CCI ECHO EXAM

CCI ECHO EXAM 200+ QUESTIONS AND CORRECT ANSWERS REAL EXAM QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)|AGRADE A 52 year old women developes a murmur after a myocardial infarction. What is the most likely etiology? - answerVentricular septal defect VSD Which of the following choices would not be used to correct for pulced wave doppler aliasing? - answerUse of higher frequency probe How do you position a patient for using a Pedoff probe along the right sternal border? - answerRight lateral decubitus. A patient with down syndrome is referred to your lab for an echo. Which of the following cardiac defects would you likely find? - answerAtrioventricular Canal defect. During a pharmacological echo stress test using Dobutamine which drug is given if the patient dosnt reach target heart rate? - answerAtropine How do you position a patient for a TEE exam? - answerLeft lateral decubitus If you measure the LVOT too big how will this affect your measurement for the aortic area? - answerArea is to large A patient with AIDS ( acquired Immune Deficiency Syndrome) might present with what type of cardiomyopathy? - answerDilated A 3 year old patient comes to the lab with a systolic murmur. what is the most likely etiology? - answerVentricular septal defect. In a patient with COPD which frequency transducer would most likely result in the best images? - answer2.25MHz Which is the best stress echo technique for revealing hibernating or stunned myocardium? - answerDobutamine You are in the emergency department and a patient presents with the signs and symptoms of aortic dissection. which modality would give you the most rapid diagnosis? - answerTEE which is the proper term when the pulmonic valve is removed and put in place of the aortic valve in the same patient? - answerautograft Know that pericarditis (pericardial Effusion) can present with positional chest pain. - answerHurts more in certain positions or when changing positions. what is the 1st structure seen when imaging from the suprasternal notch? - answerAortic arch which of the following drugs is used in Nuclear stress test? - answerThallium which of the following is the most important echo to do? - answerMurmur Post MI At what time during fetal growth is the heart first fully developed? - answer40 days on the 3oth day, the trunks normally divides. what anomaly occurs if the truncus does not divide? - answerTruncus ateriosus The sinus venosus forms all of the following except: - answerPulmonary arteries The truncus ateriosus forms all of the following except: - answerPulmonary veins what are the two right to left saints in the normal fetal circulation? - answerForamen oval and ductus arteriosus which of the following left to right shunts is the last to close in the normal post partum period? when does it close ? - answerpatent foramen ovale, closes at the end of the first week. in the normal fetal circulation, which of the following has the least amount of blood flow? - answerpulmonary veins all of the following hemodynamic events occur post delivery except: - answerLeft atrial pressure decreases The fetal ductus arteriosus closes soon after birth. what structure does it become? - answerligamentum arteriosum The ductus arteriosus connects the pulmonary artery and aorta in the fetus. at what site does the ductus attach to the aorta? - answeraortic isthmus the following five structures are activated during a single cardiac cycle. Rank them in the normal order of activation. - answerSA node AV node Bundle of His left bundle branch purkinje fibers which of the following structures is the primary pacemaker of the heart? - answerSA node When Transporting a Patient with a Urinary Catheter the bag should always be ? - answer-Below the patients bladder During the resting state, which of the following ions are pumped out of the cells of the myocardium? - answerSodium Following electrical depolarization of the myocardial cell membrane, which ion rushes in first, and which ion rushes in later? - answersodium followed by calcium which of the following helps slow heart muscle contraction? - answerpotassium in the cardiac cell action potential, what phases are included in the absolute refractory period? - answerphases 1 into phase 3 when contraction against which of the following pressures will the velocity of muscle cell contraction be more rapid? - answer75 mmHg what happens to the beat following a premature ventricular depolarization ? - answerthe beat is stronger than a typical beat what is the Frank sterling Law? - answerthe more the heart muscle is stretched, the more forcefully it contracts. which of the following best describes preload? - answerLV filling all of the following tend to increase preload except: - answerAS what best describes afterload? - answeraortic pressure all of the following tend to increase after load except? - answerMR what is the predominant echo findings associated with increased after load? - answerLV hypertrophy what is the predominant echo finding associated with increased preload? - answerLV Dilation Afterload equals : - answerhypertrophy Preload equals : - answerDilation a patients blood pressure is 120/80mmHg, stroke volume is 80mL,R-R interval is .86, heart rate is 70 beats/min, and age is 42 years. what is the patients cardiac output? - answer5.5L/min Cardiac output= - answerheart rate x stroke volume In the normal circulation, what is the value of the Qp/Qs ratio? - answer1 In a patient with a VSD, which of the following sites will provide a measure of pulmonic flow? - answerMitral Valve which of the following best describes a patient with sever MR? - answerRF=50% Heart muscle beats automatically, without outside stimulation, the rate that the heart naturally contracts is called the inherent rate. which of the following terms has the same meaning as inherent? - answerintrinsic At what time during fetal growth is the heart fully developed? - answer40 days on the 30th day, the truncus normally divides. what anomaly occurs if the truncus does not divid ? - answerTruncus arteriosus The Sinus venosus formal all of the following except - answerpulmonary arteries The truncus arteriosus forms all of the following except - answerPulmonary veins What are the two right to left shunts in the normal fetal circulation? - answerForamen ovale and ductus arteriosus In the normal fetal circulation, which of the following has the least amount of blood flow? - answerPulmonary veins fetal ductus arterioles closes soon after birth. what structure does it become? - answerligamantum arteriosum which of the following is the primary pacemaker of the heart - answerSA node All of the following are cardiac responses to increase sympathetic stimulation except: - answerIncreased R-R interval Stimulation of the vagus never will result in - answerIncreased R-R interval during the cardiac cycle, which valve event most closely follows the p-wave on the EKG? - answerTV closure