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Hypertrophic cardiomyopathy

Total questions: 30

Worksheet time: 16mins

Name
Class
Date
1.

athletes heart has ____ wall thickness

a)

>13 mm

b)

<13mm

c)

>10mm

d)

<10mm

2.

SAM is caused by

a)

abnormal relationship btwn pap muscles and MV supporting apparatus

b)

midcavity hypertrophy and obliteration

c)

hyperdynamic LV contraction

d)

hypertrophic septum

e)

all of the above

3.

LVOT obstruction in HCM is associated with

a)

ventricular arrhythmias

b)

hypertrophy

c)

stroke

d)

edema

4.

for a heart to have HCM the PW thickness ratio must be

a)

2.3:1

b)

1:1.5

c)

1.3:1

d)

2:4

5.

midcavity obstruction can be viewed as a

a)

dome

b)

circle

c)

mass

d)

hourglass

6.

relatives should be screened how often until they are 18?

a)

monthly

b)

yearly

c)

every 2 years

d)

never

7.

amyloidosis requires what to diagnose?

a)

echo

b)

MRI

c)

blood test

d)

biopsy

8.

Alcohol septal ablation is associated with

a)

low ECG

b)

controlled MI

c)

death

d)

stroke

9.

concentric hypertrophic cardiomyopathy is often

a)

obstructive

b)

not obstructive

10.

Echo evaluation....

a)

can be used as a sole determinant of hypertrophic cardiomyopathy

b)

is not useful for determining hypertrophic cardiomyopathy

c)

cannot be used as a sole determinant of hypertrophic cardiomyopathy

11.

obstructive hypertrophic cardiomyopathy was previously known as

a)

MAC

b)

ASH

c)

IHSS

d)

HMM

12.

Provoking the effects of an LVOT obstruction can be done by

a)

exercise

b)

valsalva

c)

dobutamine

d)

all of the above

13.

end-stage hypertrophic cardiomyopathy can develop

a)

v-fib

b)

a-fib

c)

LBBB

d)

v-tach

14.

After the age of 18, family that can develop HCM should be screened

a)

every year

b)

every 2-4 years

c)

every 3-5 years

d)

every 5-7 years

15.

What does ASH stand for

(a)  

16.

Stress testing is generally safe with hypertrophic cardiomyopathy?

a)

true

b)

false

17.

All pts with hypertrophic cardiomyopathy will have

outflow tract obstruction?

a)

true

b)

false

18.

Late peaking MR is often confused with LVOT obstruction?

a)

true

b)

false

19.

Hypertrophic cardiomyopathy of hypertensive elderly includes all except?

a)

Relative increase in IVS thickness

b)

Increased septal angle (with age)

c)

Creates outflow tract obstruction

d)

all of the above

20.

Cardiac Amyloid creates abnormal thickening in segments?

a)

true

b)

false

21.

Medical therapy for decreasing contractility with hypertrophic cardiomyopathy includes-

a)

beta blockers

b)

calcium channel blockers

c)

both

22.

Surgical myectomy includes all of the following except-

a)

Can create fistulas between severed intramyocardial coronary arteries and the LVOT

b)

Easy to confuse with AI

c)

Usually resolve over time

d)

all of the above

23.

Underlying abnormalities of restrictive cardiomyopathy include-

a)

Stiffening of LV

b)

CHF due to elevated ventricular filling pressures

c)

PHTN

d)

all of the above

24.

Endocardial fibroelastosis involves only one ventricle?

a)

true

b)

false

25.

Friedrich ataxia is a muscular dystrophy disorder with cardiac involvement?

a)

true

b)

false

26.

Fabry disease is a heritable metabolic disorder?

a)

true

b)

false

27.

Cardiac Amyloidosis includes-

a)

low ECG voltage

b)

restrictive inflow patterns

c)

GLS reduced

d)

all of the above

28.

AKA for Uhl disease?

a)

IHSS

b)

Idiopathic RV hyperplasia

c)

SAM

d)

none of the above

29.

Hypertrophic can be sporadic or familial

a)

true

b)

false

30.

what does IHSS stand for?

(a)