Welcome to your Echo - CVT- Noninvasive Name Email 1. [In the patient above, the systemic blood pressure is 120/80mmHg in the absence of aortic stenosis and the left atrial pressure is 20mmHg.The effective mitral regurgitant orifice area would be:] 0.7 cm2 0.5 cm2 1 cm2 Cannot be calculated None . 2. [The subcostal image shows: (fig)] Normal appearance of the liver Multiple cysts of the liver Multiple tumors in the liver None of the above None Comment . 3. [Features of Tetralogy of Fallot are all of the following except:] Overriding aorta Nonrestrictive ventricular septal defect (VSD) Pulmonary stenosis Right ventricular (RV) hypertrophy E. Atrial septal defect (ASD) None . 4. [An intraoperative transesophageal echocardiogram (TEE) revealed mitral regurgitation with the following measurements: regurgitant jet area 4 cm2, PISA radius 0.8 cm at a Nyquist limit of 50 cm/s at a heart rate of 82 beats/min, and arterial blood pressure 80/40mmHg. This represents:] Mild mitral regurgitation (MR) Moderate MR Severe MR None . 5. [Echocardiographic findings in Ebstein’s anomaly may include:] Apical displacement of the septal leaflet of the tricuspid valve > 8mm compared to position of anterior mitral leaflet attachment Large, septal tricuspid leaflet with tethering to RV wall Tricuspid regurgitation Atrial septal defect Hypoplastic pulmonary arteries None . 6. [The pulmonary vein flow shown here is suggestive of: (fig)] Severe MR Severe MS Normal left atrial pressure High left atrial pressure None Comment . 7. [Reflection of sound at an interface is affected by:] Specific acoustic impedance Transducer frequency Depth None of the above None . 8. [A 20-year-old patient with a large ventricular septal defect (VSD) underwent PA banding in childhood and was lost to follow-up.Arecent echocardiogram revealed the following: peak systolic velocity across the VSD 3 m/s, TR velocity 5 m/s, estimated RA pressure 10mmHg, cuff blood pressure in the right arm 146/70mmHg, peak flow velocity across the pulmonary band 4.7 m/s. The following statement is true:] This patient has normal PA pressure The patient has severe pulmonary hypertension The patient has features of left ventricular (LV) failure PA pressure cannot be determined None . 9. [The following type of ventricular septal defect is likely to be associated with aortic regurgitation:] Perimembranous Muscular Supracristal Inlet None . 10. [Imaging at depth affects:] Axial resolution Lateral resolution Neither Both None . 11. [Which of the following properties of a reflected wave is most important in the genesis of a two-dimensional image?] Amplitude Period Pulse repetition period Pulse duration None . 12. [The image of IVC from the above patient is suggestive of: (fig)] Normal RA pressure Low RA pressure Elevated RA pressure None Comment . 13. [The mitral inflow pattern is consistent with: (fig)] Severe mitral regurgitation Severe mitral stenosis Prosthetic mitral valve Atrial fibrillation None Comment . 14. [This pulmonary regurgitation (PR) signal is suggestive of: (fig)] Severe pulmonary hypertension Mild pulmonary hypertension Normal pulmonary artery (PA) pressure Severe pulmonic stenosis None Comment . 15. [The structure indicated by the arrow is: (fig)] Descending thoracic aorta Coronary sinus Inferior vena cava Circumflex coronary artery None Comment . 16. [The MR jet is best visualized in parasternal long axis view when the transducer tip is directed more inferomedially. The location of the MR jet in this patient is:] Medial commissure Lateral commissure Central None . 17. [The arrow points to: (fig)] Normal appearance of the myocardium Masses in the pericardial space Artifact None Comment . 18. [The major diameter of the mitral annulus is best imaged from:] Apical two-chamber view Apical long axis view Apical five-chamber view Parasternal long axis view None . 19. [The structure shown by the arrow is: (fig)] Artifact Catheter in right atrium Thrombus Loose suture material None Comment . 20. [The aortic valve shown here is: (fig)] Tricuspid Unicuspid Bicuspid with conjoint right and left cusp Bicuspid with conjoint left and noncoronary cusps None Comment . Time's upTime is Up!
