Endocarditis Review Test Flashcards

1
Q

The ability of M mode and two-dimensional echo to visualize vegetations is a useful and significant application of echocardiography

T or F?

A

T

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2
Q

Vegetations have been seen echocardiographically at sites other than on the valves. These sites include:

T or F ?

  1. ANEURYSM OF THE SINUS OF VALSALVA
  2. CALCIFIED MITRAL ANNULUS
  3. INFECTED VENTRICULAR SEPTAL DEFECT
  4. LEFT ATRIAL APPENDAGE
A
  1. TRUE
  2. TRUE
  3. TRUE
  4. FALSE
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3
Q

Valve motion in endocarditis is:

A. ECCENTRIC

B. EXAGGERATED

C. REDUCED

D. NORMAL

A

D

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4
Q

Two -Dimensional echo assists in evaluating the mitral valve in endocarditis by detecting associated:

  1. FLAIL MITRAL VALE LEAFLETS
  2. LEFT ATRIAL THROMBOSIS
  3. RUPTURED CHORDAE TENDINEAE
  4. MITRAL VALVE PROLAPSE
A
  1. TRUE
  2. FALSE
  3. TRUE
  4. FALSE

endocarditis rarely impair valve motion

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5
Q

Predisposing factors for endocarditis of the aortic valve include:

  1. INTRAVENOUS DRUG ABUSE
  2. RHEUMATIC DEFORMITY OF THE VALVE
  3. BICUSPID AORTIC VALVE
  4. CALCIFICATION OF AORTIC CUSPS IN THE ELDERLY
A
  1. FALSE
  2. TRUE
  3. TRUE
  4. TRUE
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6
Q

Imaging of vegetations is best attempted using the two dimensional echo method because it defines:

  1. THE TYPE OF INFECTION
  2. THE SIZE OF THE VEGETATION
  3. THE PATTERN OF MOTION
  4. LOCATION RELATIVE TO OTHER CARDIAC STRUCTURES TRUE
A
  1. FALSE
  2. TRUE *must be >2mm in size for detection
  3. TRUE
    4.
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7
Q

Mitral valve M-mode findings in endocarditis include:

  1. LEAFLET SEPARATION IN SYSTOLE
  2. AN ABNORMAL MASS OF ECHOES ON THE VALVE LEAFLET
  3. UNOBSTRUCTED MOTION OF THE VALE LEAFLETS
  4. ECCENTRIC MOTION FROM BEAT TO BEAT
A
  1. FALSE
  2. TRUE
  3. TRUE
  4. FALSE
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8
Q

Vegetations from endocarditis may:

  1. ERODE AND DISRUPT THE VALE LEAFLETS AND ADJACENT STRUCTURES
  2. OBSTRUCT FLOW THROUGH THE VALVE
  3. DISLODGE, CAUSING PERIPHERAL EMBOLIZATION
  4. DISAPPEAR WITH NO ADVERSE EFFECT
A
  1. TRUE
  2. TRUE
  3. TRUE
  4. FALSE
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9
Q

Complications secondary to endocarditis noted echocardiographically include:

  1. FISTULA
  2. MYXOMA
  3. ANEURYSM
  4. ABSCESS
A
  1. TRUE
  2. FALSE
  3. TRUE
  4. TRUE
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