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Echocardiography

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

What is the likely diagnosis? (movie)

a)

Athlete's heart

b)

Hypertrophic cardiomyopathy

c)

Hypertensive heart disease

d)

Cardiac amyloidosis

2.

The cause of systolic murmur in this patient is likely to be:

a)

Valvular aortic stenosis

b)

Ventricular septal defect

c)

Mitral valve prolapse

d)

Hypertrophic obstructive cardiomyopathy

3.

This was a recording of flow across the pulmonary valve using pulsed wave doppler in a patient with severe dyspnea. Likely diagnosis is:

a)

Pulmonary hypertension

b)

Pulmonary stenosis

c)

Pulmonary regurgitation

d)

Tricuspid stenosis

4.

A 68-year-old patient came to the ER with chief complaint of worsening shortness of breath. This patient had been routinely check-up at cardiology outpatient clinic.

This image from TTE evaluation shows continuous wave signal from the apical view. The image is suggestive of:

a)

Moderate aortic stenosis

b)

Severe aortic stenosis

c)

Mitral regurgitation

d)

Prosthetic aortic valve stenosis

5.

The equation for calculating the Relative Wall Thickness (RWT) is:

Notes:

IVST (Interventricular Septal Thickness);

PWT (Posterior Wall Thickness);

LVEDD (Left Ventricular End-Diastolic Diameter)

a)

RWT = (2 x PWT) / LVEDD

b)

RWT = LVEDD / ( 2 x PWT)

c)

RWT = LVEDD / (IVST + PWT)

d)

RWT = (IVST + PWT) / LVEDD

6.

This patient in hospitalized for elective surgery. Blood sample was taken and IV line access was in left brachial. TTE was performed for pre-op evaluation.

What is the most likely condition in this agitated saline testing? (movie)

a)

Coronary Arteriovenous Fistula

b)

Unroofed Coronary Sinus

c)

Persistent Left Superior Vena Cava

d)

Partial Anomalous Pulmonary Venous Drainage

7.

Which vessel is starred (*) in this view?

a)

Right brachiocephalic vein

b)

Right pulmonary artery

c)

Left pulmonary artery

d)

Left brachiocephalic vein

8.

All of the following items are considered in calculating the Wilkins score EXCEPT:

a)

Leflet mobility

b)

Subvalvular calcification

c)

Subvalvular thickening

d)

Leaflet calcification

9.

You are performing a transesophageal echocardiogram for the evaluation of mitral valve pathology.

From a probe position high in the esophagus, you insert the probe deeper while keeping the imaging plane at 0 degrees (horizontal).

The most common MV leaflet segments (scallops) seen initially are:

a)

A1 P1

b)

A2 P2

c)

A3 P3

d)

A3 P1

10.

A 20-year-old pregnant female presents for evaluation of a murmur.

The following flow signal is recorded.

The most likely diagnosis is:

a)

Ventricular septal defect

b)

Anomalous pulmonary venous connection

c)

Patent ductus arteriosus

d)

Atrial septal defect

11.

The most likely diagnosis from these TEE findings is: (movie)

a)

Left atrial thrombus

b)

Right atrial myxoma

c)

Left atrial myxoma

d)

Right atrial thrombus

12.

From the analysis provided in the image, what is the likely diagnosis?

a)

Cardiac Sarcoidosis

b)

Cardiac Amyloidosis

c)

Hypertensive Heart Disease

d)

Hypertrophic Cardiomyopathy

13.

The shown image displays which of the following artifacts?

a)

Reverberation artifact only

b)

Reverberation and speckle artifacts

c)

Reverberation artifact, side lobe artifact, and duplication artifact

d)

Side lobe artifact, reverberation artifact, and attenuation

14.

The abnormal finding in this image is:

a)

Aortic dissection flap

b)

Bicuspid aortic valve

c)

Aortic dissection flap

d)

Coarctation of the aorta

15.

These images are consistent with what diagnosis?

a)

Severe mitral regurgitation

b)

Severe mitral stenosis

c)

Grade 1 diastolic dysfunction

d)

Severe MR and moderate MS

16.

What is the most likely diagnosis? (movie)

a)

RHD Aortic Regurgitation

b)

Bicuspid Aortic Valve

c)

Ascending Aortic Dissection

d)

Aortic Aneurysm

17.

From this image, which one of the following is the accurate value of TAPSE?

a)

Distance between A and B.

b)

Distance between B and C.

c)

Distance between A and C.

d)

Any of the above would be correct.

18.

In this TEE image, number “2” is:

a)

Superior vena cava

b)

Inferior vena cava

c)

Pulmonary artery

d)

Aorta

19.

This patient has vegetation on:

a)

Aortic valve

b)

Pulmonary valve

c)

Tricuspid valve

d)

Pacemaker lead

20.

From this schematic mitral inflow, which of the following is the correct slope to measure mitral deceleration time?

a)

A

b)

B

c)

C

d)

D