hey guys jim here welcome back to our part two of our echocardiography registry review questions thanks for joining me today let's get started question 25 which of the following calculations is used to confirm the valvular area if disease is suspected in this video clip is it a 4v squared b 0.29 times pressure half time in milliseconds c 759 divided by deceleration time in milliseconds or d pressure half time divided by 220. let me zoom in here the answer is c 759 divided by deceleration time in milliseconds this would be the correct answer however it's backwards the correct way is 220 divided by pressure half time not pressure half time divided by 220 question 26 what does this ekg represent is it a atrial flutter b atrial fibrillation c ventricular fibrillation or d polymorphic ventricular tachycardia the answer is a atrial flutter as indicated by these sawtooth patterns here question 26 sorry question 27 what does this personal long axis view represent is it a vegetation b mitral valve prolapse c sam or d ruptured chordae tendineae the answer is c sam or systolic anterior motion of the mitral valve you can see here during systole the anterior mitral leaflet is being pushed into the lvot tract causing an obstruction question 28 what is number three pointing to is it a the left anterior descending artery b right coronary artery c left circumflex artery or d left main coronary artery the answer is c left circumflex artery question 29 what is the most common associated defect found with the choractation is it a interrupted aortic arch b tetralogy of flow c by cusped artif or d ventricular septal defect and sorry guys you might find some congenital questions on your echo boards the answer is c bicuspid aortic valve question 30 which of the following calculations will determine the left atrial pressure is it a systolic blood pressure minus mitral regurgitation gradient b diastolic blood pressure minus mitral regurgitation gradient c diastolic blood pressure plus mitral regurgitation gradient or is it d systolic blood pressure divided by mitral regurgitation gradient the answer is a systolic blood pressure minus mitral regurgitation gradient question 31 which of the following calculations will determine left ventricular and diastolic pressure is it a dissolved blood pressure minus aortic regurgitation in diesel gradient b diastolic blood pressure plus aortic regurgitation in diazo gradient c systolic blood pressure minus aortic regurgitation and dyson gradient or is it d systolic blood pressure plus aortic regurgitation and dyson gradient the answer is a diastolic blood pressure minus aortic regurgitation and diesel gradient question 32 which of the following equations determine pulmonary artery and diastolic pressure is it a right atrial pressure minus pulmonary artery and diastolic pressure b right atrial pressure plus pulmonary artery and diastolic pressure c right atrial pressure minus pulmonary artery and systolic pressure or is it d right atrial pressure plus pulmonary artery and systolic pressure the answer is b right atrial pressure plus pulmonary artery and diastolic pressure question 33 severe pulmonic regurgitation is hollow diastolic the answer is false hollow diastolic refers to aortic regurgitation and retrograde flow in the aorta question 34 what is the most common cause of mitral stenosis is it a congenital b rheumatic c calcifications or d left atrial mixomas the answer is be rheumatic 35 this longitudinal strain pattern demonstrates is it a amyloidosis b apical hypertrophic cardiomyopathy c concentric left ventricular hypertrophy or is a d severely reduces solid function the answer is b apical hypertrophic cardiomyopathy question 36 what is the hydrostatic pressure at the heart in a standing patient is it a 0 b between 110 and 120 c minus 50 or is it d 100 the answer is a zero question 37 this longitudinal strain pattern demonstrates is it a amyloidosis b apical hypertrophic cardiomyopathy c concentric left ventricular hypertrophy or is a d right coronary artery infarction sorry the image isn't as clear as it could be but a lot of the images on your test will not be very clear the answer is c concentric left ventricular hypertrophy question 38 in the setting of an acute single vessel occlusion of either the rca or the circumflex coronary artery what is the potential hemodynamic complication that can occur resulting in a loud systolic murmur and flash pulmonary edema is it a ruptured chordae of the mitral valve b idiopathic hypertrophic sub-aortic stenosis with sam c muscular vsd or is it d aortic regurgitation the answer is b idiopathic hypertrophic subiotic stenosis with sam question 39 3d echo uses what to construct a 3d image is it a a series of 4d images b a series of 1d images c a series of 3d images or is it d a series of 2d images the answer is d a series of 2d images question 40 quality of 3d reconstruction is dependent on all of the following except is it a quality of 2d images b number of images c adequate ekg or is it d ability to use a frequency higher than 10 megahertz the answer is d ability to use a frequency higher than 10 megahertz 3d construction also depends on respiratory gaiting and the ability to limit artifacts question 41 in patients with high resistance patent ductus arteriosus ducts the flow across the ducts is relatively what is it a small b high c critical or d undetectable the answer is a small 42 to minimize artifacts 3d40 imaging is best acquired during is it a suspended respiration b higher frequency c higher line density or is it d higher output power the answer is a suspended respiration question 42 i'm just going to zoom in here real fast what is demonstrated in this video is it a hypertrophic obstructive cardiomyopathy b apical hypertrophic cardiomyopathy c asymmetric hypertrophic cardiomyopathy or as a d apical thrombus the answer is b apical hypertrophic carmopathy as indicated by the ace of spades here in the left ventricle question 44 flattening of the septum in diastole and rounding of the septum during systole refers to what right ventricular pressure overload b right ventricular volume overload c left ventricular volume overload or is it d left ventricular pressure overload is flattening of the septum in diastole and rounding of the septum during systole the answer is b right ventricular volume overload question 45 click on the anterior mitral valve leaflet if you said here you are correct question 46 which pulmonary vein is used to evaluate mitral regurgitation is it a left upper pulmonary vein b right lower pulmonary vein c left lower pulmonary vein or d right upper pulmonary vein the answer is d right upper pulmonary vein 47 what is the most common cardiac tumors in children and infants is it a rhabdomyosarcoma b hemangiosarcoma c renal cell carcinoma or is it d angiosarcoma the answer is a rhabdomyosarcoma question 48 a patient receives a baseline echo for congestive heart failure at 10 am when is the physician required to interpret the study is it a by noon on the same day performed b end of business day c beginning of the next business day or d end of the next business day the answer is the end of the next business day question 49 this longitudinal strain pattern demonstrates is it a amyloidosis b apical hypotrophic cardiomyopathy c concentric left ventricular hypertrophy or is it d left or is it d left circumflex array infraction the answer is the left circumflex artery infarction question 50 of the choices below which lists the layers of the pericardial wall from the inside out correctly is it a fibrous pericardium then the epicardium b serous pericardium then the visceral layer of the source pericardium c epicardium then the parietal pericardium or is it d fibrous pericardium then the parietal pericardium the answer is c epicardium then the parietal pericardium and then following that is the fibrous pericardium that completes another 25 questions i'll hurry and write 25 more questions and then upload that video as soon as i can i'm jim with ultrasoundboardreview.com thanks for watching