Endocarditis Review Test Flashcards
The ability of M mode and two-dimensional echo to visualize vegetations is a useful and significant application of echocardiography
T or F?
T
Vegetations have been seen echocardiographically at sites other than on the valves. These sites include:
T or F ?
- ANEURYSM OF THE SINUS OF VALSALVA
- CALCIFIED MITRAL ANNULUS
- INFECTED VENTRICULAR SEPTAL DEFECT
- LEFT ATRIAL APPENDAGE
- TRUE
- TRUE
- TRUE
- FALSE
Valve motion in endocarditis is:
A. ECCENTRIC
B. EXAGGERATED
C. REDUCED
D. NORMAL
D
Two -Dimensional echo assists in evaluating the mitral valve in endocarditis by detecting associated:
- FLAIL MITRAL VALE LEAFLETS
- LEFT ATRIAL THROMBOSIS
- RUPTURED CHORDAE TENDINEAE
- MITRAL VALVE PROLAPSE
- TRUE
- FALSE
- TRUE
- FALSE
endocarditis rarely impair valve motion
Predisposing factors for endocarditis of the aortic valve include:
- INTRAVENOUS DRUG ABUSE
- RHEUMATIC DEFORMITY OF THE VALVE
- BICUSPID AORTIC VALVE
- CALCIFICATION OF AORTIC CUSPS IN THE ELDERLY
- FALSE
- TRUE
- TRUE
- TRUE
Imaging of vegetations is best attempted using the two dimensional echo method because it defines:
- THE TYPE OF INFECTION
- THE SIZE OF THE VEGETATION
- THE PATTERN OF MOTION
- LOCATION RELATIVE TO OTHER CARDIAC STRUCTURES TRUE
- FALSE
- TRUE *must be >2mm in size for detection
- TRUE
4.
Mitral valve M-mode findings in endocarditis include:
- LEAFLET SEPARATION IN SYSTOLE
- AN ABNORMAL MASS OF ECHOES ON THE VALVE LEAFLET
- UNOBSTRUCTED MOTION OF THE VALE LEAFLETS
- ECCENTRIC MOTION FROM BEAT TO BEAT
- FALSE
- TRUE
- TRUE
- FALSE
Vegetations from endocarditis may:
- ERODE AND DISRUPT THE VALE LEAFLETS AND ADJACENT STRUCTURES
- OBSTRUCT FLOW THROUGH THE VALVE
- DISLODGE, CAUSING PERIPHERAL EMBOLIZATION
- DISAPPEAR WITH NO ADVERSE EFFECT
- TRUE
- TRUE
- TRUE
- FALSE
Complications secondary to endocarditis noted echocardiographically include:
- FISTULA
- MYXOMA
- ANEURYSM
- ABSCESS
- TRUE
- FALSE
- TRUE
- TRUE