CET Cardiac Pathology & Disease Recognition Flashcards
6 cards from real CET practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CET Cardiac Pathology & Disease Recognition flashcards as text
In dilated cardiomyopathy, which echocardiographic finding carries the worst prognosis?
Answer: Restrictive filling pattern (pseudonormal or restrictive)
A restrictive transmitral filling pattern in dilated cardiomyopathy (E/A >2, short deceleration time) indicates markedly elevated filling pressures and carries poor prognosis.
Which echocardiographic view best demonstrates aortic coarctation in adults?
Answer: Suprasternal notch view
The suprasternal notch view provides direct imaging of the aortic arch and descending aorta, allowing visualization of coarctation and Doppler interrogation of the gradient.
Which echocardiographic pattern is most typical of cardiac amyloidosis?
Answer: Biventricular hypertrophy with a 'granular sparkling' myocardial texture
Cardiac amyloidosis classically shows concentric biventricular hypertrophy with a 'granular sparkling' or 'ground glass' myocardial texture on 2D echo due to amyloid fibril deposits.
What is the most common echocardiographic finding in patients with sarcoidosis involving the heart?
Answer: Regional wall motion abnormalities not following a coronary distribution
Cardiac sarcoidosis most commonly produces regional wall motion abnormalities in a non-coronary distribution due to granulomatous infiltration, often involving the basal septum.
Which echocardiographic measurement is used to calculate the mitral valve area using the pressure half-time method?
Answer: Time for peak mitral E velocity to decrease to 70.7% of its maximum value
Pressure half-time is the time for the peak mitral diastolic pressure gradient to fall by half, which corresponds to the time for peak E velocity to drop to 70.7% (1/√2) of its maximum.
Libman-Sacks endocarditis on echocardiography is most commonly associated with which condition?
Answer: Systemic lupus erythematosus (SLE)
Libman-Sacks endocarditis consists of sterile, small, wartlike vegetations on both sides of valve leaflets and is pathognomonic of systemic lupus erythematosus.