ARDMS Echo Study Guide Exam With Complete Answers 100% 2024.
Where is the CS located - Answer Posterior to the AV groove
Scatter = - Answer RBC's
Most common congenital anomaly most frequently seen in adults - Answer Bi-cuspid valve
In order to record a vegetation of endocarditis by echo the veg must have a diameter of at least - Answer
3 mm
Which M mode finding is considered to be a specific indicator of a fenestrated Aortic Valve? - Answer Diastolic flutter of the AoV
Fenestrated - Answer window like opening
Which type of cardiomyopathy is associated with amyloidosis? - Answer Infiltrative
Which 2D echo view is best for identifying the malformed tricuspid valve Ebstein's anomaly: - Answer AP4CH
A-fib is most commonly associated with which valve disease? - Answer Rheumatic MS
Doppler measures a pressure drop (gradient) by the Bernoulli equation. This equation actually measures the ________ gradient across the valve peak - Answer Peak Instantaneous
The patient you are examining has a clear cut osculatory and angiographic evidence for MVP; yet the resting echo is normal. You should then: - Answer Echo the patient in the standing position The premature opening of the pulmonary valve may be seen in - Answer Constrictive pericarditis
Estimation of the MVA from Doppler is calculated by the: - Answer Pressure 1/2 time
In patients with tricuspid atresia blood flow will shun from the RA to the LA through a - - Answer PFO- patent foramen ovale
What is the standard echo view for contrast study for an ASD? - Answer AP4CH- true only for contrast studies only
When obtaining a CW Doppler aortic profile from the apex through a heavily calcified AV you may ___________ the velocity. - Answer Underestimate
The Starr Edwards prosthetic valves are located in both the mitral and aortic positions, MR is best detected from which window? - Answer Subcostal
For patients with AS and A-Fib, peak systolic aortic velocity will be ______ following long R-R intervals. - Answer Higher
Midsystolic clicks and /or late systolic murmurs are most characteristic of - Answer MVP
The 2 most common encountered congenital heart lesions diagnosed in adults are- - Answer ASD and Bi-cuspid AoV
Endothelialized _____ can have the same tissue characteristics as myocardium by 2-D echo - Answer Thrombi
On M-Mode a flail MV may have a similar appearance to - - Answer An infected MV
In patients with large pericardial effusions the motion of the pericardium may be- - Answer Damped Echocardiographically, patients with congestive cardiomyopathy have left ventricles which are- - Answer Thick and hyperdynamic
On a 2D echo a cleft mitral valve may be confused with an anatomic- - Answer Tricuspid valve
In patients with VSD and L to R shunting the ______ may be dilated. - Answer RA
One advantage to using the PLAX view to diagnose MVP is- - Answer False prolapse caused by annulus shape is avoided
Which technique would best allow you to assess the severity of AI? - Answer CW Doppler
Which of the following valves is most often affected in patients with rheumatic heart disease? - Answer MV
Electrical alternans is seen on a patients EKG the Echo will likely show- - Answer Large pericardial effusion
Premature closure of the MV can be seen in patients with- - Answer AI
A PDA has what type of murmur- - Answer Continuous machine-like murmur
A patient is sent to the echo lab with the diagnosis of constrictive pericarditis. You perform a contrast study to look for- - Answer Presystolic appearance of contrast in the IVC
A patient with a systolic murmur and a fixed split S2 may have? - Answer ASD
The pressure obtained by a pulmonary artery wedge measurement equals the pressure in the- - Answer LA The A-dip in the M-mode pulmonary valve is caused by contraction of the- - Answer RA
Filing of the coronary arteries occurs during which part of the cardiac cycle? - Answer Ventricular Diastole
What is associated with severe, acute MR- - Answer pulmonary edema
A patient is referred to the echo lab because of positional and respiratory variation in chest pain. What are they likely to have- - Answer Pericarditis
Which valve lesion is most commonly associated with LBBB? - Answer Calcified AS
A pt that has a higher BP in the right arm than the left may have- - Answer Coarctation of the aorta
Premature closure of the AoV on M-Mode is most consistent with? - Answer MR
An intra-aortic balloon pump assists the Left Ventricle by increasing what? - Answer Coronary blood flow
At cardiac catherization a patient has equal end diastolic pressures between both atria and both ventricles suggesting? - Answer Constrictive pericarditis
In normal patients why does the peak velocity of flow in the pulmonary artery occur later than the peak velocity in the aorta- - Answer Vascular resistance is LOWER
The beginning of systole is accompanied by which heart sound- - Answer S1
Which auscultatory sounds is most suggestive of a bicuspid Aortic Valve? - Answer Systolic ejection click
HCMO may be suspected if the ratio of IVS thickness to LV posterior wall thickness is what - Answer 1.6 mm
Where is the CS located - Answer Posterior to the AV groove
Scatter = - Answer RBC's
Most common congenital anomaly most frequently seen in adults - Answer Bi-cuspid valve
In order to record a vegetation of endocarditis by echo the veg must have a diameter of at least - Answer
3 mm
Which M mode finding is considered to be a specific indicator of a fenestrated Aortic Valve? - Answer Diastolic flutter of the AoV
Fenestrated - Answer window like opening
Which type of cardiomyopathy is associated with amyloidosis? - Answer Infiltrative
Which 2D echo view is best for identifying the malformed tricuspid valve Ebstein's anomaly: - Answer AP4CH
A-fib is most commonly associated with which valve disease? - Answer Rheumatic MS
Doppler measures a pressure drop (gradient) by the Bernoulli equation. This equation actually measures the ________ gradient across the valve peak - Answer Peak Instantaneous
The patient you are examining has a clear cut osculatory and angiographic evidence for MVP; yet the resting echo is normal. You should then: - Answer Echo the patient in the standing position The premature opening of the pulmonary valve may be seen in - Answer Constrictive pericarditis
Estimation of the MVA from Doppler is calculated by the: - Answer Pressure 1/2 time
In patients with tricuspid atresia blood flow will shun from the RA to the LA through a - - Answer PFO- patent foramen ovale
What is the standard echo view for contrast study for an ASD? - Answer AP4CH- true only for contrast studies only
When obtaining a CW Doppler aortic profile from the apex through a heavily calcified AV you may ___________ the velocity. - Answer Underestimate
The Starr Edwards prosthetic valves are located in both the mitral and aortic positions, MR is best detected from which window? - Answer Subcostal
For patients with AS and A-Fib, peak systolic aortic velocity will be ______ following long R-R intervals. - Answer Higher
Midsystolic clicks and /or late systolic murmurs are most characteristic of - Answer MVP
The 2 most common encountered congenital heart lesions diagnosed in adults are- - Answer ASD and Bi-cuspid AoV
Endothelialized _____ can have the same tissue characteristics as myocardium by 2-D echo - Answer Thrombi
On M-Mode a flail MV may have a similar appearance to - - Answer An infected MV
In patients with large pericardial effusions the motion of the pericardium may be- - Answer Damped Echocardiographically, patients with congestive cardiomyopathy have left ventricles which are- - Answer Thick and hyperdynamic
On a 2D echo a cleft mitral valve may be confused with an anatomic- - Answer Tricuspid valve
In patients with VSD and L to R shunting the ______ may be dilated. - Answer RA
One advantage to using the PLAX view to diagnose MVP is- - Answer False prolapse caused by annulus shape is avoided
Which technique would best allow you to assess the severity of AI? - Answer CW Doppler
Which of the following valves is most often affected in patients with rheumatic heart disease? - Answer MV
Electrical alternans is seen on a patients EKG the Echo will likely show- - Answer Large pericardial effusion
Premature closure of the MV can be seen in patients with- - Answer AI
A PDA has what type of murmur- - Answer Continuous machine-like murmur
A patient is sent to the echo lab with the diagnosis of constrictive pericarditis. You perform a contrast study to look for- - Answer Presystolic appearance of contrast in the IVC
A patient with a systolic murmur and a fixed split S2 may have? - Answer ASD
The pressure obtained by a pulmonary artery wedge measurement equals the pressure in the- - Answer LA The A-dip in the M-mode pulmonary valve is caused by contraction of the- - Answer RA
Filing of the coronary arteries occurs during which part of the cardiac cycle? - Answer Ventricular Diastole
What is associated with severe, acute MR- - Answer pulmonary edema
A patient is referred to the echo lab because of positional and respiratory variation in chest pain. What are they likely to have- - Answer Pericarditis
Which valve lesion is most commonly associated with LBBB? - Answer Calcified AS
A pt that has a higher BP in the right arm than the left may have- - Answer Coarctation of the aorta
Premature closure of the AoV on M-Mode is most consistent with? - Answer MR
An intra-aortic balloon pump assists the Left Ventricle by increasing what? - Answer Coronary blood flow
At cardiac catherization a patient has equal end diastolic pressures between both atria and both ventricles suggesting? - Answer Constrictive pericarditis
In normal patients why does the peak velocity of flow in the pulmonary artery occur later than the peak velocity in the aorta- - Answer Vascular resistance is LOWER
The beginning of systole is accompanied by which heart sound- - Answer S1
Which auscultatory sounds is most suggestive of a bicuspid Aortic Valve? - Answer Systolic ejection click
HCMO may be suspected if the ratio of IVS thickness to LV posterior wall thickness is what - Answer 1.6 mm
