Welcome to your Echo - CVT- Noninvasive Name Email 1. [A patient with a mechanical prosthetic mitral valve has gastrointestinal bleeding and the following measurements were obtained: diastolic mean gradient 11mmHg, peak gradient 16mmHg, pressure half-time 65 ms, heart rate 114/min. This increased gradient is likely to be:] Likely normal Likely abnormal Cannot comment None . 2. [This TEE performed on a patient who presented with acute severe chest pain isindicative of: (fig)] Type A aortic dissection Type B aortic dissection A mirror image artifact originating from the right pulmonary artery Abnormal structure of the aortic valve None Comment . 3. [Apical two-chamber view is likely to show the following mitral leaflet segments:] P1A2P3 A2P2 A3P1 A1P1 None . 4. [This patient has: (fig)] Aortic stenosis Normal opening trileaflet aortic valve Bicuspid aortic valve that opens well Unicommissural aortic valve None Comment . 5. [Mitral flow profile shown here is suggestive of: (fig)] Normal LV diastolic function Abnormal relaxation Pseudonormal pattern Restrictive pattern None Comment . 6. [The numbers 1, 2, and 3 denote the following cusps of the aortic valve: (fig)] Non, left, right coronary cusps Left, right, non-coronary cusps Right, left, non-coronary cusps Non-coronary, right, left cusps None Comment . 7. [The arrow points to (DTA = descending thoracic aorta): (fig)] Aortic aneurysm Inferior vena cava Dilated azygos vein Mirror image artifact None Comment . 8. [Principal determinants of LV end systolic circumferential wall stress include all of the following except:] Left ventricular (LV) end systolic dimension Left ventricular (LV) end systolic pressure Left ventricular (LV) systolic wall thickness Left ventricular (LV) pressure at mitral valve closure None . 9. [The most common location of a left atrial thrombus is:] Left atrial appendage Body Atrial septum Atrial roof None . 10. [The origin of the dissection is from: (fig)] Above the left coronary cusp Above the right coronary cusp Above the noncoronary cusp None of the above None Comment . 11. [The Doppler signal is indicative of: (fig)] Significant mixed aortic valve disease Significant mixed mitral valve disease Significant mixed tricuspid valve disease Hypertrophic obstructive cardiomyopathy None Comment . 12. [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 . 13. [Doppler signals from the myocardium, compared with those from the blood pool, display:] Lower velocity Greater amplitude Both of the above None of the above None . 14. [Type of sound used in medical imaging is:] Ultrasound Infrasound Audible sound None . 15. [A23-year-old female presents with complaints of sudden onset of severe shortness of breath. She gives remote history of skin rash. Her labs indicate a eosinophil count of 20%. The most likely diagnosis is: (fig)] Constrictive pericarditis Eosinophilic myocarditis Giant cell myocarditis None Comment . 16. [A 32-year-old female has a history of SLE. She was admitted with complaints of severe shortness of breath. A systolic frame of a four-chamber view is shown. The image shows: (fig)] Libman Sach’s endocarditis Bacterial endocarditis Post inflammatory changes of the mitral valve Normal mitral valve None Comment . 17. [This is a TEE image of a four-chamber view from a 32-year-old male patient. Whatis the abnormality note(fig)] D-TGA L-TGA Dextrocardia Normal heart None Comment . 18. [The following condition causes a reduction in the acceleration time of pulmonary arterial flow:] Pulmonary stenosis Pulmonary hypertension Dilated pulmonary artery Right ventricular (RV) dysfunction None . 19. [The factor least likely to diminish mitral A-wave amplitude is:] Recent cardioversion Myopathic left atrium An acute rise in LV end diastolic pressure Severe aortic stenosis with mild LV hypertrophy and normal LV ejection None . 20. [Flow resistance decreases with an increase in:] Vessel length Vessel radius Blood viscosity None of the above None . Time's upTime is Up!
