AND ANSWERS
When transporting a patient with a urinary catheter the bag should always be: - ANS Below
the patients bladder
A 52 year old woman develops a murmur after a myocardial infarction. What is the most likely
etiology? - ANS Ventricular Septal Defect
How do you position a patient for using a PEDOF probe along the right sternal border? -
ANS Right lateral decubitus
A patient with down syndrome (trisomy 21) is referred to your lab for an echo. Which of the
following cardiac defects would you likely find? - ANS Atrioventricular canal defect
Which of the following choices would NOT be used to correct for pulsed wave doppler aliasing?
A) Shift the baseline
B) Use continuous wave
C) Use a higher frequency probe
D) Decrease sample volume depth - ANS Use a higher frequency probe
During pharmacological echo stress test using Dobutamine which drug is given if the patient
doesn't reach target heart rate?
a. Inderal
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b. Atropine
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, c. Captopril
D. Verpamil - ANS Atropine
How do you position a patient for a TEE exam? - ANS Left lateral decubitus
A patient with AIDS might present with what type of cardiomyopathy?
A) Dilated
B) Restrictive
C) Infiltrative
D) Hypertrophic - ANS Dilated
In a patient with COPD which frequency transducer would most likely result in the best images?
A) 2.25 MHz
B) 2.5 MHz
C) 3.0 MHz
D) 4.0 MHz - ANS 2.25 MHz
If you measure the LVOT too big, how will this affect your measurement for aortic area? -
ANS Area is too large
A 3 year old patient comes to the lab with a systolic murmur. What is the most likely etiology?
A) Atrial septal defect
B) Ventricular septal defect
C) Patent ductus ateriosus
D) Patent foramen ovale - ANS Ventricular septal defect
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Which is the best stress echo technique for revealing hibernating or stunned myocardium?
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, A) Bike exercise
B) Treadmill exercise
C) Leg lifts
D) Dobutamine - ANS Dobutamine
You are in the emergency department and a patient presents with the signs and symptoms of
aortic dissection. Which modality would give you the most rapid diagnosis?
A) CT
B) MRI
C) TEE
D) X-Ray - ANS TEE
Which is the proper term when the pulmonic valve is removed and put in the place of the aortic
valve in the same patient?
A) Homograft
B) Allograft
C) Autograft
D) Xenograft - ANS Autograft
Know that pericarditis (pericardial effusions) can present with positional chest pain - ANS
What is the 1st structure seen when imaging from the suprasternal notch? - ANS Aortic arch
Which of the following drugs is used in nuclear stress tests?
A) Inderal
B) Thallium
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C) Gadolinium
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, D Atropine - ANS Thallium
Which of the following is the most important echo to do?
A) CHF
B) Murmur
C) Murmur post MI
D) SOB - ANS Murmur post MI
Given tricuspid regurgitation with 60 mmHg gradient grade the severity of pulmonary
hypertension:
a. none
b. mild
c. moderate
d. severe - ANS Severe
What is normal peak pulmonary artery pressure? - ANS 18-40 mmHg
What is mild peak pulmonary artery pressure? - ANS 40-54 mmHg
What is moderate peak pulmonary artery pressure? - ANS 55-64 mmHg
What is severe peak pulmonary artery pressure? - ANS >65 mmHg
Normal IVC & collapses with "sniff" - ANS 3 mmHg
Indeterminate-unable to sniff or IVC collapses <20% - ANS 8 mmHg
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