Welcome to your Echo - CVT- Noninvasive Name Email 1. [Continuous wave signal from the apical view. The image is suggestive of: (fig)] Moderate aortic stenosis Severe aortic stenosis Mitral regurgitation Prosthetic aortic valve obstruction None Comment 2. [The structure shown by the arrow is: (fig)] Coronary sinus Atrial septal defect (ASD) Superior vena cava Inferior vena cava None Comment . 3. [Increasing depth will change all of the following except:] Pulse duration Pulse repetition period Pulse repetition frequency Duty factor None . 4. [A patient with a mechanical prosthetic mitral valve has gastrointestinal bleeding and the following measurements were obtained: diastolic mean gradient 11mmHg, peak gradient 16mmHg, pressure half-time 65 ms, heart rate 114/min. This increased gradient is likely to be:] Likely normal Likely abnormal Cannot comment None . 5. [Reflected ultrasound from an object moving away from the sound source will have a frequency:] Higher than original sound Lower than the original sound Same as the original sound Variable, depending on source of sound and velocity of the moving object None . 6. [What proportion of normal patients undergoing DSE may have a drop in their blood pressure:] Zero 20% 50% 89% None . 7. [Image of the aortic arch shown here is indicative of: (fig)] Aneurysm of the aortic arch Aortic dissection Severe coarctation of the aorta Stented aortic coarctation None Comment . 8. [This is a suprasternal image of the aortic arch, suggestive of: (fig)] Coarctation of the aorta Severe aortic regurgitation (AR) Patent ductus arteriosus (PDA) None of the above None Comment . 9. [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 . 10. [For the patient in the above question the LV end diastolic pressure is likely to be:] Low Normal Elevated Cannot comment None . 11. [The image of IVC from the above patient is suggestive of: (fig)] Normal RA pressure Low RA pressure Elevated RA pressure None Comment . 12. [False-positive wall motion abnormalities are most commonly seen in which of the following myocardial segments?] Posterior basal wall Anterior septum Lateral wall Apex None . 13. [Distribution of leaflet thickening and calcification in rheumatic mitral stenosis is:] More at the tip More at the base Uniform throughout the leaflets None . 14. [This image shows: (fig )] Large left pleural effusion Large pericardial effusion with no evidence of tamponade Large pericardial effusion with features of tamponade Mirror image artifact None Comment . 15. [This signal shown here is likely to be caused by: (fig)] HOCM Critical valvular aortic stenosis Acute mitral regurgitation (MR) None of the above None Comment . 16. [Compared to timing of mitral E-wave peak, mitral annular Em peak is:] Earlier Later Simultaneous No relationship None . 17. [Continuous wave Doppler signal from the tricuspid valve is consistent with: (fig)] Carcinoid syndrome Severe pulmonary hypertension Constriction None of the above None Comment . 18. [This image shows a vegetation on the: (fig)] Aortic valve P2 scallop of mitral valve P1 scallop of mitral valve A2 scallop of mitral valve None Comment . 19. [The best management for this patient (same as above) is: (fig)] Emergency pericardiocentesis Emergency surgery to replace ascending aorta Medical management None of the above None Comment . 20. [The most likely diagnosis in this patient is: (fig)] HOCM Severe aortic stenosis Mitral valve prolapse None of the above None Comment . Time's upTime is Up!
