Systemic and Pulmonary HTN and Cardiomyopathies Flashcards
The MV most strongly associated with hypertrophic obstructive cardiomyopathy is mitral valve: A. Aneurysm B. Flail leaflet C. Fenestration D. Systolic anterior motion
D. Systolic anterior motion
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
C. Asymmetric septal hypertrophy
The progressive replacement of RV myocardium with fatty and fibrous tissue is called: A. ARVC B. DSS C. IHSS D. HCM
A. ARVC
Arrhythmogenic RV cardiomyopathy
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. Quantifying the severity of the LVOT obstruction
The primary cause of endomyocardial fibrosis is: A. Chemotherapy B. Hypereosinophilia C. IV drug abuse D. Alcohol
B. Hypereosinophilia
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
B. Asprin
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
B. Mid-systolic notching
The most common regurgitation found in patients with dilated cardiomyopathy is: A. Tricuspid regurgitation B. Mitral regurgitation C. Aortic regurgitation D. Pulmonary regurgitation
B. Mitral regurgitation
The PW doppler mitral flow pattern most often associated with hypertrophic cardiomyopathy is grade: A. IV B. I C. III D. II
B. I
A common late complication associated with dilated cardiomyopathy is: A. infective endocarditis B. Systemic emboli C. Mitral regurgitation D. Ventricular gallop
B. Systemic emboli
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
C. Hypertrophic obstructive cardiomyopathy
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. Leg raising
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
D. I
Persistent intramyocardial sinusoids located in the LV are found in: A. restrictive cardiomyopathy B. Noncompaction cardiomyopathy C. Dilated cardiomyopathy D. Hypertrophic cardiomyopathy
B. Noncompaction cardiomyopathy
The cardiomyopathy with which cardiac hemochromatosis is most commonly associated with is: A. Dilated B. Arrhythmogenic RV cardiomyopathy C. Idiopathic D. Hypertrophic
A. Dilated
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
B. Left ventricular enlargement
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
C. Hypertrophic cardiomyopathy
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
B. Infero-basal aneurysm
Functional classifications of cardiomyopathy include all of the following EXCEPT: A. Restrictive B. Non-dilated C. Dilated D. Hypertrophic
B. Non-dilated
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
C. mid-systolic notching of the PV
Possible causes of restrictive cardiomyopathy include all of the following EXCEPT: A. Alcohol B. Amyloidosis C. Hemochromatosis D. Sarcoidosis
A. Alcohol
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. preserved ejection fraction
The cardiac involvement associated with acquired immunodeficiency syndrome (AIDS) is: A. Dilated cardiomyopathy B. Restrictive cardiomyopathy C. Hypertrophic cardiomyopathy D. Arrhythmogenic RV cardiomyopathy
A. Dilated cardiomyopathy
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
C. Incomplete closure of the mitral valve
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
D. DIlated
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
B. Digitalis
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
C. Hypertrophic cardiomyopathy
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
D. Dilatation of the ascending aorta
