NEW
Font size
S
M
L
XL
WorksheetsEcho Final Review
Total questions: 70
Worksheet time: 35mins
Name
Class
Date
1.
Which cardiomyopathy is characterized by asymmetric septal hypertrophy and systolic anterior motion (SAM)?
a)
Dilated cardiomyopathy
b)
Hypertrophic obstructive cardiomyopathy
c)
Restrictive cardiomyopathy
d)
Arrhythmogenic cardiomyopathy
2.
Which cardiomyopathy produces a dagger-shaped CW Doppler waveform?
a)
Dilated
b)
Restrictive
c)
Hypertrophic
d)
Takotsubo
3.
A significant LVOT gradient in HOCM is greater than:
a)
15 mmHg
b)
20 mmHg
c)
25 mmHg
d)
30 mmHg
4.
In hypertrophic cardiomyopathy, LV systolic function is usually:
a)
Decreased
b)
Normal
c)
Absent
d)
Severely reduced
5.
Asymmetric septal hypertrophy is defined as IVS thickness ___ times posterior wall.
a)
1.3
b)
2
c)
2.5
d)
3
6.
Which finding is NOT typical of HOCM?
a)
SAM
b)
Diastolic dysfunction
c)
Normal EF
d)
LV dilation
7.
Takotsubo cardiomyopathy most commonly affects the:
a)
Basal segments
b)
Mid cavity
c)
Apical segments
d)
Global myocardium
8.
Apical ballooning cardiomyopathy is usually triggered by:
a)
Ischemia
b)
Stress
c)
Infection
d)
Valve disease
9.
Dilated cardiomyopathy typically causes:
a)
LV wall thickening
b)
Normal EF
c)
Reduced EF
d)
LVOT obstruction
10.
Classic M‑mode finding in DCM is:
a)
SAM
b)
Increased EPSS
c)
Septal bounce
d)
Thickened IVS
11.
Which condition shows restrictive filling with normal LV size?
a)
DCM
b)
HOCM
c)
Restrictive CM
d)
Takotsubo
12.
Most common cause of restrictive cardiomyopathy is:
a)
Hemochromatosis
b)
Sarcoidosis
c)
Amyloidosis
d)
Hurler
13.
Which cardiomyopathy has preserved systolic function but impaired filling?
a)
DCM
b)
Restrictive
c)
Ischemic
d)
Takotsubo
14.
Restrictive cardiomyopathy most affects which phase?
a)
Systole
b)
Early systole
c)
Diastole
d)
Atrial contraction only
15.
Which echo finding favors restrictive over constrictive physiology?
a)
Septal bounce
b)
Respiratory variation
c)
Normal pericardium
d)
Pericardial thickening
16.
LV “smoke” suggests risk for:
a)
Vegetation
b)
Thrombus
c)
Restrictive
d)
Takotsubo
17.
Name this cardiomyopathy
a)
Dilated
b)
Hypertrophic
c)
Restrictive
d)
Takotsubo
18.
Which cardiomyopathy is least common?
a)
Dilated
b)
Hypertrophic
c)
Restrictive
d)
Takotsubo
19.
Name this cardiomyopathy
a)
Dilated
b)
Hypertrophic
c)
Restrictive
d)
Takotsubo
20.
Label number 12
a)
LV
b)
RV
c)
LA
d)
RA
21.
Pericarditis is defined as:
a)
Fluid accumulation
b)
Inflammation of the pericardium
c)
Chamber collapse
d)
Pleural disease
22.
A pericardial rub is caused by:
a)
Fluid motion
b)
Valve closure
c)
Inflamed layers rubbing
d)
Thrombus
23.
Pericardial knock is associated with:
a)
Acute tamponade
b)
Constrictive pericarditis
c)
DCM
d)
HOCM
24.
Constrictive pericarditis primarily impairs:
a)
Systolic emptying
b)
Diastolic filling
c)
Valve opening
d)
Atrial contraction
25.
An anterior-only echo-free space usually represents:
a)
Pleural effusion
b)
Fat pad
c)
Large effusion
d)
Tamponade
26.
Large pericardial effusion is > ___ cm.
a)
0.5
b)
1.0
c)
1.5
d)
2.0
27.
Cardiac tamponade occurs when pericardial pressure exceeds:
a)
Aortic pressure
b)
Pulmonary pressure
c)
Chamber pressure
d)
Venous pressure
28.
Which is NOT a tamponade sign?
a)
RA collapse
b)
RV diastolic collapse
c)
Dilated IVC
d)
LA systolic collapse
29.
Pulsus paradoxus is demonstrated with:
a)
M-mode
b)
Color Doppler
c)
Respiratory Doppler
d)
Contrast
30.
Marked respiratory inflow variation suggests:
a)
Normal physiology
b)
Restrictive CM
c)
Tamponade
d)
Systolic HF
31.
Septal bounce is typical of:
a)
Restrictive CM
b)
Constrictive pericarditis
c)
DCM
d)
HOCM
32.
True tamponade causes RV collapse during:
a)
Systole
b)
Inspiration
c)
Diastole
d)
Expiration
33.
A dilated IVC that does not collapse Asuggests:
a)
Hypovolemia
b)
Tamponade
c)
Normal filling
d)
Valve disease
34.
Pleural effusions are usually seen:
a)
Posterior to heart
b)
Anterior to heart
c)
Within pericardium
d)
Only with tamponade
35.
Pericardial effusion vs pleural effusion is best distinguished by:
a)
Gain
b)
Location
c)
Color Doppler
d)
CW Doppler
36.
A tear in the intima with false lumen defines:
a)
Aneurysm
b)
Plaque
c)
Dissection
d)
Thrombus
37.
Stanford Type A dissection involves the:
a)
Descending aorta
b)
Ascending aorta
c)
Abdominal aorta
d)
Iliac arteries
38.
Stanford Type B affects the:
a)
Ascending only
b)
Arch only
c)
Descending aorta
d)
Abdominal aorta
39.
Most aortic aneurysms are located in the:
a)
Thoracic aorta
b)
Ascending aorta
c)
Descending thoracic aorta
d)
Abdominal aorta
40.
Surgical repair of aortic root aneurysm is recommended at:
a)
4 cm
b)
5 cm
c)
6 cm
d)
7 cm
41.
Sinus of Valsalva aneurysm may obstruct the:
a)
RV inflow
b)
LV inflow
c)
LVOT
d)
RVOT
42.
Heart failure with preserved EF is:
a)
Systolic HF
b)
CHF
c)
Diastolic HF
d)
Cardiogenic shock
43.
Left-sided heart failure leads to:
a)
Peripheral edema
b)
Pulmonary edema
c)
Ascites
d)
Hepatomegaly
44.
Label number 13
a)
LA
b)
RA
c)
LV
d)
RV
45.
Which finding is NOT left-sided HF?
a)
Crackles
b)
Dyspnea
c)
Weight gain
d)
Pulmonary congestion
46.
Concentric hypertrophy occurs due to:
a)
Volume overload
b)
Pressure overload
c)
Ischemia
d)
Valve prolapse
47.
Eccentric hypertrophy results from:
a)
Pressure overload
b)
Volume overload
c)
Tamponade
d)
Restrictive CM
48.
Which HF symptom is due to systemic congestion?
a)
Orthopnea
b)
Crackles
c)
JVD
d)
Pink frothy sputum
49.
Reduced cardiac output HF is classified as:
a)
CHF
b)
Systolic HF
c)
Diastolic HF
d)
Restrictive HF
50.
Label number 14
a)
LA
b)
RA
c)
LV
d)
RV
51.
Most common primary benign cardiac tumor is:
a)
Myxoma
b)
Lipoma
c)
Fibroma
d)
Sarcoma
52.
Papillary fibroelastomas most commonly affect the:
a)
Mitral valve
b)
Aortic valve
c)
Tricuspid valve
d)
Pulmonic valve
53.
Lipomatous hypertrophy involves the:
a)
IV septum
b)
Interatrial septum
c)
LV apex
d)
RV wall
54.
Encapsulated fatty cardiac tumor is a:
a)
Myxoma
b)
Lipoma
c)
Fibroma
d)
Sarcoma
55.
Most common malignant primary cardiac tumor is:
a)
Myxoma
b)
Sarcoma
c)
Fibroma
d)
Lipoma
56.
Most metastatic cardiac tumors originate from the:
a)
Lung
b)
Breast
c)
Melanoma
d)
All of the above
57.
Tumors that extend via the IVC include:
a)
RCC
b)
Wilms tumor
c)
two correct answers
d)
Rhabdomyoma
58.
Best way to confirm a real cardiac mass is:
a)
Increase gain
b)
Single view
c)
Multiple planes
d)
CW Doppler
59.
Myocarditis is most commonly caused by:
a)
Bacteria
b)
Virus
c)
Trauma
d)
Ischemia
60.
Which is NOT typical of myocarditis?
a)
Chest pain
b)
Arrhythmias
c)
Cough
d)
HF symptoms
61.
Normal LV wall thickness in adult men is approximately:
a)
6–9 mm
b)
6–10 mm
c)
10–12 mm
d)
12–14 mm
62.
Takotsubo cardiomyopathy usually resolves within:
a)
Days
b)
Weeks
c)
Months
d)
Never
63.
DCM is associated with increased:
a)
EF
b)
EPSS
c)
Wall thickness
d)
Afterload
64.
Constrictive pericarditis shows which septal motion?
a)
Hyperdynamic
b)
Paradoxical
c)
Fixed
d)
Absent
65.
RV diastolic collapse is seen in:
a)
Pleural effusion
b)
Large pericardial effusion
c)
Tamponade
d)
Normal heart
66.
label number 18
a)
LA
b)
LAA
c)
LV
d)
MV
67.
What is this image showing
a)
Pleural effusion
b)
Constrictive pericarditis
c)
cardiac tamponade
d)
Pericardial thickening
68.
IVC size and collapse assess:
a)
Afterload
b)
LV function
c)
RA pressure
d)
Pulmonary pressure
69.
Global hypokinesis is typical of:
a)
HOCM
b)
DCM
c)
Takotsubo
d)
Restrictive CM
70.
Reduced EPSS indicates:
a)
restrictive CM
b)
Dilated LV
c)
LV dysfunction
d)
Tamponade
Reset
