After chemotherapy with doxorubicin ( adriomycin), there is an irreversible effect upon left-ventricular contractility and ejection fraction. what is the most accurate method of assessing the effect of drug upon the patient's condition?
A. Transthoracic echo B. Transesophageal echo C. Left heart catheterization D. Right heart catheterization ( Swan-Ganz) E. Nuclear ventriculogram ( MUGA)
dermatology Forum Elite
Topics: 30 Posts: 297
09/21/07 - 03:49 PM
#2
well for EF % MUGA scan is best option .... but along with EF here left heart contraction is to b checked so can b done trans thoracic echo too....
confused between A and E
sunny2 Forum Elite
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09/21/07 - 04:08 PM
#3
Muga Scan
me007 Forum Guru
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09/21/07 - 08:29 PM
#4
b.
starcraftbw Forum Senior
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09/21/07 - 08:38 PM
#5
EKG --> ECHO --> MUGA (BEST)
sukhs Forum Senior
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09/22/07 - 02:31 AM
#6
The question is about the most accurate test for the diagnosis of Doxorubicin effect on the heart ...i.e.dilated cardiomyopathy is A i.e. TRANSTHORACIC ECHO......It will show dilated chambers and thin stretched out walls...
MUGA scan is only to check the ejection fraction which can b reduced in a nmumber of cases...
Doc750 transfer:step 3 prison
Topics: 52 Posts: 634
09/22/07 - 06:21 AM
#7
B TEE ___________________ Experience is a hard teacher because she gives the test first, and the lesson afterwards.
starcraftbw Forum Senior
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09/22/07 - 08:12 AM
#8
just wait to see the answer
peraspera Forum Elite
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09/22/07 - 08:25 AM
#9
E. Nuclear ventriculogram (MUGA)
Explanation:
The most accurate method of assessing the ejection fraction is the nuclear ventriculogram, or MUGA scan. This technique assesses ejection fraction by determining how much of a nuclear isotope is ejected from the ventricle with each beat. It is not based on a two-dimensional, cross-sectional image and extrapolation, such as in the case of an echocardiogram or traditional contrast ventriculography by catheterization. Swan-Ganz catheters measure cardiac output, not the ejection fraction: It is the only method listed in the answer choices that doesn't actually measure ejection fraction at all.
starcraftbw Forum Senior
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09/22/07 - 09:16 AM
#10
thank you, finally i got one right
arlete Intern in 2009!!!!!
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09/22/07 - 09:32 AM
#11
___________________ 84/99/99, graduated in 92, GC, 2 y USCE; publ: 14 abstracts, 2 book chapters, 1 poster, 9 oral presentations; 4 american LORs
sukhs Forum Senior
Topics: 17 Posts: 191
09/22/07 - 03:44 PM
#12
i just checked kaplans notes too and its written that echo is the KEY DIAGNOSTIC STUDY FOR DILATED CMP......how can we know on the exam that they are asking us what?
Ivonne Find a way or make one
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09/22/07 - 03:53 PM
#13
nice question ___________________ 92/99/pass/ECFMG certified/4 US LoRs/GC/extensive USCE/2004 grad/appl 29 IM Prog, IV/Rej: 3/0 "I must, I can and I will"
elitoki Forum Guru
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09/22/07 - 06:36 PM
#14
E
me007 Forum Guru
Topics: 72 Posts: 799
09/22/07 - 07:45 PM
#15
sukhs wrote: i just checked kaplans notes too and its written that echo is the KEY DIAGNOSTIC STUDY FOR DILATED CMP......how can we know on the exam that they are asking us what?
yep. but reading the qs again - "what is the most accurate method of assessing left-ventricular contractility and ejection fraction" - will be nuclear ventriculogram
i just checked kaplans notes too and its written that echo is the KEY DIAGNOSTIC STUDY FOR DILATED CMP......how can we know on the exam that they are asking us what?
