Endocarditis, Prosthetic Valves, Aort Flashcards

0
Q

MR seen on m-mode is indicative of what type of murmur?

A

Apical holosystolic

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1
Q

Pts w a aortic coArctation commonly have a blood pressure in the legs?

A

Lower than the right arm

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2
Q

All of the following are different types of endocarditis except?

A

Dressler

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3
Q

An m-mode of a mitral heterograft valve resembles an m-mode of which valve?

A

Aortic.

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4
Q

High frequency systolic vibrations on the aortic valve m-mode is consistent w?

A

Normal findings

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5
Q

High risk patients for infective endocarditis include those w?

A

Intravenous drug abuse

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6
Q

Low risk pts for infective endocarditis include those w?

A

Coronary artery disease

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7
Q

If a pt has a star Edwards valve in both the mitral and aortic positions mitral regurg might be best detected from which window ?

A

Subcostal

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8
Q

Coarctation of the aorta is associated w?

A

Bicuspid aortic valve

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9
Q

When using m-mode to interrogate a starr Edwards mitral valve which window would you use?

A

Apical

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10
Q

Which is an example of a mechanical cardiac valve?

A

St Jude bi-leaflet

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11
Q

When red blood cells become damaged as they pass through a mechanical prosthetic valve the pt is said to have?

A

Hemolysis, which is the destruction of red blood cells leading to the release of hemoglobin

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12
Q

Echo findings in endocarditis include?

A

Shaggy appearance on m-mode, of vegetation

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13
Q

Patients w Marfan syndrome will exhibit all of the following except?

A

LVH, is not commonly seen

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14
Q

Low risk patients for infective endocarditis include all the following except ?

A

Prosthetic mitral valve, you are at a high risk w this

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15
Q

In order to be seen by 2d echo, vegetations need to be how big?

A

2-3 mm

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16
Q

All of the following are etiologies for valvular endocarditis except?

A

Pulmonary HTN

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17
Q

The degree of prosthetic valve stenosis depends on all of the following except?

A

Presence of regurg

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18
Q

Patients w lupus will sometimes get what type of endocarditis?

A

Libman-Sachs

19
Q

All of the following are examples of bioprosthetic cardiac valves Except:?

A

Star-Edwards ball valve

20
Q

Echo findings in endocarditis often include all of the following Except:?

A

Eisenmeger syndrome has nothing to do with endocarditis.

21
Q

Which is an example of a bioprosthetic cardiac valve?

A

Ionescu-shiley bovine valve

22
Q

Which type of valve is a St. Jude?

23
Q

All of the following are increased risk factors for valvular endocarditis Except:?

A

Carotid artery stenosis

24
All of the following increase the risk for endocarditis Except:?
Coronary artery disease
25
Patients with endocarditis may present the following symptoms except:?
Angina
26
When using Doppler to interrogate a Starr-Edwards mitral valve, which window would you use?
Apical
27
You are in the ER, a patient had signs & symptoms of aortic dissection. Which modality give you rapid diagnosis?
TEE
28
High frequency systolic vibrations on the aortic valve M-mode is consistent with:?
Normal findings.
29
Which of the following is a known complication of a bioprosthetic heart valve?
Pannus formation
30
All of the following will cause aortic dilatation Except:?
Pulmonary hypertension
31
When red blood cells become damaged as they pass thru a mechanical valv, the PT is said to have:?
Hemolysis
32
A PT presents a 10 yr old ball-gage prosthetic valve in the mitral position with a new perivalvular leak. What might be a cause of this leak
Ring abscess
33
Patients with lupus will sometimes get what type of endocarditis?
Libman-Sachs
34
All of the following will cause aortic dilatation Except:?
Pulmonary hypertension
35
Which is an example of a mechanical valve?
St. Jude
36
The majority of organisms attach to the ___ side of the atrioventricular valves.
Atrial
37
What is a common symptom of a PT with endocarditis?
Fever
38
All of the following are examples of mechanical valves Except:?
Hancock
39
Prosthetic valves are classified as:
Mechanical & bioprosthetic
40
If a PT has a porcine MV, all of the following should be R/O during echo Except:?
Carcinoid heart disease
41
Coarctation of the aorta most often occurs at the:?
Aortic isthmus
42
In endocarditis the veg usually attach on:?
Flow side of valve
43
A vegetation on a valve, need to be how big?
3mm
44
If the PT pulmonic valve, annulus and trunk are excised and relocated to the aortic position, what type of valve do they have?
Autograft
45
All of the following are different types of endocarditis Except:?
Dresslers