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Davies Review > Questioks Ive Gotten Wrong > Flashcards

Questioks Ive Gotten Wrong Flashcards

1
Q

What can the systemic lupus process cause with the heart?

A

Valve disease (valvuitis)

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2
Q

A AR pressure of greater than____ suggests Mild AR

A

500msec

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3
Q

The Austin flint murmur is associated with which valve?

A

Aortic

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4
Q

_____ Pulse presses are associated with AR

A

Wide

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5
Q

What are pulse pressures?

A

The difference between the systolic and diastolic

Systolic BP - Diastolic BP = pulse pressure

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6
Q

Breathless, palpatIons and fatigue are associated with what type of regurgitation?

A

Aortic?

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7
Q

A long decrescendo diastolic murmur at the left sternal border is associated with?

A

Aortic Regur

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8
Q

A systolic ejection murmur at the left eternal border is associated with?

A

Aortic regur

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9
Q

The most common cause of aortic stenosis in adults over 65 is?

A

Aortic sclerosis

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10
Q

What calculation do you use to calculate the Doppler gradient?

A

Simplified Bernoulli
P= 4v^2

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11
Q

There’s a calcified aortic with an aortic valve velocity of 5.0msec. Please calculate the gradient across the valve.

A

100mmhg

P= 4V^2
P= 4 (5.0) ^2

Steps:

  1. Square the 5.0
  2. 4 times 5
  3. You get your answer
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12
Q

There’s a calcified aortic valve with an aortic valve velocity of 5.0m/sec. Calculate the Doppler velocity.

A

100mmHg

Steps:
P= 4(5.0)^2

Square the 5. Then multiply 5 by 4. You get 100

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13
Q

In a normal non-athlete adult, bradycardia is defined as a heart rate of less then____?

A

60 bpm

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14
Q

A 55 year old male or has a hx of smoking and has hematuria. Echo shows a mass extension from the IVC into the RA. You suspect the primary tumor to be?

A

Renal Cell Cancer

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15
Q

A 24 year old female pt presents to an adult echo with history of a tricuspid atresia repair when she was an infant. What surgery would this be?

A

Fontan procedure.

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16
Q

The Fontan procedure is a procedure to repair?

A

Tricuspid Atresia

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17
Q

With the Fontan procedure the ____ is connected to the _____

A

IVC is connected to the Pulmonary Artery

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18
Q

The most common cause of a murmur post MI is?

A

Mitral Regur

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19
Q

MR is thought to occur due to ventricular wall & papillary muscle rupture dysfunction post ____.

A

MI

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20
Q

In AP2 the basal and mid inferior segments appear dyskinetic. Which blood vessel is most likely to have a hemodynamically significant lesion?

A

RCA

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21
Q

True or false- Hyperactivity is A clinical presentation of MR

A

False

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22
Q

TRUE OR FALSE- Palpitations is a clinical presentation of MR

A

True

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23
Q

In what cardiac cycle does MR leak back into the LA?

A

Systole

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24
Q

What murmur is associated with MR?

A

Apical holosystolic murmur radiating to the axilla

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25
Q

Apical holosystolic murmur radiating to the axilla is associated with what pathology?

A

MR

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26
Q

S3 Gallop is a sound associated with what pathology?

A

MR

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27
Q

A cardiac layer that is contiguous with the epicardial surface of the heart?

A

Visceral layer

28
Q

A Opening Snap sound implies?

A

Severe Mitral Stenosis or Tricuspid Valve stenosis

29
Q

The presence of a loculated pericardial effusion may require?

A

Lab testing of the pericardial fluid

30
Q

The atrial septal bounce seen on echo with constrictive pericarditis occurs with?

A

Inspiration

31
Q

In patients with HOCM, one could utilize M-mode to evaluate the aortic valve for?

A

A partial closure of the aortic valve at mid systole

32
Q

Tricuspid Atresia is typically followed by 3 surgeries. Name them in order.

A
  1. Balock-Taussig shunt
  2. Bi-directional Glenn
  3. Fontan Procedure
33
Q

The Blalock Taussig shunt allows the right _____ artery to communicate with the ____ artery.

A

Subclavian
Pulmonary

34
Q

With the Bi-directional Glenn procedure the _____ is anastomosed to the ____artery.

A

SVC
Pulmonary artery

35
Q

Which surgery is the final stage is repairing tricuspid Atresia ?

Balock Taussig shunt, Bidirectional Glenn procedure, Fontan procedure.

A

Fontan procedure

36
Q

The TV is located more than 1.0 cm inferior to the mitral valve. What pathology is this?

A

Ebsteins

37
Q

What measurement and TV placement indicates Ebstiens?

A

If the TV is >1cm inferior to the MV

38
Q

What anomaly is a congenital defect where the TV is inferiorly displaced from the annulus ti the RV.

A

Ebstiens

39
Q

True or false - Ebstiens is not associated with supraventricular tachycardia

A

False

40
Q

Clubbing, helatomegaly, and mild to severe cyanosis is associated with?

A

Ebsteiens

41
Q

Diagnosis of ebsteins is associated with displacement of the ____ tricuspid valve leaflet by ___cm/m BSA

A

Septal
>0.8

42
Q

What syndrome is commonly associated with coarctation of the aorta?

A

Turner syndrome

43
Q

What heart defect is associated with turner syndrome ?

A

Coarctation of the aorta

44
Q

Dilation of the aortic root is associated with what syndrome?

A

Marfans

45
Q

Dissection and AI is associated with that pathology?

A

Marfans

46
Q

Dissection and AI is associated with that pathology?

A

Marfans

47
Q

MVP & MR is associated with what syndrome?

A

Marfans

48
Q

About ___% of kids born with ____ will have congenital defects

A

90
Edward’s syndrome (trisomy 18)

49
Q

What procedure is performed to correct transposition of the great arteries?

A

Jatene procedure ( also known as the arterial switch operation?

50
Q

Jatene procedure is also known as?

A

arterial switch operation

51
Q

The arterial switch operation is also known as?

A

The Jatene procedure

52
Q

True or false - Dissections are a complication associated with prosthetic valves.

A

False

53
Q

What is the Alfieri procedure?

A

A procedure to treat MR in which a double orifice is created

54
Q

A procedure to treat MR in which a double orifice is created is called?

A

Alfieri procedure

55
Q

True or false- clinical signs of clubbing of the digits is associated with systemic hypertension

A

False

56
Q

True or false- morning occipital headaches are associated with systemic hypertension

A

True

57
Q

True or false- blurred vision is associated with systemic hypertension

A

True

58
Q

What is the normal aortic valve annulus diameter?

A

21.-2.9cm

59
Q

The peak aortic gradient calculated by echo correlates best with which cath lab measurement?

A

Peak instantaneous gradient

60
Q

Constrictive physiology can present itself with a mitral valve inflow Doppler that demonstrates an increase in the ____ velocity during expiration greater than ___%.

A

E, 25%

61
Q

What physiology can present itself with a mitral valve inflow Doppler that demonstrates an increase in the E velocity during expiration greater than 25%

A

Constrictive physiology

62
Q

Decreased mitral velocity with _____is consistent with ?

A

Inspiration, Constriction

63
Q

An atrial volume index of 50mL in a female pt is?

A

Severely abnormal

64
Q

The normal LA volume for a female of is ?

A

16-35ml/min

65
Q

A LA volume for a female pt of 16-34ml/min is?

A

Normal

66
Q

The E wave on the Mitral valve m-mode
Represents?

  1. atrial contraction
  2. Ventricular contraction
  3. Early diastolic filling
  4. IVRT
A

3.

67
Q

The normal MV annulus diameter is?
1. 1.8-2.4cm
2. 4-6 cm
3. 3-3.5 cm
4. 1.1-1.7 cm

A

3.

Davies Review (2 decks)

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