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Cardiac Theory Echo 500 > Systemic and Pulmonary HTN and Cardiomyopathies > Flashcards

Systemic and Pulmonary HTN and Cardiomyopathies Flashcards

1
Q 
The MV most strongly associated with hypertrophic obstructive cardiomyopathy is mitral valve:
A. Aneurysm
B. Flail leaflet
C. Fenestration 
D. Systolic anterior motion
A

D. Systolic anterior motion

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2
Q 
Characteristic findings in patients with dilated cardiomyopathy include all of the following EXCEPT:
A. Dilated, poorly contracting LV
B. Increased intracardiac pressures
C. Asymmetric septal hypertrophy
D. Low cardiac output
A

C. Asymmetric septal hypertrophy

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3
Q 
The progressive replacement of RV myocardium with fatty and fibrous tissue is called:
A. ARVC
B. DSS
C. IHSS
D. HCM
A

A. ARVC

Arrhythmogenic RV cardiomyopathy

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4
Q

PW Doppler and Color flow are useful in hypertrophic cardiomyopathy in all of the following ways EXCEPT:
A. Quantifying the severity of the LVOT obstruction
B. Determine the presence and severity of MR
C. Help distinguish LVOT flow from MR
D. Aid in guiding the CW doppler beam

A

A. Quantifying the severity of the LVOT obstruction

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5
Q 
The primary cause of endomyocardial fibrosis is:
A. Chemotherapy
B. Hypereosinophilia
C. IV drug abuse
D. Alcohol
A

B. Hypereosinophilia

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6
Q 
All of the following may be used to treat hypertrophic obstructive cardiomyopathy EXCEPT:
A. Dual chamber pacemaker
B. Asprin
C. Alcohol-induced septal ablation
D. Septal myectomy
A

B. Asprin

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7
Q 
A hallmark M-Mode AV finding in patients with hypertrophic obstructive cardiomyopathy is AV:
A. Vegetation
B. Mid-systolic notching
C. Fine systolic flutter
D. Diastolic flutter
A

B. Mid-systolic notching

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8
Q 
The most common regurgitation found in patients with dilated cardiomyopathy is:
A. Tricuspid regurgitation 
B. Mitral regurgitation
C. Aortic regurgitation
D. Pulmonary regurgitation
A

B. Mitral regurgitation

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9
Q 
The PW doppler mitral flow pattern most often associated with hypertrophic cardiomyopathy is grade:
A. IV
B. I
C. III
D. II
A

B. I

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10
Q 
A common late complication associated with dilated cardiomyopathy is:
A. infective endocarditis
B. Systemic emboli
C. Mitral regurgitation
D. Ventricular gallop
A

B. Systemic emboli

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11
Q

A systolic high-velocity, late-peaking, dagger-shaped CW doppler signal is obtained. The most likely diagnosis is:
A. TR
B. Valvular aortic stenosis
C. Hypertrophic obstructive cardiomyopathy
D. MR

A

C. Hypertrophic obstructive cardiomyopathy

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12
Q 
All of the following maneuvers may induce or enhance the obstruction in hypertrophic cardiomyopathy EXCEPT:
A. Leg raising
B. Supine to standing
C. Valsalva maneuver
D. Inhalation of amyl nitrate
A

A. Leg raising

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13
Q 
Early in the disease stage the usual PW doppler flow if the MV in patients with dilated cardiomyopathy demonstrates a Grade:
A. IV
B. II
C. III
D. I
A

D. I

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14
Q 
Persistent intramyocardial sinusoids located in the LV are found in:
A. restrictive cardiomyopathy
B. Noncompaction cardiomyopathy
C. Dilated cardiomyopathy
D. Hypertrophic cardiomyopathy
A

B. Noncompaction cardiomyopathy

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15
Q 
The cardiomyopathy with which cardiac hemochromatosis is most commonly associated with is:
A. Dilated
B. Arrhythmogenic RV cardiomyopathy
C. Idiopathic
D. Hypertrophic
A

A. Dilated

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16
Q

Common 2D echo findings in hypertrophic obstructive cardiomyopathy include all of the following EXCEPT:
A. systolic anterior motion of the mitral valve
B. left ventricular enlargement
C. left atrial enlargement
D. Asymmetric interventricular septal hypertrophy

A

B. Left ventricular enlargement

17
Q 
The more appropriate name for idiopathic hypertrophic cardiomyopathy (IHSS) is:
A. Discrete subaortic stenosis (DSS)
B. Aortic tunnel disease (ATD)
C. Hypertrophic cardiomyopathy
D. Subaortic hourglass deformity
A

C. Hypertrophic cardiomyopathy

18
Q

Possible echo findings for sarcoid heart disease include:
A. Concentric left ventricular hypertrophy
B. Infero-basal aneurysm
C. Asymmetric septal hypertrophy
D. Dilatation of the ascending aorta

A

B. Infero-basal aneurysm

19
Q 
Functional classifications of cardiomyopathy include all of the following EXCEPT:
A. Restrictive
B. Non-dilated
C. Dilated
D. Hypertrophic
A

B. Non-dilated

20
Q 
M-mode findings associated with hypertrophic cardiomyopathy include all of the following EXCEPT:
A. asymmetric septal hypertrophy (ASH)
B. mid-systolic notching of the AV
C. mid-systolic notching of the PV
D. systolic anterior motion of the MV
A

C. mid-systolic notching of the PV

21
Q 
Possible causes of restrictive cardiomyopathy include all of the following EXCEPT:
A. Alcohol
B. Amyloidosis
C. Hemochromatosis
D. Sarcoidosis
A

A. Alcohol

22
Q 
Echocardiographic findings in dilated cardiomyopathy include all of the following EXCEPT:
A. preserved ejection fraction
B. enlarged atrial cavities
C. Dilated ventricular cavities 
D. apical mural thrombus
A

A. preserved ejection fraction

23
Q 
The cardiac involvement associated with acquired immunodeficiency syndrome (AIDS) is:
A. Dilated cardiomyopathy
B. Restrictive cardiomyopathy
C. Hypertrophic cardiomyopathy
D. Arrhythmogenic RV cardiomyopathy
A

A. Dilated cardiomyopathy

24
Q

A common mitral valve finding in dilated cardiomyopathy in 2D echocardiography is:
A. Reversed diastolic doming
B. Decreased E-septal separation
C. Incomplete closure of the mitral valve
D. Premature closure of the mitral valve

A

C. Incomplete closure of the mitral valve

25
Q 
The cardiomyopathy described as presenting with four-chamber enlargement with poor global ventricular systolic function is:
A. Hypertrophic
B. Restrictive
C. Uhl's
D. Dilated
A

D. DIlated

26
Q

All of the following are considered possible pharmacologic treatment for hypertrophic obstructive cardiomyopathy EXCEPT:
A. Beta-blockers
B. Digitalis
C. Calcium-channel blocker (e.g. verapamil)
D. Disopyramide

A

B. Digitalis

27
Q 
A speckled or ground-glass appearance of the interventricular septum on 2D echocardiography is found is:
A. Constrictive pericarditis
B. Mitral stenosis
C. Hypertrophic cardiomyopathy
D. Dilated cardiomyopathy
A

C. Hypertrophic cardiomyopathy

28
Q 
The echocardiographic features of amyloidosis include all of the following EXCEPT:
A. Multivalvular regurgitation
B. Pericardial effusion
C. Increased ventricular wall thickness
D. Dilatation of the ascending aorta
A

D. Dilatation of the ascending aorta

Cardiac Theory Echo 500 (7 decks)

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