Chapter 10
Questions
- 181. Compared to timing of mitral E-wave peak, mitral annular Em peak is:
- A. Earlier
- B. Later
- C. Simultaneous
- D. No relationship
- 182. Post-ejection left ventricular (LV) shortening may be found in all of the following conditions except:
- A. Hypertensive heart disease
- B. Ischemic cardiomyopathy
- C. Cardiac syndrome X
- D. Mitral stenosis
- 183. Compared to the epicardial, endocardial radial velocities are:
- A. Higher
- B. Lower
- C. Similar
- D. Variable
- 184. The following myocardial velocities were obtained from the posterior wall by color Doppler tissue imaging: peak systolic epicardial velocity 2 cm/s, peak systolic endocardial velocity 16 cm/s, systolic LV wall thickness 1.4 cm, early diastolic epicardial velocity 3 cm/s, endocardial velocity 18 cm/s, and diastolic wall thickness 1 cm. The systolic transmural velocity gradient in this patient is:
- A. 10/s
- B. 14 cm/s
- C. 19.6 cm/s
- D. 19.6/s
- 185. For the patient in question 184, diastolic myocardial velocity gradient for the posterior wall is:
- A. 15/s
- B. 1.5/s
- C. 18/s
- D. 18 cm/s
- 186. In a person with cardiomyopathy, the following Doppler measurements were obtained: Q wave to aortic flow 140 ms, Q wave to pulmonary flow 70 ms, Q to medial mitral annular Sm wave 70 ms, Q to anterior mitral annular Sm wave 85 ms, Q to lateral Sm wave 140 ms, and Q to posterior wall Sm wave 130 ms. Interventricular asynchrony in this patient is:
- A. 70 ms
- B. 140 ms
- C. 85 ms
- D. 50 ms
- 187. In the patient in question 186, LV intraventricular asynchrony is:
- A. 70 ms
- B. 140 ms
- C. 85 ms
- D. 130 ms
- 188. Stroke risk in a patient with patent foramen ovale (PFO) is influenced by:
- A. Size of PFO
- B. Atrial septal aneurysm
- C. History of prior stroke or transient ischemic attack
- D. All of the above
- E. None of the above
- 189. Atrial septal aneurysm may be associated with:
- A. Patent foramen ovale
- B. Atrial arrythmias
- C. Increased stroke risk
- D. All of the above
- E. None of the above
- 190. Observational data on percutaneous PFO closure indicate that the benefit is greater with:
- A. Larger PFO
- B. Complete PFO closure
- C. Greater number of previous strokes
- D. All of the above
- E. None of the above
- 191. All of the following are probable causes of mitral stenosis except:
- A. Rheumatic fever
- B. Excessive calcification of the mitral annulus
- C. Phen-fen valvulopathy
- D. Ischemic heart disease
- 192. Bicuspid aortic valve may be associated with the following except:
- A. Aortic root disease
- B. Coarctation of the aorta
- C. Aortic stenosis or regurgitation
- D. Ventricular septal defect
- 193. Common cause of aortic stenosis in a 50-year-old individual is:
- A. Calcific
- B. Bicuspid aortic valve
- C. Unicuspid aortic valve
- D. Rheumatic heart disease
- 194. Heart failure with normal ejection fraction can occur in the following except:
- A. Hypertrophic cardiomyopathy
- B. Cardiac amyloid
- C. Restrictive cardiomyopathy
- D. Dilated cardiomyopathy
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- A. Earlier
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