Endocarditis, Prothetic Valve, Aorta

40 Questions | By Britte9597 | Last updated: Mar 17, 2022 | Total Attempts: 236

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Echo

Questions and Answers

1.

The normal PHT for a mitral prothetic valve is:
- A.
  
  8 mmHg
- B.
  
  1-3 m/sec
- C.
  
  >280 msec
- D.
2.

Coarctation of the aorta most often occurs at the?
- A.
  
  Aortic isthmus
- B.
  
  Thoracic aorta
- C.
  
  Ascending aorta
- D.
  
  Aortic sinuses
3.

Patients with Marfan syndrome will exhibit all of the following except:
- A.
  
  AR
- B.
  
  MVP
- C.
  
  Aortic dilation
- D.
  
  LVH
4.

All of the following are examples of mechanical cardiac valves except:
- A.
  
  Bjork-Shiley tilting disk
- B.
  
  St. Jude bi leaflet
- C.
  
  Hancock
- D.
  
  Starr-Edwards ball valve
5.

If the patients pulmonic valve, annulus and trunk are excised and relocated to the aortic position, what type of valve do they have?
- A.
  
  Autograft
- B.
  
  Heterograft
- C.
  
  Mechanical
- D.
  
  Homograft
6.

Prosthetic cardiac valves are classified as:
- A.
  
  Bioprothetic and pericardial
- B.
  
  Mechanical and bioprosthetic
- C.
  
  Mechanical and pericardial
- D.
  
  Mechanical and bileaflet
7.

All of the following are examples of bioprosthetic cardiac valves except:
- A.
  
  Starr-edwards ball valve
- B.
  
  Lonescu-Shiley bovine pericardial
- C.
  
  Hancock
- D.
  
  Carpentier-Edwards
8.

In endocarditis the vegetations usually attach on:
- A.
  
  The flow side of the valve
- B.
  
  Abnormal leaflets only
- C.
  
  Only one leaflet
- D.
  
  The down-stream side of a valve
9.

Echo findings in endocarditis include:
- A.
  
  Positive blood cultures
- B.
  
  Shaggy appearance on M-mode
- C.
  
  Aortic dissection
- D.
  
  Pulmonary hypertension
10.

When red blood cells become damaged as they pass through a mechanical prosthetic valve the patient is said to have:
- A.
  
  Jaundice
- B.
  
  Cirrhosis
- C.
  
  Thrombocytopenia
- D.
  
  Hemolysis
11.

High risk patients for infective endocarditis include all of the following except:
- A.
  
  Previous history of endocarditis
- B.
  
  Coronary artery disease
- C.
  
  Prothetic aortic valve
- D.
  
  Prothetic mitral valve
12.

High frequency systolic vibrations on the aortic valve M-mode is consistent with:
- A.
  
  Normal findings
- B.
  
  Aortic stenosis
- C.
  
  Low cardiac output
- D.
  
  Aortic regurgitation
13.

If a patient has a porcine MV, all of the following should be ruled out during an echo except:
- A.
  
  Thrombus formation
- B.
  
  Ring abscess
- C.
  
  Valve dehiscence
- D.
  
  Carcinoid heart disease
14.

Which is an example of a mechanical cardiac valve?
- A.
  
  St. Jude bi-leaflet
- B.
  
  Hancock
- C.
  
  Carpentier-Edwards
- D.
  
  Lonescu-Shiley bovine pericardial
15.

Echo finding in endocarditis often include all of the following except:
- A.
  
  Shaggy appearance of valve
- B.
  
  Eisenmenger syndrome
- C.
  
  Pericardial effusion
- D.
  
  Increased echos
16.

All of the following are different types of endocarditis except:
- A.
  
  Dressler’s
- B.
  
  Marantic
- C.
  
  Eosinophlic
- D.
  
  Libman-Sachs
17.

When using Doppler to interrogate a Starr-Edwards mitral valve which window would you use?
- A.
  
  Parasteral
- B.
  
  Suprasternal
- C.
  
  Subcostal
- D.
  
  Apical
18.

Low risk patients for infective endocarditis include those with:
- A.
  
  Previous history of endocarditis
- B.
  
  Prothetic MV
- C.
  
  Intravenous drug abuse
- D.
  
  CAD
19.

What is a common symptom of a patient with endocarditis?
- A.
  
  Fever
- B.
  
  Positional chest pain
- C.
  
  Ripping chest pain
- D.
  
  Aortic stenosis murmur
20.

Patients with lupus will sometimes get what type of endocarditis?
- A.
  
  Eosinophilic
- B.
  
  Marantic
- C.
  
  Libman-Sachs
- D.
  
  Staph aureus
21.

The degree of prothetic valce stenosis depends on all of the following except:
- A.
  
  Presence of regurg
- B.
  
  Valve type
- C.
  
  Valve size
- D.
  
  Degree of pannus growth
22.

Patients with which of the following are at increased risk for endocarditis?
- A.
  
  Renal artery stenosis
- B.
  
  Prothetic valves
- C.
  
  Poor dental work
- D.
  
  CAD
23.

You are in the emergency department and a patient presents with the signs and symtoms of aortic dissection. Which modality would give you the most rapid diagnosis?
- A.
  
  Chest CT
- B.
  
  X-ray
- C.
  
  TEE
- D.
  
  MRI
24.

Patients with endocarditis may present with all of the following symptoms except:
- A.
  
  Angina
- B.
  
  Night sweats
- C.
  
  Fever
- D.
  
  New murmur
25.

The majority of organisms attach to the ____ side of the atrioventricular valves:
- A.
  
  Downstream
- B.
  
  Ventricular
- C.
  
  Atrial
- D.
  
  Epicardial