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Echo Theory Final Exam (PART 1)
Unit while using Bernoullis
AOV pressure gradient
Echo Theory Final Exam (PART 1)
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1
AOV pressure gradient
Greater than or equal to 16
Less than or equal to 2
Less than or equal to 16
Greater than or equal to 2
2
Unit while using Bernoullis
MmHg
M/s
Cm^2
Cm
3
The filling period during mid to late diastole, where there is a exchange into the LV increasing pressure
Active relaxation
Passive Compliance/ Stiffness
4
which of the following is labeled A’
Atrial contraction Myocardial velocity
Early diastolic myocardial velocity
Systolic myocardial velocity
5
Type of Doppler used for RUPV
PW
CW
6
Doppler is always ________ to flow
Parallel
Perpendicular
7
PV: Shape
U or V configuration
M configuration
8
RVOT: normal flow pattern
Antegrade(BLUE)
Retrograde(RED)
9
Views used for M-mode (select all that apply)
Subcostal
PSLA
PSSA
Apical
10
AOV Doppler
PW
CW
11
80% of filling. LV pressure falls below LA pressure
Diastasis
Rapid (Passive) early ventricular filling
Isovolumic relaxation
LA contraction(pushing)
12
________ is the driving force behind fluid flow
Resistance
Pressure
Viscosity
Volume
13
What is required for flow to occur
Friction
Pressure gradient/ Difference
Flow going from low pressure to high pressure
Pressure+Volume
14
RVOT: shape
M configuration
U or V configuration
15
Used for high flow velocities without being subjected to aliasing
PW
CW
16
Chaotic flow patterns in different directions and speeds ( often associated with pathology)
Phasic
Laminar
Turbulent
Parabolic
17
TV: 2D imaging
RVIT
A4
RVOT
A5
18
PV Velocity
1.0-1.7 m/s
0.6 -1.3m/s
0.6-0.9m/s
0.3- 0.7 m/s
19
Y-Axis
Time
Depth
20
Diastolic signal shows a ______ deflection
Positive
Negative
21
When the myocardium recoils back to its normal pre-systolic state
Active Relaxation
Passive compliance/stiffness
22
PV: 2D imaging
RVIT
PSSA AOV
RVOT
PSSA MV
23
Away from transducer produces negative Doppler shift
Antegrade
Retrograde
24
LVOT: Images used
A3
A5
A2
A4
25
AOV Shape
M configuration
U or V configuration
26
which of the following is labeled S
Atrial contraction Myocardial velocity
Early diastolic myocardial velocity
Systolic myocardial velocity
27
20% filling.
Diastasis
Rapid (Passive) early ventricular filling
LA contraction(pushing)
Isovolumic relaxation
28
MV: Normal flow pattern
Retrograde(BLUE)
Antegrade(RED)
29
Mitral Valve ECG timing
End of Q wave
Between R & S wave
End of T wave
30
PV: Normal Flow pattern
Antegrade( RED)
Retrograde (BLUE)
31
What is the second stage of LV diastolic Function
Diastasis
Isovolumic Relaxation
Rapid (Passive) early ventricular filling
32
MV: view required for color Doppler
A4
A2
PSLA
PSSA MV
33
Which of the following Dopplers are used to record velocities within the myocardium at the corners of the TV/MV annulus?
Doppler shift
Tissue Doppler (TDI)
CW Doppler
M-Mode
34
RVOT: Doppler
PW
CW
35
PV: ECG Timing
END of T wave
Between R & S wave
END of Q wave
36
2D image for RUPV
A3
A5
A4
A2
37
TV: Velocity
0.6-1.3 m/s
0.3 to 0.7 m/s
0.6 - 0.9 m/s
1.0-1.7m/s
38
TV: ECG timing
Between R & S wave
End of Q wave
End of T Wave
39
Normal Strain Range
Greater than or equal to 20%
Greater than or equal to 25%
Less than or equal to 25%
Less than or equal to 20%
40
Which of the following views do you use for Speckle Tracing? (Select all that apply)
A5
A2
A3
A4
41
Tubulent Flow is ABNORMAL FLOW
False
True
42
Utilizes two sets of crystals that continuously transmit/ receive signals
M-mode
PW
CW
43
Produces one dimensional information on a time-motion graph
TDI
M-mode
Spectral Doppler
2D
44
M-Mode is _______________ to the cardiac structure
Parallel
Perpendicular
45
Unit for Strain
Cm^2
MmHg
Dimensionless or %
M/s
46
LVOT type of Doppler
CW
PW
47
Results from loss of elastic recoil of the LV. Decreases early filling (smaller E than A)
Grade 4: Restrictive (irreversible)
Grade 3: Restrictive(Reversible)
Grade 2: Pseudo-normalization
Grade 1: Impaired Relaxation
48
Greater than ______= turbulent flow (Reynolds’s number)
1,000
2,500
3,000
2,000
49
MV pressure gradient
0-2 mmHg
0-5 mmHg
Less than or equal to 16 mmHg
Less than or equal to 5mmHg
50
What is the first stage of LV diastolic Function
Rapid (Passive) early ventricular filling
Isovolumic Relaxation
LA contraction(pushing)
Diastasis
51
A4 chamber view with ________ alignment
Positive
Perpendicular
Negative
Parallel
52
Which of the following is a Disadvantage Of CW (Select all that apply)
Specific site
Range Ambiguity
Spectral Broadening
Aliasing
53
Advantage of PW Doppler
Aliasing if NyQuist limit exceeds
Site Specific
High flow velocities
Signals taken form entire length of the beam
54
MV: Shape
M configuration
U or V configuration
55
Velocity is _________
Horizontal (X-Axis)
Vertical (Y-axis)
56
AOV: 2D Imaging
A3
A4
A2
A5
57
Equalization of pressure, valve drifts shut. Distance between E&A
Isovolumic relaxation
Rapid (Passive) early ventricular filling
LA contraction(pushing)
Diastasis
58
Decrease in chamber compliance(increase stiffness).
Grade 3: Restrictive(Reversible)
Grade 2: Pseudo-normalization
Grade 1: Impaired Relaxation
Grade 4: Restrictive (irreversible)
59
Toward transducer produces a Positive Doppler shift
Retrograde
Antegrade
60
Formula for CSA
Diameter^2 x 0.785
4V^2
Pi R^2
CSAx VTI
61
Refers to the DEFORMATION to the size and shape of an object as a result of applied stress
Strain
Stress Test
Left ventricular diastolic function
Disturbed Flow
62
AOV Velocity
0.6-1.3 m/s
1.0-1.7m/s
0.3-0.7m/s
0.6-0.9m/s
63
Trace records the depth and motion of the echoes arising from intracardiac structures
M-mode
TDI
2D
Spectral Doppler
64
Final stage of dysfunction
Grade 3: Restrictive(Reversible)
Grade 4: Restrictive (irreversible)
Grade 1: Impaired Relaxation
Grade 2: Pseudo-normalization
65
Doppler formula for Stroke volume
CSAxVTI/VTI
Diameter squared x 0.785
EDV-ESV
CSAxVTI
66
TV: shape
M configuration
U or V configuration
67
What is the fourth stage of LV diastolic Function
Rapid (Passive) early ventricular filling
Isovolumic relaxation
LA contraction(pushing)
Diastasis
68
Which of the following is a Positive Strain
Longitudinal shortening
Circumferential Shortening
Radial Thickening
69
Flow dependent on high LA pressure rather than active relaxation( pushing opposed to pulling)
Grade 2: Pseudo-normalization
Grade 3: Restrictive(Reversible)
Grade 1: Impaired Relaxation
Grade 4: Restrictive (irreversible)
70
RUPV: normal flow pattern
Retrograde(BLUE)
Antegrade(RED)
71
Which of the following is a negative strain? (Select all that apply)
Circumferential shortening
Longitudinal shortening
Radial Thickening
72
Z-Axis
Gray scale assignment
Quantifying blood flow
Velocity
Time
73
TV Doppler
PW
CW
74
MV: velocity in color Doppler
0.3 to 0.7 m/s
0.6 to 0.9 m/s
1 to 1.7 m/s
0.6-1.3 m/s
75
LA pressure must continue to rise. Rise is LA pressure with rapid equalization results in significant shortening of DT
Grade 4: Restrictive (irreversible)
Grade 2: Pseudo-normalization
Grade 1: Impaired Relaxation
Grade 3: Restrictive(Reversible)
76
Utilized one set of crystals
M-mode
CW
PW
77
Time is ___________
Vertical(Y-axis)
Horizontal (X-axis)
78
Doppler for MV
PW
CW
79
PV Doppler
PW
CW
80
which of the following is labeled E’
Early diastolic myocardial velocity
Atrial contraction Myocardial velocity
Systolic myocardial velocity
81
Formula for Bernoulli’s
4V^2
SBP- 4V^2
Diameter^2 x 0.785
CSA x VTI
82
Time between the semilunar values closing, AV valves opening
Rapid (Passive) early ventricular filling
Diastasis
Isovolumic relaxation
LA contraction(pushing)
83
X-Axis
Depth
Time
84
What is the third stage of LV diastolic Function
Isovolumic Relaxation
Rapid (Passive) early ventricular filling
Diastasis
85
Unit while using CSA
Cm^2
MmHG
Cm/s
Cm
86
AOV: Normal flow pattern
Retrograde(BLUE)
Antegrade (RED)
87
SVG measurement in PW Doppler
1 to 3 CM
1 to 5 MM
1 to 5 CM
1 to 3 MM
88
What is the 2D equation for Stroke Volume
Diameter squared x 0.785
EDV -ESV
CSAx VTI/ VTI
CSAx VTI
89
Conventional _______ modalities are used to determine the velocity and direction of BF through the heart & great vessels
PW Doppler & CW Doppler
CW Doppler
M-mode
PW doppler
90
RVOT: 2D imaging
PSLA
PSSA AOV
RVOT
A4
91
TV: normal flow pattern
Retrograde(BLUE)
Antegrade(RED)
92
Volume of blood pumped in one beat
Cardiac Output
Ejection Fraction
Fractional shortening
Stroke Volume
93
Which of the follow does NOT determine resistance
Radius of vessel lumen
Volume of blood
Length of vessel
Viscosity of blood
94
What is the NyQuist limit
PRP/1
PRF/2
PRP/2
PRF/1
95
Which of the following is NOT a negative strain
Radial thickening
Circumferential shortening
Longitudinal shortening
96
Flow goes from _____ pressure to _____ pressure
Low, High
High, Low
97
LVOT: normal flow pattern
Antegrade(RED)
Retrograde(BLUE)
98
AOV: ECG Timing
End of Q wave
Between R & S wave
End of T Wave
99
Frame rate of M-mode
1000-2000 Frames/s
1500-2000 Frames/s
1000-2000 frames/min
1000-3000 Frames/s
100
LVOT: shape
U or V configuration
M configuration