Cardiac CORE - Sheet1 Flashcards

1
Q

most common tumor of the heart

A

met

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2
Q

most common location of myxoma

A

left atrium, off of atrial septum (attach to the fossa ovalis)

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3
Q

2 causes of coronary artery dissection

A

type A aortic or iatrogenic

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4
Q

most common sx of bridging

A

asymptomatic (can cause chest pain)

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5
Q

who develops thrombi in the left atrial appendage

A

Afib

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6
Q

double arch: which is usually dominant?

A

right

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7
Q

most common vascular ring

A

double aortic arch

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8
Q

is double arch associated with congenital heart disease?

A

not usually

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9
Q

most reliable morphologic feature to distinguish true vs. false aneurysm

A

broad (true) vs. narrow (false) neck

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10
Q

when can true apical aneursyms rupture?

A

10 days post-MI

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11
Q

what valve is abnormal with isolated RUL edema?

A

mitral valve (or papillary rupture post-MI)

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12
Q

multifocal nodular mid-myocardial enhancement (2)

A

sarcoidosis or myocarditis

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13
Q

plain film findings of mitral stenosis (4)

A
  1. straightening of the left heart border 2. right double density sign 3. splaying of the carina 4. enlargement of the left atrial appendage.
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14
Q

most common benign cardiac tumor

A

myxoma

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15
Q

Carney syndrome

A

multiple myxomas

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16
Q

Basal cell nevus syndrome is associated with…

A

cardiac fibromas

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17
Q

Enlargement of the main and left PA with a small right PA

A

pulmonary stenosis

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18
Q

What helps differentiate most malignant cardiac masses on MR from a benign thrombus?

A

Increasing signal on first-pass perfusion

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19
Q

most common congenital heart disease

A

bicuspid aortic valve

20
Q

2 findings commonly associated with bicuspid aortic valve

A

cystic medial necrosis and the ascending aorta is often dilated

21
Q

synonym for L-transposition of the great arteries

A

Congenitally corrected transposition of great arteries (misnomer)

22
Q

calcified mitral valve leaflet with severe biatrial dilation in an older patient

A

rheumatic heart disease

23
Q

2 causes for a small, well-defined mass attached to a valve

A

vegetation or papillary fibroelastoma

24
Q

definition of severe coronary artery stenosis (in %)

A

A severe stenosis is defined by a diameter narrowing > 70%, except in the left main coronary artery where a severe stenosis is > 50%

25
Q

Ischemia: top/septum

A

LAD

26
Q

Ischemia: septum/bottom

A

RCA

27
Q

Ischemia: lateral

A

LCX

28
Q

Ischemia: apex

A

LAD

29
Q

scimitar vein is associated with what lung abnormality?

A

hypogenic right lung

30
Q

branches off of the left circumflex, which extend to the inferolateral portion of the left ventricle

A

obtuse marginal branches

31
Q

small foci of low signal within the areas of delayed enhancement s/p MI

A

Microvascular obstruction (poor prognostic indicator)

32
Q

very suggestive of cardiac tamponade

A

concavity of the anterior wall of the right ventricle or collapse of the right atrium

33
Q

most common cause of left ventricular hypertrophy

A

hypertension

34
Q

3-lead defibrillators will have leads in…

A

right atrium, right ventricle, and cardiac vein

35
Q

most common cause of nonischemic dilated cardiomyopathy

A

idiopathic

36
Q

most common total anomalous pulmonary venous return

A

supracardiac

37
Q

CT criteria for pericardial thickening (in mm)

A

pericardium with thickness > 4 mm

38
Q

Most common associated defect seen with aortic coarctation?

A

Biscuspid aortic valve in 50-80%

39
Q

Markedly thickened myocardium with hazy mid-myocardial enhancement

A

hypertrophic cardiomyopathy

40
Q

Which imaging finding is most suggestive of constrictive physiology?

A

Septal bounce that is most pronounced during inspiration

41
Q

leading cause of a restrictive cardiomyopathy in the Western world

A

amyloid

42
Q

single large vessel arising from the ascending aorta to supply the pulmonary arteries

A

type I truncus arteriosus

43
Q

Diffuse subendocardial enhancement (3)

A

amyloid, Loeffler endocarditis, and endomyocardial fibrosis

44
Q

TOF

A
  1. RV hypertrophy 2. VSD 3. overriding aorta 4. right ventricular infundibular or pulmonary stenosis
45
Q

what kind of ASD is associated with right upper lobe partial anomalous pulmonary venous return

A

sinus venosus atrial septal defect

46
Q

most common causes of right ventricular hypertrophy

A

left heart failure and causes of pulmonary hypertension

47
Q

most commonly performed procedure to correct D-transposition

A

Jatene