Echo Registry Review Questions and Answers
A 22 year old Down Syndrome patient is referred to the echo lab. The most common
lesion associated with these patients is:
A. tetralogy of Fallot
B. bicuspid AoV
C. AV septal defect
D. transposition of the great arteries - ANSWER-C
A patent ductus arteriosus has what type of murmur?
A. systolic
B. diastolic
C. blowing
D. continuous - ANSWER-D
A patient is sent to the echo lab with a diagnosis of Marfan's syndrome. Which of the
following are you most likely to find:
A. aortic rupture
B. cleft mitral valve
C. dilated aortic root
D. pericardial effusion - ANSWER-C
A prominent eustachian valve is seen in the right atrium. The eustachian valve is
A. a normal valve of the IVC commonly seen in the subcostal view
B. a normal valve of the coronary sinus seen in PSAX
C. the portion of the IAS which is patent in fetal life
D. a term which can be applied to the tricuspid valve
E. a normal valve of the SVC commonly seen subcostally - ANSWER-A
A true aneurysm of the left ventricle can usually be distinguished from a
pseudoaneurysm because a pseudoaneurysm:
A. has a small, more narrow neck than a true aneurysm
B. never contains thrombi whereas a true aneurysm always contains a layered
thrombus
C. is always larger in overall size than a true aneurysm - ANSWER-A
A two-dimensional echocardiogram shows increased thickness of the ventricular walls
but normal LV walls. The myocardium has a speckled appearance. Which type of
cardiomyopathy might this represent?
A. ischemic
, B. congestive
C. infiltrative
D. hypertrophic obstructive - ANSWER-C
Atrial myxomas are usually attached to the:
A. left atrial appendage
B. mitral valve leaflets
C. posterior left atrial free wall
D. fossa ovalis region of the atrial septum - ANSWER-D
Clinically, prolapse of the mitral valve is associated with:
A. opening snap and systolic murmur
B. diastolic murmur and third heart sound
C. fixed splitting of the second heart sound
D. midsystolic click and/or late systolic murmur - ANSWER-D
Doppler ultrasound may show retrograde flow velocities within the ascending aorta
during diastole in the presence of:
A. aortic regurgitation
B. patent ductus artertiosus
C. aorticopulmonary window
D. aorticosubclavian shunts - ANSWER-A
Echocardiographically, a dense band of echoes between the posterior left ventricular
wall and the mitral valve may represent:
A. mitral dissection
B. cleft mitral valve
C. left atrial myxoma
D. mitral ring calcification - ANSWER-D
Echocardiographically, patients with congestive cardiomyopathy have left ventricles
which are:
A. thick and hyperdynamic
B. dilated and poorly contracting
C. increased shortening fraction and hypertrophy
D. hypertrophied with normal chamber size and motion - ANSWER-B
Estimation of the mitral valve area of the Doppler is calculated by the:
A. E to F slope
B. acceleration time
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