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Echo Registry Review > Wk 2 Terry Reynolds *TR, TS, PR, PS > Flashcards

Wk 2 Terry Reynolds *TR, TS, PR, PS Flashcards

1
Q

The most common etiology of tricuspid valve stenosis is:

A. Carcinoid heart disease
B. Infective endocarditis
C. Rheumatic fever
D. Right atrial myxoma

A

C. Rheumatic fever

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2
Q

The M-mode findings for tricuspid valve stenosis include all the following EXCEPT:

A. Anterior motion of the posterior tricuspid valve leaflet

B. Decreased E-F slope of the anterior tricuspid valve leaflet

C. Increased leaflet thickness

D. Systolic doming of the anterior tricuspid valve leaflet

A

D. Systolic doming of the anterior tricuspid valve leaflet

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3
Q

The typical two-dimensional echocardiographic findings in rheumatic tricuspid stenosis include all the following EXCEPT:

A. Diastolic doming of the anterior tricuspid valve leaflet

B. Leaflet thickening

C. Restricted motion of the tricuspid leaflets

D. Systolic bowing of the posterior tricuspid valve leaflet

A

D. Systolic bowing of the posterior tricuspid valve leaflet

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4
Q

Signs and symptoms of significant tricuspid regurgitation include all the following EXCEPT:

A. Hepatomegaly
B. Jugular venous distention
C. Pulsus paradoxus
D. Right ventricular failure

A

C. Pulsus paradoxus

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5
Q

The murmur of tricuspid regurgitation is best described as a:

A. Holodiastolic murmur heard best at the lower left sternal border

B. Pansystolic murmur heard best at the lower left sterna border

C. Pansystolic murmur heard best at the cardiac apex with radiation to the axilla

D. Systolic ejection murmur heard best at the upper right sterna border

A

B. Pansystolic murmur heard best at the lower left sterna border

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6
Q

Causes of organic tricuspid regurgitation include all the following EXCEPT:

A. Rheumatic heart disease
B. Right ventricular infarct
C. Tricuspid valve prolapsed
D. Flail tricuspid valve

A

B. Right ventricular infarct

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7
Q

In significant chronic tricuspid valve regurgitation, all the following are dilated EXCEPT:

A. Hepatic veins
B. Inferior vena cava
C. Pulmonary veins
D. Right atrium

A

C. Pulmonary veins

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8
Q

The M-mode finding for ruptured chordae tendineae of the tricuspid valve is:

A. Coarse diastolic flutter of the anterior tricuspid valve leaflet

B. Fine diastolic flutter of the anterior tricuspid valve leaflet

C. Irregular low-frequency diastolic fluttering of the anterior tricuspid valve leaflet

D. Right atrial enlargement

A

C. Irregular low-frequency diastolic fluttering of the anterior tricuspid valve leaflet

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9
Q

On M-mode echocardiographic finding of the tricuspid valve, systolic coarse chaotic oscillation of the tricuspid valve leaflets may indicate:

A. A normal echocardiographic finding
B. Atrial fibrillation/atrial flutter
C. Flail tricuspid valve leaflet
D. Pulmonic valve insufficiency

A

C. Flail tricuspid valve leaflet

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10
Q

!!!
M-mode and two-dimensional echocardiograophic findings for chronic tricuspid regurgitation include:

A. Left ventricular volume overload
B. Paradoxical septal motion
C. Protected right ventricle
D. Right ventricular hypertrophy

A

B. Paradoxical septal motion

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11
Q

Methods for determining the severity of tricuspid regurgitation with pulsed wave Doppler include all the following EXCEPT:

A. Increased E wave velocity for the tricuspid valve
B. Mapping technique
C. Maximum velocity of the tricuspid regurgitant jet
D. Systolic flow reversal in the hepatic vein

A

C. Maximum velocity of the tricuspid regurgitant jet - with only continuous wave Doppler

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12
Q

Cardiac Doppler findings associated with significant chronic tricuspid regurgitation include all the following EXCEPT:

A. Concave late systolic configuration of the regurgitant signal
B. Increased E velocity of the tricuspid valve
C. Systolic flow reversal in the hepatic vein
D. Systolic flow reversal in the pulmonary vein

A

D. Systolic flow reversal in the pulmonary vein

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13
Q

An intracardiac pressure may be determined from the continuous-wave tricuspid regurgitation signal is:

A. Mean pulmonary artery pressure
B. Pulmonary artery end-diastolic pressure
C. Systolic pulmonary artery pressure
D. Total pulmonary vascular resistance

A

C. Systolic pulmonary artery pressure

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14
Q

Tricuspid valve leaflets that are in a fixed semi-open position with diffuse thickening are found in:

A. Carcinoid heart disease
B. Cardiac amyloidosis
C. Cardiac hemochromatosis
D. Cardiac sarcoidosis

A

A. Carcinoid heart disease

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15
Q

Possible echocardiographic/Doppler findings in a patient with carcinoid heart disease include all the following EXCEPT:

A. Pulmonic valve insufficiency
B. Pulmonic valve stenosis
C. Tricuspid valve prolapse
D. Tricuspid valve regurgitation

A

C. Tricuspid valve prolapse

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16
Q

Fine diastolic flutter of the tricuspid valve is a characteristic finding for:

A. Infundibular stenosis
B. Primary pulmonary hypertension
C. Pulmonary insufficiency
D. Pulmonary valve stenosis

A

C. Pulmonary insufficiency

17
Q

Post-stenotic dilatation of the main pulmonary artery is a two-dimensional echocardiographic finding for:

A. Pulmonary insufficiency
B. Pulmonary turmor
C. Tricuspid regurgitation
D. Valvular pulmonic stenosis

A

D. Valvular pulmonic stenosis

18
Q

The usual site of attachment for vegetations on the mitral and tricuspid valves is the:
A. Annulus
B. Atrial side of the valve leaflets
C. Papillary muscles
D. Ventricular side of valve leaflet

A

B

19
Q

The Doppler finding used to calculate mean pulmonary artery pressure is:

A. Mitral regurgitation
B. Pulmonary insufficiency
C. Right ventricular outflow tract acceleration time
D. Tricuspid regurgitation

A

C. Right ventricular outflow tract acceleration time

20
Q

All the following may be used to calculate pulmonary artery pressure b cardiac Doppler EXCEPT:
A. Mitral regurgitation
B. Pulmonary insufficiency
C. Right ventricular outflow tract acceleration
D. Tricuspid regurgitation

A

A. Mitral regurgitation

21
Q

A congenital malformation of the tricuspid valve in which one, two, or all three leaflets are displaced downward from the annulus is known as:

A. Ebstein’s anomaly
B. Epstein-Barr anomaly.
C. Tricuspid atresia.
D. Tricuspid valve stenosis.

A

A. Ebstein’s anomaly

Echo Registry Review (25 decks)

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