Stress Echo

Question 1

4 chamber view

Answer 1

Anterolateral wall, inferoseptal wall

Question 2

2 chamber view

Answer 2

Anterior and inferior wall

Question 3

Long axis view

Answer 3

Anteroseptum, inferolateral wall

Question 4

Wall motion score index

Answer 4

sum of scores / 16

Question 5

Target HR dobutamine

Answer 5

0.85 x (220-age)

Question 6

False negative DSE

Answer 6

Single vessel disease
Mild CAD
Inadequate stress
Poor recovery
Poor image quality

Question 7

False positive DSE

Answer 7

NICM
LBBB
Postop septal motion
Excessive afterload
Interpreter bias
Poor image quality

Question 8

Ischemic cascade

Answer 8

Perfusion abnormality
Diastolic dysfunction 
Systolic dysfunction 
Hemodynamic abnormalities
EKG changes
Symptoms