Midterm Review

Question 1

You are asked to perform an echo on a cyanotic newborn and this is the PLAX you see upon setting your probe down. How will you differentiate the great arteries to identify them and which great artery do you expect to see anteriorly?

Answer 1

Angle to locate the RCA from the Ao and the PA bifurcation/branch PAs from the PA. Expectation is the Ao will be anterior in this image

Question 2

A possible complication of aortic dissection is?

Answer 2

Pericardial effusion

(not chronic aortic regurg)

Question 3

A PDA (early in the disease phase) may cause dilation of?

Answer 3

LA + LV

Question 4

Which of the following is the correct statement regarding the cine above? View is AP4

Answer 4

RV systolic function is normal + LV systolic function is abnormal with an anterolateral wall motion abnormality

Question 5

When observing patterns of paradoxical ventricular septal motion, in which cardiac disorder would you observe a leftward shift of septal motion throughout the cardiac cycle resulting in a D-shaped LV?

Answer 5

RV pressure overload

(not volume overload)

Question 6

At the PSAX level when scanning a pt with suspected congenital heart disease, you notice that the PA is anterior to the Ao and branches off to the pt’s right. Which type of congenital heart disease does this pt have?

Answer 6

Mirror image dextrocardia