Welcome to your Echo - CVT- Noninvasive Name Email 1. [What is the velocity of circumferential fiber shortening (VCF) in a patient with the following measurements: LV end diastolic dimension 50mm, end systolic dimension 33mm, LV ejection time 300 ms.] 1.1 0.9 34 Cannot be calculated None . 2. [The most likely diagnosis in this patient is: (fig)] HOCM Severe aortic stenosis Mitral valve prolapse None of the above None Comment . 3. [Which of the following manipulations will increase the frame rate?] Increase depth Increase transmit frequency Decrease sector angle Increase transmit power None . 4. [This transesophageal echocardiogram (TEE) image is suggestive of: (fig)] Severe AR Hypertrophic obstructive cardiomyopathy (HOCM) Subaortic membranous aortic stenosis None of the above None Comment . 5. [The structure shown by the arrow is: (fig)] Coronary sinus Atrial septal defect (ASD) Superior vena cava Inferior vena cava None Comment . 6. [This is a parasternal long-axis view from a 28-year-old female with c/o shortness of breath. She gives a history of “heart surgery” as a chil The image is suggestive of: (fig)] Normal chamber orientation D-transposition L-TGA Cannot determine None Comment . 7. [Features of Tetralogy of Fallot are all of the following except:] Overriding aorta Nonrestrictive ventricular septal defect (VSD) Pulmonary stenosis Right ventricular (RV) hypertrophy E. Atrial septal defect (ASD) None . 8. [Negative predictive value of stress echo is lowest in this group of patients:] Low probability of CAD Intermediate probability of CAD High probability of CAD Independent of CAD None . 9. [Saline contrast echocardiography is suggestive of: (fig)] Patent foramen ovale (PFO) Pulmonary AV fistula Patent foramen or pulmonary A–V fistula No right-to-left shunting None Comment . 10. [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 . 11. [The arrows point to: (fig)] Coronary sinus branches Coronary artery branches Artifacts produced by tissue motion None of the above None Comment . 12. [The commonest location of this pathology is: (fig)] Proximal ascending aorta Midaortic arch At the attachment of ligamentum arteriosum Junction of thoracic and abdominal aorta None Comment . 13. [For a patient with MR and AR, the following measurements were obtained using echo Doppler: flow across the pulmonary valve 75 cc/beat, flow across the mitral valve 120 cc/beat, flow across the aortic valve 90 cc/beat, TVI of MR signal 90 cm, TVI of AR signal 75 cm. The following statement is accurate in this patient:] MR ERO is 0.5 cm2 and AR ERO is 0.2 cm2 MR ERO is 1.3 cm2 and AR ERO is 1.2 cm2 Cannot be calculated None . 14. [The transthoracic image shown here is indicative of: (fig)] LV apical thrombus Moderator band Rib artifact Ventricular noncompaction None Comment . 15. [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 . 16. [Leaflet calcification in degenerative mitral stenosis is:] More at the tip More at the base Uniform throughout the leaflets None . 17. [A 42-year-old woman presented with complaints of shortness of breath. An echocardiogram was obtaine Dynamic images showed an LV ejection fraction of 50% with abnormal appearance of the apex. Filling pressures were high, valves were normal. She had normal electrocardiogram, comprehensive and complete blood count except an eosinophil count of 20%. The appearance of the LV apex is suggestive of: (fig)] LV apical thrombus LV noncompaction Apical hypertrophic cardiomyopathy Endomyocardial fibrosis None Comment . 18. [Acoustic impedance equals (rayls):] Density in kg/m3 × speed of sound in m/s Density in kg/m3 × transducer frequency in MHz Depth in meters × transducer frequency in MHz None of the above None . 19. [The most common metastatic malignant tumor of the heart is:] Melanoma Lung cancer Breast cancer Renal cancer None . 20. [An abnormal LV relaxation pattern is consistent with:] Mean LA pressure of 10mmHg and LV end diastolic pressure (LVEDP) of 22mmHg Mean LA pressure of 22mmHg and LVEDP of 10mmHg Mean LA pressure of 10mmHg and LVEDP of 12mmHg Mean LA pressure of 28mmHg and LVEDP of 30mmHg Mean LA pressure of 28mmHg and LVEDP of 40mmHg None . Time's upTime is Up!
