MASTER - Pre-Course Knowledge Assessment

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Question 1 of 5

1. Question
An echocardiogram shows:
- Vmax 3.5 m/s
- Mean gradient 30 mmHg
- AVA 1.2 cm²
- Velocity ratio 0.34
Which severity classification is most supported?
Mild
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Moderate
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Severe
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Indeterminate
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Question 2 of 5

2. Question
An echocardiogram shows:
- Vmax 4.3 m/s
- Mean gradient 45 mmHg
- AVA 0.8 cm²
- Velocity ratio 0.22
Which report statement is most appropriate?
“Findings are consistent with mild aortic stenosis.”
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“Findings are consistent with moderate aortic stenosis.”
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“Findings are consistent with severe aortic stenosis.”
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“Aortic stenosis severity cannot be assessed.”
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Question 3 of 5

3. Question
An echocardiogram shows:
- Vmax 3.9 m/s
- Mean gradient 38 mmHg
- AVA 0.9 cm²
- Velocity ratio 0.26
Assuming the study is technically adequate and normal flow, which report statement best communicates the overall ASE-based findings?
“Findings are consistent with mild aortic stenosis.”
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“Findings are most consistent with moderate-to-severe aortic stenosis.”
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“Findings are consistent with severe aortic stenosis.”
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“Findings are most consistent with mild-to-moderate aortic stenosis.”
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Question 4 of 5

4. Question

An echocardiogram shows:

Vmax 3.3 m/s
Mean gradient 28 mmHg
AVA 0.9 cm²
Velocity ratio 0.36

Assuming the study is technically adequate and normal flow, which report statement best communicates the overall ASE-based findings?

Severe AS because AVA is <1.0 cm²
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Mild AS because the velocity ratio is normal
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Severe AS can only be determined by valve appearance
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Moderate AS is most supported because Vmax, mean gradient, and velocity ratio are in the moderate range
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Question 5 of 5

5. Question
An echocardiogram shows:
- Vmax 4.6 m/s
- Mean gradient 52 mmHg
- AVA 0.7 cm²
- Velocity ratio 0.20
- LVEF 45%
- Indication: exertional dyspnea
Which report summary best communicates the clinical meaning?
“Findings are consistent with severe aortic stenosis based on AVA and Doppler parameters.”
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“Findings are consistent with severe aortic stenosis. LVEF is mildly reduced. Clinical correlation with reported symptoms is recommended.”
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“Aortic stenosis severity is mild.”
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“Aortic stenosis severity cannot be assessed because the patient is symptomatic.”
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MASTER – Pre-Course Knowledge Assessment

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