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Test 3
CVT-246-01 - Non-Invasive Cardiology Special Topics
| Question | Answer |
|---|---|
| What views are required to obtain radial and circumferential strain? | Parasternal short axis basal, mid, and apex |
| What is myocardial dyssynchrony testing used for? | used to evaluate dual chamber pacer therapy |
| What is the normal value for global longitudinal strain? | -20 to -23 |
| List at least three clinical applications for global longitudinal strain. | evaluation of systolic and diastolic function, early detection of chemo-induced cardiotoxicity, ischemic heart disease, coronary artery disease, takotsubu evaluation of HOCM and amyloidosis PHTN |
| Why are volume measurements more accurate during a three-dimensional echo? | foreshortening that may occur in 2d is not a factor in 3d imaging thus making 3d more reliable |
| Which of the following types of strain imaging is used most in the clinical environment? | Global longitudinal |
| What views are required to obtain global longitudinal strain? | Apical 2, 3, 4 |
| Which of the following is more sensitive to myocardial changes? Global longitudinal strain TDI at the mitral annulus measure S' Left ventricular ejection fraction Left ventricular fractional shortening | Global longitudinal strain |
| List at least three applications for three-dimensional echocardiography. | evaluation of left ventricular volume and function evaluate valve structures evaluate septal defects |
| What does ICE stand for? | intracardiac echocardiography |
| What is the normal value for radial strain? | 50 – 70 |
| What does longitudinal strain measure? | The positive and negative strain from base to apex |
| All of the following can be used during myocardial dyssynchrony testing except: Tissue Doppler M-Mode imaging Pulsed wave Doppler Two-dimensional imaging | M-Mode imaging |
| List three clinical applications for ICE. | used to guide septal defect closures used during valvotomy or valve replacements used during ablation monitoring |
| List at least three techniques to optimize the image when using global longitudinal strain. | on axis apical imaging, no foreshortening acquire 3 loops at end-expiration, must visualize the endocardium narrow sector width, shallow depth, frame rate 50 to 90 |
| What is the normal value for strain rate? | 1 to 1.4 |
| True or False Positive strain rate is when two points of a speckle move closer together during systole. | False |