New Quiz 03 Jan Welcome to your Echo - CVT- Noninvasive Name Email 1. [A 20-year-old patient with a large ventricular septal defect (VSD) underwent PA banding in childhood and was lost to follow-up.Arecent echocardiogram revealed the following: peak systolic velocity across the VSD 3 m/s, TR velocity 5 m/s, estimated RA pressure 10mmHg, cuff blood pressure in the right arm 146/70mmHg, peak flow velocity across the pulmonary band 4.7 m/s. The following statement is true:] This patient has normal PA pressure The patient has severe pulmonary hypertension The patient has features of left ventricular (LV) failure PA pressure cannot be determined None . 2. [Structure no. 4 denotes: (fig)] Left atrial appendage Right atrial appendage Left upper pulmonary vein Left lower pulmonary vein None Comment . 3. [Continuous wave Doppler signal from the tricuspid valve is consistent with: (fig)] Carcinoid syndrome Severe pulmonary hypertension Constriction None of the above None Comment . 4. [The pulmonary vein S-wave may be less prominent than the D-wave in the following situations except:] Young children Moderate to severe mitral regurgitation Atrial fibrillation Elevated left atrial (LA) pressure Abnormal LV relaxation with normal left atrial (LA) pressure None . 5. [A 30-year-old female with a history of SLE was admitted with complaints of fever,malaise, chills, and shortness of breath. The still frame of parasternal long-axis image is suggestive of: (fig)] Libman-Sach’s endocarditis of the mitral valve Normal mitral valve Endocarditis of the aortic valve Cannot be determined None Comment . 6. [The following type of ventricular septal defect is likely to be associated with aortic regurgitation:] Perimembranous Muscular Supracristal Inlet None . 7. [This is a still-frame of a four-chamber view. The color flow shows: (fig)] Muscular VSD Apical cannula flow of an LVAD Psuedoaneurysm None of the above None Comment . 8. [Period is a measure of:] Duration of one wavelength Duration of half a wavelength Amplitude of the wave None . 9. [What type of flow was recorded from the mid-esophageal position? (fig)] Mitral flow Pulmonary vein flow Superior vena cava flow Flow across ASD None Comment . 10. [The hemodynamics in this patient potentially could be improved by: (fig)] Shortening the PR interval Afterload reduction Positive inotropes All of the above None Comment . 11. [The most common benign tumor in the heart is:] Left atrial myxoma Papillary fibroelastoma Lamble’s excrescences Fibroma None . 12. [This patient has vegetation on: (fig)] Aortic valve Pulmonary valve Tricuspid valve Pacemaker lead None Comment . 13. [The Nyquist limit can be increased by:] Increasing the PRF Reducing the PRF Neither None . 14. [This patient is likely to have (BP 130/65 mmHg): (fig)] High left ventricular end diastolic pressure (LVEDP) Diastolic MR Premature mitral valve closure All of the above None Comment . 15. [This patient is likely to have: (fig)] Systolic murmur accentuated by Valsalva maneuver Early peaking systolic murmur Early diastolic murmur heard in sitting position at end expiration A middiastolic murmur best heard with the bell in left lateral position None Comment . 16. [The Doppler flow is suggestive of: (fig)] Normal hepatic flow Severe TR Cardiac tamponade Constrictive pericarditis None Comment . 17. [Problems encountered with congenitally corrected great arteries are all of the following except:] Failure of systemic ventricle Tricuspid regurgitation Atrial and ventricular arrhythmias Aortic regurgitation None . 18. [On a continuous wave Doppler display, amplitude is represented by:] Brightness of the signal Vertical extent of the signal Width of the signal None of the above None . 19. [The patient shown here has: (fig)] Valvular aortic stenosis Subvalvular aortic stenosis Endocarditis Hypertrophic obstructive cardiomyopathy None Comment . 20. [Assuming a right atrial (RA) pressure of 10mmHg, the pulmonary regurgitation signal, with an end diastolic velocity of 2.2 m/s shown here is indicative of: (fig)] Normal pulmonary artery (PA) pressure Moderate elevation of PA pressure Systemic level of PA pressure None of the above None Comment . Time's upTime is Up!
RESP III 22 Oct Welcome to your OTPT Name Email [Which of the following is not a prehension pattern? Hook Dorsal Cylindrical Lateral None . [When someone has a spinal cord injury at the level of T2-T3 the result is...] quadriplegia with spasticity paraplegia with flaccidity paraplegia with neither spasticity nor flaccidity quadriplegia with flaccidity paraplegia with spasticity None . [A rapid alternating involuntary movement elicited by stretch is known as] spasticity istonic contraction clonus contracture None . [A heel cushion that is too hard creates potential for excessive pressure at the ____ residual limb in the transtibial amputee] distal anterior distal posterior proximal anterior proximal posterior None . [A young child with a T12 myelomeningocele is seen in your office for a device that will help patient ambulate in the home and classroom and will allow hands free standing. What device do you evaluate him for?] Bilateral locked knee KAFOs with Lofstrand crutches Parapodium Bilateral stance control KAFOs Ground reaction AFOs None . [Which of the following would not be classified as a type of hand prehension.] spherical cylindrical lateral oblique None . [to assist the bilateral transfemoral amputee with ambulation, stubbies feature] locked knees microprocessor knees flat bottom feet no knees None . [In the transfemoral amputee who anticipates receiving a prosthesis, priority for strengthening should be given to what muscle groups?] Abductors & extensors Abductors & flexors Adductors & extensors Adductors & flexors None . [What orthosis would best restore upper extremity function for a patient with a spinal cord injury above the C6 nerve root?] Cock up splint Mobile arm support Wrist driven WHO HO with thumb post None . [Can a device that is delivered prior to admission to a hospital be billed to Medicare?] Yes: Devices necessary post-surgery and fit prior to admission may billed to Medicare Yes: But only if the medical necessity for the device is independent of the patient’s admission to the hospital No: All devices delivered 48 hours or less prior to hospital admission should be billed to the hospital No: The device cannot be billed to Medicare if the patient will not require it in the hospital None . [The proper length of the thumb post is...] just beyond the nail bed at the center of the IP joint at the MP joint None . [A volkmann's ischemic contracture is caused by] atrophy from disuse nerve damage compromised vascular flow None . [The sensory distribution of the spinal nerves is...] dorsal anterior ventral autonomic regangliated None . [The lumbricals function to:] Flex the MCP joints and the PIP joints Extend the MCP joints Flex the MCP joints and extend the PIP joints Abduct the phalanges None . [The most appropriate orthotic treatment for a patient with a T12 compression fracture is:] Thoracolumbar corset CTO Bivalve TLSO with reduced lordosis Anterior control hyperextension orthosis None . [Which muscle inserts on the navicular and medial cuneiform?] Posterior tibialis Peroneus longus Peroneus tertius Extensor digitorum longus None . [The PT just removed a PTB prosthesis, and sees redness over the patellar tendon. What is the best assessment of this?] Appropriate fit Inadequate suspension Caused by pistoning Too tight None . [A TLSO (Boston type) is effective in controlling a curve as high as...] T5 T8 L1 None . [A peripheral nerve injury at the wrist of the ulnar nerve would best be braced with] a long opponens (WHO) with outrigger WDWHO short opponens (HO) with C-bar and opponens bar short opponens (HO) with MP extension stop (lumbrical bar) None . [The main advantage of a Syme’s amputation is] Cosmesis Function when not wearing a prosthesis Function when wearing a prosthesis None . Please fill in the comment box below. Time's up
