CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
Coarctation of the aorta is associated with? Correct Answer-bicuspid aortic
valve
Patients with lupus will sometimes get what type of endocarditis? Correct
Answer-Libman-Sachs endocarditis
Prosthetic cardiac valves are classified as: Correct Answer-mechanical and
bioprosthetic
How do you assess the right atrial pressure based on the size and collapsibility
of the inferior vena cava (IVC)? Correct Answer-3mmHg= normal IVC (<2cm)
& (>50%) collapses
8mmHg= intermediate
15mmHg= dilated (>2cm) & no collapse (<50%)
What is the name of the valve of the coronary sinus? Correct Answer-
Thebesian Valve
In which chamber would you see a chiari network? Correct Answer-Right
atrium as fine strands of tissue similar to chordea of the mitral and tricuspid
valves
When is the LV volume the largest? Correct Answer-end diastole
When is the LA volume the largest? Correct Answer-end systole
, CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
What is the dimensionless index for evaluating aortic stenosis? Correct
Answer-The dimensionless index is a ratio of the LVOT velocity and the peak
velocity across the aortic valve.
What is the cutoff value for severe AS when using the dimensionless index?
Correct Answer-The cutoff value for severe AS when using the dimensionless
index is <0.25
When a patient has aortic regurgitation what is the equation for calculating Left
Ventricular End Diastolic Pressure (LVEDP)? Correct Answer-LVEDP= Diastolic
BP - the end diastolic AR gradient
How many scallops is the mitral valve divided into and what are their names?
Correct Answer-The mitral valve is divided into 6 scallops (segments).
Anterior 1,2,&3 and Posterior 1,2 & 3.
When a patient has an aortic aneurysm at which point (size) do you need a
surgical consult? Correct Answer-When aortic aneurysms are larger than
5CM it't time for a surgical consult.
What happens to the mitral inflow pattern in a normal patient when you have
them perform a Valsalva maneuver? Correct Answer-The normal mitral
inflow patterns maintains the E/A ratio (E>A) following a Valsalva maneuver but
the velocities are lower.
, CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
When a patient has pulmonary regurgitation what is the equation for calculating
Pulmonary Artery End Diastolic Pressure (PAEDP)? Correct Answer-PAEDP =
RAP+end diastolic PR gradient
(RA pressure is obtained by looking at the IVC size and collapsibility like you do
for TR and pulmonary pressures).
In the parasternal short-axis view, at the level of the mitral valve and papillary
muscle, how many segments is the left ventricle divided into? Correct
Answer-The left ventricle is divided into 6 segments
Name the ventricular segments seen in the parasternal short-axis view.
Correct Answer-1-Inferolateral
2-Anterolateral
3-Anterior
4-Anteroseptal
5-Inferoseptal
6-Inferior
In the apical four-chamber view, which two walls of the left ventricle are seen?
Correct Answer-Inferoseptal and anterolateral walls of the LV are seen
In the apical two-chamber view, which two walls of the left ventricle are seen?
Correct Answer-anterior and inferior walls of the LV are seen
, CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
Which walls of the left ventricle are seen in the parasternal and apical long-axis
views? Correct Answer-Anteroseptal and inferolateral walls of the left
ventricle are seen in the parasternal and apical long axis views.
Which two aortic valve leaflets are seen in parasternal view? Correct Answer-
The right and noncoronary leaflets. The right leaflet is on top (superior) and the
noncornary is on the bottom (inferior)
Where is the coronary sinus located in the parasternal long-axis view (PLAX)?
Correct Answer-The coronary sinus lies in the posterior atrioventricular (AV)
groove. This groove is located between the left atrial and the LV walls and lies
posterior to the MV. In the parasternal long-axis view, the coronary sinus can
sometimes be seen as a small echo-free circle.
In the PLAX where is the coronary sinus located in relation to the descending
aorta? Correct Answer-The coronary sinus is located anterior to the
descending aorta. If the coronary sinus is dilated, it may be mistaken for
descending aorta.
How would you angle to view the coronary sinus in the apical 4-chamber view?
Correct Answer-You would angle posterior in order to visualize the coronary
sinus, which is located posterior to the mitral annulus.
Why is it important to know the location of the coronary sinus and the
descending aorta? Correct Answer-The coronary sinus and descending aorta
are landmarks that can help differentiate pericardial effusions from pleural
effusions. Pericardial effusions lie posterior to the coronary sinus anterior to the
descending aorta. Pleural effusion lies posterior to the descending aorta in PLAX.
& Answers 100% Pass
Coarctation of the aorta is associated with? Correct Answer-bicuspid aortic
valve
Patients with lupus will sometimes get what type of endocarditis? Correct
Answer-Libman-Sachs endocarditis
Prosthetic cardiac valves are classified as: Correct Answer-mechanical and
bioprosthetic
How do you assess the right atrial pressure based on the size and collapsibility
of the inferior vena cava (IVC)? Correct Answer-3mmHg= normal IVC (<2cm)
& (>50%) collapses
8mmHg= intermediate
15mmHg= dilated (>2cm) & no collapse (<50%)
What is the name of the valve of the coronary sinus? Correct Answer-
Thebesian Valve
In which chamber would you see a chiari network? Correct Answer-Right
atrium as fine strands of tissue similar to chordea of the mitral and tricuspid
valves
When is the LV volume the largest? Correct Answer-end diastole
When is the LA volume the largest? Correct Answer-end systole
, CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
What is the dimensionless index for evaluating aortic stenosis? Correct
Answer-The dimensionless index is a ratio of the LVOT velocity and the peak
velocity across the aortic valve.
What is the cutoff value for severe AS when using the dimensionless index?
Correct Answer-The cutoff value for severe AS when using the dimensionless
index is <0.25
When a patient has aortic regurgitation what is the equation for calculating Left
Ventricular End Diastolic Pressure (LVEDP)? Correct Answer-LVEDP= Diastolic
BP - the end diastolic AR gradient
How many scallops is the mitral valve divided into and what are their names?
Correct Answer-The mitral valve is divided into 6 scallops (segments).
Anterior 1,2,&3 and Posterior 1,2 & 3.
When a patient has an aortic aneurysm at which point (size) do you need a
surgical consult? Correct Answer-When aortic aneurysms are larger than
5CM it't time for a surgical consult.
What happens to the mitral inflow pattern in a normal patient when you have
them perform a Valsalva maneuver? Correct Answer-The normal mitral
inflow patterns maintains the E/A ratio (E>A) following a Valsalva maneuver but
the velocities are lower.
, CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
When a patient has pulmonary regurgitation what is the equation for calculating
Pulmonary Artery End Diastolic Pressure (PAEDP)? Correct Answer-PAEDP =
RAP+end diastolic PR gradient
(RA pressure is obtained by looking at the IVC size and collapsibility like you do
for TR and pulmonary pressures).
In the parasternal short-axis view, at the level of the mitral valve and papillary
muscle, how many segments is the left ventricle divided into? Correct
Answer-The left ventricle is divided into 6 segments
Name the ventricular segments seen in the parasternal short-axis view.
Correct Answer-1-Inferolateral
2-Anterolateral
3-Anterior
4-Anteroseptal
5-Inferoseptal
6-Inferior
In the apical four-chamber view, which two walls of the left ventricle are seen?
Correct Answer-Inferoseptal and anterolateral walls of the LV are seen
In the apical two-chamber view, which two walls of the left ventricle are seen?
Correct Answer-anterior and inferior walls of the LV are seen
, CCI Exam: Adult Echocardiography; Questions
& Answers 100% Pass
Which walls of the left ventricle are seen in the parasternal and apical long-axis
views? Correct Answer-Anteroseptal and inferolateral walls of the left
ventricle are seen in the parasternal and apical long axis views.
Which two aortic valve leaflets are seen in parasternal view? Correct Answer-
The right and noncoronary leaflets. The right leaflet is on top (superior) and the
noncornary is on the bottom (inferior)
Where is the coronary sinus located in the parasternal long-axis view (PLAX)?
Correct Answer-The coronary sinus lies in the posterior atrioventricular (AV)
groove. This groove is located between the left atrial and the LV walls and lies
posterior to the MV. In the parasternal long-axis view, the coronary sinus can
sometimes be seen as a small echo-free circle.
In the PLAX where is the coronary sinus located in relation to the descending
aorta? Correct Answer-The coronary sinus is located anterior to the
descending aorta. If the coronary sinus is dilated, it may be mistaken for
descending aorta.
How would you angle to view the coronary sinus in the apical 4-chamber view?
Correct Answer-You would angle posterior in order to visualize the coronary
sinus, which is located posterior to the mitral annulus.
Why is it important to know the location of the coronary sinus and the
descending aorta? Correct Answer-The coronary sinus and descending aorta
are landmarks that can help differentiate pericardial effusions from pleural
effusions. Pericardial effusions lie posterior to the coronary sinus anterior to the
descending aorta. Pleural effusion lies posterior to the descending aorta in PLAX.
