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Cardiology
Imaging
34
Medical
Graduate
09/22/2010

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Cards

Term
CXR
Definition
What type of imaging study will show a general overveiw of anatomy and gross pathology? 
Term
CXR
Definition
 What assists in the detection of cardiomegaly, pulmonary vascular congestion, aortic disease (aneurysm, coarctation)?
Term
CXR
Definition
What imaging study does not give accurate assessment of chamber size/irregularity?
Term
Heart size
Definition
You should not use a portable Xray maching to estimate what?
Term
PA
Definition
What direction of CXR should you use to estimate the heart size?
Term
1/2
Definition
In Massive cardiomegaly, the borders of the heart exceed ____ the diameter of the chest.
Term
Pulmonary Edema
Definition
What typically shows up in the shape of "bat wings" on a CXR?
Term
Kerly "B" Lines
Definition
What shows up on an CXR when one has dilated lymphatics of the lung due to increased interstitial fluid – most times due to Heart Failure?
Term
L Ventricular Hypertrophy
Definition
What is happening when the CXR shows the L ventricle buldging out?
Term

Echocardiography

 

*digital or stress

Definition
What type of imaging detects congenital, valves, HF, and detects perfusion abnormalities –  CHD?
Term
Radionucleotide Stress Testing & Echoardiography
Definition
What two imaging studies detect perfusion abnormalities?
Term
HF
Definition
What is the Multiple Gated Acquisition "MUGA" scan used to detect?
Term
Chest CT
Definition
What is the best test to detect calcified coronary plaques?
Term
Percutaneous Catheter Angiography
Definition
What type of procedure is done now for people who would have previously had to have open surgery for?
Term
1.5-20 MHz
Definition
Frequency of sound from an ultrasound is how much?
Term

travels thru

 

*until it hits a harder surface under it then it bounces back

Definition
Does US travel thru or bounce off of liquid?
Term

poorly

 

*it can get in the way of an US

Definition
Does air conduct sound well or poorly?
Term
pts with Barrel-chests
Definition
What type of pt would you NOT be able to use an ECHO on?
Term
Trans-Esophageal Echo
Definition
What type of imaging study gets the closest to the heart?
Term
Echocardiography
Definition
 What type of imagining is useful for detecting pericardial effusion, valvular dysfunction/stenosis or insuffiency?
Term
Trans-Esophageal Echo
Definition
What should you do next if you hear a heart murmur?
Term
Echo
Definition
What type of test is best for evaluating chamber size and wall thickness?
Term

valve: mitral

 

Ventricle: L

Definition

What valve is the closest to the Trans-Esophageal Echo when done?

 

What ventricle is?

Term
Digital Echo
Definition
What type of imaging can compare the movement of the ventricular walls at rest and during stress/exercise?
Term

Yes

 

*It will NOT work during exercise

Definition
Will myocardium that is ischemic work during rest?
Term
Neither
Definition
When will myocardium that is infarcted not work, during stress or exercise?
Term

Dobutamine

 

 

*B1 adrenergic effect increases inotropy and O2 demand

Definition
If a pt is unable to exercise for a stress echo, what drug would you give to "stress" the heart?
Term
reversible coronary ischemia
Definition
What can a stress echo detect about 90% accurately?
Term
Optical Frequency Domain Imaging (OFDI)
Definition
What type of imaging has a fiberoptic probe with a constantly rotating laser tip emits a light beam with an ever-changing wavelength?
Term
Adenosine
Definition
What drug would you use for a technetium sestamibi SPECT stress test if the pt cannot exercise?
Term
Technetium Sestamibi SPECT stress test
Definition
 What type of test identifies areas of reversible ischemia upon stress and demonstrates areas of old infarct in the resting state?
Term

arteriogram

 

*can give exact locations of a lesion. SPECT cannot

Definition
Which test is more precise, a technetium sestamibi SPECT stress test or an arteriogram?
Term
Technitium sestimibi SPECT stress test
Definition
What test is unable to detect valvular disease, chamber and wall dimensions?
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