Domain 5 · ~10–15% of ASCeXAM

Cardiac Masses & Pericardial Disease

Differentiation of thrombi, tumours, and vegetations; pericardial effusion sizing and tamponade physiology; constrictive vs restrictive haemodynamics. Image-pattern recognition combined with stem-driven clinical reasoning.

Subtopics Placeholder structure — content lead to expand

Cardiac Thrombi →LV apical thrombus post-MI, LAA thrombus in AF, prosthetic thrombus. Stub Cardiac Tumours →Myxoma, papillary fibroelastoma, lipoma, metastatic disease. Stub Endocarditis & Vegetations →Native vs prosthetic, complications, Duke criteria imaging features. Stub Pericardial Effusion & Tamponade →Sizing, RA/RV collapse, IVC plethora, respiratory variation. Stub Constrictive vs Restrictive →Septal bounce, expiratory hepatic vein flow reversal, mitral inflow patterns. Stub

Study this domain Pick a loop

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MCQ Bank

NBE-style multiple choice with rationale and reference for every answer.

Flashcards

High-yield facts: gradients, normal ranges, equation forms, threshold values.

Echo Cases

Cine loops with clinical stem. Identify the finding, then reveal diagnosis & teaching.

Domain Mock

Cardiac-only timed mock — calibrate your pace within this content area.

Why this matters From the project brief

Placeholder — the content lead will replace this with a domain-specific framing that explains why this section rewards (or punishes) the typical ASCeXAM candidate.