)

Heart Failure

68.

Complication of HCM:

Sudden death, especially with ?

a)

Cp

b)

Fatigue

c)

Syncope

d)

Exertion

69.

Rare, but HCM is leading cause of sudden death in people,

a)

Under 55

b)

under 70

c)

under 30

d)

under 65

70.

2D Echo of HCM you'll see?

a)

Some form of hypertrophy

b)

IHSS

c)

Normal or hyperdynamic LV function

d)

small or normal LV cavity

71.

With HCM what can you see in PLAX and M-mode?

a)

LVOTO

b)

SAM

c)

ASH

d)

LAE

72.

M-Mode of?

a)

SAM

b)

HCM

c)

ASH

d)

Normal LV & LA

73.

Throughout an echo with HCM you'll be able to see?

a)

LAE

b)

Large LV

c)

Normal E point to septal contact

d)

Small LV

74.

Doppler of HCM

a)

May see MR

b)

No change in velocity

c)

Decreased E-A ratio on MV Inflow

d)

Normal E-A ratio on MV Inflow

75.

Doppler of ?

a)

TR

b)

HCM

c)

MR

d)

Normal TV

76.

Doppler of?

a)

Normal E-A Ratio on MV inflow

b)

HCM

c)

Decreased E-A ratio on MV inflow

d)

normal velocities

77.

3 main objectives when using doppler on HCM:

a)

Rule out LVOTO

b)

Acquire TR

c)

Acquire the LVOTO peak velocity and mean PG

d)

When both LVOTO and MR occur, differentiate between the 2 jets

78.

Rule out LVOTO PW starting at :

a)

LV Apex and moving closer to AoV

b)

Mid ventricle and moving closer to AOV

c)

LV App and moving closer to MV

d)

Mid ventricle and moving closer to Aov

79.

If LVOTO is present, the velocity will be & may need to use?

a)

<2 m/s

b)

PW

c)

>2 m/s

d)

CW

80.

LVOTO Doppler is what shape?

a)

Early peaking, Rounded peak

b)

Late peaking, dagger shape jet

c)

Early peaking, dagger shape jet

d)

Late peaking, rounded peak

81.

To Acquire the LVOTO peak velocity and mean PG you need to/use?

a)

Bernoulli's equations for MAX PG

b)

Right Atrial pressure

c)

Trace the LVOTO waveform for PG

d)

Trace the LV

82.

What two jets?

a)

MR

b)

RVOTO

c)

LVOTO

d)

TR

83.

Doppler of?

a)

Provovable HOCM

b)

MR

c)

LVOTO

d)

RVOTO

84.

Doppler of?

a)

MR

b)

HCM

c)

LVOTO

d)

MS

85.

Normal Strain is?

a)

-16 to 19% (-20%)

b)

-10 to -14% (-15%)

c)

16 to 19% (20%)

d)

10 to 14% (15%)

86.

Strain with HOCM is ?

a)

Higher,

(8 to 10%)

b)

Lower,

(-3 to -6%)

c)

Lower,

(-8 to -10%)

d)

Higher,

(3 to 6%)

87.

Strain changes before?

a)

Heart Heart

b)

Blood pressure

c)

EF

d)

Fatique

88.

With HCM, Most symptoms are treated with?

a)

Beta Blockers

b)

Anticoagulants

c)

Potassium

d)

Calcium channel blockers

89.

T/F Serial echos for HCM are not required.

a)

True

b)

False

90.

With significant LVOTO, surgery may be needed;

a)

CABG

b)

Septal Myectomy

c)

TEE

d)

Alcohol septal ablation

91.

Septal myectomy, is the removal of portion of thickened

a)

leaflets

b)

Septum

c)

Apex

d)

Atrium

92.

Alcohol Septal ablation; a catheter inserted into septal coronary artery, (a) of alcohol is injected into artery, controlled damage to my myocardium, thins the septum.

93.

T/F Septal myectomy is an open heart surgery.

a)

True

b)

False

94.

Infiltration of the myocardium that results in stiff, rigid ventricular walls that prevent diastolic filling.

a)

Restrictive Cardiomyopathy

b)

Dilated Cardiomyopathy

c)

Infiltrative Cardiomyopathy

d)

Hypertrophic cardiomyopathy

95.

RI CMO typically causes/results in ?

a)

BAE

b)

Heart failure

c)

LVE

d)

RVE

96.

Resembles constrictive pericarditis except RI CMO only affects ____, constrictive pericarditis affects whole heart.

a)

LV

b)

Atriums

c)

RV

d)

Ventricles

97.

Sings & Symptoms of RI CMO

a)

Excessive fatigue

b)

Swelling of feet, ankles, and/or abdomen

c)

cough & SOB especially W/ exertion

d)

irregular rhythm

98.

Types of Restrictive Cardiomyopathy

a)

Sarcoidosis

b)

Amyloidosis

c)

Hemochromatosis

d)

Endomyocardial Fibrosis

99.

Amyloidosis is

a)

most common

b)

pericardial effusion

c)

irregular rhythms

d)

granulomas

100.

Sarcoidosis is

a)

granulomas

b)

heart failure

c)

iron overload

d)

irregular rhythms

101.

Hemochromatosis is

a)

may involve the valves

b)

iron overload disease

c)

myocytes (muscle cells)

d)

heart failure

102.

Endomyocardial Fibrosis is

a)

fibrotic tissue lines the myocardium

b)

prone to apical thrombus

c)

LV function is usually preserved

d)

involves the valves; SR and Dilated Atria

103.

Pompes Disease typically occurs in early life due to;

a)

Hereditary Factors

b)

Excessive glycogen storage in tissues

c)

Heart becomes enlarged and heavily thickened

d)

Premature Birth

104.

An Endomyocardial disease is when fibrotic tissues lines the;

a)

Septum

b)

Ventricles

c)

Myocardium

d)

whole heart

105.

T/F Endomyocardial Fibrosis can be diffused or local.

a)

True

b)

False

106.

Local areas of necrosis are prone to _____ thrombus.

a)

Both

b)

Basal

c)

Apical

107.

T/F With Endocardial Fibrosis the LV function is usually preserved.

a)

True

b)

False

108.

With Endomyocardial Fibrosis, there's a possible valve involvement which can lead to

a)

sudden death

b)

Severe Regurg

c)

Dilated Ventricles

d)

Dilated Atria

109.

RI CMO on 2D Echo the myocardium appears as?

a)

Ground Glass

b)

Starry Night

c)

anechoic

d)

Echogenic

110.

RI CMO has small to normal LV size with

a)

Normal to decreased LV systolic function

b)

Abnormal LV systolic function

c)

Normal to increased LV systolic Function

d)

Abnormal LV diastolic function

111.

You will most likely see what on a 2D of RI CMO?

a)

BAE

b)

Regurg of all valves probable

c)

Pericardial effusion

d)

Enlarged Ventricles

112.

With end-myocardial fibrosis, the ______ and ______ may be scarred and echogenic.

a)

Myocardium

b)

AV Vales

c)

Endocardium

d)

Semilunar Valves

113.

Doppler of RI CMO

a)

Regurg is probable

b)

Evaluate systolic function

c)

Evaluate diastolic function

d)

No regurg

114.

Mitral Inflow patter has a restrictive pattern; ___ E Wave and ___ A Wave WITHOUT respiratory variation.

a)

Large E, Small A

b)

Small E, Large A

c)

Large E, Large A

d)

Small E, Small A

115.

With RI CMO why is a biopsy most likely needed?

a)

Confirm RCB

b)

Confirm Diagnosis

c)

Confirm bloodwork

116.

TREATMENT of Pt's who have RI CMO with controlled symptoms and maintain quality of life?

a)

Diuretics

b)

Steroid

c)

chemo

d)

no treatment

117.

T/F A Heart Transplant may be needed with RI CMO.

a)

True

b)

False

118.

a)

Restrictive Cardiomyopathy

b)

Dilated Cardiomyopathy

c)

Hypertrophic Cardiomyopathy

d)

Infiltrative Cardiomyopathy

Cardiomyopathy

Total questions: 118

Worksheet time: 1hrs 11mins

Similar Resources on Wayground