Applied Echocardiography for Haemodynamic Monitoring - Pre-course Test
HK, HA staff
HK, non-HA staff
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Which of the following patient in shock would most likely be beneficial when 500ml Hartman solution bolus is given?
Patient with acute GIB with mitral E 150 and E/e' of 30
Patient with septic shock with LVOT VTl of 30 and mitral E/e’ of 18
Patient with AMI with EF 45% and mitral E of 60
Patient with chronic COPD with positive stroke volume variation and RV s' of 0.05
Which of the following patient with bilateral infiltration on CXR would most likely be beneficial when bolus of Lasix is given?
Grossly dilated RV with paradoxical septal motion, while LV is hyperdynamic
Mild dilated LV and RV with mitral E 180, LVOT VTI of 25, and IVC grossly dilate 2.1/2.8
Concentric LVH with kissing wall, turbulence flow notice at LVOT, associated and severe MR
Grossly dilated LV with LVEF of 10-20%, mitral E of 80 and LVOT VTI of 14
What is the possible diagnosis of the ECHO image above? (more than one answer)
Which of the following measurement is the best reflection of LV systolic function in ICU?
LV ejection fraction by Simpson’s method
Stroke volume by LVOT VTI
LV lateral s’
None of the above
Which of the following assessment is a correct prediction of patient’s fluid responsiveness?
Patient on non-invasive ventilation, with IVC variability > 15%
Patient with AF, intubated on mechanical ventilation, and pulse pressure variation of 18%
COAD cor pulmonale patient who are just intubated for respiratory failure, with stroke volume variation of 18%
Lady in sinus rhythm, intubated for Laparotomy with TV 500ml, and with IVC distensibility of 20%
All of the above
What is the best view for RV function systolic function assessment
Parasternal long RV inflow view
Parasternal short axis view at aortic valve level
Apical 4 chamber view
RV focus apical 4 chamber view
Subcostal 4 chamber view
Which of the following criteria indicated that patient have high LA filling pressure? (more than one answer)
E/A > 2
LA vol index > 34ml/m2
E/med e’ > 14
Medial e’ < 0.07
TR max > 2.8 m/s
What is the phase of LV filling do mitral E flow representing?
Early diastolic LV filling
End diastolic LV filling
What parameter on LV pressure volume loop represent contractility?
LV stroke volume
LV ejection fraction
LV end systolic relationship
Area under LV PV loop
Patient presented with shock and here is the ECHO report done by intensivist, what is the most likely cause of shock?Hyperdynamic LV with LVEF >70% with no RWMA, RV collapsed, E/e’ 12, LVOT VTI 25
I am in shock!!!
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