A Quiz On Cardiomyopathy For Pros

41 Questions | Total Attempts: 1349

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A Quiz On Cardiomyopathy For Pros

Cardiomyopathy is a disease of the heart muscle that makes it harder for your heart to pump blood to the rest of the body. There might be no signs or symptoms in the early stages of cardiomyopathy but as the disease advances symptoms become clearer. Take the quiz on cardiomyopathy for pros and gauge your knowledge.


Questions and Answers
  • 1. 
    All of the following are etiologies for congestive (dilated) cardiomyopathies except:
    • A. 

      Metabolic

    • B. 

      Viral

    • C. 

      Peripartum

    • D. 

      Ischemic

    • E. 

      Hemochromatosis

  • 2. 
    Amyloid and sarcoid are what type of cardiomyoopathy?
    • A. 

      Infiltrative

    • B. 

      Restrictive

    • C. 

      Congestive

    • D. 

      Dilated

    • E. 

      Hypertrophic

  • 3. 
    In patients with asymmetric septal hypertrophy what is the septal to posterior wall ratio?
    • A. 

      1:5:1

    • B. 

      1:3:1

    • C. 

      1:1:3

    • D. 

      1:1:5

    • E. 

      Any ratio greater than 1:1

  • 4. 
    Hemochromatosis is most commonly associated with which of the following cardiomyopathies?
    • A. 

      Infiltrative

    • B. 

      Dilated

    • C. 

      Congestive

    • D. 

      Hypertrophic

  • 5. 
    When amyl nitrite is administered to a patient who has hypertrophic obstructive cardiomyopathy it is likely to:
    • A. 

      Decrease systolic flow velocity in the LVOT

    • B. 

      Decrease septal thickening

    • C. 

      Increases the systolic anterior motion of the MV

    • D. 

      Increase pulmonary venous return

  • 6. 
    The ratio of early transmitral (E) to atrial (A) Doppler filling velocities are influenced by all of the following factors except:
    • A. 

      Patients age

    • B. 

      Transducer freq

    • C. 

      Left ventricular preload

    • D. 

      Delayed left ventricular relaxation

  • 7. 
    Which of the following is a common echo finding in patients with a restrictive cardiomyopathy?
    • A. 

      Left ventricular dilation

    • B. 

      Asymmetric septal hypertrophy

    • C. 

      Pericardial effusion

    • D. 

      Right ventricular dilation

    • E. 

      Normal left atrial size

  • 8. 
    If your patient has right heart failure, what classic signs and symptoms would you expect to see?
    • A. 

      Lower extremity edema

    • B. 

      Hymoptysis

    • C. 

      Atrial fib

    • D. 

      TS

  • 9. 
    Which of the following is a common Doppler finding in patients with a restrictive cardiomyopathy?
    • A. 

      Mitral inflow Doppler not valid

    • B. 

      E-greater than A on mitral inflow

    • C. 

      Equal E to A on mitral inflow

    • D. 

      A greater than E ratio on mitral inflow

    • E. 

      Aortic outflow gradient

  • 10. 
    A cardiomyopathy is a disease that diffusely affects the____, resulting in enlargement and/or ventricular dysfunction
    • A. 

      Heart valves

    • B. 

      Epicardium

    • C. 

      Myocardium

    • D. 

      Endocardium

  • 11. 
    M-mode findings in a patient with IHSS might include all the following except:
    • A. 

      Asymmetric septal hypertrophy

    • B. 

      MV prolapse

    • C. 

      Systolic anterior motion of the MV

    • D. 

      Mid-systolic closure of the AV

  • 12. 
    If a patient with IHSS has a resting outflow velocity of 3 m/sec what is the peak gradient?
    • A. 

      9 mmHg

    • B. 

      36 mmHg

    • C. 

      100 mmHg

    • D. 

      64 mmHg

  • 13. 
    Patients with IHSS and a high resting outflow gradient may be offered which of the following treatments?
    • A. 

      Contrast septal ablation

    • B. 

      Lipitor medical therapy

    • C. 

      Sublingual nitroglycerin

    • D. 

      Surgical septal myectomy

  • 14. 
    Patients with a restrictive cardiomyopathy typically have a Doppler finding of:
    • A. 

      Prolonged isovolumic relaxation time interval

    • B. 

      Respiratory variation in the early diastolic E wave

    • C. 

      Large early E wave with short deceleration time and a small A wave

    • D. 

      Small early E wave with a short decal time and a large A wave

  • 15. 
    All of the following are echo findings in patients with hypertrophic obstructive cardiomyopahty except:
    • A. 

      Decreased EF

    • B. 

      Midsystolic closure of the aortic valve

    • C. 

      LVH

    • D. 

      SAM of the MV

    • E. 

      Small left ventricular cavity size

  • 16. 
    All of the following might be a physical symptom in patients with congestive dilated cardio except:
    • A. 

      Sinus tachycardia

    • B. 

      Edema

    • C. 

      Systemic hypertension

    • D. 

      Fatigue

    • E. 

      Dyspnea

  • 17. 
    Patients with hypertrophic obstructive cardio will often have “bright” myocardial appearance by echo due to:
    • A. 

      Amyloid deposits

    • B. 

      Using too high a gain setting

    • C. 

      Myocardial fiber disarray

    • D. 

      LVH

    • E. 

      Small cavity size

  • 18. 
    Patients with Chagas Disease might develop which type of cardio?
    • A. 

      Infiltrative

    • B. 

      Ischemic

    • C. 

      Restrictive

    • D. 

      Congestive

    • E. 

      Hypertrophic

  • 19. 
    All of the following are echo finding in patients with congestive (dilated) cardio except:
    • A. 

      Reduced MV excursion

    • B. 

      Global hypokinesis

    • C. 

      Dilated LV

    • D. 

      LV hypertrophy

    • E. 

      Increased aortic root excursion

  • 20. 
    Patients with advanced symptoms from having a dilated cardio might benefit from all of the following except:
    • A. 

      MV replacement

    • B. 

      Intra-aortic balloon pump

    • C. 

      LV assist device

    • D. 

      Heart transplant

  • 21. 
    What is the proper technique for Dopplering the Mitral inflow looking for diastolic dysfunction:
    • A. 

      Apical 4 ch, pulsed Doppler, at mitral annulus

    • B. 

      Apical 2ch, pulsed Doppler, at mitral tips

    • C. 

      Apical 2ch, pulsed Doppler, at mitral annulus

    • D. 

      Apical 4ch, color Doppler, at mitral tips

    • E. 

      Apical 4ch, pulsed Doppler, at mitral tips

  • 22. 
    Which echo findings are typically associated with IHSS
    • A. 

      LVH and decrease left ventricular contractility

    • B. 

      Left ventricular enlargement and abnormal septal thinning

    • C. 

      SAM of the MV and asymmetric septal hypertrophy

    • D. 

      Redundant MV leaflets and RV enlargement

  • 23. 
    Patients with a dilated cardio may develop apical thrombi. When looking for them in the LV apex you should use:
    • A. 

      Tissue harmonic imaging

    • B. 

      Higher freq transducer

    • C. 

      Lower freq transducer

    • D. 

      Saline contrast

  • 24. 
    Which of the following is an echo finding in patients with DCM?
    • A. 

      Increased ventricular function

    • B. 

      Increased MV excursion

    • C. 

      Exaggerated E-point to septal separation

    • D. 

      Exaggerated aortic root excursion

    • E. 

      B-notch on the M-mode

  • 25. 
    By echo, patients with congestive cardio have LV that are:
    • A. 

      Thick and hyperdynamic

    • B. 

      Increased shortening fraction and hypertrophy

    • C. 

      Dilated and poorly contracting

    • D. 

      Hypertrophied with normal chamber size

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