Welcome to your Echo - CVT- Noninvasive Name Email 1. [This signal shown here is likely to be caused by: (fig)] HOCM Critical valvular aortic stenosis Acute mitral regurgitation (MR) None of the above None Comment . 2. [The apical four-chamber view and subcostal views show: (fig)] Thrombus in the right atrium Tumor invasion of the RA through the IVC Myxoma of the RA Lipomatous hypertrophy of the atrial septum None Comment . 3. [A patient with prosthetic mitral valve no. 29 has a mean diastolic gradient of 10mmHg at a heart rate of 70 beats /min and a pressure half-time of 200 ms. This is consistent with:] Normal prosthetic valve function Prosthetic mitral valve stenosis Severe anemia with high output failure Severe MR None . 4. [This is a still frame of an apical view. The arrow depicts: (fig)] IVC Pulmonary veins Pulmonary artery Systemic venous baffle into the LA None Comment . 5. [This 19-year-old patient was stabbed in the precordial are Examination revealed a loud systolic murmur. The most likely cause of this murmur is: (fig)] Penetrating injury to the interventricular septum Mitral valve prolapse Hypertrophic obstructive cardiomyopathy (HOCM) None of the above None Comment . 6. [In a patient with mitral valve stenosis, the A2–OS interval may be shortened by all of the following except:] Severe mitral stenosis Severe MR Tachycardia Abnormal LV relaxation None . 7. [This patient is most likely to have: (fig)] Acute severe MR Chronic severe MR Severe MS and mild MR None of the above None Comment . 8. [Presence of atrial septal defect (ASD) in a patient with mitral stenosis is likely to do the following to the calculated mitral valve area by the pressure half-time method:] Overestimate the valve area Underestimate the valve area No change None . 9. [The two-dimensional images are produced because of this phenomenon when the ultrasound reaches the tissue:] Refraction Backscatter Specular reflection Transmission None . 10. [The following are indicative of severe mitral regurgitation except:] Systolic flow reversal in the pulmonary veins Regurgitant fraction of >60% Effective regurgitant orifice area of ≥0.4 cm2 Vena contracta diameter of ≥3mm None . 11. [The patient shown here is likely to have: (fig)] Heart failure Intravascular volume depletion with hypotension Right atrial tumor None of the above None Comment . 12. [The amount of tricuspid regurgitation in this patient is: (fig)] Mild Moderate Severe Cannot quantify None Comment . 13. [The response of LV end systolic volume to an increase in LV end systolic wall stress would be:] An increase A decrease No change None . 14. [This flow obtained from the distal aortic arch from the suprasternal notch is indicative of: (fig)] Severe AR Aortic coarctation Severe AS None of the above None Comment . 15. [What is the abnormality seen on this transthoracic echocardiogram? (fig)] Aneurysmal left atrium Partial absence of the pericardium Thoracic aortic aneurysm Loculated pleural effusion None Comment . 16. [A patient with aortic stenosis has an LVOT diameter of 2 cm, LVOT velocity (V1) of 2.5 m/s, transaortic valve velocity (V2) of 5 m/s, and two-dimensional examination showed moderate systolic anterior motion of the mitral leaflet. Valvular aortic stenosis in this patient is:] Mild Moderate Severe Cannot be calculated based on the given data None . 17. [This patient has: (fig)] Prominent Eustachian valve Ostium secundum atrial septal defect (ASD) Ostium primum ASD Sinus venosus ASD None Comment . 18. [This is an end systolic frame in a patient with shortness of breath. The most likelydiagnosis is: (fig)] Ebstein’s anomaly Hypertrophic cardiomyopathy Atrial septal defect Dilated cardiomyopathy None Comment . 19. [This pulse Doppler signal from a TEE image from the patient in question 461 issuggestive of: (fig)] Normal pattern of pulmonary vein pattern Systolic flow reversal in the pulmonary vein suggestive of severe MR Systolic flow reversal in the SVC suggestive of severe TR None of the above None Comment . 20. [With a fixed-focus transducer with crystal diameter 20mm and wavelength 2.5mm, what is the depth of the focus?] 40m 30mm 40mm 4m None . Time's upTime is Up!
