Mitral Valve Disease Practice Test

50 Questions | By Jimschneider1980 | Last updated: Mar 21, 2022 | Total Attempts: 559

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Mitral Valve Disease Practice Test - Quiz

Questions and Answers

1.

A mitral valve area of 1.0-1.5cm² is considered to be:
- A.
  
  Severe mitral stenosis
- B.
  
  Mild mitral stenosis
- C.
  
  Moderate mitral stenosis
- D.
  
  Normal
2.

A mitral valve area of <1.0cm² is considered to be:
- A.
  
  Mild mitral stenosis
- B.
  
  Moderate mitral stenosis
- C.
  
  Severe mitral stenosis
- D.
  
  Normal
3.

A mitral valve area of >1.5cm² is considered to be:
- A.
  
  Mild mitral stenosis
- B.
  
  Moderate mitral stenosis
- C.
  
  Severe mitral stenosis
- D.
  
  Option 4
4.

Which cardiac valve is the 2nd most common to be affected y Rheumatic heart disease?
- A.
  
  Mitral
- B.
  
  Aortic
- C.
  
  Tricuspid
- D.
  
  Pulmonic
5.

Insertion of mitral chordae tendineae into a single papillary muscle is:
- A.
  
  A normal variant
- B.
  
  Physically impossible
- C.
  
  Rheumtic in origin
- D.
  
  Parachute mitral valve
6.

With A-Fib, mitral stenosis velocity calculations are best performed:
- A.
  
  Averaged over 5-10 beats
- B.
  
  Averaged over 2 beats
- C.
  
  Averaged over 20 beats
- D.
  
  Unable to measure in A-Fib
7.

Given a mitral pressure half time of 400 m/sec, what would the valve area be?
- A.
  
  0.5cm²
- B.
  
  1.0cm²
- C.
  
  1.8cm²
- D.
  
  2.0cm²
8.

Given a mitral deceleration time of 400 m/sec, calculate the mitral valve pressure half-time:
- A.
  
  116
- B.
  
  50
- C.
  
  220
- D.
  
  600
9.

A 2-D echo of a 55 year-old woman with an opening mitral snap and a diastolic murmur reveals LA enlargement and thickening and teethering of the MV leaflets. What is the most likely diagnosis?
- A.
  
  Mitral Annular Calcification
- B.
  
  Parachute mitral valve
- C.
  
  Mass obstruction
- D.
  
  Rheumatic MS
10.

Which of the following is NOT a method to calculate MVA?
- A.
  
  Pressure Half-Time
- B.
  
  Continuity Equation
- C.
  
  PISA
- D.
  
  Cardiac Output
11.

A mean gradient of 5mmHg suggests:
- A.
  
  Mild MS
- B.
  
  Moderate MS
- C.
  
  Severe MS
- D.
  
  No MS
12.

A mean gradient of >10 mmHg suggests:
- A.
  
  Mild MS
- B.
  
  Moderate MS
- C.
  
  Severe MS
- D.
  
  No MS
13.

A mean gradient of 6-10mmHg suggests:
- A.
  
  Mild MS
- B.
  
  Moderate MS
- C.
  
  Severe MS
- D.
  
  No MS
14.

Longstanding MS leads to all of the following EXCEPT:
- A.
  
  Congestive Heart Failure
- B.
  
  Pulmonary Hypertension
- C.
  
  LV Dilatation
- D.
  
  LA Dilatation
15.

Patients with MS often develop:
- A.
  
  Heart block
- B.
  
  Aortic stenosis
- C.
  
  Atrial fibrillation
- D.
  
  Pulmonary hypertension
16.

Mitral stenosis has no effect on the aorta.
- A.
  
  True
- B.
  
  False
17.

In the presence of severe, long-standing MS that results in pulmonary hypertension, the ____________ may become dilated
- A.
  
  Left ventricle
- B.
  
  Aorta
- C.
  
  Pulmonary artery
- D.
  
  Pulmonary veins
18.

Mitral stenosis etiologies
- A.
  
  Rheumatic Heart Disease
- B.
  
  Mitral Annular Calcification (MAC)
- C.
  
  Myxomatous Disease
- D.
  
  Marfan's Sydrome
- E.
  
  Mass Obstruction (LA myxoma)
- F.
  
  Endocarditis
- G.
  
  Congential Malformation (parachute mitral valve)
19.

Diastolic rumble with an opening snap is called a/an:
- A.
  
  Myocardial infarction
- B.
  
  Murmur
- C.
  
  Heart block
- D.
  
  Blood clot
20.

Obstruction of Mitral orifice causes back up of blood flow, which leads to:
- A.
  
  Increases in regurgitant volume over time
- B.
  
  Progressive LA dilatation
- C.
  
  Increase in LA pressure
- D.
  
  Short onset of significant regurgitation
- E.
  
  LV function preserved
- F.
  
  Transmitted to increased pressures in the pulmonary circuit and then right-sided size and pressures
21.

Progressive symptoms of mitral stenosis:
- A.
  
  Shortness of breath
- B.
  
  Dyspnea on exertion
- C.
  
  Aortic stenosis
- D.
  
  Syncope
- E.
  
  TIA or stroke
22.

Which of the following is NOT an etiology of MS?
- A.
  
  RA myxoma
- B.
  
  Rheumatic fevver
- C.
  
  Parachute MV
- D.
  
  Annular calcification
23.

Mitral stenosis on an M-mode shows the AML & PML moving together anteriorly rather than opposite from each other in diastole.
- A.
  
  True
- B.
  
  False
24.

Mitral Stenosis on an M-Mode shows an increased E-F slope.
- A.
  
  True
- B.
  
  False
25.

Which of the following has a classic "hockey-stick"appearance with thickening at the MV tips and chordal level?
- A.
  
  Congenital malformation
- B.
  
  Mass obstruction
- C.
  
  Rheumatic MV disease
- D.
  
  MAC