Term
Which waveform on the ECG represents ventricular repolarization? |
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Definition
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Term
A normal QRS complex should be: |
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Definition
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Term
The period of time when all four valves are closed, the ventricles are relaxing and ventricular pressure is decreasing is called: |
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Definition
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Term
Seventy-five percent of the heart's muscle mass is located where? |
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Definition
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Term
Using the following pressure diagram, which phase correlates with #1? Ques: A&P 20
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Definition
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Term
Normal aortic and pulmonic valve closure causes this heart sound: |
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Definition
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Term
In the following image, what anatomy is identified in #2? Ques: A&P 41 |
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Definition
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Term
The shaded area on the ECG correlates with which phase of the electrical conduction system? (t wave) Ques:A&P 22 |
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Definition
ventricular repolarization |
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Term
The coronary sinus receives blood from this vein before dumping into the right atrium: |
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Definition
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Term
The force of resistance that the ventricles must push against is called: |
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Definition
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Term
The most common complication with a bicuspid aortic valve is |
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Definition
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Term
When determining the severity of tricuspid stenosis, this method is used: |
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Definition
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Term
A continuous wave tracing of the aortic valve demonstrates a pressure half time of 345 msec. This indicates what degree of aortic regurgitation. |
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Definition
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Term
Mitral stenosis causes a pressure overload of the: |
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Definition
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Term
Down's syndrome patients often have this associated congenital abnormality: |
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Definition
endocardial cushion defect |
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Term
A complication of a myocardial infarction might be |
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Definition
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Term
Which of the following is a cause for tricuspid stenosis |
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Definition
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Term
Aortic valve excision with pulmonic valve replacement into the aortic position is known as the |
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Definition
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Term
another commonly associated finding with marfans syndrome besides a dilated aortic root and possible aortic regurgitation is |
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Definition
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Term
which of the following is a possible M mode finding in patients with constrictive pericarditis? |
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Definition
all of the above
flattening of the mid-diastolic posterior wall motion
pericardial thickening
paradoxical septal motion
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Term
which of the following is an inflammatory process associated with pericarditis |
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Definition
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Term
an indicator on 2D echocardiography suggesting an old myocardial infarction might be |
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Definition
thin, bright wall segment that appears hypokinetic or akinetic |
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Term
when the anterior mitral valve leaflet has a doming appearance, the 2D finding is termed |
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Definition
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Term
which of the following is a finding in a dilated cardiomyopathy |
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Definition
all of the above
elevated left ventricular end diastolic pressure
decrease cardiac output
mitral regurge |
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Term
the presence of an intimal flap seen on a parastermal long axis view in the ascending aorta best describes an |
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Definition
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Term
symptoms that may only be experienced during exercise best describes this type of cardiomyopathy |
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Definition
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Term
A peak pressure gradient obtained from cardiac catheterization is an pressure gradient and a peak pressure gradient obtained from echo is an |
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Definition
peak to peak;instantaneous |
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Term
a narrowing of the mitral valve orifice impeding the diastolic flow of blood from the left atrium to the left ventricle best describes |
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Definition
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Term
a 2D finding of pulmonary hypertension may include |
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Definition
right ventricular hypertrophy |
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Term
which of the following is not part of eisenmengers syndrome |
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Definition
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Term
the most common type of functional regurgitation may be seen in this valve |
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Definition
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Term
a patient with atrial fibrillation has a questionable clot in the left atrial appendage diagnosed from 2D echo. Upon transesophageal imaging of the left atrial appendage no clots but these structures are seen instead |
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Definition
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Term
The best exam for visualization of a vegetation caused from infective endocarditis is |
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Definition
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Term
a patent ductus arteriosus describes an abnormal persistent comunication between the |
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Definition
aorta and pulmonary artery |
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Term
the most common finding due to an increased pressure overload in the left ventricle caused from aortic stenosis would be |
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Definition
left ventricular hypertrophy |
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Term
What complication has occured due to the patients severe decrease in left ventricular systolic function |
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Definition
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Term
the most common benign primary cardiac tumor is a |
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Definition
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Term
An absent a wave with a flying w appearance seen on the m mode of the pulmonic valve best describes |
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Definition
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Term
a symptom of mitral valve prolapse might be |
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Definition
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Term
the most common type of ventricular septal defect is |
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Definition
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Term
prosthetic valve flow velocities are normally native valve flow velocities |
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Definition
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Term
inferior vena cava, superior vena cava and hepatic veins all demonstrate systolic flow reversal. What type of valvular abnormality would you expect to see? |
|
Definition
severe tricuspid regurgitation |
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Term
a patient presents to the emergency room ST segment with elevation seen in leads 2, 3 and AVF and a loud systolic murmur heard at the apex. The most common reason for the murmur is |
|
Definition
papillary muscle dysfunction |
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Term
the most common 2D finding in patients with systemic hypertension is |
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Definition
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Term
Prosthetic valves should be evaluated for |
|
Definition
all of the above
regurgitation
complications
stenosis
|
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Term
Eisenmengers syndrome best describes |
|
Definition
left to right shunt reversal in the presence of increased right heart pressures |
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Term
A left ventricular thrombus that develops within 24-48 hours post myocardial infarction is usually associated with this infarcted wall |
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Definition
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Term
the most common doppler finding in patients with a dilated cardiomyopathy is |
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Definition
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Term
Amyl nitrate can be used to enhance which of the following |
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Definition
hypertrophic cardiomyopathy- obstructive |
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Term
Amyl nitrate can be used to enhance which of the following |
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Definition
hypertrophic cardiomyopathy- obstructive |
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Term
Calcification of the mitral valve annulus is commonly caused from |
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Definition
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Term
A congenital abnormality of the tricuspid valve in which one, both or all of the tricuspid leaflets are downwardly displaced causing the right ventricle to be atrialized |
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Definition
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Term
The cardiac mass in the left ventricle is mostly a |
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Definition
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Term
a speckling or increase in echogenicity of the interventricular septum often described as a ground glass appearance is often associated with this abnormality |
|
Definition
hypertrophic cardiomyopathy |
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Term
a rupture in the ventricular septum as a result of myocardial infarction is usually a |
|
Definition
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Term
Which of the following is not a major anatomic finding in a hypertrophic cardiomyopathy |
|
Definition
normal septal wall motion |
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Term
a pulmonic regurgitation murmur that results when pulmonary artery systolic pressure is greater than 70 mmHg along with increased pulmonary artery ring diameter is known as |
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Definition
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Term
Dresslers syndrome is associated with this abnormality post myocardial infarction |
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Definition
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Term
which of the following is not a typical 2D finding in the region of a chronic infarction |
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Definition
decreased echogenicity of the wall |
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Term
if aortic stenosis is found in patients between the ages of 20-50 years look for this abnormality |
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Definition
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Term
Tetralogy of Fallot is characterized by the combination of which of the following four defects |
|
Definition
large overriding aorta, pulmonary stenosis, right ventricular hypertrophy and ventricular septal defect |
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Term
Reduced amplitude and velocity of endocardial motion and wall thickening in systole best describes wall motion |
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Definition
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Term
on the m mode tracing of the mitral valve, prolapse is considered when the leafelts are displaced below the CD points by this distance |
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Definition
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Term
when one of the mitral valve leaflets is flail th leaflet tip points toward the |
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Definition
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Term
this abnormality is commonly seen in patients with acquired immune deficiency syndrome |
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Definition
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Term
The best way to practice medical asepsis is by |
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Definition
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Term
The single most effective way to decrease the spread of infection is |
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Definition
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Term
An echocardiogram is ordered for suspicion of a heart murmur. The ausculatory finding is a Grade IV harsh crescendo decrescendo systolic ejection murmur best heard at the second right intercostal space. You would suspect |
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Definition
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Term
A grade III holosystolic blowing murmur best heard at the apex describes |
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Definition
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Term
the greater the stretch of the ventricle, the greater the force of contraction explains this law |
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Definition
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Term
given the following information what is the MVA
mitral valve P 1/2 time 260 msec
Mean mitral velocity 2.0 m/sec |
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Definition
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Term
what equation is used to calculate the quantification volume across an ASD, VSD or PDA |
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Definition
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Term
what exam is used to aid in determining viability of the cardiac muscle when known coronary artery disease exists |
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Definition
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Term
a Qp/Qs ration is greater than indicates a significant shunt |
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Definition
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Term
The fractional shortening for the given information is
LVIDd 50mm
LVIDs 45mm |
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Definition
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Term
the holding phase valsalva maneuver does what to venous return |
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Definition
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Term
a contraindication for performance of a stress test would be |
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Definition
st segment elevation >1mm |
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Term
when measuring the isovolumetric relaxation time the measurement should be made |
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Definition
from closing click of aorta to opening to click of mitral valve |
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Term
This exam is indicated when a diagnosis cannot be made concerning wall motion abnormalities due to poor endocardial definition |
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Definition
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Term
returning frequency that is two to three the emitted frequency best describes this component of 2D echo |
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Definition
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Term
which of the following is NOT an advantage of DICOM connectivity |
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Definition
inexpensive solution with short learning curve |
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Term
A propagation speed artifact that is placed deeper than the real structure is termed |
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Definition
propagation speed artifact |
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Term
a m mode echo displays on the horizontal axis |
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Definition
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Term
these extra sound beams created by array transducers diminish quality by degrading lateral resolution |
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Definition
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Term
what ratio represents the lowest intensity |
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Definition
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Term
besides the mechanical index, what other system contral can potentially cause microbubble destruction |
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Definition
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Term
this type of doppler probe has no image, does not have backing material, and has a narrow bandwidth |
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Definition
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Term
when assessing diastolic dysfunction, pseudo normalization will show a normal E/A wave in the mitral inflow doppler and this with TDI |
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Definition
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Term
contrast echo can aid in the diagnosis of |
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Definition
all of the above
wall motion abnormalities
enhancement of cardiac doppler signals
improved visulization of cardia masses |
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Term
on a m mode display the Y or vetical axis represents |
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Definition
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Term
side lobes are associated with this type of transducer |
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Definition
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Term
continuous wave doppler has this many crystals |
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Definition
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Term
A PISA calculation can be performed on the following valve abnormalities |
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Definition
all of the above
mitral stenosis
aortic regurge
mitral regurge |
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Term
This vein contains oxygenated blood and returns it back to the heart |
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Definition
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Term
Which of the following will not demonstrate exaggerated respiratory variations upon interrogation of the AV valves with doppler |
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Definition
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Term
With a hypertrophic cardiomyopathy you would see |
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Definition
left ventricular pressure overload |
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Term
Cardiac output is not reduced in which of the following |
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Definition
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Term
What is the most common congenital heart defect found in children |
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Definition
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Term
The measurement used to determine a mitral valve area with spectral doppler echocardiography is |
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Definition
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Term
Dilatation of the aorta associated with Marfans syndrome does not usually occur in the |
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Definition
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Term
Dilatation of the left ventricle causing dilatation of the mitral valve annulus is associated with this color abnormality |
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Definition
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Term
The most common type of systemic hypertension is |
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Definition
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Term
The most common papillary muscle affected by a myocardial infarction is the |
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Definition
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Term
A rare cardiac anomaly in which dilatation of the sinus area of the aorta occurs with possible rupture best defines |
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Definition
sinus of valsalva aneurysm |
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Term
Gradual closure of the aortic valve best seen on M mode of the aorta is often associated with |
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Definition
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Term
An elevated left ventricular end diastolic pressure can be seen on the M mode of the mitral valve that presents with |
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Definition
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Term
The most common echo findings in a patient diagnosed with an infiltrative restrictive cardiomyopathy is |
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Definition
all of the above
left ventricular hypertrophy
RVH
Biatrial enlargement |
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Term
Severe mitral regurgitation can increase the forward flow of mitral valve and cause an increase in the peak MV velocity |
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Definition
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Term
An increased A wave of greater than 7mm seen on the M mode of the pulmonic valve best describes |
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Definition
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Term
Which of the following is a finding of mitral stenosis found on M mode of the mitral valve |
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Definition
anterior motion of the posterior mitral leaflet |
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Term
On the mitral valve inflow doppler tracing of a patient with constrictive pericarditis, the E velocity will be |
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Definition
decreased >25% upon inspiration and increased expiration |
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Term
What specific isolation precautions should be used for tuberculosis |
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Definition
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Term
You are performing an echo on a patient for source of embolus. There are no obvious signs of a source of embolization on the left side. You would look for |
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Definition
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Term
An abnormal response to stress echo would be |
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Definition
affected walls become hypokinetic with exercise |
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Term
When performing contrast echo, the mechanical index should be |
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Definition
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Term
What is the LVEDP with the given info
Blood pressure 120/75
AI peak velocity 3.0m/sec |
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Definition
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Term
Conventional color doppler can display all of the following except |
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Definition
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Term
What is the RVSP with the given info
VSD peak velocity 45 m/sec
BP 110/60 |
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Definition
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Term
Which of the following is not an advantage of harmonic imaging |
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Definition
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Term
Increasing the PRF has what type of effect on your spectral display |
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Definition
makes the spectral waveform smaller |
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Term
Increasing the color gain has this effect on the color frame rate |
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Definition
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Term
A saline contrast study may be performed on patients with the following abnormalities |
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Definition
all of the above
atrial septal aneurysm
TR
Trans Ischemic attack |
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Term
Which of the statements below regarding spectral doppler is True? |
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Definition
the doppler shift is dependent upon the transducer frequency |
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Term
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Definition
ventricular depolarization |
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Term
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Definition
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Definition
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Definition
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Definition
D transposition of the great vessels |
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Term
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Definition
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Definition
endocardial cushion defect |
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Term
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Definition
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Term
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Definition
eccentric diastolic closure line of aortic valve leaflets |
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Term
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Definition
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Definition
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Definition
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Definition
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Definition
diastolic ventricular filling |
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
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Definition
severe acute regurgitation |
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Term
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Definition
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Definition
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Definition
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Definition
having the patient perform a valsalva maneuver |
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Definition
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Definition
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Definition
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Definition
below the patients bladder |
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Definition
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Definition
apical 4 and apical 2 chamber |
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Definition
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Definition
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Definition
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Definition
the frame preceding aortic valve opening |
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Definition
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Definition
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Definition
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makes the spectral waveform smaller |
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Definition
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Definition
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Definition
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Definition
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increase the surface area |
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Definition
proximal isovelocity sufarce area |
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digital imaging and communications in medicine |
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use both hands, interlocking the fingers |
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Definition
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Left ventricular end diastolic volume is defined as |
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Definition
the volume in the ventricle at the end of diastole |
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Term
The coronary arteries mainly fill during |
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Definition
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Term
The right coronary artery lies behind this aortic valve cusp |
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Definition
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Term
Which waveform on the ECG represents atrial systole |
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Definition
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Term
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Definition
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Term
A triangular shaped tracing of aortic regurgitation is seen in |
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Definition
severe acute regurgitation |
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Term
A right ventricle infarction is associated with this coronary |
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Definition
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Term
The most common cause of systemic hypertension is |
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Definition
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Term
What coronary artery feeds the right atrium, right ventricle and inferior wall of the left ventricle? |
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Definition
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Term
Which coronary artery feeds the left atrium, lateral and posterior wall of the left ventricle? |
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Definition
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Term
Rapid ejection of blood flow into the aorta and pulmonary arteries describes this phase of the cardiac cycle |
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Definition
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Term
The coronary arteries mainly fill during |
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Definition
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Term
Atrial systole accounts for approximately what percent of blood volume during the ventricular filling phase |
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Definition
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Term
This vein contains oxygenated blood and returns it back to the heart |
|
Definition
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Term
On the mitral valve inflow doppler tracing of a patient with constrictive pericarditis, the E velocity will be |
|
Definition
decreased >25% upon inspiration and increased expiration |
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Term
What complication can occur in a patients with atrial fibrillation |
|
Definition
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Term
Moderate aortic stenosis is considered when the aortic valve area is |
|
Definition
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Term
Right ventricular hypertrophy can be a cause for a pressure overload in the right ventricle caused from |
|
Definition
significant pulmonic stenosis |
|
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Term
Aortic valve excision with pulmonic valve replacement into the aortic position is known as the |
|
Definition
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Term
A peak pressure gradient of the pulmonic valve of >64 mmHg best describes |
|
Definition
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Term
A sinus of valsalva aneurysm most common ruptures into the |
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Definition
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Term
The result of metastasizing tumors which excrete a tar like material causing the valve to stick open best describes |
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Definition
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Term
Which of the following is a bioprosthetic valve |
|
Definition
|
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Term
A rare cardiac anomaly in which dilatation of the sinus area of the aorta occurs with possible rupture best defines |
|
Definition
sinus of valsalva aneurysm |
|
|
Term
Muffled heart sounds are associated with this abnormality |
|
Definition
|
|
Term
Gradual closure of the aortic valve best seen on M mode of the aorta is often associated with |
|
Definition
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|
Term
When determining a RJA/LAA for mitral regurgitation, what value would indicate moderate mitral regurgitation |
|
Definition
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|
Term
Which of the following is not a probable finding with a restrictive cardiomyopathy? |
|
Definition
mitral annular calcification |
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Term
Vegetations which are in size may not be detected on the transthoracic echo exam |
|
Definition
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|
Term
Mitral annular calcification is typically a 2D finding in which of the following |
|
Definition
hypertrophic cardiomyopathy |
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Term
Which of the following is a finding of mitral stenosis found on M mode of the mitral valve |
|
Definition
anterior motion of the posterior mitral leaflet |
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Term
A rupture of a sinus of valsalva aneurysm most commonly occurs behind this aortic cusp |
|
Definition
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Term
A pleural effusion is seen to the descending aorta on the parasternal long axis view |
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Definition
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Term
A mild degree of regurgitation with prosthetic valve is considered normal |
|
Definition
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Term
Which cardiomyopathy is caused by genetics |
|
Definition
hypertrophic cardiomyopathy |
|
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Term
The most common cause of systemic hypertension is |
|
Definition
|
|
Term
On the m mode tracing of the mitral valve, prolapse is considered when the leaflets are displaced below the CD points by the distance |
|
Definition
|
|
Term
A symptom of mitral valve prolapse might be |
|
Definition
|
|
Term
Dilation of the aorta associated with Marfans syndrome does not usually occur in the |
|
Definition
|
|
Term
Which of the following is not part of Eisenmengers syndrome |
|
Definition
|
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Term
A 35 year old patient with confirmed diagnosis of pericarditis and no evidence of a pericardial effusion refers to |
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Definition
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Term
Myocardium that has been salvaged by coronary reperfusion that exhibits prolonged dysfunction after reperfusion is referred to as |
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Definition
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Term
Which equation is used to calculate an aortic valve area using a component of echo |
|
Definition
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Term
An ausculatory finding in constrictive pericarditis may be |
|
Definition
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Term
The most accurate 2D finding in the diagnosis of cardiac tamponade is |
|
Definition
right ventricular diastolic collapse |
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Term
Which of the following will not demonstrate exaggerated respiratory variations upon interrogation of the AV valve with doppler |
|
Definition
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Term
A bicuspid aortic valve are most often associated with this congenital abnormality |
|
Definition
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Term
Which of the following is not a common finding in systemic hypertension |
|
Definition
asymmetrical septal hypertrophy |
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Term
A narrowing in the descending aorta just distal to the left subclavian artery best describes this congenital abnormality |
|
Definition
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Term
Symptoms that may only be experienced during exercise best describes this type of cardiomyopathy |
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Definition
|
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Term
This abnormality is commonly seen in patients with acquired immune defiency syndrome |
|
Definition
|
|
Term
severe aortic stenosis is considered when the aortic peak pressure gradient is |
|
Definition
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Term
With a hypertrophic cardiomyopathy you would see |
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Definition
left ventricular pressure overload |
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Term
When the color flow image is masked due to the high acoustic difference between the valve and blood of the mechanical valves, it becomes difficult to diagnose color abnormalities. This best desribes |
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Definition
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Term
A myocardial infarction that extends through all the layers of the heart is known as |
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Definition
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Term
A finding of holodiastolic flow reversal in the ascending aorta may be a false positive of severe aortic regurgitation if the patient has |
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Definition
a patent ductus arteriosus |
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Term
Constrictive pericarditis results in impairment of |
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Definition
disatolic ventricular filling |
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Term
A patient is brought to the stress lab to have an exercise treadmill test. During the final stage of Bruce protocol the patient begins to experience chest pain. The EKG shows St segment depression of 3mm. You would |
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Definition
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Term
A normal left ventricular measurement during systole should be |
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Definition
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Term
This exam is indicated when a diagnosis cannot be made concerning wall motion abnormalities due to poor endocardial definition |
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Definition
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Term
When assessing the severity of aortic stenosis, a peak to peak pressure gradient is obtained from this type of diagnostic exam |
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Definition
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Term
The method of assessing left ventricular function by tracing the ventricle during end diastole and end systole best describes this method of measurement |
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Definition
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Term
When measuring 2D measurements, the left atrium is measured at |
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Definition
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Term
mitral valve planimetry should be measured from the parasternal short axis view of the mitral valve |
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Definition
at the smallest area of the valve and tracing the inner orifice |
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Term
When measuring the isovolumetric relaxation time the measurment should be made |
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Definition
from closing click of aorta to opening click of mitral valve |
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Term
An abnormal response to stress echo would be |
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Definition
affected walls become hypokinetic with exercise |
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Term
The greater the stretch of the ventricle, the greater the force of contraction explains this law |
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Definition
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Term
When measuring using m mode, what values are measured from leading edge to leading edge |
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Definition
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Term
When performing a pharmacologic stress echo exam, if the target heart rate has not reached with dobutamine this medication can be given to increase heart rate |
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Definition
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Term
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Definition
loas dependent index of systolic performance |
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Term
on a m mode display the Y or vertical axis represents |
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Definition
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Term
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Definition
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Term
Tissue doppler imaging can be obtained from what views |
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Definition
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Term
Speed and direction of blood flow is displayed using this component of echo |
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Definition
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Term
When determining the size of the flow convergence, this calculation is performed |
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Definition
proximal isovelocity surface area (PISA) |
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Term
Conventional color doppler can display all except |
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Definition
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Term
A deeper sample volume has what effect on the frame rate |
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Definition
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Term
Which statement about color aliasing is correct |
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Definition
it is a progression of red to blue or blue to red where the color saturates an wraps around the other color |
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Term
Returning frequency that is two to three times the emitted frequency best describes this component of 2D echo |
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Definition
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Term
What does DICOM acronym stand for |
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Definition
digital imaging and communication in medicine |
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Term
Besides the mechanical index, what other system control can potentially cause microbubble destruction |
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Definition
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Term
The range of signals that can be detected and processed by an ultrasound system best describes |
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Definition
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Term
on color doppler, the black area of the red and blue color bar indicates |
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Definition
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Term
Which is not considered a method of focusing |
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Definition
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Term
A hallmark finding of cardiac tamponade that is defined as a drop in the systolic blood pressure of greater than 10mmHg during inspiration best describes |
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Definition
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Term
According to the AHA, the initial treatment for ventricular fibrillation is |
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Definition
unsynchronized cardioversion |
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