1|Page
Adult Echocardiography Exam ||Verified Exam!!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! | Newest
Exam!!!
A 32-year-old female complains of fatigue and her chest
x-ray reveals cardiomegaly. An echocardiogram is
ordered. Right atrial and ventricular enlargement
appears on the echocardiogram. Additionally, there is
a flattened interventricular septum, M-mode findings of
pulmonic valve mid-systolic closure and an absent A-
wave. Identify the cardiac abnormality consistent with
these findings. - Answer-These echocardiographic findings
are consistent with
pulmonary, hypertension. A microcavitation (saline
contrast) study should be performed to rule out an
atrial level shunt as the cause of this pulmonary
hypertension.
1. A 22-year-old male complains of chest pain following
,2|Page
exercise. An echocardiogram displays /concentric left
ventricular hypertrophy(2.5 cm) and a small LV cavity
size. Systolic motion of the mitral leaflet (SAM) and
pericardial effusion are not observed. What is the
most likely diagnosis for this patient?
2. What additional noninvasive tests may help in
diagnosing this patient? - Answer-1. The findings of
concentric left ventricular hypertrophy
and a small LV cavity size is diagnostic of hypertrophic
cardiomyopathy.
2. In order to identify the presence or absence of an
obstructive component, an amyl nitrite or Valsalva
challenge should be performed while the left
ventricular outflow tract is interrogated by continuous
wave Doppler
Hypertrophic cardiomyopathy (HCM) - Answer-is a type of
cardiomyopathy defined by left ventricular hypertrophy,
that cannot be only explained by abnormal loading
conditions another cardiac, metabolic or systemic disease.
It is the leading cause of sudden cardiac death (from
arrhythmias) in infants, teenagers, and young adults.
,3|Page
left ventricular hypertrophy wall thickness >12-15 mm
It is used for the evaluation of LVOT gradients and
obstruction abnormalities, especially during physiologic
provocation.
A 38-year-old male is sent to the echocardiography lab for
evaluation after complaining of severe dyspnea on
exertion for two months M-mode findings include a
dilated left ventricle, increased E point to septal
separation (EPSS), B-notch on the mitral valve and
overall hypocontractile left ventricular wall motion.
What type of cardiac abnormality do these findings
suggest? - Answer-The M-mode findings of a dilated left
ventricle, increased E point to septal separation (EPSS),
B-notch on the mitral valve and overall hypocontractile left
ventricular wall motion identify a patient with a dilated
cardiomyopathy.
After a chest x-ray revealed cardiomegaly, a 58-year-old
female, with a primary complaint of increasing
dyspnea on exertion, is sent for an echocardiogram.
, 4|Page
The echocardiogram demonstrates left ventricular
hypertrophy with a "bright" myocardial appearance, left
atrial enlargement and a small pericardial effusion.
What is this patient's most likely cardiac diagnosis? -
Answer-Left ventricular hypertrophy (with a "bright"
myocardium), left atrial enlargement and a small
pericardial effusion are echocardiographic findings most
consistent with a diagnosis of infiltrative (restrictive)
cardiomyopathy.
A 56-year-old female visits her doctor with the complaint
of shortness of breath.
Upon physical examination, a low frequency diastolic
(rumbling) murmur is detected.
The patient denies any history of rheumatic fever.
What three cardiac abnormalities might be present in
this patient? - Answer-1. Mitral stenosis (or tricuspid
stenosis). Even with no
known history she may have had rheumatic fever as a
child and now has rheumatic heart disease.
2. Left atrial myxomas mimic mitral stenosis with regard
to both physical findings and symptoms.
Adult Echocardiography Exam ||Verified Exam!!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! | Newest
Exam!!!
A 32-year-old female complains of fatigue and her chest
x-ray reveals cardiomegaly. An echocardiogram is
ordered. Right atrial and ventricular enlargement
appears on the echocardiogram. Additionally, there is
a flattened interventricular septum, M-mode findings of
pulmonic valve mid-systolic closure and an absent A-
wave. Identify the cardiac abnormality consistent with
these findings. - Answer-These echocardiographic findings
are consistent with
pulmonary, hypertension. A microcavitation (saline
contrast) study should be performed to rule out an
atrial level shunt as the cause of this pulmonary
hypertension.
1. A 22-year-old male complains of chest pain following
,2|Page
exercise. An echocardiogram displays /concentric left
ventricular hypertrophy(2.5 cm) and a small LV cavity
size. Systolic motion of the mitral leaflet (SAM) and
pericardial effusion are not observed. What is the
most likely diagnosis for this patient?
2. What additional noninvasive tests may help in
diagnosing this patient? - Answer-1. The findings of
concentric left ventricular hypertrophy
and a small LV cavity size is diagnostic of hypertrophic
cardiomyopathy.
2. In order to identify the presence or absence of an
obstructive component, an amyl nitrite or Valsalva
challenge should be performed while the left
ventricular outflow tract is interrogated by continuous
wave Doppler
Hypertrophic cardiomyopathy (HCM) - Answer-is a type of
cardiomyopathy defined by left ventricular hypertrophy,
that cannot be only explained by abnormal loading
conditions another cardiac, metabolic or systemic disease.
It is the leading cause of sudden cardiac death (from
arrhythmias) in infants, teenagers, and young adults.
,3|Page
left ventricular hypertrophy wall thickness >12-15 mm
It is used for the evaluation of LVOT gradients and
obstruction abnormalities, especially during physiologic
provocation.
A 38-year-old male is sent to the echocardiography lab for
evaluation after complaining of severe dyspnea on
exertion for two months M-mode findings include a
dilated left ventricle, increased E point to septal
separation (EPSS), B-notch on the mitral valve and
overall hypocontractile left ventricular wall motion.
What type of cardiac abnormality do these findings
suggest? - Answer-The M-mode findings of a dilated left
ventricle, increased E point to septal separation (EPSS),
B-notch on the mitral valve and overall hypocontractile left
ventricular wall motion identify a patient with a dilated
cardiomyopathy.
After a chest x-ray revealed cardiomegaly, a 58-year-old
female, with a primary complaint of increasing
dyspnea on exertion, is sent for an echocardiogram.
, 4|Page
The echocardiogram demonstrates left ventricular
hypertrophy with a "bright" myocardial appearance, left
atrial enlargement and a small pericardial effusion.
What is this patient's most likely cardiac diagnosis? -
Answer-Left ventricular hypertrophy (with a "bright"
myocardium), left atrial enlargement and a small
pericardial effusion are echocardiographic findings most
consistent with a diagnosis of infiltrative (restrictive)
cardiomyopathy.
A 56-year-old female visits her doctor with the complaint
of shortness of breath.
Upon physical examination, a low frequency diastolic
(rumbling) murmur is detected.
The patient denies any history of rheumatic fever.
What three cardiac abnormalities might be present in
this patient? - Answer-1. Mitral stenosis (or tricuspid
stenosis). Even with no
known history she may have had rheumatic fever as a
child and now has rheumatic heart disease.
2. Left atrial myxomas mimic mitral stenosis with regard
to both physical findings and symptoms.
