ARDMS Adult Echo Exam Test Questions And Answers

ARDMS Adult Echo Exam Test Questions And Answers When measuring mitral orifice size in a pt which MS care must be taken to measure the opening at - ANSWER the leaflet tips The false appearance of mitral valve prolapse on M mode can be created by - ANSWER Placing the transducer too high on the chest Diastolic collapse of the RV anterior wall is consistent with what - ANSWER pericardial tamponade Patients receiving Adiamycin therapy are often refferred to the echo lab to - ANSWER evaluate LVF After a pt has had a mitral commissurotomy which of the following will be seen on echo - ANSWER the valve will still appear rheumatic T/F In a pt with IHSS MR is often present - ANSWER True T/F in a pt with IHSS the AoV will show mid- diastolic closure - ANSWER False T/F in pts w/ infective endocarditis it's easy to distinguish between new and healed vegetations - ANSWER False During the Q-T interval on the EKG what chambers are filling - ANSWER The atrias T/F Does elevation of the pulmonary venous pressure usually occur with LHF - ANSWER True T/F a fall in aortic pressure usually occurs with LHF - ANSWER False T/F Pedal edema is a common symptom of CHF - ANSWER True T/F Syncope is a common symptom of CHF - ANSWER False T/F MR results in increase in preload - ANSWER True T/F in AS the LV diastolic pressure exceeds that of the aorta - ANSWER False T/F in AS the LV systolic pressure exceeds that of the aorta - ANSWER True The heart responds to increased preload by an increase in - ANSWER contractility T/F when amyl nitrite is administered to a pt who has HOCM it is likely to increase the systolic anterior motion (SAM) of the MV - ANSWER True a pt presents with a grade IV/VI systolic crescendo-decrescendo murmur the most likely pathology is - ANSWER AS How are phased array transducer the transmitted sound beam is swept - ANSWER varying the timing of pulses t the transducer elements To improve the axial resolution of a transducer a manufacturer must do what to the pulse - ANSWER shorten it If the distance to the reflector doubles, the time between pulse transmission and echo detection at the transducer will - ANSWER double The right venticular systolic pressure may be predicted with ____ wave Doppler on TR - ANSWER continous The 2D image of a phased array echo is produced by - ANSWER sequentially activating a series of adjacent crystals to angulate the US beam T/F Pulmonary atresia with a VSD (pseudotruncus) is associated with an overriding aorta - ANSWER True List some conditions associated w/ an overriding aorta - ANSWER TOF, truncus arteriosus, double outlet RV, Pulmonary atresia with VSD. RVSP= - ANSWER PAP What causes a pericardial knock - ANSWER classic constrictive pericarditis. Similar in timing to a very loud S3. It's caused by an abrupt cessation of early diastolic inflow. Thin filiform strands (fronds) that form on the edges of the valve leaflets - ANSWER Lambl's T/F Pulmonary atresia with an intact VSD is associated with an overriding aorta - ANSWER False Name two layers of the pericardium - ANSWER visceral and parietal which pericardial layer is the serous - ANSWER visceral or epicardial What is a common finding in coarctation - ANSWER Bi cuspid valves ( 50%) When is a mitral pressure half time NOT accurate - ANSWER post valvuloplasty Which embryonic aortic arch (1-6) develops into the transverse arch - ANSWER Fourth In pts with A-Fib which heart sound would be missing - ANSWER The fourth( occurs duing atrial contraction) Type of transposition of the great vessels where aorta is conneted to RV and body receives deoxy blood. - ANSWER D-TGA Cyanosis, D=Die Vegitations of the MV and/or TV are seen on the __________ side of the valves - ANSWER atrial Vegs typically cause______ not______ - ANSWER regurg, not stenosis formula most often used to obtain mitral valve area - ANSWER P1/2t. Planimetry most accurate but sonographer limitations and technical areas make P1/2t more common. Time it takes the for the pressure gradient to drop to half of its orginal valve - ANSWER P1/2t The most common secondary cause of dilated cadiomyopathy - ANSWER alcohol The most common type of infiltrative restrictive cardiomyopathy - ANSWER amyloidosis What is a classic finding of pts with a restrictive cardiomyopathy - ANSWER biatrial enlargement. caused by restricted diagnosic filling and leading to atrial overload. Significant MS often leads to PHTN, why? - ANSWER pressure builds upin the LA and continues to back up into the pulmonary system and into the right heart Complete endocardial cushion defects consist of what - ANSWER an ostium primum ASD, an inlet VSD, and a common atrioventricular valve.