Download CCI Adult Echocardiography Registry Exams Guide 2025- 2026 and more Exams Nursing in PDF only on Docsity!
1.tion must the sonographer obtain prior to performing the echocardiogram? A pt presents with a transcatheter aortic valve replacement. What informa- Choose all answers that apply. Date of implantation Size of Valve Systemic blood pressure Prior LV Ejection Fraction: All of the above
- The double diamond sign on an M -mode tracing of the MV is indicative of mid diastolic closure caused by..... Acute MI Dressler SyndromePulmonary HTN Dilated cardiomyopathy: Dilated Cardiomyopathy
- The slope between which two points of the Doppler tracing of the mitral valve are used to calculate the pressure half time? D-E E-F E-A E/E': E-F 4.images are suboptimal. Suboptimal images are defined as: Microbubble contrast evaluation of the LV is performed when standard 2D
The inability to detect two or more contiguous segments in any of the apical windows The inability to detect two or more contiguous segments in any three of the apical windows: The inability to detect two or more contiguous segments in any three of the apical windows 5. Which of the following calculations demonstrates the rate of increase in left ventricle pressure during systolic contraction? EF % Qp/Qs dp/dt
e second^ lve,^ A^ caliper
Fractional Shortening: dp/dt 6.is placed on the E peak velocity. The blue dot is placed where th The image demonstrates a Doppler waveform from the mitral va cursor would be placed.: Mitral valve waveform
- Which of the following should be omitted from the optimal parasternal long axis view of the left ventricle? Right ventricular outflow tract Papillary muscle Descending Aorta Coronary sinus: Papillary Muscle
- Which of the following regarding ventricular septal defects is true?: The membranous type of VSD is located at the junction of the left ventricular outflow tract and the muscular portion of the septum. 9. In tamponade the RV free wall will collapse in diastole, except in patients with significant: Systemic HTN Pulmonary HTN tricuspid regurgitation pericardial effusion: Pulmonary HTN
- How is the cardiac index calculated? Cardiac output / body surface area stroke volume / cardiac output cardiac output / stroke volume Stroke volume x cardiac output x body surface area: Cardiac output / body surface area
15.evaluation of the abdominal aorta? Which of the following abnormalities should include the supplemental
Takayasu arteritis and bicuspid aortic valve EF% less than 20% or over 80% Kawasaki disease and Fabry disease Patent ductus arteriosus and septal defects: Takayasu arteritis and bicuspid aortic valve 16. What echo view should be used to evaluate flow velocity in the descending aorta? Right parasternal border apical suprasternal notch subcostal: suprasternal notch
- IN MOST CASES, SHUNT FLOW ACROSS AN ASD IS FROM UNLESS SYNDROMW IS PRESENT AND THEN FLOW IS REVERSED. Right to left, Dressler Left to right, Eisenmenger right to left, Eisenmenger left to right, Dressler: Left to right, Eisenmenger
- There is akinesis of the anterolateral and inferolateral walls. These findings are most suggestive of occlusion of the: Posterior descending artery left anterior descending artery ramus intermedius
left circumflex artery: left circumflex artery 19.of the following? Congenital pulmonary stenosis is most commonly associated with which
Tricuspid atresia ASD PDA VSD: VSD
- The amount of reflection of the incident ultrasound beam varies with: Pulse repetition frequency and frame rate incident angle and propagation speed acoustic impedance and incident angle acoustic impedance and propagation speed: acoustic impedance and incident angle
- Hemolytic anemia can be caused by: Systemic HTN mechanical heart valves CHF pulmonary HTN: mechanical heart valves
- A 24 yr old pt presents for an echo due to a heart mumur.You identify mitral valve prolapse and a bicuspid aortic valve. What abnormality is commonlyassociated with these findings?
Membranous subaortic stenosis coarctation
Instruct the patient to maintain their current position once the optimalacoustic window is located: ALL OF THE ABOVE
- While scanning in the apical 2 chamber view, you are trying to assess flow in a possible aneurysm in the thoracic aorta. Which of the followingadjustments will assist in improving color flow in the aorta?
Activate the zoom function over the aorta change the velocity color map to a variance map increase the color sample size increase the wall filter setting: Activate the zoom function over the aorta
- Eisenmenger syndrome will usually occur when the right ventricular sys- tolic pressure, exceeds; 40mmHG 70mmHG 100mmHG 120mmHG: 120mmHG
- You document aortic regurgitation (AR) in the 5 chamber view that has a pressure half time of 230ms. What additional transducer positions should beused with PW doppler to determine the severity of the AR?
parasternal long axis and subcostal right sternal border and suprasternal notch Apical 3 chamber and suprasternal notch suprasternal notch and subcostal: suprasternal notch and subcostal 30.border is most suggestive of: A harsh, systolic crescendo-decrescendo murmur heard at the left sternal
Moderate-severe Ai
hypertrophic subaortic stenosis Moderate-severe MS Cardiac tamponade: hypertrophic subaortic stenosis
- Measuring the left ventricular ejection time is helpful when assessing patients with. Pulmonary HTN a VSD Mitral stenosis Aortic stenosis: Aortic stenosis
- Which of the following is usually better evaluated with doppler than with an exam using an ultrasound enhancing agent (UEA)? persistent left SVC shunt flow through an ASD shunt flow through a VSD thrombus formation in the LV apex: shunt flow through a VSD 33.the tricuspid regurgitation gradient is inaccurate as the measurement of the If is present, the right ventricular systolic pressure calculation from pulmonary artery pressure. pulmonary regurgitation pulmonary HTN CHF pulmonary stenosis: pulmonary stenosis
- Which of the following will increase left ventricular systolic pressure? mitral stenosis
pulmonic mitral: Mitral MR is the most common valvular regurgitation with DCM due to stretched papillary muscles. 38. During an echo with ultrasound enhancing agent (UEA), shadowing ob- scures the basal segments of the left ventricle. How can you eliminate thisartifact?
Scan the patient in the upright position turn the overall gain down reduce the UEA infusion rate increase the output power: reduce the UEA infusion rate 39.resolution of the cardiac structures? Which of the following cardiac exam techniques provides the best spatial
resting echo with ultrasound enhancing agent transesophageal echo cardiac catheterization stress echo: transesophageal echo 40.performed? How is the measurement of the dp / dt of the mitral regurgitation tracing
measure the velocity of the mitral regurgitation between 1 and 3 seconds from the onset measure the time it takes for the mitral regurgitation velocity to go from 1 m/s to 3 m/s: measure the time it takes for the mitral regurgitation velocity to go from 1 m/s to 3 m/s 41. Which of the following usually demonstrates a normal left ventricular mass?
Systemic HTN Kawasaki disease Aortic coarctation Aortic stenosis: Kawasaki disease
- When performing an echo with agitated saline ultrasound enhancing agent UEA to evaluate a patient for a suspected ASD, what cardiac chamber shouldbe evaluated closely for the presence of the UEA?
right atrium left atrium left ventricle right ventricle: left atrium
- Paradoxical interventricular septal motion is an expected finding with which of the following? Choose all that apply occlusion of the LAD coronary artery ruptured anterior lateral papillary muscle ruptured posterior medial papillary muscle 2 weeks post coronary artery bypass surgery: occlusion of the LAD coronary artery 2 weeks post coronary artery bypass surgery
- Which of the following are advantages of an ultrasound enhancing agent evaluation of shunt flow in the heart? choose all that apply
assists in proper placement of doppler sample assists in proper placement of repair devices during corrective therapy
sis of the lateral RV wall Reduced tricuspid annular plane systolic excursion 48.the connective tissues of the body? Pts with Marfan syndrome have abnormal levels of what proteins that affect
Increased levels of transforming growth factor beta and fibrillin- increased levels of transforming growth factor beta and decreased fibrillin-1- : increased levels of transforming growth factor beta and decreased fibrillin-
- What pt parameters are required to calculate the body surface area? Height in inches and systemic blood pressure height in centimeters and weight in kilograms height in centimeters and systemic blood pressure weight in pounds and systemic blood pressure: height in centimeters and weight in kilograms 50. Which of the following correctly describes a left ventricular pseudoa- neurysm? they are more easily treated than an LV anuerysm They have a higher risk of rupture than the LV aneurysm the blood in the pseudoaneurysm is contained by a thin layer of the myocardi- um they are more common than a true LV aneurysm: They have a higher risk of rupture than the LV aneurysm 51. You are performing mitral regurgitation assessment on a TEE my measur- ing the PISA radius of the jet. After optimizing the color flow of the mitralregurgitation jet, which of the following console adjustments should be made before freezing the image? Switch to a variance color map before freezing the image shift the color baseline down to between 20-40cm/s to allow aliasing
shift the color baseline up to between 20-40cm/s to allow aliasing increase the power output setting to increase aliasing: shift the color baseline up to between 20-40cm/s to allow aliasing
- Preload refers to: Afterload refers to:: amount of blood entering the heart the amount of resistance as the heart ejects blood 53.choose all answers that apply: Which of the following is true regarding porcine bioprosthetic valves?
higher transvalvular gradients than mechanical valves valvular rejection is a common complication valve leaflets are nonviable tissue, preserved until needed in glutaraldehyde offer a low risk of thrombus formation: valve leaflets are nonviable tissue, pre- served until needed in glutaraldehyde offer a low risk of thrombus formation
- Which of the following is an expected characteristic of a doppler tracing from a stenotic tricuspid valve? increased peak systolic velocity increased peak diastolic velocity steep E- F slope low mean pressure gradient: increased peak diastolic velocity
- What is the difference between an aortic dissection and an intramural hematoma?: An intramural hematoma has no intimal flap or false lumen like a dissection does 56. A pt presents for a 6 month follow up echocardiogram for a reported aortic peak velocity of 3.3 m/s and AVA of 1.4cm^2. On todays exam, the CWevaluation demonstrates an aortic peak velocity of 2.5m/s with the same AVA.
right ventricular outflow tract, left ventricular outflow tract right ventricular walls, left ventricular walls entire valve leaflet, tips of the valve leaflets tips of the valve leaflets, entire valve leaflet: tips of the valve leaflets, entire valve leaflet 61.artery pressure accurately estimated? When right heart dysfunction is identified, how is the peak pulmonary
peak A velocity of tricuspid valve peak velocity of pulmonary regurgitation peak E velocity of tricuspid valve peak velocity of tricuspid regurgitation: peak velocity of tricuspid regurgitation
- can lead to premature closure of the on m-mode. severe mitral regurgitation, mitral valve severe tricuspid regurgitation, tricuspid valve severe pulmonic insufficiency, pulmonary valve severe mitral regurgitation, aortic valve: severe mitral regurgitation, aortic valve 63.an ultrasound enhancing agent UEA? Which of the following is a common symptom of anaphylactic reaction to
hemoptysis pulmonary embolism dyspnea myocardial infarction: dyspnea
64.pulmonary insufficiency? choose all that apply #77 Which of the following is an expected finding with moderate to severe
decreased right ventricular compliance interventricular septal dyskinesis/flattening right ventricular enlargement dilated pulmonary veins: decreased right ventricular compliance interventricular septal dyskinesis/flattening right ventricular enlargement
- What is Lambl excrescence? Fibrous strand that connects the walls of the ventricles cardiac groove where the coronary sinus is located ridge of tissue separating the IVC and SVC on the outside of the heart small fibrous strand that forms on the aortic valve leaflet: small fibrous strand that forms on the aortic valve leaflet 66. #82 Which of the following will cause an increase in preload?
Infundibular stenosis Aortic coarctation Pulmonary HTN Patent ductus arteriosus: Patent ductus arteriosus
- Aliasing will occur at the point when the Doppler shift is greater than the transducer frequency is less that 1/2 PRF
period propagation speed intensity: intensity The period, wavelength and element propagation speed are all determined by the manufacturer. 72. #88 Which of the following bioprosthetic valves can be used to replace the mitral, tricuspid or aortic valve? Carpentier Edwards Hancock lonescu Shiley Bjork Shiley: lonescu Shiley The lonescu Shiley valve is the most versatile bovine pericardial valve and canreplace the AV, MV or TV. 73.echo 3D exam? What structure is most commonly evaluated on a focused transthoracic
Left atrium right ventricle left ventricle mitral valve: left ventricle 74.obstructive cardiomyopathy? choose all that apply Which of the following is an expected finding in a patient with hypertrophic
increased EPSS measurement LV wall thickness > 1.3 cm
mid- systolic notching of the aortic valve systolic anterior motion of the MV: LV wall thickness > 1.3 cm mid- systolic notching of the aortic valve systolic anterior motion of the MV
- Left ventricular pressure is lowest during:
end diastole mid diastole peak systole the onset of diastole: the onset of diastole 76.motion of the right ventricle? #93 Which of the following echocardiographic views best evaluates the
Subcostal 4 parasternal short axis Apical 5 Apical 4: Apical 4 77.the cardiac apex? What two measurements evaluate the ability of the RV to contract toward
FAC and Simpson EF% TAPSE and S' wave RV Mid and Basal diameters Tricuspid annulus diameter and RV wall thickness: TAPSE and S' wave 78.ultrasound enhancing agent? Which of the following is not commonly evaluated using perfluorocarbon
