Diseases of the Aorta

Question 1

The cardiovascular abnormalities seen in Marfan syndrome include all of the following except:

A. Dilation of the arotic root, sinuses of Valsalva, ascending aorta

B. Aortic dissection

C. Mitral valve prolapse

D. Mitral supravalvular ring

Answer 1

D. Mitral supravalvular ring

Question 2

A possible etiology for aortic aneurysm is:
A. Aortic regurgitation
B. Coronary Artery disease
C. Marfan syndrome
D. Dilated cardiomyopathy

Answer 2

C. Marfan syndrome

Question 3

The most common location for aneurysm of the aorta is the:
A. Ascending aorta
B. Transverse aorta
C. Descending thoracic aorta
D. Abdominal aorta

Answer 3

D. Abdominal aorta

Question 4

Echocardiographic criteria for the diagnosis of aortic dissection include all of the following EXCEPT:
A. Decrease in aortic dimension
B. Recognition of an intimal flap within the aorta
C. Pleural effusion
D. Pericardial effusion

Answer 4

A. Decrease in aortic dimension

Question 5

An intimal flap in the aorta is discovered in the parasternal long-axis view, suprasternal long-axis view of the aorta and subcostal long-axis of the abdominal aorta. The type of aortic dissection is DeBakey type.
A. I
B. II
C.III
D. B

Answer 5

A. I

Question 6

A two-dimensional echo finding for an aortic intimal flap indicates aortic:
A. Aneurysm
B. Dissection
C. Regurgitation
D. Stenosis

Answer 6

B. Dissection

Question 7

Possible complications of aortic dissection include all of the following EXCEPT:
A. Aortic regurgitation
B. Left ventricular inflow tract obstruction
C. Pericardial effusion
D. Progressive enlargement of the aorta

Answer 7

B. Left ventricular inflow tract obstruction

Question 8

A patient with a long-standing history of systemic hypertension is sent to the emergency room after developing chest pain that radiated to the back. The electrogram demonstrated left ventricular hypertrophy and the chest roentgeneogram revealed a widening of the superior mediastinum. A possible diagnosis is:
A. Acute severe mitral regurgitation
B. Aortic dissection
C. Mitral stenosis
D. Pericarditits

Answer 8

B. Aortic dissection

Question 9

The _______ sinus of Valsalva is the most common sinus involved in sinus of Valsalva aneurysm.
A. Right
B. Left
C. Non -Coronay
D. All three are equally involved in sinus of Valsalva aneurysm

Answer 9

A. Right

Question 10

Associated anomalies of sinus of Valsalva aneurysm include all of the following EXCEPT:
A. Atrial septal defect
B. Bicuspid aortic valve
C. Coarctation of the aorta
D. Ventricular septal defect

Answer 10

A. Atrial septal defect

Question 11

Types of supravalvular aortic stenosis include all of the following except: 
A. Hourglasss
B. Tunnel
C. Hypertrophic
D. Dissected

Answer 11

D. Dissected

Question 12

All of the following are true concerning supravalvular aortic stenosis EXCEPT:
A. Left ventricular volume overload
B. Hourglass type associated with Williams syndrome
C. Parasternal long-axis view allows visualization
D. Associated with proximal coronary artery dilation

Answer 12

A. Left ventricular volume overload

Question 13

A membrane stretching from the left side of the interventricular septum to the right side of the anterior leaflet of the mitral valve is called:
A. Discrete subaortic stenosis
B. Hourglass aortic stenosis
C. "Strand" aorta
D.  Aortic dissection

Answer 13

A. Discrete subaortic stenosis