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Echocardiography 2

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A 56-year-old male is undergoing a mitral valve replacement via thoracotomy. What is shown in the image pointed by arrow?

a)

Crista terminalis

b)

Side-lobe artifact

c)

Chiari network

d)

Eustachian valve

2.

In image here, which Doppler artifact is shown?

a)

Aliasing

b)

Spectral Doppler mirroring

c)

Pseudoflow

d)

Twinkling

3.

What should be adjusted to improve the Doppler spectral signal in this image?

a)

Increase the wall filter

b)

Reduce the wall filter

c)

Increase the gain

d)

Reduce the gain

4.

The image shown here demonstrates the following:

a)

Mirror artifact

b)

Mirror artifact and pleural effusion

c)

Mirror artifact, reverberation artifact, and a pericardial

effusion

d)

Mirror artifact, enhancement, and reverberation artifact

5.

Which structure is highlighted in this TTE view?

a)

Superior vena cava

b)

Inferior vena cava

c)

Eustachian valve

d)

Coronary sinus

6.

Which aortic valve coronary cusp is starred in this image?

a)

Septal

b)

Right

c)

Left

d)

Noncoronary

7.

A 62-year-old female with a long history of tobacco use and hypertension was referred for an echocardiogram following the detection of atrial fibrillation.

What structure is the arrow pointing to in this image?

a)

Accessory band

b)

Papillary muscle

c)

Moderator band

d)

Chordae tendineae

8.

Which of these M-mode images is suggestive of valvular aortic stenosis?

a)

b)

c)

d)

9.

A 76-year-old male undergoes single-vessel coronary artery bypass grafting with left internal mammary artery (LIMA) to the left anterior descending coronary artery. During weaning from bypass, the surgeon called the echocardiographer to the operating room to review the TEE before closing the chest. The patient’s preoperative echo had mild to moderate (2+) MR with preserved left ventricular ejection fraction. The surgeon reported all his vessels have good flow including the new LIMA graft by Doppler.

What is the etiology of mitral regurgitation in this patient?

a)

Occlusion of the LIMA graft

b)

Stunned myocardium

c)

The preoperative echo was likely misread

d)

Ischemic papillary muscle

10.

End-diastolic diameter 50 mm

End-systolic diameter 25 mm

Interventricular septum in systole 1.1 cm

Posterior wall in diastole 1.0 cm

What is the fractional shortening?

a)

35%

b)

24%

c)

50%

d)

30%

11.

Which is the correct pair of measures used to calculate an accurate LVEF using the single-plane Simpson method of disks? Consider image quality, image acquisition, and quantitative technique.

a)

b)

c)

d)

12.

A 72-year-old patient with breast cancer presents to the emergency department with generalized fatigue. A CT scan of the chest reveals a large pericardial effusion, and a stat echocardiogram is performed (shown in the image). The cardiologist concludes that the patient has a large pericardial effusion with 2D echocardiographic features of tamponade.

Which of the following 2D echo findings is most consistent with the cardiogist’s interpretation?

a)

A 1.5-cm pericardial effusion in diastole with late ventricular systolic RVOT collapse

b)

A 2.0-cm pericardial effusion in diastole with early ventricular systolic RA collapse

c)

A 2.1-cm pericardial effusion in diastole with ventricular diastolic LA collapse

d)

A 3.4-cm pericardial effusion noted in ventricular systole

13.

Which of these is the LEAST likely a reason for the pericardial effusion seen in this image?

a)

Uremia from poorly compliant peritoneal dialysis

b)

Bacterial pericarditis

c)

Metastatic melanoma

d)

Pregnancy associated with preeclampsia

14.

In this TEE image, number “2” is:

a)

Superior vena cava

b)

Inferior vena cava

c)

Pulmonary artery

d)

Aorta

15.

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

16.

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

17.

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

a)

Cardiac Sarcoidosis

b)

Cardiac Amyloidosis

c)

Takotsubo Cardiomyopathy

d)

Hypertrophic Cardiomyopathy

18.

This patient has vegetation on:

a)

Aortic valve

b)

Pulmonary valve

c)

Tricuspid valve

d)

Pacemaker lead

19.

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

20.

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