Hints from Edelmans book Questions With Complete
Solutions
61 yo male w/ Idiopathic hypertrophic subaortic stenosis (IHSS)
and a resting gradient of 144 mmHg admitted to hospital with
CP. the next day the resting gradient was 15 mmHg. What
happened
A) LV infarct
B) RV infarct
C) Afib Developed
D) post MI VSD Correct Answers A) LV infarct - could have
infarcted septum so the gradient that was high is now gone
A huge dilated PA, Severe TR and RV Enlargement best
describes?
A) Pulmonary Emboli
B) Pulmonary HTN
C) MI
D) MR Correct Answers B) Pulmonary HTN
A Patient has an RVSP of 60 mm Hg one year later the RVSP is
30 mm Hg what happened to this patient?
A) aortic dissection
B) hypertrophic cardiomyopathy
C) Dilated cardiomyopathy
D) pulmonary hypertension Correct Answers C) Dilated
Cardiomyopathy
A patient with a secundum ASD has a buble study. It shows all
EXCEPT:
A) bubbles from RA to LA
,B) Bubbles from RV to LV
C) Neg. Contrast Jet in RA
D) Bubbles in pulm. artery Correct Answers B) Bubbles from
RV to LV
A Pericardial Effusion can often be seen in patients with?
A) Aortic Stenosis
B) Atrial Flutter
C) Myocardial Infarct
D) Renal Failure Correct Answers D) Renal Failure
A restrictive cardiomyopathy has which of the following?
A) increased afterload
B) decrease LV compliance
C) increased Preload
D) decreased LA pressure Correct Answers B) Decreased LV
compliance (Decreased preload "LV cant fill"
A secondary finding in AS is?
A) LAE
B) Left Ventricular Enlargement
C) LVH
D) AR Correct Answers C) LVH
A Typical EF in dilated CM?
A) 15-25%
B) 30-40%
C) 40-50%
D) 60-70% Correct Answers A) 15 - 25% (pick smallest
range) (for hypertrophic pick highest range)
,A vena contracta might be seen in which type of
cardiomyopathy?
A) Dilated CM
B) Restrictive CM
C) Infiltrative CM
D) HOCM Correct Answers A) Dilated
- it stretches out annulus, chordae & Papillary muscles
Acute AI vs Chronic AI (Frank-starling Law) Correct Answers
Acute AI = hypercontractile LV
Chronic AI = valve failure
Acyanotic shunt vs cyanotic shunt Correct Answers Acyanotic
is L to R
Cyanotic is R to L
All of the following can lead to a false diagnosis of pericardial
effusion on M-mode EXCEPT:
A) Descending Aorta
B) Calcified Mitral Annulus
C) Ascites
D) Mitral valve prolapse Correct Answers D) Mitral valve
prolapse
All of the following may result in jugular venous distension
EXCEPT:
A) cardiac Tamponade
B) Pulmonary hypertension
C) Tricuspid Stenosis
D) hypovolemia
, E) Constrictive pericarditiscamero Correct Answers D)
Hypovolemia
Amyloid and sarcoid are what type of cardiac abnormalities?
A) Congestive
B) Hypertrophic
C) Restrictive
D) Infiltrative Correct Answers D) Infiltrative
Amyloidosis involves abnormal proteins, describe it Correct
Answers Translucent waxy protein build up on the myofibrils
An enlarge heart on chest x-ray could be all of the following
EXCEPT:
A) Pericardial Effusion
B) Pleural Effusion
C) Aortic Stenosis
D) Hypertrophic Cardiomyopathy Correct Answers B) Pleural
Effusion
Aortic Regurgitation starts at the:
A) Beginning of IVCT
B) End of IVCT
C) Beginning of IVRT
D) End of IVRT Correct Answers C) Beginning of IVRT
Are gradient higher in an echo or a cath? Correct Answers In
an echo, echo uses peak to peak, cath uses peak instantaneous
Are right sided pressures elevated with a valsalva maneuver?
Correct Answers During strain phase - no
Solutions
61 yo male w/ Idiopathic hypertrophic subaortic stenosis (IHSS)
and a resting gradient of 144 mmHg admitted to hospital with
CP. the next day the resting gradient was 15 mmHg. What
happened
A) LV infarct
B) RV infarct
C) Afib Developed
D) post MI VSD Correct Answers A) LV infarct - could have
infarcted septum so the gradient that was high is now gone
A huge dilated PA, Severe TR and RV Enlargement best
describes?
A) Pulmonary Emboli
B) Pulmonary HTN
C) MI
D) MR Correct Answers B) Pulmonary HTN
A Patient has an RVSP of 60 mm Hg one year later the RVSP is
30 mm Hg what happened to this patient?
A) aortic dissection
B) hypertrophic cardiomyopathy
C) Dilated cardiomyopathy
D) pulmonary hypertension Correct Answers C) Dilated
Cardiomyopathy
A patient with a secundum ASD has a buble study. It shows all
EXCEPT:
A) bubbles from RA to LA
,B) Bubbles from RV to LV
C) Neg. Contrast Jet in RA
D) Bubbles in pulm. artery Correct Answers B) Bubbles from
RV to LV
A Pericardial Effusion can often be seen in patients with?
A) Aortic Stenosis
B) Atrial Flutter
C) Myocardial Infarct
D) Renal Failure Correct Answers D) Renal Failure
A restrictive cardiomyopathy has which of the following?
A) increased afterload
B) decrease LV compliance
C) increased Preload
D) decreased LA pressure Correct Answers B) Decreased LV
compliance (Decreased preload "LV cant fill"
A secondary finding in AS is?
A) LAE
B) Left Ventricular Enlargement
C) LVH
D) AR Correct Answers C) LVH
A Typical EF in dilated CM?
A) 15-25%
B) 30-40%
C) 40-50%
D) 60-70% Correct Answers A) 15 - 25% (pick smallest
range) (for hypertrophic pick highest range)
,A vena contracta might be seen in which type of
cardiomyopathy?
A) Dilated CM
B) Restrictive CM
C) Infiltrative CM
D) HOCM Correct Answers A) Dilated
- it stretches out annulus, chordae & Papillary muscles
Acute AI vs Chronic AI (Frank-starling Law) Correct Answers
Acute AI = hypercontractile LV
Chronic AI = valve failure
Acyanotic shunt vs cyanotic shunt Correct Answers Acyanotic
is L to R
Cyanotic is R to L
All of the following can lead to a false diagnosis of pericardial
effusion on M-mode EXCEPT:
A) Descending Aorta
B) Calcified Mitral Annulus
C) Ascites
D) Mitral valve prolapse Correct Answers D) Mitral valve
prolapse
All of the following may result in jugular venous distension
EXCEPT:
A) cardiac Tamponade
B) Pulmonary hypertension
C) Tricuspid Stenosis
D) hypovolemia
, E) Constrictive pericarditiscamero Correct Answers D)
Hypovolemia
Amyloid and sarcoid are what type of cardiac abnormalities?
A) Congestive
B) Hypertrophic
C) Restrictive
D) Infiltrative Correct Answers D) Infiltrative
Amyloidosis involves abnormal proteins, describe it Correct
Answers Translucent waxy protein build up on the myofibrils
An enlarge heart on chest x-ray could be all of the following
EXCEPT:
A) Pericardial Effusion
B) Pleural Effusion
C) Aortic Stenosis
D) Hypertrophic Cardiomyopathy Correct Answers B) Pleural
Effusion
Aortic Regurgitation starts at the:
A) Beginning of IVCT
B) End of IVCT
C) Beginning of IVRT
D) End of IVRT Correct Answers C) Beginning of IVRT
Are gradient higher in an echo or a cath? Correct Answers In
an echo, echo uses peak to peak, cath uses peak instantaneous
Are right sided pressures elevated with a valsalva maneuver?
Correct Answers During strain phase - no
