Welcome to your Echo - CVT- Noninvasive Name Email 1. [The most likely mechanism of mitral regurgitation (MR) in this patient is: (fig)] P2 tethering P2 prolapse Bileaflet mitral valve prolapse None of the above None Comment . 2. [This is a still-frame image of an apical long axis image. The image shows: (fig 268)] Normal appearance of the heart Hypertrophy of the septum Apical hypertophic cardiomyopathy Apical thrombus None Comment . 3. [The image shown here is suggestive of: (fig)] Mitral annuloplasty Catheter in the coronary artery Biventricular pacemaker or ICD An artifact None Comment . 4. [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 . 5. [This patient has: (fig)] Prominent Eustachian valve Ostium secundum atrial septal defect (ASD) Ostium primum ASD Sinus venosus ASD None Comment . 6. [In a patient with mixed aortic valve disease, the AVA by the Gorlin equation using Fick cardiac output is likely to be:] Less than by the continuity equation More than by the continuity equation The same by both methods None . 7. [This is a TEE image from the midesophagus of a late diastolic frame of the aortic valve. This patient is most likely to have: (fig)] Severe aortic regurgitation Severe aortic stenosis HOCM Ascending aortic dissection None Comment . 8. [Pulse duration is affected by:] Source of ultrasound Transmission medium Both Neither None . 9. [Which type of aortic valve is least likely to be repairable for correction of severe aortic regurgitation?] Failure of leaflet coaptation due to severely dilated ascending aorta with structurally normal leaflets Bicuspid aortic valve with prolapse of the conjoint cusp Aortic intramural hematoma with extension to the base of right coronary cusp causing it to prolapse Rheumatic aortic valve disease None . 10. [In a patient with old anteroseptal MI with an ejection fraction of 28%, an ischemic MR jet is likely to be:] Central Lateral wall hugging Medial wall hugging None . 11. [A two-chamber view (systolic frame) of the patient is shown in question 460. Thearrow points to a defect in: (fig)] P1 scallop P2, A2 scallops P3 scallops A3 scallop None Comment . 12. [The continuous wave Doppler signal shown here is suggestive of: (fig)] Mixed mitral valve disease with significant mitral stenosis (MS) and mitral regurgitation (MR) Mixed aortic valve disease with significant aortic stenosis (AS) and aortic regurgitation (AR) Combination of AR and MR Ventricular septal defect (VSD) with bidirectional flow None Comment . 13. [This continuous wave Doppler signal is indicative of: (fig)] Acute severe aortic regurgitation (AR) Chronic compensated AR Severe aortic stenosis (AS) Severe mixed mitral valve disease None Comment . 14. [This patient is likely to have: (fig)] Severe LV dysfunction with low cardiac output state Aortic regurgitation HOCM None of the above. None Comment . 15. [The amount of tricuspid regurgitation in this patient is: (fig)] Mild Moderate Severe Cannot quantify None Comment . 16. [This signal was obtained from: (fig)] Apical window Parasternal window Suprasternal window Subcostal window None Comment . 17. [The patient has an LVOT velocity of 1 m/s, TVI of 25 cm, LVOT diameter of 2 cm, aortic transvalvular velocity of 1.5 m/s, heart rate of 70 beats/min, and the cardiac output in this patient is:] 5.5 L 4.5 L 6.3 L Cannot be determined based on the given data None . 18. [A patient with a St. Jude mitral valve no. 29 has a mean diastolic gradient of 3mmHg and a pressure half-time of 70 ms at a heart rate of 70 beats/min. This is consistent with:] Normal prosthetic valve function Prosthetic valve thrombosis Significant pannus growth Severe MR None . 19. [Continuous wave Doppler signal from the tricuspid valve is consistent with: (fig)] Carcinoid syndrome Severe pulmonary hypertension Constriction None of the above None Comment . 20. [The Doppler signals shown here are indicative of: (fig)] Normal LV diastolic function Abnormal LV relaxation with probable elevated left atrial (LA) pressure Abnormal LV relaxation with probably normal LA pressure Advanced restrictive cardiomyopathy None Comment . Time's upTime is Up!
