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48 Cards in this Set

  • Front
  • Back

Identify the different types of LV outflow obstruction

— valvular aortic stenosis


— subaortic membrane


— hypertrophic cardiomyopathy

Which of valvular diseases are considered high velocity stenotic Jets

Hypertrophic cardiomyopathy

What is the LV response to Chronic pressure overload from aortic stenosis

Concentric hypertrophy


— leads to reduced tricular volume

What happens to stroke volume with a severe mitral stenosis?

Decreased stroke volume

Identify the equation for mitral valve area using pressure halftime

MVA = 220 / T 0.5

Identify the connection between mitral valve orifice and rate of pressure decline

— the Rate pressure decline is determined by the CSA of the orifice



— the smaller the orifice, lower the rate of pressure decline.

What is the response of the left ventricle with mitral stenosis?

— LV is small, and D shaped during this doing and or systole with long-standing pressure and valve overload.



— small


— normal wall thickness


— normal systolic function


— impaired diastolic function

What is the most common cause of mitral stenosis?

Rheumatic fever

Aortic stenosis hemodynamics

What is the most common cause of pulmonic stenosis?

Congenital disease

Identify laminar vs. Turbulent flow

— laminar = smooth flow



— turbulent = chaotic flow

Identify the pressure differences before and after the a stenotic valve

— increased pressure before valve



— decrease pressure after valve



— causes a pressure gradient to occur

Bernoulli equation

ΔP = 4v2

What other pathologies are associated with bicuspid aortic valve

— calcific of the trileaflet or bicuspid aortic valve


— congenital valve disease


— Rheumatic valve disease


— aortic stenosis


— aortic aneurysm


— aortic dissection


—aortic coarctation

Describe an AS murmur

Systolic decrescendo murmur

Identify 2D Echo characteristics associated with aortic stenosis

— thick calcified AV cusp


— MAC


— LA enlargement


— LVH


— post stenotic dilation of aortic root

What Doppler parameters are needed to calculate the aortic valve area

LVOT CSA


LVOT VTI


—AV VTI

Identifying mild, moderate, and severe valve areas

You're doing an echo on a young adult and there is a high gradient with the aortic valve looks normal what would you suspect

Subaortic membrane

What is the equation for mitral valve area

220 / pressure half-time

Severe mitral stenosis may be associated with blank due to limitations of LV diastolic filling

Low stroke volume

Which indicate the smallest mitral valve area

4

Get the mitral pressure half-time is 220 Ms, what is the valve area

1.0 cm2

Bicuspid aortic valve is often associated with what

— Ao aneurysm


— Ao dissection


— Ao coarctation

And aortic stenosis murmur is described as a systolic blank decrescendo

Crescendo

According to the DeWitt textbook what valve area would be considered severe aortic stenosis

<1.0 cm2

Dlv response to The Chronic pressure overload of a valvular aortic stenosis

LVH

Which erratic velocity is associated with severe aortic stenosis

4.2 m/s

The most common etiology of pulmonic stenosis

congenital disease

Which is not considered a high velocity systolic jet

Aortic regurgitation

Using Bernoulli's equation solve the following Michael stenotic Jed 3 m/s

36 mmHg

The number associated with the pressure high time empirical formula

220 m/s

The LA responds to mitral stenosis

Dilation

If you were scanning a 35 year-old patient that has a thick aortic valve and high in aortic stenosis what should you expect

A bicuspid aortic valve

What adapter measurement is needed for V?



RSVP = 4v2 + RAP

Peak tricuspid regurgitation velocity

The diaphragm moves blank during inspiration

Down words

Plug and parabolic flow is considered blank flow

Laminar

Number associated with turbulence and aluminum foil brand

Reynolds

Harmonic frequency sound arises from blank Behavior

Nonlinear

Venous flow in the legs increases when the diaphragm moves

Upward

Contrast agent bubbles must be less than blank in size

10 micron

Hematocrit is a good indicator of blood blank

Viscosity

The pressure difference between the vessel and the surrounding tissue is known as the blank

Transmural pressure

The shape of a vein with low venous pressure

Dumbbell

Viscosity of blood is measured in units of blank

Poise

Portion of the body that has a negative hydrostatic pressure when

Head

Flow in the arms increases during

Inspiration

This type of frequency arises from linear Behavior

Fundamental