Welcome to your Echo - CVT- Noninvasive Name Email 1. [In the accompanying image the structure indicated by the arrow is: (fig)] Right pulmonary artery (RPA) Left atrium Aortic arch Right upper pulmonary vein None Comment . 2. [The pulmonary regurgitation signal shown here is indicative of (assuming rightatrial pressure of 15 mmHg): (fig)] Normal pulmonary artery (PA) pressure Mild pulmonary hypertension Moderate pulmonary hypertension None of the above None Comment . 3. [The TR velocity profile shown here is suggestive of: (fig)] Normal PA pressure Mild pulmonary hypertension Severe pulmonary hypertension with good RV function Severe pulmonary hypertension with poor RV function None Comment . 4. [In the above example, the reflected ultrasound will have a frequency of:] 2 002 600 Hz 1 998 700 Hz 1 000 000 Hz 2MHz None . 5. [False-positive wall motion abnormalities are most commonly seen in which of the following myocardial segments?] Posterior basal wall Anterior septum Lateral wall Apex None . 6. [The arrow indicates: (fig)] Pleural effusion Pericardial effusion Pericardial pad of fat Artifact None Comment . 7. [The length of the posterior leaflet attachment to the mitral annulus compared to that of the AML is:] Shorter Longer Same Variable None . 8. [Signs of acute aortic regurgitation include:] Premature mitral valve closure Hyperdynamic LV function Normal left ventricle size All of the above None of the above None . 9. [This image shows a vegetation on the: (fig)] Aortic valve P2 scallop of mitral valve P1 scallop of mitral valve A2 scallop of mitral valve None Comment . 10. [A reduced mitral E-wave propagation velocity indicates:] High LA pressure Increased tau Reduced tau Increased modulus LV chamber stiffness None . 11. [This transmitral flow is obtained from the esophageal transducer location from a patient with Staphylococcus aureus bacteremia and acute hemodynamic decompensation. Patient is in sinus rhythm. The most likely cause of his decompensation is: (fig)] Acute MR Acute AR Rupture of the ventricular septum None of the above None Comment . 12. [The Doppler flow is suggestive of: (fig)] Normal hepatic flow Severe TR Cardiac tamponade Constrictive pericarditis None Comment . 13. [This TEE image is indicative of: (fig)] Left atrial myxoma Right atrial myxoma Lipomatous atrial septum Vegetation of the tricuspid valve None Comment . 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. [The continuous wave signal with a peak velocity of 3.2 m/s shown here is indicativeof: (fig)] Moderate aortic stenosis Moderate pulmonary hypertension Acute severe mitral regurgitation due to papillary muscle rupture None of the above None Comment . 16. [The factor least likely to affect the mitral E/A ratio is:] Tau Modulus of LV chamber stiffness Left atrial pressure LV elastic recoil Cardioversion for atrial fibrillation performed 2 h ago Pulmonary artery pressure None . 17. [The continuous wave Doppler signal shown here is suggestive of: (fig)] Dynamic LV outflow obstruction due to systolic anterior motion (SAM) Critical valvular aortic stenosis (AS) Subvalvular AS due to a membrane Flow in and out of pseudoaneurysm None Comment . 18. [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 . 19. [This patient is likely to have: (fig)] Normal pulmonary artery (PA) flow Pulmonary hypertension approaching systemic pressure Nonsignificant amount of flow from RV to PA None of the above None Comment . 20. [Doppler calculation of aortic valve area is an example of:] Law of conservation of mass Law of conservation of energy Law of conservation of momentum None of the above None . Time's upTime is Up!
