WorksheetsCardiac Modalities Quiz
Total questions: 15
Worksheet time: 6mins
What is the primary purpose of an echocardiogram?
To measure blood pressure
To assess lung function
To evaluate the structure and function of the heart
To monitor kidney health
What is the purpose of a treadmill stress test (aka treadmill exercise/ TMX)
To determine blood pressure levels
To measure lung capacity
To evaluate the heart's response to exercise and evidence of significant coronary artery disease
To assess muscle strength
What are the indications of a coronary angiogram (COROS) & percutaneous coronary intervention (PCI)?
Multiple answers!
To evaluate for valves function
To evaluate heart pumping function
To look for narrowed or blocked blood vessels (arteries) in the heart
To open up (ballon) the blocked vessels +/- implant the stent(s)
To detect arrhythmias
How does a CT coronary angiogram (CTCA) different from a traditional angiogram (COROS)?
CT coronary angiogram is an invasive procedure
Traditional angiogram involves ultrasound imaging
CT coronary angiogram uses magnetic resonance imaging
CT coronary angiogram uses computed tomography, while traditional angiogram involves catheter insertion and X-ray imaging.
What is a 24 hours Ambulatory BP monitoring?
Taking blood pressure manually every hour
Wearing a heart rate monitor
Using a smartphone app to track blood pressure
Wearing a small digital blood pressure monitor that automatically takes readings every 15-30 minutes.
Usually order for outpatient
Check blood pressure when patient feels unwell only
When do doctor orders Holter monitoring (24 hours tape)?
Multiple answers!
When patient c/o dizziness
When patient c/o headache
When patient c/o palpitation
To continuously monitor and record a person's heart rhythm and rate over a period of time.
When patient c/o chest pain
What are the common indications for Cardiac MRI?
Multiple answers !
To evaluate the causes of heart failure
To evaluate myocardial perfusion and viability
For definitive diagnosis of myocarditis
To diagnose cardiovascular disorders such as tumors
What are the correct statements for myocardial perfusion scan (MPI)?
Multiple answers!
To determine if patient need a pacemaker
It helps diagnose conditions like coronary artery disease by showing blood flow through the heart muscle.
To diagnose heart failure
To determine fitness for vocational driving
When is a Transesophageal Echocardiogram (TEE/TOE) typically performed?
Multiple answers!
When patient c/o palpitations
When a standard echocardiogram is inconclusive or when a more detailed view is required.
To quantify the degree of murmur
Prior to DC cardioversion for AF patient
Which statement is most accurate on angiogram preferred over other cardiac modalities when patient complaints of chest pain?
Multiple answers!
Positive troponin
In Myocardial Infarction
Non-invasive, real-time imaging, no radiation exposure, detailed information about heart's structure and function
Limited information about heart's structure and function
How is an ECG performed?
Multiple answers!
Electrodes are placed on the chest to detect heart's electrical activity
ECG is performed by listening to the heartbeat with a stethoscope.
Through ultrasound waves
Patient needs to shave if has hairy chest
What are the potential risks associated with a treadmill stress test (TMX)?
Heart attack, abnormal heart rhythms, fainting, dizziness, chest pain
Joint pain, dehydration, muscle strain, headache
70/M
PMHx – DM/HTN/HLD
Admitted with lower legs swelling, SOBOE & orthopnea for 1/52
Heart rate 131 bpm, irregular. BP 105/60 mmHgCXR- pulmonary congestion . Troponin negative
1: What is the differential diagnosis?
Multiple answers!
Atrial fibrillation
Heart Failure
Myocardial Infraction
Renal Failure
Same case study
70/M
PMHx – DM/HTN/HLD
Admitted with lower legs swelling, SOBOE & orthopnea for 1/52
Heart rate 131 bpm, irregular. BP 105/60 mmHgCXR- pulmonary congestion .
(2) What tests are usually performed, in no particular order?
Multiple answers!
ECG
Angiogram
Echocardiogram
Holter
59/M
PMHx HTN/HLD /Smoker
C/O chest tightness since 10am while running
Pain relieved with rest and reproducible on walking
Pain radiated to left arm
Associated with SOB and diaphoresis (cold sweats)
ECG showed ST elevation lead V2-V4
Trop positive 5309ng (positive)
What is the immediate treatment?
Echocardiogram
Angiogram
Myocardial Perfusion
CT Angiogram Scan
