CCI Practice Exam
A Doppler finding in patients with patent ductus arteriosus would be: - ANS -Diastolic left to
right flow in the pulmonary artery
Which medium interface would you expect the strongest (brightest) echoes to occur? - ANS
-Air/Skin
A congenital malformation where the septal leaflet of the tricuspid valve is displaced toward the
apex of the right ventricle is termed: - ANS -Ebstein's anomaly
In a patient with an ostium secundum defect of the heart, a step-up (increased concentration) of
oxygen saturation would be noted in the: - ANS -Right atrium
Which component is the metabolic component of acid base balance in the body? - ANS -Hco3
The stroke volume of an intact ventricle is directly influenced by all of the following except?
a. Preload
b. Afterload
c. Contractility
d. Age - ANS -Age
The factor that most strongly influences the speed at which an ultrasound wave travels through
a patients liver is the: - ANS -stiffness of the liver tissue
________________ cannot travel through a vcuum - ANS -Sound
When evaluating an aortic valve for stenosis, caution must be taken not to underestimate the
severity of the stenosis in the presence of: - ANS -Mitral regurgitation
Frequency of sound is expressed in: - ANS -hertz
The methods used to decrease the build up of acid in a patient who is arresting are: - ANS
-Hyperventilation and sodium bicarbonate
The term opening snap is used to describe: - ANS -mitral stenosis
The mid systolic click is generally associated with: - ANS -Barlow's syndrome
What factors affect the pressure gradient across a valve? - ANS -Resistance to flow and
proximal chamber pressure
,The pulmonary capillary wedge pressure most closely approximates _____________ pressures.
- ANS -LA and LVEDP
The most common ventricular septal defect is the: - ANS -perimembranous VSD
Untreated congestive heart failure could eventually lead to: - ANS -pulmonary HTN
The tension in the fibers of the ventricle after the onset of systole refers to: - ANS -afterload
A direct result of mitral regurgitation is: - ANS -Left atrial enlargement
Wolff Parkinson's White syndrome is diagnosed on the ECG by the presence of a: - ANS -delta
wave
The second heart sound is associated with: - ANS -closure of the aortic and pulmonic valves
A typical finding in the presence of aortic stenosis is: - ANS -Left ventricular hypertrophy
Ohms law describes the basic characteristics of electricity in a circuit; A principle that applies to
all electrical, medical and monitoring instruments. The formula is: - ANS -V=IxR
In what medium does sound travel the fastest? - ANS -bone
subcristal VSD's are also known as: - ANS -Subaotric VSD
A finding of coronary artery aneurysms on an echocardiogram of a child would be consistent
with: - ANS -Barlow's syndrome
The central venous pressure is a direct reflection of the: - ANS -right atrial pressure
In the normal functioning heart, the end diastolic volume is determined by what major factors? -
ANS -Diastolic filling pressure, total blood volume and atrial systole
The amount of refraction is most strongly influenced by the relative ____________ on either
side of the interface. - ANS -acoustic impedance
Regions of decreased particle density as seen on ultrasound refers to: - ANS -rarefraction
The _________ is independent of the frequency and intensity of the sound wave. - ANS -speed
of sound
Refraction will not occur is the sound beam is ________ to the interface. - ANS -perpendicular
, Tetrology of Fallot is diagnosed when the presence of what four anomalies? - ANS -right
ventricular hypertrophy, ventricular septal defect, pulmonic stenosis and an overriding aorta
(over the VSD)
In ultrasound, regions of increased particle density refers to: - ANS -compression
Blood within the pulmonary artery is generally _______ % saturated with oxygen - ANS -75%
Diastolic fluttering of the anterior mitral valve leaflet as seen on the m-mode tracing would
suggest? - ANS -Aortic insufficiency
What factor of resistance has the most effect on the resistance to flow in a blood vessel? - ANS
-The vessels radius
The echo window of choice for evaluating mitral regurgitation with continuous wave Doppler is: -
ANS -The apical 4 chamber view
When we are born, the communication between the aorta and the pulmonary artery that is
present inutero may fail to close off after birth. This communication is called: - ANS -Patent
ductus arteriosus
If the pressure amplitude of a sound wave is doubled, the intensity would be: - ANS
-quadrupled
A pulse repetition frequency of less than twice the Doppler shift frequency will result in
__________. - ANS -aliasing
Acoustical information is converted into image data through the use of - ANS -fast Fourier
transformer system converters
Impulses conducted from the sinus node are delayed slightly at the ___________ before
continuing to the ventricles. - ANS -atrioventricular node
The coronary blood flow to the heart is a __________ event - ANS -diastolic
The muscle of the heart is composed of: - ANS -myofibrils
The propagation speed of sound divided by the frequency equals: - ANS -wavelangth
The left and right bundle branches travel down the conduction system to terminate in the: -
ANS -perkinji fibers
During the performance of an echocardiogram you note that the heart is on the right side of the
chest. This is called: - ANS -dextracardia
A Doppler finding in patients with patent ductus arteriosus would be: - ANS -Diastolic left to
right flow in the pulmonary artery
Which medium interface would you expect the strongest (brightest) echoes to occur? - ANS
-Air/Skin
A congenital malformation where the septal leaflet of the tricuspid valve is displaced toward the
apex of the right ventricle is termed: - ANS -Ebstein's anomaly
In a patient with an ostium secundum defect of the heart, a step-up (increased concentration) of
oxygen saturation would be noted in the: - ANS -Right atrium
Which component is the metabolic component of acid base balance in the body? - ANS -Hco3
The stroke volume of an intact ventricle is directly influenced by all of the following except?
a. Preload
b. Afterload
c. Contractility
d. Age - ANS -Age
The factor that most strongly influences the speed at which an ultrasound wave travels through
a patients liver is the: - ANS -stiffness of the liver tissue
________________ cannot travel through a vcuum - ANS -Sound
When evaluating an aortic valve for stenosis, caution must be taken not to underestimate the
severity of the stenosis in the presence of: - ANS -Mitral regurgitation
Frequency of sound is expressed in: - ANS -hertz
The methods used to decrease the build up of acid in a patient who is arresting are: - ANS
-Hyperventilation and sodium bicarbonate
The term opening snap is used to describe: - ANS -mitral stenosis
The mid systolic click is generally associated with: - ANS -Barlow's syndrome
What factors affect the pressure gradient across a valve? - ANS -Resistance to flow and
proximal chamber pressure
,The pulmonary capillary wedge pressure most closely approximates _____________ pressures.
- ANS -LA and LVEDP
The most common ventricular septal defect is the: - ANS -perimembranous VSD
Untreated congestive heart failure could eventually lead to: - ANS -pulmonary HTN
The tension in the fibers of the ventricle after the onset of systole refers to: - ANS -afterload
A direct result of mitral regurgitation is: - ANS -Left atrial enlargement
Wolff Parkinson's White syndrome is diagnosed on the ECG by the presence of a: - ANS -delta
wave
The second heart sound is associated with: - ANS -closure of the aortic and pulmonic valves
A typical finding in the presence of aortic stenosis is: - ANS -Left ventricular hypertrophy
Ohms law describes the basic characteristics of electricity in a circuit; A principle that applies to
all electrical, medical and monitoring instruments. The formula is: - ANS -V=IxR
In what medium does sound travel the fastest? - ANS -bone
subcristal VSD's are also known as: - ANS -Subaotric VSD
A finding of coronary artery aneurysms on an echocardiogram of a child would be consistent
with: - ANS -Barlow's syndrome
The central venous pressure is a direct reflection of the: - ANS -right atrial pressure
In the normal functioning heart, the end diastolic volume is determined by what major factors? -
ANS -Diastolic filling pressure, total blood volume and atrial systole
The amount of refraction is most strongly influenced by the relative ____________ on either
side of the interface. - ANS -acoustic impedance
Regions of decreased particle density as seen on ultrasound refers to: - ANS -rarefraction
The _________ is independent of the frequency and intensity of the sound wave. - ANS -speed
of sound
Refraction will not occur is the sound beam is ________ to the interface. - ANS -perpendicular
, Tetrology of Fallot is diagnosed when the presence of what four anomalies? - ANS -right
ventricular hypertrophy, ventricular septal defect, pulmonic stenosis and an overriding aorta
(over the VSD)
In ultrasound, regions of increased particle density refers to: - ANS -compression
Blood within the pulmonary artery is generally _______ % saturated with oxygen - ANS -75%
Diastolic fluttering of the anterior mitral valve leaflet as seen on the m-mode tracing would
suggest? - ANS -Aortic insufficiency
What factor of resistance has the most effect on the resistance to flow in a blood vessel? - ANS
-The vessels radius
The echo window of choice for evaluating mitral regurgitation with continuous wave Doppler is: -
ANS -The apical 4 chamber view
When we are born, the communication between the aorta and the pulmonary artery that is
present inutero may fail to close off after birth. This communication is called: - ANS -Patent
ductus arteriosus
If the pressure amplitude of a sound wave is doubled, the intensity would be: - ANS
-quadrupled
A pulse repetition frequency of less than twice the Doppler shift frequency will result in
__________. - ANS -aliasing
Acoustical information is converted into image data through the use of - ANS -fast Fourier
transformer system converters
Impulses conducted from the sinus node are delayed slightly at the ___________ before
continuing to the ventricles. - ANS -atrioventricular node
The coronary blood flow to the heart is a __________ event - ANS -diastolic
The muscle of the heart is composed of: - ANS -myofibrils
The propagation speed of sound divided by the frequency equals: - ANS -wavelangth
The left and right bundle branches travel down the conduction system to terminate in the: -
ANS -perkinji fibers
During the performance of an echocardiogram you note that the heart is on the right side of the
chest. This is called: - ANS -dextracardia
