Endocarditis, Prothetic Valve, Aorta

40 Questions | Total Attempts: 150

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Disease Quizzes & Trivia

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

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