Coronary Vessels (Anatomy and Pathology) [24%]

Question 1

This artery defines the transition from proximal and mid LAD.

Answer 1

Septal perforator 1.

Question 2

Defines the transition between proximal and mid RCA

Answer 2

AV groove and diaphragmatic surface.

Question 3

3 general types of coronary anomalies

Answer 3

Abnormal origin
Abnormal course
Abnormal termination (fistula)

Question 4

5 types of ACAOS

Answer 4

1. Retrocardiac
2. Retroaortic
3. Preaortic
4. Intraseptal (supracristal)
5. Prepulmonary (precardiac)

Question 5

ACAOS. Definition ?

Answer 5

Anomalous Coronary Artery from the Opposite Sinus

Question 6

ALCAPA

Answer 6

Anomalous Coronary Artery from Pulmonary Artery

The direction of flow is reversed in LAD.

Question 7

Sinoatrial Artery

Answer 7

This seems like a good anatomic structure to be pointed to. (need a picture)

Question 8

Coronary Artery aneurysm

Answer 8

This seems like a good anatomic structure.

Like Kawasaki -

Question 9

Myocardial Bridge

Answer 9

This would be a good anatomic picture.

Common. Typically is asymptomatic.

Question 10

coronary artery to PA fistula

Answer 10

This would be a good anatomic picture.

Most people are asymptomatic

Question 11

SIS score with decreased survival

Answer 11

Min et al. 2007 SIS >5.

important thing is that a single plaque is probably not all that bad.

Question 12

In Rixe et al 2006, the stent diameter which was associated with a significantly reduced ability to evaluate the stent lumen ?

Answer 12

<3mm

Question 13

2 huge dilated coronary artery grafts

Answer 13

good anatomic picture to use.

Question 14

lipomatous hypertrophy of interatrial septum

Answer 14

good picture

This is a benign condition

Question 15

Picture of a darkenening in Left atrial appendage in pt with AF. What to do next?

Answer 15

Possible LAA thrombus. PERFORM DELAYED SCAN.

Question 16

Secundum ASD picture

Answer 16

Good anatomic picture to identify.

Question 17

Sinus Venosus ASD

Answer 17

good picture. High up picture, connecting.

Look for Superior or Inferior Sinus Venosus ASD

Question 18

Persistent Ductus Arteriosis

Answer 18

Good anatomic picture.

Question 19

Diastolic phase picture of gap for AI

Answer 19

good anatomic picture

for AI

Question 20

Hockey stick MV

Answer 20

good anatomic picture for mitral stneosis

Question 21

Prosthetic valve showing dehiscence and abscess

Answer 21

good anatomic picture

Question 22

Picture of 4 chamber which looks like MVP

Answer 22

Reformat the data

Tricker - may not see in other views.

Question 23

CTA reports says CADRADS3. What is next step is suggested if any.

Answer 23

Consider functional assessment

Question 24

CADRADS criteria for vulnerable plaque

Answer 24

.1. Low CT density 30 HU

2. Spotty calcification - punctate calc in noncalc lesion
3. Napkin ring sign
4. Positive Remodeling

Question 25

NXT Trial, PPV and NPV of FFR-CT?

Answer 25

65 and 95

Most important is that FFRCT increases Accruracy while maintaining NPV

Question 26

Beam hardening artifact in perfusion image

Answer 26

good image and question.

Clue is next to a HIGH ATTENUATION STRUCTURE (such as spine or descending aorta)

Question 27

Aorta showing Beak Sign of false lumen of dissection

Answer 27

Good picture