Advanced Echocardiography Questions with Correct Answers.

Advanced Echocardiography Questions with Correct
Answers
What are the 5 stress test modalities? Correct Answer--Adenosine
-Dobutamine
-Ergonovine
-Exercise (bike/treadmill)
-Pacing


Which stress modality would you use for a patient testing for severity of
valve disease or pulmonary hypertension? Correct Answer-Bicycle


What is the preferred method of stress echo? Correct Answer-Exercise
stress (bike/treadmill; if they are able to)


Which stress testing method is reserved for those individuals unable to
exercise adequately? Correct Answer-Dobutamine


Which stress method has be proven to be a more sensitive test for the
detection of coronary artery disease? Correct Answer-Exercise


What is a lack or loss of contraction of the LV wall? Correct Answer-
Akinesis


What is abnormal contraction or bulging of the LV wall? Correct
Answer-Dyskinesis

, What is reduced or diminished contraction of the LV wall? Correct
Answer-Hypokinesis


What is the mildest form of abnormality with wall thickness <30%?
Correct Answer-Hypokinesis


What are the 6 indications for a stress echo? Correct Answer--Symptoms
suggestive of C.A.D.
-Ambiguous stress ECG examination
-Evaluate LV global function
-Identify viable, hibernating or stunned myocardium
-Evaluate patients with known coronary artery disease
-Evaluate hemodynamics in valvular or cardiomyopathic heart disease


What are the 8 contraindications for a stress echo? Correct Answer--
Acute MI (within two days)
-Unstable angina
-Uncontrolled cardiac arrythmias
-Symptomatic vavular aortic stenosis >50 mmhg
-Acute Pulmonary embolus
-Acute aortic dissection
-Pregnancy
-Patient refusal