CET CET Cardiac Pathology & Disease Recognition 3

Question 1

In dilated cardiomyopathy, which echocardiographic finding carries the worst prognosis?

Accepted Answer

Restrictive filling pattern (pseudonormal or restrictive)

Answer

Mitral E/A ratio of 1.2

Answer

Mild left ventricular enlargement

Answer

Ejection fraction of 40%

Question 2

Which echocardiographic view best demonstrates aortic coarctation in adults?

Accepted Answer

Suprasternal notch view

Answer

Parasternal long-axis view

Answer

Apical four-chamber view

Answer

Subcostal four-chamber view

Question 3

Which echocardiographic pattern is most typical of cardiac amyloidosis?

Accepted Answer

Biventricular hypertrophy with a 'granular sparkling' myocardial texture

Answer

Eccentric LV hypertrophy with diastolic dysfunction

Answer

Isolated right ventricular dilation with normal LV

Answer

Dilated LV with reduced EF and thin walls

Question 4

What is the most common echocardiographic finding in patients with sarcoidosis involving the heart?

Accepted Answer

Regional wall motion abnormalities not following a coronary distribution

Answer

Mitral valve stenosis

Answer

Severe aortic regurgitation

Answer

Pulmonary valve stenosis

Question 5

Which echocardiographic measurement is used to calculate the mitral valve area using the pressure half-time method?

Accepted Answer

Time for peak mitral E velocity to decrease to 70.7% of its maximum value

Answer

Time from peak E velocity to baseline

Answer

Time from QRS onset to peak E velocity

Answer

Deceleration time of the pulmonary venous S wave

Question 6

Libman-Sacks endocarditis on echocardiography is most commonly associated with which condition?

Accepted Answer

Systemic lupus erythematosus (SLE)

Answer

Infective endocarditis with Streptococcus viridans

Answer

Rheumatic fever

Answer

Carcinoid heart disease