ARDMS Practice Exam With Complete Solutions 2024

ARDMS Practice Exam With Complete Solutions 2024 Which is the following is the typical treatment for adv anced pericarditis? a. thoracentesis b. stent placement c. heart transplant d. pericardectomy - correct answer.d When recording flow velocity on the LVOT, the: a. PW Doppler cursor should be placed distal to the aortic valve closure b. CW doppler should b e placed parallel to the aortic valve closure c. CW doppler should be placed perpendicular to the aortic valve closure d. PW Doppler cursor should be placed proximal to the aortic valve closure - correct answer.d The ultrasound system relies on the ____________________ for accurate recording of motion clips on an echo a. R wave and T wave on the EKG b. system timer to be set at 5 seconds c. QRS on the EKG d. system timer to be set at 3 seconds - correct answer.a Which of the following describes how to differentiate a ruptured chordae attached to a flail anterior mitral leaflet from a vegetation attached to the anterior mitral leaflet? a. Flail leaflets usually cause regurgitation and vegetations normally cause sten osis. b. Mitral vegetations normally form on the atrial side of the valve and the ruptured chordae related to a flail leaflet will be identified on the ventricular side of the valve. c. Vegetations are much more hypoechoic than the chordae tendinae. d. A f lail mitral leaflet demonstrates a distinct appearance on m -mode that is easily differentiated from the m -mode appearance of vegetation on the valve. - correct answer.b Which of the following decreases as aortic stenosis increases in severity? A: time vel ocity interval B: mean pressure gradient C: peak pressure gradient D: valve area - correct answer.d Which of the following would be part of the standard patient history that should be obtained for every transesophageal echo but not for a transthoracic ech o? A: History of radiation treatment B: NPO status C: Patient gender D: Abnormalities in exercise tolerance level - correct answer.b Propranolol can be used to treat A: patent ductus arteriosus B: subaortic stenosis caused by hypertrophic cardiomyopathy C: vegetation formation on the tricuspid valve D: carcinoid disease - correct answer.b 8. Which type of valvular regurgitation usually demonstrates the highest pressure gradient? A: Pulmonary insufficiency B: Aortic insufficiency C: Tricuspid regurgitatio n D: Mitral regurgitation - correct answer.d ____________________ is defined as an abnormal connection of the left subclavian vein to the coronary sinus. A: DiGeorge syndrome B: persistent left SVC C: persistent right SVC D: Ebstein malformation - correct answer.b You identify thickened, tethered mitral leaflets, decreased E -F slope on PW Doppler, and right ventricular hypertrophy on an echo. These are all signs of A: mitral valve prolapse B: mitral stenosis C: endocarditis D: pulmonary HTN - correct answer.b 11. Which of the following echocardiographic findings is least likely to be associated with Ehlers -Danlos syndrome? A: MVP B: ASD C: sinus of Valsalva aneurysm D: peripheral pulmonary stenosis - correct answer.d While obtaining a PW Doppler tracing of the mitral valve, you notice the E peak is moderately taller than the A peak on the waveform and it has a shorter than normal deceleration time. Which of the following will cause this finding? A: grade 1 diastolic dysfunct ion B: restrictive cardiomyopathy C: pulmonary HTN D: mitral stenosis - correct answer.b Which of the following right ventricular wall segments is seen on the apical 4 chamber view? A: Inferior B: Lateral C: Medial D: Anterior - correct answer.b How do y ou measure the strain rate for a specific segment of the left ventricular wall? A: Measure the wall thickness in systole and diastole B: use m -mode to demonstrate the velocity of the segment of interest and the adjacent normal segments C: Take 2 -3 tissue Doppler samples from the area of interest D: Take 2 -3 PW Doppler samples from the area of interest - correct answer.c If there is a weak signal and significant fluctuation in the vertical position of the EKG tracing across the screen: A: the skin contact with the electrodes is poor B: the EKG should be increased to a maximum level C: the alcohol used to clean the skin is causing artifact D: a cell phone or other nearby electrical device is causing interference - correct answer.a A patie nt currently undergoing chemotherapy for breast cancer is referred for an echo. A small mass is noted within the right ventricular wall and a mild pericardial effusion. There is debris and fibrous strands throughout the effusion. The mass is in the right v entricle is most likely A: primary cardiac malignancy B: rhabdomyoma C: secondary cardiac malignancy D: myxoma - correct answer.c Global longitudinal strain is measured from: A: parasternal views B: subcostal views C: apical views