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Pericardial Disease Flashcards

7 cards from real ARDMS ECHO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What is the normal volume of pericardial fluid in a healthy adult?

    Answer: 15–50 mL

    The normal pericardial sac contains approximately 15–50 mL of serous fluid that acts as a lubricant between the visceral and parietal pericardium.

  2. On the parasternal long-axis view, how is a pericardial effusion distinguished from a left pleural effusion?

    Answer: Pericardial effusion is bounded anteriorly by the descending aorta

    On the parasternal long-axis view, pericardial effusion lies anterior to the descending aorta, whereas a pleural effusion extends posterior to it.

  3. According to standard echocardiographic grading, a small pericardial effusion is defined as an echo-free space measuring less than:

    Answer: 10 mm

    A small pericardial effusion is classified as an echo-free separation of less than 10 mm measured in the parasternal long-axis view during diastole.

  4. Which condition is characterized by fibrous thickening, scarring, and sometimes calcification of the pericardium that impairs cardiac filling?

    Answer: Constrictive pericarditis

    Constrictive pericarditis results from scarring and loss of pericardial elasticity, creating a rigid shell around the heart that restricts ventricular filling.

  5. What is the most common echocardiographic finding in acute pericarditis?

    Answer: Pericardial effusion

    Pericardial effusion is detected in the majority of acute pericarditis cases and is the most frequently observed echocardiographic abnormality.

  6. Which echocardiographic appearance best describes a large circumferential pericardial effusion?

    Answer: Echo-free space surrounding all cardiac chambers

    A large pericardial effusion appears as a circumferential echo-free (anechoic) space that encircles all four cardiac chambers.

  7. Pericardial cysts are benign congenital lesions most commonly found at which location on echocardiography?

    Answer: Right cardiophrenic angle

    Pericardial cysts are fluid-filled, thin-walled structures located most often at the right cardiophrenic angle and appear as anechoic masses on echocardiography.