Cardiomyopathy MCQs

1. Hypertrophic cardiomyopathy is:

a) Genetically transmitted-autosomal dominant
b) Usually has impaired left ventricular systolic function (reduced EF)
c) Typically accompanied by a dilated Left Atrium
d) Is not seen in the elderly
e) May have concentric LV hypertrophy

T
F
T
F
T

2. Regarding HCM:
a) Systolic anterior motion is often associated with outflow track gradient
b) Diastolic function is usually normal
c) May present with mild ventricular hypertrophy
d) May present with only localized ventricular hypertrophy at the lateral wall
e) Asymmetric hypertrophy is defined by a septal-to-posterior wall ratio of 1.5:1

T
F
T
T
T

3. Systolic anterior motion (SAM) of the mitral valve can be seen in the following
conditions:
a) Hypovolaemia
b) in hypertrophic non-obstructive cardiomyopathy
c) in anterior mitral leaflet prolapse
d) in hyperkinetic states
e) post-operatively, after mitral valve repair

T
F
F
T
T

4. Dilated cardiomyopathy is commonly associated:

a) With alcohol consumption
b) myocarditis
c) with Fabrys disease
d) with atrial thrombus
e) with coronary artery disease

T
T
F
T
F

5. Regarding dilated cardiomyopathy

a) Peripartum cardiomyopathy manifests itself during the first trimester
of pregnancy
b) Usually leads to regional wall motion abnormalities
c) The right ventricle is not affected
d) Doxorubicin can cause dilated cardiomyopathy
e) Screening family members is unhelpful

F
F
F
T
F

6. Regarding restrictive cardiomyopathies:

a) amyloidosis mainly affects the right heart
b) Diastolic function is usually normal
c) Never appears in the elderly
d) In cardiac amyloidosis the ECG usually shows ventricular hypertrophy
e) Can be associated with high eosinophilic count

F
F
F
F
T

7. In restrictive cardiomyopathies
a) The systolic function is always normal
b) endomyocardial fibrosis is rare
c) can often be associated with mitral regurgitation
d) can be caused by Loefflers syndrome
e) The transmitral velocity increases by >20% with inspiration

F
F
T
T
F

8. In constrictive pericarditis
a) The pericardium is always thickened
b) can occur after open heart surgery
c) there is a drop in intracardiac pressures
d) the trans-tricuspid diastolic gradient is unchanged during respiration
e) the LV outflow velocities are reduced during inspiration

F
T
F
F
T

9. Respiratory variation of the tricuspid valve can be seen:

a) cardiac tamponade
b) cardiac amyloidosis
c) in constrictive pericarditis
d) in hypereosinophilic syndrome
e) in RBBB

T
F
T
F
T

10. Regarding ARVC

a) Echocardiography is not useful for the diagnosis of ARVC
b) Is commonly associated with sudden cardiac death
c) Often associated with a delta wave on the ECG
d) Is characterized by fibrous tissue deposition in the RV free wall
e) it never affects the left heart

F
T
F
F
F