Endocarditis, Prosthetic Valves, Aort Flashcards

0
Q

MR seen on m-mode is indicative of what type of murmur?

A

Apical holosystolic

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1
Q

Pts w a aortic coArctation commonly have a blood pressure in the legs?

A

Lower than the right arm

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2
Q

All of the following are different types of endocarditis except?

A

Dressler

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3
Q

An m-mode of a mitral heterograft valve resembles an m-mode of which valve?

A

Aortic.

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4
Q

High frequency systolic vibrations on the aortic valve m-mode is consistent w?

A

Normal findings

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5
Q

High risk patients for infective endocarditis include those w?

A

Intravenous drug abuse

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6
Q

Low risk pts for infective endocarditis include those w?

A

Coronary artery disease

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7
Q

If a pt has a star Edwards valve in both the mitral and aortic positions mitral regurg might be best detected from which window ?

A

Subcostal

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8
Q

Coarctation of the aorta is associated w?

A

Bicuspid aortic valve

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9
Q

When using m-mode to interrogate a starr Edwards mitral valve which window would you use?

A

Apical

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10
Q

Which is an example of a mechanical cardiac valve?

A

St Jude bi-leaflet

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11
Q

When red blood cells become damaged as they pass through a mechanical prosthetic valve the pt is said to have?

A

Hemolysis, which is the destruction of red blood cells leading to the release of hemoglobin

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12
Q

Echo findings in endocarditis include?

A

Shaggy appearance on m-mode, of vegetation

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13
Q

Patients w Marfan syndrome will exhibit all of the following except?

A

LVH, is not commonly seen

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14
Q

Low risk patients for infective endocarditis include all the following except ?

A

Prosthetic mitral valve, you are at a high risk w this

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15
Q

In order to be seen by 2d echo, vegetations need to be how big?

A

2-3 mm

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16
Q

All of the following are etiologies for valvular endocarditis except?

A

Pulmonary HTN

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17
Q

The degree of prosthetic valve stenosis depends on all of the following except?

A

Presence of regurg

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18
Q

Patients w lupus will sometimes get what type of endocarditis?

A

Libman-Sachs

19
Q

All of the following are examples of bioprosthetic cardiac valves Except:?

A

Star-Edwards ball valve

20
Q

Echo findings in endocarditis often include all of the following Except:?

A

Eisenmeger syndrome has nothing to do with endocarditis.

21
Q

Which is an example of a bioprosthetic cardiac valve?

A

Ionescu-shiley bovine valve

22
Q

Which type of valve is a St. Jude?

A

Bi-disk

23
Q

All of the following are increased risk factors for valvular endocarditis Except:?

A

Carotid artery stenosis

24
Q

All of the following increase the risk for endocarditis Except:?

A

Coronary artery disease

25
Q

Patients with endocarditis may present the following symptoms except:?

A

Angina

26
Q

When using Doppler to interrogate a Starr-Edwards mitral valve, which window would you use?

A

Apical

27
Q

You are in the ER, a patient had signs & symptoms of aortic dissection. Which modality give you rapid diagnosis?

A

TEE

28
Q

High frequency systolic vibrations on the aortic valve M-mode is consistent with:?

A

Normal findings.

29
Q

Which of the following is a known complication of a bioprosthetic heart valve?

A

Pannus formation

30
Q

All of the following will cause aortic dilatation Except:?

A

Pulmonary hypertension

31
Q

When red blood cells become damaged as they pass thru a mechanical valv, the PT is said to have:?

A

Hemolysis

32
Q

A PT presents a 10 yr old ball-gage prosthetic valve in the mitral position with a new perivalvular leak. What might be a cause of this leak

A

Ring abscess

33
Q

Patients with lupus will sometimes get what type of endocarditis?

A

Libman-Sachs

34
Q

All of the following will cause aortic dilatation Except:?

A

Pulmonary hypertension

35
Q

Which is an example of a mechanical valve?

A

St. Jude

36
Q

The majority of organisms attach to the ___ side of the atrioventricular valves.

A

Atrial

37
Q

What is a common symptom of a PT with endocarditis?

A

Fever

38
Q

All of the following are examples of mechanical valves Except:?

A

Hancock

39
Q

Prosthetic valves are classified as:

A

Mechanical & bioprosthetic

40
Q

If a PT has a porcine MV, all of the following should be R/O during echo Except:?

A

Carcinoid heart disease

41
Q

Coarctation of the aorta most often occurs at the:?

A

Aortic isthmus

42
Q

In endocarditis the veg usually attach on:?

A

Flow side of valve

43
Q

A vegetation on a valve, need to be how big?

A

3mm

44
Q

If the PT pulmonic valve, annulus and trunk are excised and relocated to the aortic position, what type of valve do they have?

A

Autograft

45
Q

All of the following are different types of endocarditis Except:?

A

Dresslers