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Fixer Upper
200

AVA <1.0cm2

What is severe AS?

200

The main disadvantage of mechanical valves.

What is thrombus formation?

200

Diastolic "doming" of valve leaflets is seen when this type of valve is stenotic.

What is atrioventricular?

(MV & TV)

200

If the MV PHT is 220ms, then the MVA can be determined to be this size. 

What is 1cm2?

200

Significant MV stenosis causes this condition of the LV.

What is "LV starving".

(small LV)

400

Vena contracta <0.3cm

What is mild AI?

400

Visualization of a mechanical prosthetic valve is difficult using TTE due to this imaging artifact.

What is acoustic shadowing?

400

A patient with a mobile vegetation is at risk for this event. 

What is.. stroke/TIA/Blue Toe syndrome

400

JVD, ascites, and LE edema are all signs of this heart condition. 

What is right heart failure?

400

In the setting of tricuspid stenosis, the IAS will bow in this direction. 

Where is toward the LA?

600

PHT <200ms

What is severe AI?

600

This mechanical prosthetic valve was discontinued due to a high incidence of strut fracture.

What is the Bjork-Shiley?

600
A patient with a dissection will most likely also have this valvular lesion. 

What is AI?

600

In the setting of AS, if at least one of the three valve leaflets is mobile, then the AVA is ______ or greater. 

What is 1cm2?

600

Aortic and mitral stenosis are commonly associated with atrial fibrillation due to this type of cardiac remodeling. 

What is left atrial enlargement? 

800

ERO ≥0.40cm2

What is severe MR?

800

In the setting of aortic stenosis, the sonographer must obtain additional Doppler images using this US system tool. 

What is the Pedoff probe?

(Blind CW probe)

800

Aortic dilatation/dissection, bicuspid AoV, AI, and MVP are all associated with this inherited disorder. 

What is Marfan's sydrome?

(Inherited disorder of the connective tissue.)

800

This standard practice should be implemented by the sonographer if a patient is in atrial fibrillation at the time of their study.

What is averaging measurements on multiple beats?

800

In the setting of DCMO, the LV dilates causing the MV leaflets to take on this appearance and leak during systole. 

What is leaflet tenting/tethering?

1000

Dehiscence is confirmed with the valvular rocking exceeds _______ degrees. 

What is 20 degrees?

1000

When obtaining an image to measure PISA of the MV with TEE, the sonographer should turn the color baseline in this direction. 

What is up?

(The baseline is moved in the direction of the regurgitant jet. Moved down with TTE.)

1000

The most common valve for pannus formation to occur over a prosthetic valve.

What is the aortic valve?

1000

If a patient has a shunt (ASD/VSD) combined with severe pulmonic stenosis, then they can develop  _________________. 

What is cyanosis?

(Stenotic PV will cause RVOT to become the path of higher resistance. Deoxygenated blood will start to cross the shunt over to the left heart.)

1000
If present, this rare congenital defect can mimic the hemodynamics of mitral stenosis. 

What is cor triatriatum?

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