Mitral Valve Disease Practice Test
.
- 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
Questions: 40 | Attempts: 420 | Last updated: Jan 10, 2013
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