HOCM quiz Review Exam Questions And Answers Download To Score A+.
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Course
IHSS.
Institution
IHSS.
With HOCM or IHSS, the obstruction is at the level of the mid-ventricle.
a. true
b. false - correct answer b
When amyl nitrite is administered to a patient who has hypertrophic obstructive cardiomyopathy it is likely to:
a. decrease septal thicke...
With HOCM or IHSS, the obstruction is at the level of the mid-ventricle.
a. true
b. false - correct answer b
When amyl nitrite is administered to a patient who has hypertrophic obstructive cardiomyopathy it is
likely to:
a. decrease septal thickening
b. increase the systolic anterior motion of the mitral valve
c. decrease systolic flow velocity in the LVOT
d. produce a slower heart rate - correct answer b
What type of regurgitation is common in HOCM due to the Venturi effect in the LVOT?
a. tricuspid regurgitation
b. mitral regurgitation
c. aortic insufficiency
d. pulmonic insufficiency - correct answer b
In a patient with suspected HOCM, if no increased LVOT gradient is noted at rest, which of the following
can be done to unmask an obstruction?
a. have patient drink 1 liter of water 4 hours prior to the test
b. have patient perform the Valsalva maneuver
c. have patient inhale smelling salts
d. none of the above - correct answer b
Which of the following is a feature of hypertrophic obstructive cardiomyopathy?
a. Mid systolic closure of the aortic valve
, b. A reduced E point septal separation on m-mode
c. Normal LV end-diastolic pressure
d. None of the above - correct answer a
In a patient with IHSS:
a. the aortic valve will show mid-diastolic closure
b. the LV posterior wall to septal ratio is usually greater than 3
c. mitral regurgitation is often present
d. the systolic anterior motion of the MV will decrease with the Valsalva maneuver - correct answer
c
The CW Doppler spectral waveform from an hypertrophic cardiomyopathy obstruction will appear:
a. symmetrical, high velocity
b. symmetrical, low velocity
c. dagger shaped, high velocity
d. dagger shaped, low velocity - correct answer c
Which of the following can wreak havoc with your attempt to identify an obstruction in a patient with
possible HOCM?
a. aortic valve stenosis
b. mitral regurgitation
c. mid-cavity LV gradient
d. all of the above - correct answer d
Which of the following is a feature of a hypertrophic cardiomyopathy?
a. asymmetrical LV hypertrophy
b. hyperdynamic LV
c. Small to normal in size LV
d. impaired LV diastolic function
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