ARDMS ADULT ECHO ACTUAL UPDATED QUESTIONS AND
ANSWERS RATED A+
✔✔One advantage to using the PLAX view to diagnose MVP is - ✔✔false prolapse
caused by annulus shape is avoided
✔✔Which technique would best allow you to assess the severity of AI - ✔✔PW Doppler
✔✔Which of the following valves is most often affected in patients with rheumatic heart
disease - ✔✔mitral
✔✔Electrical alternans is seen on a patients EKG the echocardiogram will likely show -
✔✔large pericardial effusion
✔✔Premature closure of the MV can be seen in patients with - ✔✔AI
✔✔A PDA has what type of murmur - ✔✔continous
✔✔A patient is sent to the echo lab with the diagnosis of constrictive pericarditis. You
perform a contrast study to look for - ✔✔presystolic appearance of contrast in the IVC
✔✔A patient with a systolic murmur and a fixed split S2 may have which of the following
- ✔✔ASD
✔✔The pressure obtained by a pulmonary artery wedge measurement equals the
pressure in the - ✔✔LA
✔✔The A-dip in the M mode pulmonary valve is caused by contraction of the - ✔✔RA
✔✔Filing of the coronary arteries occurs duing which part of the cardiac cycle -
✔✔ventricular diastole
✔✔What is associated w/ severe, acute MR - ✔✔Pulmonary Edema
✔✔A pt is referred to the echo lab because of positional and respiratory variation in
chest pain, Which of the disease are they likely to have - ✔✔Pericarditis
✔✔Which valve lesion is most commonly associated with LBBB - ✔✔Calcified AS
✔✔Where is the lowest blood oxygen saturation usually found - ✔✔CS
✔✔A pt with has a higher BP in the right arm than the left may have - ✔✔coarctation of
the aorta
,✔✔Premature closure of the AoV on m mode is most consistent with what disease -
✔✔MR
✔✔An intra aortic balloon pump assists the LV by increasing what - ✔✔coronary blood
flow
✔✔At cardiac cathererization a pt has equal end diastolic pressures between both atria
and both ventricles suggesting what - ✔✔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 - ✔✔vascular resistance is LOWER
✔✔The beginning of systole is accompanied by which heart sound - ✔✔S1
✔✔Which auscultatory sounds is most suggestive of a bicuspid AoV - ✔✔Systolic
ejection click
✔✔HCMO may be suspected if the ratio of IVS thickness to LV posterior wall thickness
is what - ✔✔1.3 to 1
✔✔When measuring mitral orifice size in a pt which MS
care must be taken to measure the opening at - ✔✔the leaflet tips
✔✔The false appearance of mitral valve prolapse on M mode can be created by -
✔✔Placing the transducer too high on the chest
✔✔Diastolic collapse of the RV anterior wall is consistent with what - ✔✔pericardial
tamponade
✔✔Patients receiving Adiamycin therapy are often refferred to the echo lab to -
✔✔evaluate LVF
✔✔After a pt has had a mitral commissurotomy which of the following will be seen on
echo - ✔✔the valve will still appear rheumatic
✔✔T/F In a pt with IHSS MR is often present - ✔✔True
✔✔T/F in a pt with IHSS the AoV will show mid- diastolic closure - ✔✔False
✔✔T/F in pts w/ infective endocarditis it's easy to distinguish between new and healed
vegetations - ✔✔False
, ✔✔During the Q-T interval on the EKG what chambers are filling - ✔✔The atrias
✔✔T/F Does elevation of the pulmonary venous pressure usually occur with LHF -
✔✔True
✔✔T/F a fall in aortic pressure usually occurs with LHF - ✔✔False
✔✔T/F Pedal edema is a common symptom of CHF - ✔✔True
✔✔T/F Syncope is a common symptom of CHF - ✔✔False
✔✔T/F MR results in increase in preload - ✔✔True
✔✔T/F in AS the LV diastolic pressure exceeds that of the aorta - ✔✔False
✔✔T/F in AS the LV systolic pressure exceeds that of the aorta - ✔✔True
✔✔The heart responds to increased preload by an increase in - ✔✔contractility
✔✔T/F when amyl nitrite is administered to a pt who has HOCM it is likely to increase
the systolic anterior motion (SAM) of the MV - ✔✔True
✔✔a pt presents with a grade IV/VI systolic crescendo-decrescendo murmur the most
likely pathology is - ✔✔AS
✔✔How are phased array transducer the transmitted sound beam is swept - ✔✔varying
the timing of pulses t the transducer elements
✔✔To improve the axial resolution of a transducer a manufacturer must do what to the
pulse - ✔✔shorten it
✔✔If the distance to the reflector doubles, the time between pulse transmission and
echo detection at the transducer will - ✔✔double
✔✔The right venticular systolic pressure may be predicted with ____ wave Doppler on
TR - ✔✔continous
✔✔The 2D image of a phased array echo is produced by - ✔✔sequentially activating a
series of adjacent crystals to angulate the US beam
✔✔T/F Pulmonary atresia with a VSD (pseudotruncus) is associated with an overriding
aorta - ✔✔True
ANSWERS RATED A+
✔✔One advantage to using the PLAX view to diagnose MVP is - ✔✔false prolapse
caused by annulus shape is avoided
✔✔Which technique would best allow you to assess the severity of AI - ✔✔PW Doppler
✔✔Which of the following valves is most often affected in patients with rheumatic heart
disease - ✔✔mitral
✔✔Electrical alternans is seen on a patients EKG the echocardiogram will likely show -
✔✔large pericardial effusion
✔✔Premature closure of the MV can be seen in patients with - ✔✔AI
✔✔A PDA has what type of murmur - ✔✔continous
✔✔A patient is sent to the echo lab with the diagnosis of constrictive pericarditis. You
perform a contrast study to look for - ✔✔presystolic appearance of contrast in the IVC
✔✔A patient with a systolic murmur and a fixed split S2 may have which of the following
- ✔✔ASD
✔✔The pressure obtained by a pulmonary artery wedge measurement equals the
pressure in the - ✔✔LA
✔✔The A-dip in the M mode pulmonary valve is caused by contraction of the - ✔✔RA
✔✔Filing of the coronary arteries occurs duing which part of the cardiac cycle -
✔✔ventricular diastole
✔✔What is associated w/ severe, acute MR - ✔✔Pulmonary Edema
✔✔A pt is referred to the echo lab because of positional and respiratory variation in
chest pain, Which of the disease are they likely to have - ✔✔Pericarditis
✔✔Which valve lesion is most commonly associated with LBBB - ✔✔Calcified AS
✔✔Where is the lowest blood oxygen saturation usually found - ✔✔CS
✔✔A pt with has a higher BP in the right arm than the left may have - ✔✔coarctation of
the aorta
,✔✔Premature closure of the AoV on m mode is most consistent with what disease -
✔✔MR
✔✔An intra aortic balloon pump assists the LV by increasing what - ✔✔coronary blood
flow
✔✔At cardiac cathererization a pt has equal end diastolic pressures between both atria
and both ventricles suggesting what - ✔✔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 - ✔✔vascular resistance is LOWER
✔✔The beginning of systole is accompanied by which heart sound - ✔✔S1
✔✔Which auscultatory sounds is most suggestive of a bicuspid AoV - ✔✔Systolic
ejection click
✔✔HCMO may be suspected if the ratio of IVS thickness to LV posterior wall thickness
is what - ✔✔1.3 to 1
✔✔When measuring mitral orifice size in a pt which MS
care must be taken to measure the opening at - ✔✔the leaflet tips
✔✔The false appearance of mitral valve prolapse on M mode can be created by -
✔✔Placing the transducer too high on the chest
✔✔Diastolic collapse of the RV anterior wall is consistent with what - ✔✔pericardial
tamponade
✔✔Patients receiving Adiamycin therapy are often refferred to the echo lab to -
✔✔evaluate LVF
✔✔After a pt has had a mitral commissurotomy which of the following will be seen on
echo - ✔✔the valve will still appear rheumatic
✔✔T/F In a pt with IHSS MR is often present - ✔✔True
✔✔T/F in a pt with IHSS the AoV will show mid- diastolic closure - ✔✔False
✔✔T/F in pts w/ infective endocarditis it's easy to distinguish between new and healed
vegetations - ✔✔False
, ✔✔During the Q-T interval on the EKG what chambers are filling - ✔✔The atrias
✔✔T/F Does elevation of the pulmonary venous pressure usually occur with LHF -
✔✔True
✔✔T/F a fall in aortic pressure usually occurs with LHF - ✔✔False
✔✔T/F Pedal edema is a common symptom of CHF - ✔✔True
✔✔T/F Syncope is a common symptom of CHF - ✔✔False
✔✔T/F MR results in increase in preload - ✔✔True
✔✔T/F in AS the LV diastolic pressure exceeds that of the aorta - ✔✔False
✔✔T/F in AS the LV systolic pressure exceeds that of the aorta - ✔✔True
✔✔The heart responds to increased preload by an increase in - ✔✔contractility
✔✔T/F when amyl nitrite is administered to a pt who has HOCM it is likely to increase
the systolic anterior motion (SAM) of the MV - ✔✔True
✔✔a pt presents with a grade IV/VI systolic crescendo-decrescendo murmur the most
likely pathology is - ✔✔AS
✔✔How are phased array transducer the transmitted sound beam is swept - ✔✔varying
the timing of pulses t the transducer elements
✔✔To improve the axial resolution of a transducer a manufacturer must do what to the
pulse - ✔✔shorten it
✔✔If the distance to the reflector doubles, the time between pulse transmission and
echo detection at the transducer will - ✔✔double
✔✔The right venticular systolic pressure may be predicted with ____ wave Doppler on
TR - ✔✔continous
✔✔The 2D image of a phased array echo is produced by - ✔✔sequentially activating a
series of adjacent crystals to angulate the US beam
✔✔T/F Pulmonary atresia with a VSD (pseudotruncus) is associated with an overriding
aorta - ✔✔True
