ABIM Echo Questions

Echo ABIM Case 1 Answers

Necessary Codes

1 . Atrial Thrombus
2. Enlarged RV
3. Global RV dysfunction
4. RV volume overload
5. RV pressure overload
6. Acute Pulmonary Embolism
7. Pulmonary Hypertension 8. Mild/Moderate Tricuspid Regurgitation.

Neutral Codes:

1. Normal LV size,
2. Normal LV function,
3. RA enlargement

Echo ABIM Case 2 Answers

Necessary

1. Akinesis of the anterior, septal and apical walls
2. LV - Abnormal wall motion
3. Mild to moderately reduced LV function
4. Grade 1 Diastolic Dysfunction

Neutral Codes

1. Left atrial enlargement
2. Right atrial enlargement
3. Normal LV size

This patient has an acute LAD infarct

Echo ABIM Case 3 Answers

Necessary

1. Prosthetic Valve Present - Obstruction (thrombus/pannus)
2. Right Ventricle - Catheter or wire present

Neutral Codes
1. Prosthetic Valve Present - Elevated Gradients
2. Left atrial enlargement

Echo ABIM Case 4 Answers

Necessary Codes

1. LV size - Enlarged
2. Ejection Fraction - severely reduced
3. Global hypokinesis
4. Mild/moderate mitral regurgitation
5. Secundum ASD

Neutral Codes

1. Left atrial enlargement

Echo ABIM Case 5 Answers

Necessary Codes

1. Severe Mitral Stenosis
2. Rheumatic Mitral Valve
3. Mild/Moderate MR
4. Mild/Moderate AR
5. Left atrial enlargement

Neutral Codes

1. Right atrial enlargement
2. Normal LV size
3. Normal LV function