Cardiac

Question 1

hibernating myocardium:

• perfusion
• FDG PET uptake
• contractility

Answer 1

• perfusion: dec
• FDG PET uptake: inc
• contractility : dec

Question 2

stunned myocardium:

• perfusion
• FDG PET uptake
• contractility

Answer 2

• perfusion: normal
• FDG PET uptake: normal
• contractility : dec

Question 3

what is hibernating myocardium?

Answer 3

severe chronic ischemia –> viable but hypoperfused

Question 4

aortic regurg/stenosis –> best view?

Answer 4

3chamber

Question 5

coronary A –> malig origin –> which is #1 worst?

Answer 5

LCA from R coronary sinus –> course bw aorta & pulm A

Question 6

anomalous left coronary from pulm A (ALCAPA) –> assoc w what phenomenon?

Answer 6

steal synd: pulm circ –> pressure dec –> reverse flow from LCA into pulm A

Question 7

supravalvular aortic stenosis –> assoc w what synd? (1)

Answer 7

Williams synd

Question 8

MC congenital heart dz?

Answer 8

• bicuspid aortic valve

- VSD

Question 9

what is Ortner’s synd?

Answer 9

cardio vocal hoarseness: enlrg LA –> compress L recurrent laryngeal N –> hoarseness

Question 10

esophagram –> post indentation –> dx? (2)

Answer 10

• L arch w aberrant R subclavian

- R arch w aberrant L subclavian

Question 11

esophagram –> post indentation –> trachea –> ant indentation –> dx?

Answer 11

double aortic arch

Question 12

R arch –> assoc congenital heart dz? (2)

Answer 12

• truncus

- TOF

Question 13

hand/thumb defect + ASD –> assoc synd?

Answer 13

Holt Oram

Question 14

sinus venosus ASD –> assoc condition?

Answer 14

PAPVR

Question 15

cardiac MR –> late gad enhance –> circumferential subendocardial –> dx?

Answer 15

amyloidosis

Question 16

cardiac MR –> late gad enhance –> midwall –> ddx? (4)

Answer 16

• HCM
• myocarditis
• idiopathic dilated cardiomyopathy
• sarcoid

Question 17

kid w dilated heart & midwall enhance –> dx?

Answer 17

muscular dystrophy

Question 18

Glen procedure –> connects what? purpose?

Answer 18

SVC to pulm A

direct systemic blood to pulm circ –> bypass R heart

Question 19

Glen procedure –> comp? (2)

Answer 19

• SVC synd

- pulm A aneurysm

Question 20

Blalock-Taussig procedure –> connects what? purpose?

Answer 20

subclavian A to pulm A

inc pulm blood flow

Question 21

Blalock-Taussig procedure –> comp? (1)

Answer 21

stenosis at shunt’s pulm insertion site

Question 22

Fontan procedure –> purpose?

Answer 22

bypass RV (direct systemic circ) to pulm A

Question 23

Fontan procedure –> comp? (2)

Answer 23

• plastic bronchitis

- enlrg RA –> arrhythmia