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ESP X-Zone: Practice Exam |Questions with Complete Solutions To Guarantee Pass
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ESP X-Zone: Practice Exam |Questions withComplete Solutions To Guarantee Pass
Which 2D echo view is best for identifying the malformed tricuspid valve apparatus
that characterizes Ebstein's Anomaly:
a) Apical two chamber
b) Apical four chamber
c) Parasternal long axis
d) Parasternal short axis - ✔B) apical four chamber
Infundibular pulmonary stenosis is uncommon as an isolated lesion and is usually
associated with:
a) tricuspid atresia
b) atrial septal defect
c) coarctation of the aorta
d) ventricular septal defect - ✔D) Ventricular septal defect
Which 2D echo view is best for the assessment of the interatrial septum?
a) Apical long axis
b) Apical four chamber
c) Parasternal short axis
d) Subcostal four chamber - ✔D) Subcostal four chamber
The most common type of atrial septal defect is the:
a) ostium primum
b) sinus venosus
c) coronary sinus
,d) ostium secundum - ✔D) Ostium Secundum
M-Mode echo demonstration of mid-systolic closure of the pulmonary valve along with a
decreased "a" wave is most consistent with:
a) Pulmonary hypertension
b) Pulmonary insufficiency
c) Valvular pulmonary stenosis
d) Infundibular pulmonary stenosis - ✔A) Pulmonary hypertension
False overriding of the aorta may be produced on the m-mode echo by:
a) using a transducer with too low a frequency
b) failure to turn the patient into a left decubitus position
c) positioning the transducer in too high an intercostal space
d) positioning the transducer in too low an intercostal space - ✔C) Positioning the
transducer in too high an intercostal space
Atrial fibrillation is most commonly associated with which valvular disease?
a) Bicuspid aortic valve
b) Mitral valve prolapse
c) Calcific aortic stenosis
d) Rheumatic mitral stenosis - ✔D) Rheumatic mitral stenosis
Which is an example of a bioprosthetic cardiac valve?
a) Starr-Edwards ball
b) Bjork-Shiley tilting disc
c) St. Jude Medical bileaflet
d) Ionescu-Shiley bovine pericardial - ✔D) Ionescu-Shiley bovine pericardial
, Doppler measures a pressure drop (gradient) by the Bernoulli equation. This equation
actually measures the _____ gradient across the valve.
a) mean
b) peak to peak
c) peak instantaneous
d) pressure half time - ✔C) Peak instantaneous
When a patient has a critical diagnosis of pericarditis:
a) a pericardial effusion is always present on echo
b) a pericardial effusion may not be present on echo
c) pericardial thickening is always present on echo
d) pericardial thickening must not be present on echo - ✔B) A pericardial effusion may not
be present on echo
In normal patients, most ventricular filling occurs:
a) with atrial contraction
b) in the first third of diastole
c) in the middle third of diastole
d) during the PR interval of the ECG - ✔B) In the first third of diastole
The patient you are examining has a clear but auscultatory and angiographic evidence for
mitral valve prolapse, yet the resting echo is normal . You should then:
a) raise the patient's legs
b) perform a cold pressor test
c) echo the patient in the standing position - ✔C) Echo the patient in the standing position
Tricuspid valve closure normally occurs:
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