Vimeo AEUS - ECHO II
Med Center ID (abcd01)
Which of the following is FALSE regarding pericardial effusion?
In the subcostal view, a small pericardial effusion is often seen between the right side of the heart and the liver
When assessing the size of a pericardial effusion, it is best to obtain multiple views
A large pericardial effusion is defined as greater than 2 cm measured at its widest point during diastole
Early cardiac tamponade is demonstrated by right ventricular collapse in systole and a plethoric IVC
To discern between a pericardial and pleural effusion, you should use the descending thoracic aorta and FAST views
Which of the following is FALSE regarding estimating cardiac function?
Cardiac function can be described as decreased, normal, or increased
In cardiac arrest, some cardiac/valve movement on ultrasound does not automatically equal organized cardiac activity
Focal wall motion abnormalities can lead to an incorrect estimation of cardiac function
Evaluation of the pulmonary valve helps estimate cardiac function
The apical 4-chamber view is the best for determining focal wall motion abnormalities of the left ventricle
Which of the following is FALSE regarding cardiac chamber size?
The A4c view is ideal for comparing chamber size
RV dilation on ultrasound is both sensitive and specific for pulmonary embolism
RV:LV ratio is supposed to be between 0.5 -1, if > 1 that is pathologic
McConnell's sign is when there is RV hypokinesis with apical sparing
With chronic issues that increase RV pressures, there should be RV enlargement AND hypertrophy
Which of the following statements is FALSE?
You can assess gross volume status and CVP by looking at IVC collapsibility
You can measure the diameter of the ascending aorta best on the PSLA view
A normal ascending aorta diameter is less than 3 cm and should be measured from the inside wall on one side of the vessel to the inside wall of the other side of the vessel
When measuring the IVC diameter, one should measure at the widest point about 2 cm from the diaphragm
Ultrasound evaluation of the ascending aorta is not very sensitive for ruling out aortic dissection
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