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Echo 500 cards > Cardiomypathies > Flashcards

Cardiomypathies Flashcards

1
Q 
Functional classifications of cardiomyopathy include all the following EXCEPT
A. Dilated
B. Hypertrophic
C. Non-dilated
D. Restrictive
A

C. Non-dilated

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2
Q 
A more appropriate name for idiopathic hypertrophic cardiomyopathy (IHSS) is:
A. Aortic tunnel disease
B. Discreate subaortic stenosis (DSS)
C. Hypertrophic cardiomyopathy
D. Subaortic hourglass deformity (SHD)
A

C. Hypertrophic cardiomyopathy

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3
Q

M-mode findings associated with hypertrophic cardiomyopathy include all the following EXCEPT:
A. Asymmetrical septal hypertrophy
B. Mid-systolic notching of the aortic valve
C. Mid-systolic notching of the pulmonary valve
D. Systolic anterior motion of of the mitral valve

A

C. Mid-systolic notching of the pulmonary valve

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4
Q 
The mitral valve finding most strongly associated with hypertrophic obstructive cardiomyopathy is mitral valve:
A. Aneurysm
B. Systolic anterior motion
C. Fenestration
D. Flail leaflet
A

Systolic Anterior Motion (SAM)

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5
Q 
A hallmark M-mode aortic valve finding in patients with hypertrophic obstructive cardiomyopathy is aortic valve:
A. Diastolic flutter
B. Fine systolic flutter
C. Mid-systolic notching
D. Vegetation
A

C. Mid-systolic notching

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6
Q

Common two-dimension echo findings in hypertrophic obstructive cardiomyopathy include all of the following EXCEPT:
A. Asymmetrical interventricular septal hypertrophy
B. Systolic anterior motion of the mitral valve
C. Left atrial enlargement
D. Left ventricular enlargement

A

D. Left ventricular enlargement

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7
Q 
A speckled or ground glass appearance of the interventricular septum seen on two-dimensional echo is found in:
A. Constrictive pericarditis
B. Mitral stenosis
C. Dilated cardiomyopathy
D. Hypertrophic cardiomyopathy
A

D. Hypertrophic cardiomyopathy

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8
Q

Pulsed-wave Doppler and color flow Doppler are useful in hypertrophic cardiomyopathy in all of the following ways EXCEPT:
A. Aid in guiding the continuous-wave Doppler beam
B. Determine the presence and severity of mitral regurgitation
C. Help distinguish left ventricular outflow tract flow from mitral regurgitation
D. Quantitate the severity of the left ventricular outflow tract obstruction

A

D. Quantitate the severity of the left ventricular outflow tract

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9
Q

A systolic high velocity, late peaking, dagger-shapped continuous-wave Doppler signal is obtained. The most likely diagnosis is:
A. Hypertrophic obstructive cardiomyopathy
B. Mitral regurgitation
C. Tricuspid regurgitation
D. Valvular aortic stenosis

A

A. Hypertrophic obstructive cardiomyopathy

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10
Q 
All of the following maneuvers may induce or enhance the obstruction in hypertrophic cardiomyopathy EXCEPT:
A. Supine to standing
B. Valsalva maneuver
C. Inhalation of amyl nitrat
D. Leg raising
A

D. Leg raising

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11
Q 
The pulsed-wave Doppler mitral flow pattern most often associated with hypertrophic cardiomyopathy is grade: 
A. I
B. II
C. III
D. IV
A

A. I

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12
Q

All of the following are considered possible pharmacologic treatment for hypertrophic obstructive cardiomyopathy EXCEPT:
A. Beta-blockers
B. Calcium-channel blocker (e.g. Verapamil)
C. Disopyramide
D. Digitalis

A

D. Digitalis

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13
Q 
All of the following may be used to treat hypertrophic obstructive cardiomyopathy EXCEPT:
A. Septal myectomy
B. Dual chamber pacemaker
C. Alcohol-induced septal ablation
D. Aspirin
A

D. Aspirin

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14
Q 
The cardiomyopathy described as presenting with four chamber enlargement with poor global ventricular systolic function is:
A. Dilated
B. Hypertrophic
C. Restrictive 
D. Uhl's
A

A. Dilated

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15
Q

Characteristic findings in patients with dilated cardiomyopathy include all of the following EXCEPT
A. Asymmetric septal hypertrophy
B. Dilated, poorly contracting left ventricle
C. Low cardiac output
D. Increased intracardiac pressures

A

A. Asymmetric septal hypertrophy

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16
Q 
Echocardiographic findings in dilated cardiomypathy include all of the following EXCEPT:
A. Apical mural thrombus
B. Dilated ventricular cavities
C. Enlarged atrial cavities
D. Preserved ejection fraction
A

D. Preserved ejection fraction

17
Q

A common mitral valve finding in dilated cardiomyopathy in two-dimensional echocardiography is:
A. Decreased E-septal seperation
B. Reversed diastolic doming
C. Incomplete closure of the mitral valve
D. Premature closure of the mitral valve

A

C. Incomplete closure of the mitral valve

18
Q 
A common late complication associated with dilated cardiomyopathy is:
A. Infective endocarditis
B. Mitral regurgitation
C. Systemic emboli
D. Ventricular gallop
A

C. Systemic emboli

19
Q 
The most common regurgitation found in patients with dilated cardiomyopathy is:
A. Aortic regurgitation 
B. Mitral regurgitation 
C. Pulmonary regurgitation 
D. Tricuspid regurgitation
A

B. Mitral regurgitation

20
Q 
Early in the disease stage the usual pulse-wave Doppler flow of the mitral valve in patients with dilated cardiomyopathy demonstrates a Grade:
A. I
B. II
C. III
D. IV
21
Q 
Possible causes of restrictive cardiomyopathy include all the following EXCEPT:
A. Alcohol
B. Amyloidosis
C. Hemocharmatosis
D. Sarcoidosis
A

A. Alcohol

22
Q 
The echocardiographic features of amyloidosis include all of the following EXCEPT:
A. Dilation of the ascending aorta
B. Increased ventricular wall thickness
C. Multivalvular regurgitation
D. Pericardial effusion
A

A. Dilation of the ascending aorta

23
Q

The cardiomyopathy with which cardiac hemochromatosis is most commonly associated with is:
A. Dilated
B. Hypertrophic
C. Idiopathic
D. Arrythmogenic right ventricular cardiomyopathy

A

A. Dilated

24
Q

Possible echocardiographic findings for sarcoid heart disease include:
A. Asymmetric septal hypertrophy
B. Concentric left ventricular hypertrophy
C. Dilation of the ascending aorta
D. Inferobasal aneurysm

A

D. Inferobasal aneurysm

25
Q 
The primary cause of endomyocardial fibrosis is:
A. Intervenous drug abuse
B. Chemotherapy
C. Hypereosinophilia
D. Alcohol
A

C. Hypereosinophilia

26
Q 
The progressive replacement of right ventricular myocardium with fatty and fibrous tissue is called:
A. HCM
B. ARVC
C. IHSS
D. DSS
A

B. ARVC
Arrythmogenic right ventricular cardiomyopathy( ARVC)
AKA ARVD(dysplasia)

27
Q 
Persistent intramyocardial sinusoids located in the left ventricle are found in:
A. Dilated cardiomyopathy
B. Hypertrophic cardiomyopathy
C. Restrictive cardiomyopathy
D. Noncompact cardiomyopathy
A

D. Noncompact cardiomyopathy

28
Q

The cardiac involvement associated with acquired immunodeficiency syndrome (AIDS) is:

A. Dilated cardiomyopathy
B. Hypertrophic cardiomyopathy
C. Restrictive cardiomyopathy
D. Arrythmogenic right ventricular cardiomyopathy

A

A. Dilated cardiomyopathy

Echo 500 cards (11 decks)

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