Welcome to your Echo - CVT- Noninvasive Name Email 1. [What type of flow was recorded from the mid-esophageal position? (fig)] Mitral flow Pulmonary vein flow Superior vena cava flow Flow across ASD None Comment . 2. [This still-frame image of a four-chamber view shows: (fig)] Secundum atrial septal defect Primum atrial septal defect Sinus venosus atrial septal defect None of the above None Comment . 3. [The following statements are true of the Doppler signal shown here: (fig)] The patient may have severe valvular aortic stenosis The patient may have severe systolic anterior motion (SAM) Patient may have severe MR None of the above None Comment . 4. [This is a mid esophageal view from the patient in question 455. The most likelydiagnosis is: (fig)] Aortic rupture Dissection Artifact None of the above None Comment . 5. [The image of IVC from the above patient is suggestive of: (fig)] Normal RA pressure Low RA pressure Elevated RA pressure None Comment . 6. [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 . 7. [The patient may have all of the following except: (fig)] Atrial septal defect Wolf–Parkinson–White syndrome Tricuspid regurgitation Bicuspid aortic valve None Comment . 8. [Atrial septal aneurysm may be associated with:] Patent foramen ovale Atrial arrythmias Increased stroke risk All of the above None of the above None . 9. [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 . 10. [This 31-year-old woman with no other medical history had two episodes of transientischemic cerebral attacks, the first one after a long duration of air travel and the second one during straining in the restroom. The most likely cause of this patient’s attacks is: (fig)] Paradoxical embolism Vagally mediated atrial fibrillation Left atrial thrombus None of the above None Comment . 11. [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 . 12. [Normal pulmonary vein D-wave deceleration in an adult is:] 50–100 ms 100–170 ms 170–260 ms Highly variable None . 13. [When using a fixed-focus probe this parameter cannot be changed by the sonographer:] Pulse repetition period Pulse repetition frequency Amplitude Wavelength None . 14. [This signal was obtained from: (fig)] Apical window Parasternal window Suprasternal window Subcostal window None Comment . 15. [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 . 16. [A patient with old inferior wall myocardial infarction (MI) has severe MR with a posterolaterally directed jet in the left atrium. The most likely cause of MR in this patient is:] A.Flail posterior leaflet Dilated mitral annulus Tented or apically tethered posterior mitral leaflet Tented or apically tethered anterior mitral leaflet None . 17. [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 . 18. [The Doppler shift produced by an object moving at a speed of 1 m/s toward the transducer emitting ultrasound at 2MHz would be:] 2.6 kHz 1.3 kHz 1MHz 200 Hz None . 19. [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 . 20. [Apical two-chamber view is likely to show the following mitral leaflet segments:] P1A2P3 A2P2 A3P1 A1P1 None . Time's upTime is Up!
