Veterinary Cardiology Quiz
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Questions and Answers

What is the normal Vertebral Heart Scale (VHS) value range for dogs?

  • 10.5 +/- 0.5
  • 8.2 +/- 0.5
  • 9.7 +/- 0.5 (correct)
  • 12.0 +/- 0.5
  • Which method is identified as superior for identifying left atrial enlargement in dogs with MMVD?

  • Modified Vertebral Left Atrial Size (M-VLAS) (correct)
  • Thoracic Radiography
  • Vertebral Heart Scale
  • Vertebral Left Atrial Size (VLAS)
  • What is the normal range for the Vertebral Left Atrial Size (VLAS) in dogs?

  • 1.4 - 2.2 v (correct)
  • 1.0 - 1.5 v
  • 1.5 - 2.0 v
  • 2.0 - 2.5 v
  • How wide should the cardiac silhouette be measured in lateral view in dogs?

    <p>2.5 – 3.5 intercostal spaces wide</p> Signup and view all the answers

    Which of the following questions is NOT part of the basic evaluation for cardiac size interpretation?

    <p>Is there a history of cardiac disease?</p> Signup and view all the answers

    What is a common sign of left-sided congestive heart failure in cats?

    <p>Pulmonary edema</p> Signup and view all the answers

    Which of the following is NOT associated with right-sided congestive heart failure?

    <p>Peripheral edema</p> Signup and view all the answers

    Which acquired condition can lead to left-sided cardiomegaly?

    <p>Endocarditis</p> Signup and view all the answers

    What is a common indicator of right-sided cardiomegaly?

    <p>Hepatic congestion</p> Signup and view all the answers

    Which of the following congenital conditions is linked to left-sided cardiomegaly?

    <p>Patent ductus arteriosus</p> Signup and view all the answers

    Which pattern describes the interstitial to alveolar edema seen in left-sided heart failure?

    <p>Unstructured interstitial to alveolar pattern</p> Signup and view all the answers

    Which of the following is a differential diagnosis for left-sided cardiomegaly?

    <p>Hypertrophic cardiomyopathy</p> Signup and view all the answers

    In cases of left-sided heart failure, what might contribute to pleural effusion?

    <p>Mitral valve degeneration</p> Signup and view all the answers

    What is the normal Vertebral Heart Score (VHS) range in cats?

    <p>7.5 +/- 0.3</p> Signup and view all the answers

    Which projection best visualizes the cranial lobar pulmonary vessels?

    <p>Lateral projections</p> Signup and view all the answers

    In the lateral view of the clock face analogy, which chamber is located approximately at the 12:00-2:00 position?

    <p>Left Atrium</p> Signup and view all the answers

    What shape is typically observed in a normal cat's heart on VD or DV projection?

    <p>Valentine-shaped heart</p> Signup and view all the answers

    What effect does aging have on cardiac measurement in cats?

    <p>Increased tilt due to a 'lazy heart'</p> Signup and view all the answers

    What does the position 1:00-2:00 indicate in the DV view of the clock face analogy?

    <p>Main Pulmonary Artery</p> Signup and view all the answers

    In the lateral view, which chamber is located at the 5:00-9:00 position?

    <p>Right Ventricle</p> Signup and view all the answers

    What condition is suggested by enlarged pulmonary veins in cats?

    <p>Left-sided cardiac failure</p> Signup and view all the answers

    How is the width of the heart measured in relation to the VHS?

    <p>Perpendicular to the length from the tracheal bifurcation</p> Signup and view all the answers

    Which of the following chamber positions does NOT correspond to the lateral view of the clock face analogy?

    <p>Main Pulmonary Artery at 3:00-5:00</p> Signup and view all the answers

    What can cause enlarged pulmonary arteries in cats?

    <p>Pulmonary hypertension</p> Signup and view all the answers

    Where is the Left Ventricle positioned in the DV view according to the clock face analogy?

    <p>3:00-5:00</p> Signup and view all the answers

    In the lateral view, what is located between the positions of the Left Atrium and Left Ventricle?

    <p>Right Ventricle</p> Signup and view all the answers

    What is a major challenge in determining cardiac chamber enlargement in cats?

    <p>Variation in heart shape</p> Signup and view all the answers

    Which structure is located at the 9:00-11:00 position in the DV view?

    <p>Right Atrium</p> Signup and view all the answers

    What does the AA position at 11:00-1:00 represent in the clock face analogy?

    <p>Aortic Arch</p> Signup and view all the answers

    What is the position of the left ventricle in the cardiovascular system viewed from the right lateral aspect?

    <p>2:00-5:00</p> Signup and view all the answers

    In a dorsoventral (DV) view of the cardiovascular system, which structure lies to the left of the midline?

    <p>Apex of heart</p> Signup and view all the answers

    What is the location of the right ventricle in the cardiovascular system when viewed from the right lateral side?

    <p>5:00-9:00</p> Signup and view all the answers

    Which chamber of the heart is indicated to occupy the 12:00-2:00 position in the right lateral view?

    <p>Left atrium</p> Signup and view all the answers

    What position corresponds to the left atrium when looking at the cardiovascular system in the DV view?

    <p>12:00-2:00</p> Signup and view all the answers

    Which structure is primarily observed at the apex of the heart in the right lateral view?

    <p>Left ventricle</p> Signup and view all the answers

    In the right lateral view, which chamber has the time frame of 2:00-5:00?

    <p>Left ventricle</p> Signup and view all the answers

    Which of the following views shows the left atrium in the 12:00-2:00 position?

    <p>Dorsoventral view</p> Signup and view all the answers

    What is a common radiographic finding associated with left-sided heart failure in adult small breed dogs?

    <p>Enlargement of the left side of the heart</p> Signup and view all the answers

    Which condition is characterized by dilated and tortuous pulmonary arteries with potential mineralizations?

    <p>Canine heartworm disease</p> Signup and view all the answers

    What is a classic radiographic finding indicative of a patent ductus arteriosus (PDA)?

    <p>Three knuckles sign</p> Signup and view all the answers

    What is a common consequence of congenital cardiac shunting defects?

    <p>Left-to-right shunting</p> Signup and view all the answers

    Which of the following is a radiographic finding in a cat with ventricular septal defect (VSD)?

    <p>Uni- or bilateral heart enlargement</p> Signup and view all the answers

    What is the focus of treatment for pulmonic stenosis?

    <p>Balloon valvuloplasty</p> Signup and view all the answers

    Which cardiac condition can lead to a 'boot-shaped heart' appearance on radiographs?

    <p>Tetralogy of Fallot</p> Signup and view all the answers

    What can result from left-sided cardiomegaly associated with left-to-right PDA?

    <p>Pulmonary overcirculation</p> Signup and view all the answers

    Which condition does NOT result in left-sided cardiomegaly?

    <p>Right-sided cardiomyopathy</p> Signup and view all the answers

    What could indicate congestive heart failure in young patients with congenital defects?

    <p>Increased pulmonary vascular markings</p> Signup and view all the answers

    Study Notes

    Cardiovascular Radiography

    • This presentation covers cardiovascular radiography in veterinary medicine, focusing on identifying normal and abnormal features in thoracic radiographs of dogs and cats.
    • The presenter, Robson F. Giglio DVM, MSc, PhD, DACVR, is an Assistant Professor in Diagnostic Imaging at the University of Georgia's College of Veterinary Medicine.
    • Key goals include defining the cardiac silhouette, identifying the location of cardiac chambers and pulmonary vessels, and recognizing normal and abnormal heart sizes and chamber enlargements.
    • The presentation also includes common acquired and congenital cardiovascular diseases.
    • A review of normal radiographic anatomy, including the cardiac silhouette (heart + pericardial sac) and border effacement (inability to differentiate heart from pericardium on radiographs) is included, with breed-specific variations acknowledged.
    • A clock face analogy is used to describe the location of different heart chambers and large vessels on radiographs.
    • This method assists in identifying the cardiac silhouette and chambers on radiographs.
    • Evaluation techniques and methods like the Vertebral Heart Scale (VHS), Vertebral Left Atrial Size (VLAS) and Modified Vertebral Left Atrial Size (M-VLAS) are discussed for proper assessment of cardiac size.
    • Important considerations for evaluating feline cardiac radiographs include the potential for pericardial fat to mimic cardiomegaly and the variations in cardiac tilt with age.
    • The "lazy heart" and aortic knob are specific features to be aware of when evaluating feline patients.
    • Specific anatomical features in cats, such as atrial location differences, are covered.
    • Interpretation of pulmonary vessels (arteries and veins) and related measurements are detailed.
    • Various conditions causing enlarged pulmonary vessels (e.g., left-sided heart failure) or enlarged pulmonary veins (also left-sided heart failure) are addressed.
    • Cardiomegaly and its clinical radiographic presentation, including differentiated left-sided and right-sided enlargement are covered.
    • Radiographic signs for various cardiac conditions, such as left atrial enlargement, left ventricular enlargement, and right-sided cardiomegaly are highlighted.
    • Congestive heart failure (CHF) displays in lateral and VD radiographs, categorized according to side (left or right).
    • Different types of cardiomegaly and their differentiating characteristics are included.
    • A variety of congenital and acquired cardiac diseases in dogs and cats are presented. This includes mitral valve degeneration, cardiomyopathies (dilated and hypertrophic), heartworm disease, and congenital defects (PDA, VSD, PS, and Subaortic Stenosis) and related treatments.
    • Tables summarizing conditions presenting with CHF are included.

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    Description

    Test your knowledge on canine cardiac evaluation and related conditions with this quiz. Explore topics such as Vertebral Heart Scale (VHS), left atrial enlargement, and signs of heart failure in pets. Perfect for veterinary students and professionals alike!

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