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Echo Board Exam Review Solved 2024
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Echo Board Exam Review Solved 2024
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Echo Board Exam Review Solved 2024A 26 year-old woman with significant mitral insufficiency is about to receive a mitral
valve replacement. Why are the surgeons most likely to use a porcine valve?
A) it often makes anticoagulation unnecessary
B) it tends to last longer
C) it preserves myocardium better
D) it obstructs flow less - ANSWER-A) it often makes anticoagulation unnecessary
A 30-year old intravenous drug abuser presents with an embolus to the right leg. The
presence of which of the following is the most likely cause of the embolic event?
A) MV vegetation
B) LA myxoma
C) RV thrombus
D) myocardial abscess - ANSWER-A) MV vegetation
A 38 year-old woman with a history of breast cancer is referred for an echocardiogram
because she is experiencing shortness of breath. Which of the following is the
echocardiogram most likely to reveal?
A) pericardial effusion
B) metastasis to the LA
C) metastasis to the RA
D) LA myxoma - ANSWER-A) pericardial effusion
A 64 year-old man presents with an acute MI of the anterior wall and an embolus to the
right leg. Before beginning the examination, the echocardiographer should suspect the
possibility of which one of the following diagnoses?
A) an apical aneurysm with a mural thrombus
B) mitral stenosis and a LA clot
C) an RV infarct with a clot
D) vegetation on the MV or AoV - ANSWER-A) an apical aneurysm with a mural
thrombus
A definitive diagnosis of amyloid heart disease is best made with which of the following?
A) endomyocardial biopsy
B) M-mode echocardiography
C) TTE
D) TEE - ANSWER-A) endomyocardial biopsy
,A Doppler tracing of the MV in which the A point is higher than the E point indicates
which of the following?
A) decreased LV compliance
B) high LV end-diastolic pressures
C) high cardiac output
D) low cardiac output - ANSWER-A) decreased LV compliance
A false negative sign of tamponade may occur in patients with which of the following?
A) pulmonic stenosis
B) pleural effusion
C) mitral regurgitation
D) loculated effusion - ANSWER-A) pulmonic stenosis
A mitral valve pressure half-time of 220 ms is consistent with which of the following
mitral valve areas?
A) 1 cm2
B) 0.6 cm2
C) 2.2 cm2
D) 5 cm2 - ANSWER-A) 1 cm2
A tricuspid regurgitant velocity of 4 m/sec indicates the presence of which of the
following?
A) PHTN
B) TS
C) severe TR
D) flail tricuspid leaflet - ANSWER-A) PHTN
Akinesis of the anterior LV wall is most likely to indicate obstruction of which of the
following arteries?
A) LAD
B) RCA
C) left circumflex
D) PDA - ANSWER-A) LAD
An echocardiographic diagnosis of coarctation of the aorta can be made by detecting a
high-velocity Doppler jet in which of the following?
A) descending thoracic aorta
B) left branch of the pulmonary artery
C) aortic arch, proximal to the left subclavian artery
D) abdominal aorta - ANSWER-A) descending thoracic aorta
, An increased E point-to-septal separation is usually a good indicator of which of the
following?
A) a reduced EF
B) high end-diastolic pressures in the LV
C) high initial diastolic pressures
D) poor compliance of the LV - ANSWER-A) A reduced EF
Aneurysm in the inferior wall of the LV may be associated with all of the following
except:
A) occlusion of the LAD
B) thrombus formation
C) MR
D) an increased EPSS - ANSWER-A) occlusion of the LAD
Color Doppler assessment of prosthetic heart valves is especially helpful when checking
for which of the following?
A) presence of paravalvular regurgitation
B) presence of a clot
C) presence of valve stenosis
D) valve area - ANSWER-A) presence of paravalvular regurgitation
Echocardiographic findings of significant aortic stenosis do NOT include which of the
following?
A) diastolic fluttering of the anterior mitral leaflet
B) reduced separation of the aortic valve cusp
C) Doppler systolic velocities greater than 4 m/sec
D) thickened left ventricular walls - ANSWER-A) diastolic fluttering of the anterior mitral
leaflet
Even though two-dimensional echocardiography has largely replaced M-mode
echocardiography for cardiac diagnosis, M-mode still has the advantage of which of the
following?
A) providing enhanced temporal resolution
B) defining spatial relationships of cardiac structures
C) providing dynamic assessment of the velocity of blood flow
D) providing superior lateral resolution - ANSWER-A) providing enhanced temporal
resolution
Flat mid-diastolic motion of the posterior wall on an M-mode echo suggests which of the
following?
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