Welcome to your Echo - CVT- Noninvasive Name Email 1. [This patient is likely to have: (fig)] Apical HOCM Hypertensive heart disease Endomyocardial fibrosis None of the above None Comment . 2. [This patient is likely to have: (fig)] Systolic heart failure Flail mitral valve with good left ventricular function Isolated severe acute aortic regurgitation None of the above None Comment . 3. [This is a 55-year-old male with c/o shortness of breath, pedal edema, progressivelyworsening for 2 months. He had an echocardiogram. Representative four-chamberand short-axis views from his echocardiogram show: (fig)] Normal left ventricle Apical hypertrophic cardiomyopathy Non compaction of the left ventricle Apical ballooning None Comment . 4. [The structure denoted by the arrow is: (fig)] Ascending aorta Main pulmonary artery Right atrium Right ventricular outflow tract None Comment . 5. [The best management for this patient (same as above) is: (fig)] Emergency pericardiocentesis Emergency surgery to replace ascending aorta Medical management None of the above None Comment . 6. [In a person with flail P2 segment of the posterior mitral leaflet (PML), the mitral regurgitation (MR) jet is likely to be:] Posterior wall hugging Anterior wall hugging Central Cannot comment None . 7. [The mitral inflow pattern is consistent with: (fig)] Severe mitral regurgitation Severe mitral stenosis Prosthetic mitral valve Atrial fibrillation None Comment . 8. [This TEE image is diagnostic of: (fig)] Rheumatic mitral stenosis Mitral regurgitation Prosthetic valve stenosis Calcific mitral stenosis None Comment . 9. [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 . 10. [In a person with suspected paravalvular (mechanical) mitral regurgitation, the following transducer position has the best chance of revealing the mitral regurgitation jet:] A.Parasternal long axis view Apical four-chamber Apical two-chamber Apical long axis None . 11. [This pulmonary regurgitation (PR) signal is suggestive of: (fig)] Severe pulmonary hypertension Mild pulmonary hypertension Normal pulmonary artery (PA) pressure Severe pulmonic stenosis None Comment . 12. [The arrows point to: (fig)] Coronary sinus branches Coronary artery branches Artifacts produced by tissue motion None of the above None Comment . 13. [What is the velocity of circumferential fiber shortening (VCF) in a patient with the following measurements: LV end diastolic dimension 50mm, end systolic dimension 33mm, LV ejection time 300 ms.] 1.1 0.9 34 Cannot be calculated None . 14. [The arrow in this image points to: (fig)] Left ventricular (LV) apical thrombus RV thrombus Rib artifact LA thrombus None Comment . 15. [The most likely diagnosis in this patient is: (fig)] HOCM Severe aortic stenosis Mitral valve prolapse None of the above None Comment . 16. [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 . 17. [A 44-year-old male with lupus nephritis had complaints of fatigue, malaise, and fever. The patient was on hemodialysis through a temporary subclavian line. The still frame of a long-axis view of the heart from a TEE is suggestive of: (fig)] Calcified aortic and mitral valves An abscess involving mitral-aortic intervalvular fibrosa Normal valves Bioprosthetic valves None Comment . 18. [An intraoperative transesophageal echocardiogram (TEE) revealed mitral regurgitation with the following measurements: regurgitant jet area 4 cm2, PISA radius 0.8 cm at a Nyquist limit of 50 cm/s at a heart rate of 82 beats/min, and arterial blood pressure 80/40mmHg. This represents:] Mild mitral regurgitation (MR) Moderate MR Severe MR None . 19. [The valve indicated by the arrow is: (fig)] Pulmonary valve Aortic valve Tricuspid valve Mirror image artifact of the aortic valve None Comment . 20. [The cause of this patient’s multiple bilateral lung abscesses is: (fig)] Vegetation in superior vena cava (SVC) Tricuspid endocarditis Probable immune deficiency; no vegetation seen on image shown None of the above None Comment . Time's upTime is Up!
