Echo Final Exam 2022 Questions and Answers
LVEDP is measured after what waveform on the ECG? -Answer- P
Surgical replacement of the aortic valve is recommended in a patient with severe AR, when the LVEF is < _____
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Echo Final Exam 2022 Questions and Answers
LVEDP is measured after what waveform on the ECG? -Answer- P
Surgical replacement of the aortic valve is recommended in a patient with severe AR, when the LVEF is < _________ %. -Answer- 50%
A pharmacologic stress test requires a patient to run on a treadmill or pedal a bike. (T/F) -Answer- False
A normal TDI e' velocity obtained from the lateral annulus is -Answer- >10 cm/sec
What four (4) 2D and Doppler values must be present to demonstrate abnormal relaxation and/or elevated filling pressures? -Answer- 1.Averaged E/e' ratio > 14
2.Septal TDI e' velocity < 7 cm/sec OR lateral TDI e' velocity < 10 cm/sec
3.TR velocity > 2.8 m/sec
4.LA volume index > 34 mL/m2
A left heart diastolic murmur is associated with what type of valve disease? -Answer- aortic regurgitation (AR)
The less dense (bright) the CW Doppler signal is the more the regurgitation. (T/F) -Answer- False
Quality of Doppler signals and measurements are more accurate when acquired during normal respiration. (T/F) -Answer- False
This PHT is consistent with severe AR -Answer- < 100 ms
All patients with diastolic dysfunction have abnormal (impaired) relaxation. (T/F) -Answer- True
LAP correlates with what pressure? -Answer- PCWP
_______ or _______ coronary arteries supplies bloodflow to the inferolateral wall, ______ coronary artery supplies bloodflow to apex and anteroseptal walls. -Answer- RCA or CX, LAD
LA volumes are always measured at end-ventricular diastole. (T/F) -Answer- False
LA volumes are always measured when the LA is at its largest, which is end ventricular systole.
CW Doppler is a quantitative method for the assessment of aortic valve regurgitation. (T/F) -Answer- False
CW Doppler provides visual, semi-quantitative assessment.
Ao dilation is associated with _____________ syndrome, which is a connective tissue disorder. -Answer- Marfan
The PW Doppler sample volume is placed at the MV leaflet tips when assessing diastolic function. (T/F) -Answer- True
Label 1-3 -Answer- 1 Peak E wave velocity
2 E deceleration time
3 Peak A wave velocity
A normal range for LA volume index in both men and women is -Answer- 14 - 33 mL/m2
The gold standard in visualization and confirmation of CAD is stress-echocardiography. (T/F) -Answer- False
Angiography is the gold standard for detecting CAD.
The lateral annular tissue Doppler e' velocity is higher than the septal annular e' velocity normally. (T/F) -Answer- True
Holo-diastolic flow reversal in the ascending aorta is c/w severe AR. (T/F) -Answer- False
The E/e' ratio is used to estimate -Answer- LA pressure
A patient presenting to the ER with signs and symptoms of a heart attack demonstrates this type of ECG change? -Answer- ST segment elevation
Significant changes are seen in the mitral E/A ratio (i.e., E wave decreases significantly) during the Valsalva maneuver in patients with elevated filling pressures. (T/F) -Answer- True
ECG ____ waves are seen on the ECG in a patient with a transmural myocardial infarction (MI). -Answer- Q
Pulmonary vein atrial wave reversal velocity represents the retrograde flow from the LA into the pulmonary veins during end-ventricular diastole. (T/F) -Answer- True
____________ murmur is associated with significant eccentric AR that is directed towards the MV. -Answer- Austin Flint
What anatomical area of the heart muscle is associated with ECG leads II, III, aVF that the RCA and CX arteries supply blood flow? -Answer- inferior
Atrial "kick" occurs just after what waveform on the ECG? -Answer- P
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