CCI Adult Echocardiography Registry Exams Guide 2025-
2026
1. A pt presents with a transcatheter aortic valve replacement. What informa-
tion must the sonographer obtain prior to performing the echocardiogram?
Choose all answers that apply.
Date of implantation
Size of Valve
Systemic blood pressure
Prior LV Ejection Fraction: All of the above
2. The double diamond sign on an M -mode tracing of the MV is indicative of
mid diastolic closure caused by.....
Acute MI
Dressler Syndrome
Pulmonary HTN
Dilated cardiomyopathy: Dilated Cardiomyopathy
3. The slope between which two points of the Doppler tracing of the mitral
valve are used to calculate the pressure half time?
D-E
E-F
E-A
E/E': E-F
4. Microbubble contrast evaluation of the LV is performed when standard 2D
images are suboptimal. Suboptimal images are defined as:
The inability to detect two or more contiguous segments in any of the apical
windows
The inability to detect two or more contiguous segments in any three of the
apical windows: The inability to detect two or more contiguous segments in any
three of the apical windows
5. Which of the following calculations demonstrates the rate of increase in left
ventricle pressure during systolic contraction?
EF %
Qp/Qs
dp/dt
, CCI Adult Echocardiography Registry Exams Guide 2025-
2026
Fractional Shortening: dp/dt
6. The image demonstrates a Doppler waveform from the mitral valve, A caliper
is placed on the E peak velocity. The blue dot is placed where the second
cursor would be placed.: Mitral valve waveform
7. Which of the following should be omitted from the optimal parasternal long
axis view of the left ventricle?
Right ventricular outflow tract
Papillary muscle
Descending Aorta
Coronary sinus: Papillary Muscle
8. Which of the following regarding ventricular septal defects is true?: The
membranous type of VSD is located at the junction of the left ventricular outflow
tract and the muscular portion of the septum.
9. In tamponade the RV free wall will collapse in diastole, except in patients
with significant:
Systemic HTN
Pulmonary HTN
tricuspid regurgitation
pericardial effusion: Pulmonary HTN
10. How is the cardiac index calculated ?
Cardiac output / body surface area
stroke volume / cardiac output
cardiac output / stroke volume
Stroke volume x cardiac output x body surface area: Cardiac output / body
surface area
, CCI Adult Echocardiography Registry Exams Guide 2025-
2026
11. In order to diagnose a persistent left SVC, the ultrasound enhancing agent
should be injected in the and it will be seen in the before entering
the right heart if the exam is positive.
left arm, SVC
right arm, LA
Left arm, coronary sinus
left arm, pulmonary veins: Left arm, SVC
12. Which of the following is a characteristic of an athlete heart?
sustained tachycardia at rest
LV posterior wall thickness 1.5 cm
moderate biatrial enlargement
interventricular septal thickness 1.5 cm: LV posterior wall thickness 1.5 cm
13. Which of the following correctly describes how to measure the left atrium
in the parasternal view?
Leading edge to leading edge, from the aortic sinus to the posterior atrial wall
outer edge to inner edge, from the aortic sinus to the posterior atrial wall
Leading edge to leading edge, from the LVOT to the posterior atrial wall: lead-
ing edge to leading edge, from the aortic sinus to the posterior atrial wall
14. Which of the following is an expected EF% on a patient with advanced
hypertrophic cardiomyopathy ?
45%
15%
85%
60%: 85%
, CCI Adult Echocardiography Registry Exams Guide 2025-
2026
15. Which of the following abnormalities should include the supplemental
evaluation of the abdominal aorta?
Takayasu arteritis and bicuspid aortic valve
EF% less than 20% or over 80%
Kawasaki disease and Fabry disease
Patent ductus arteriosus and septal defects: Takayasu arteritis and bicuspid
aortic valve
16. What echo view should be used to evaluate flow velocity in the descending
aorta?
Right parasternal border
apical
suprasternal notch
subcostal: suprasternal notch
17. IN MOST CASES, SHUNT FLOW ACROSS AN ASD IS FROM UNLESS
SYNDROMW IS PRESENT AND THEN FLOW IS REVERSED.
Right to left, Dressler
Left to right, Eisenmenger
right to left, Eisenmenger
left to right, Dressler: Left to right, Eisenmenger
18. There is akinesis of the anterolateral and inferolateral walls. These findings
are most suggestive of occlusion of the:
Posterior descending artery
left anterior descending artery
ramus intermedius
2026
1. A pt presents with a transcatheter aortic valve replacement. What informa-
tion must the sonographer obtain prior to performing the echocardiogram?
Choose all answers that apply.
Date of implantation
Size of Valve
Systemic blood pressure
Prior LV Ejection Fraction: All of the above
2. The double diamond sign on an M -mode tracing of the MV is indicative of
mid diastolic closure caused by.....
Acute MI
Dressler Syndrome
Pulmonary HTN
Dilated cardiomyopathy: Dilated Cardiomyopathy
3. The slope between which two points of the Doppler tracing of the mitral
valve are used to calculate the pressure half time?
D-E
E-F
E-A
E/E': E-F
4. Microbubble contrast evaluation of the LV is performed when standard 2D
images are suboptimal. Suboptimal images are defined as:
The inability to detect two or more contiguous segments in any of the apical
windows
The inability to detect two or more contiguous segments in any three of the
apical windows: The inability to detect two or more contiguous segments in any
three of the apical windows
5. Which of the following calculations demonstrates the rate of increase in left
ventricle pressure during systolic contraction?
EF %
Qp/Qs
dp/dt
, CCI Adult Echocardiography Registry Exams Guide 2025-
2026
Fractional Shortening: dp/dt
6. The image demonstrates a Doppler waveform from the mitral valve, A caliper
is placed on the E peak velocity. The blue dot is placed where the second
cursor would be placed.: Mitral valve waveform
7. Which of the following should be omitted from the optimal parasternal long
axis view of the left ventricle?
Right ventricular outflow tract
Papillary muscle
Descending Aorta
Coronary sinus: Papillary Muscle
8. Which of the following regarding ventricular septal defects is true?: The
membranous type of VSD is located at the junction of the left ventricular outflow
tract and the muscular portion of the septum.
9. In tamponade the RV free wall will collapse in diastole, except in patients
with significant:
Systemic HTN
Pulmonary HTN
tricuspid regurgitation
pericardial effusion: Pulmonary HTN
10. How is the cardiac index calculated ?
Cardiac output / body surface area
stroke volume / cardiac output
cardiac output / stroke volume
Stroke volume x cardiac output x body surface area: Cardiac output / body
surface area
, CCI Adult Echocardiography Registry Exams Guide 2025-
2026
11. In order to diagnose a persistent left SVC, the ultrasound enhancing agent
should be injected in the and it will be seen in the before entering
the right heart if the exam is positive.
left arm, SVC
right arm, LA
Left arm, coronary sinus
left arm, pulmonary veins: Left arm, SVC
12. Which of the following is a characteristic of an athlete heart?
sustained tachycardia at rest
LV posterior wall thickness 1.5 cm
moderate biatrial enlargement
interventricular septal thickness 1.5 cm: LV posterior wall thickness 1.5 cm
13. Which of the following correctly describes how to measure the left atrium
in the parasternal view?
Leading edge to leading edge, from the aortic sinus to the posterior atrial wall
outer edge to inner edge, from the aortic sinus to the posterior atrial wall
Leading edge to leading edge, from the LVOT to the posterior atrial wall: lead-
ing edge to leading edge, from the aortic sinus to the posterior atrial wall
14. Which of the following is an expected EF% on a patient with advanced
hypertrophic cardiomyopathy ?
45%
15%
85%
60%: 85%
, CCI Adult Echocardiography Registry Exams Guide 2025-
2026
15. Which of the following abnormalities should include the supplemental
evaluation of the abdominal aorta?
Takayasu arteritis and bicuspid aortic valve
EF% less than 20% or over 80%
Kawasaki disease and Fabry disease
Patent ductus arteriosus and septal defects: Takayasu arteritis and bicuspid
aortic valve
16. What echo view should be used to evaluate flow velocity in the descending
aorta?
Right parasternal border
apical
suprasternal notch
subcostal: suprasternal notch
17. IN MOST CASES, SHUNT FLOW ACROSS AN ASD IS FROM UNLESS
SYNDROMW IS PRESENT AND THEN FLOW IS REVERSED.
Right to left, Dressler
Left to right, Eisenmenger
right to left, Eisenmenger
left to right, Dressler: Left to right, Eisenmenger
18. There is akinesis of the anterolateral and inferolateral walls. These findings
are most suggestive of occlusion of the:
Posterior descending artery
left anterior descending artery
ramus intermedius
