Name: _________________________
Score: ______ / ______
ICU fellows 2011_2012_Post_test
This is the echo post-test. Please complete it before graduation.
Part 1
1
This transthoracic echocardiography view is
Attachments
A. Parasternal long axis
B. Parasternal short axis
C. Apical 4 chamber
D. Subcostal 4 chamber
2
For the view displayed in the previous question, the orientation marker should be placed
A. At 3 o'clock
B. At 12 o'clock
C. At 9 o'clock
D. At 6 o'clock
3
This view can be used for (check all can apply)
A. Assessment of left ventricular systolic
function
B. Assessment of right ventricular function
C. IVC size and respiratory variation
D. Distinction between pericardial and pleural
effusion
4
This view is
Attachments
A. Apical 4 chamber
B. Subcostal 4 chamber
C. Apical 5 chamber
D. Parasternal long axis
E. Parasternal short axis
5
What can this view be used for? (check all can apply)
A. Detection of aortic stenosis
B. Calculation of cardiac output
C. Assessment of right ventricular function
D. Detection of pericardial effusion
E. Assessment of left ventricular function
6
What is this transthoracic view?
Attachments
A. Parasternal short axis on the aortic valve
B. Parasternal short axis on the papillary
muscle
C. Subcostal 4 chamber
D. Cross-section of the IVC
E. Parasternal long axis
F. Apical 4 chamber
7
Where should be directed the marker on the probe for the view displayed in the previous
question?
A. Toward the patient's right shoulder
B. Toward the patient's left shoulder
C. Toward the patient's left foot
D. Toward the patient's right foot
8
What are the criteria of quality for this view? (check all can apply)
A. You should see the apex
B. The left ventricle should be ovoid
C. The papillary muscles should be on the top
of the image
D. The papillary muscles should be symetric
in the left ventricle
E. The left ventricle should be round
9
The view displayed in question 6 can be used to assess (check all can apply)
A. RV function
B. presence of pericardial effusion
C. LV function
D. size of the atria
E. aortic stenosis
10
The left ventricular function can be assessed from any kind of images, not necessarily from
standard views
True
False
11
The right ventricular function can be assessed from
A. Parasternal long axis
B. Parasternal short axis
C. Apical 4 chamber
D. Subcostal 4 chamber
E. All are true but I need at least 2 different
views
12
Left pleural effusion is located in space
Attachments
A. A
B. B
C. C
D. D
13
The most important indice to differenciate the IVC from the abdominal aorta is
A. the IVC is smaller
B. the aorta does not have respiratory
variations
C. the IVC is not pulsatile
D. the IVC is merging into the right atrium
E. their direction is different
14
The IVC should be measured at location
Attachments
A. 1
B. 2
C. 3
15
In normal right ventricle
A. The size of the right ventricle is bigger than
the size of the left ventricle
B. The size of the right ventricle is less than
2/3 of the size of the left ventricle
16
In this view, can you recognize the heart structures?
Attachments
1. 1
A. Mitral valve
2. 2
B. Aortic valve
3. 3
C. Ascending aorta
4. 4
D. Right ventricle
5. 5
E. Left ventricle
6. 6
F. Left atrium
Part 2: Case 1
The questions below refer to the TTE examination at:
https://www.stanford.edu/group/ccm_echocardio/cgibin/mediawiki/index.php/Clinical_cases_block_2_patient_1
17
Is there a significant pericardial effusion?
A. No, there is no significant pericardial
effusion
B. No, but there is a right pleural effusion
C. Yes, there is a significant pericardial
effusion
18
The left ventricular systolic function is
A. low
B. normal
C. Hyperdynamic
19
There is significant right ventricular dilatation and dysfunction
A. true
B. false
Part 3: Case 2
The questions below refer to the TTE examination at:
https://www.stanford.edu/group/ccm_echocardio/cgibin/mediawiki/index.php/Clinical_cases_block_2_patient_2
20
Is there an effusion?
A. No, there is no significant pericardial
effusion
B. Yes, there is a significant pericardial
effusion
21
The left ventricular function is
A. Normal
B. Significant systolic dysfunction
22
The right ventricle is:
A. Normal size
B. Dilated
C. Normal function
D. Significant dysfunction
23
The IVC will be very reliable to assess the patient's volume status
A. true
B. false
Part 4: Case 3
The questions below refer to the TTE examination at:
https://www.stanford.edu/group/ccm_echocardio/cgibin/mediawiki/index.php/Clinical_cases_block_2_patient_3
24
The left ventricle is
A. hypertrophic, with normal systolic function
B. normal size and decreased systolic
function
C. hypertrophic, with decreased systolic
function
D. normal size and normal systolic function
25
There is a significant pericardial effusion
True
False
26
Select a complication from this disease present in this example
A. SAM (systolic anterior motion of the mitral
valve)
B. Tamponade
C. A-V block
Part 5: Case 4
The questions below refer to the TTE examination at:
https://www.stanford.edu/group/ccm_echocardio/cgibin/mediawiki/index.php/Clinical_cases_block_2_patient_4
27
There is a left pleural effusion
True
False
28
There is a pericardial effusion
True
False
29
The right ventricle is collapsing in diastole
True
False
30
The inferior vena cava is collapsing more than 50% in inspiration
True
False
31
The left ventricular systolic function is normal
True
False
Part 6: Part 6: Case study 5
The questions in this part are related to the loops at:
www.stanford.edu/group/ccm_echocardio/cgibin/mediawiki/index.php/Clinical_cases_block_2_patient_5
32
The left ventricular function is
A. Hyperkinetic
B. Normal-mild dysfunction
C. Severely impaired
33
The right ventricle is dilated and hypokinetic
True
False
34
There is a significant effusion
A. Pericardial
B. Left pleural
C. Right pleural
D. There is no significant effusion around the
heart
35
The aortic valve is
A. Normal
B. Calcified and not opening well