Mitral Valve Disease Practice Test

50 Questions | Total Attempts: 262

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Mitral Valve Disease Practice Test

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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

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