1
CCI ECHO REVIEW SET 1, SET 2, SET 3/
Expert-Verified Questions & Answers | 100%
Correct Solutions | New 2025 Version
Set 1
1. The universal precautions standards were created by which of the following
organizations?
A. American institute of ultrasound in medicine
B. Joint commission on accreditation of healthcare organizations
C. Center for disease control
D. Occupational safety and health administration - ANSWER C
2. 2D evaluation demonstrates a 5.9cm LV with a normal EF% and wall thickness.
The left atrium measures 4.8cm. What will the color Doppler evaluation
demonstrate to explain these findings?
A. Isolated aortic stenosis
B. Moderate mitral regurgitation and moderate mitral stenosis
C. Moderate aortic regurgitation and moderate aortic stenosis
D. 3mm patent firemen ovale - ANSWER B
3. Which of the following correctly describes how to assess for diastolic dysfunction
on a stress echo?
A. Measure the pulmonary vein flow velocities before and after exercise
B. Measure the left atrial volume before and after exercise
C. Measure the left ventricular volume before and after exercise
D. Measure the E and E' velocities before and after exercise - ANSWER D
4. Severe acute aortic regurgitation causes:
A. Causes a rapid increase in chamber size of the left ventricle
B. Causes a rapid increase in left ventricular systolic pressures
C. Causes a rapid increase in left ventricular diastolic pressures
D. Causes delayed opening of the mitral valve in diastole - ANSWER C
5. A patient presents for an echo due to a systolic ejection murmur. The aortic valve
is thickened but appears to have normal mobility. Doppler evaluation
demonstrates a velocity of 1.65m/s. Which of the following best describes his
findings?
A. Aortic sclerosis
B. Congenital aortic stenosis
C. Infective endocarditis of the aortic valve
D. Mild degenerative aortic stenosis - ANSWER A
1
, 2
6. The pulmonary capillary wedge pressure is considered normal if it is less
than______.
A. 15mmHg
B. 10mmHg
C. 5mmHg
D. 20mmHg - ANSWER B
7. Aortic coarctation between the origin of the left common carotid and the origin of
the left subclavian artery will have what effect on the brachial pressures?
A. Bilateral increase in arm pressures
B. Bilateral decrease in arm pressures
C. Increased left arm pressure and decrease right arm pressure
D. Increase right arm pressure and decrease left arm pressure - ANSWER D
8. Harmonic imaging results in:
A. Increase appearance of grating lobes
B. Improved contrast resolution
C. Increased beam diameter
D. Degraded lateral resolution - ANSWER B
9. If a patient takes propranolol daily, which of the following is the most likely finding
on the echo?
A. Vegetation formation on the tricuspid Valve
B. Patent ductus arteriosus
C. Subaortic stenosis caused by hypertrophic cardiomyopathy
D. Carcinoid disease - ANSWER C
10. Which of the following controls adjust the number of shades of gray displayed of
the to the 2Dimage
A. Output power
B. Dynamic range
C. Wall filter
D. Monitor brightness - ANSWER B
11. Which of the following is a disadvantage of digital echo imaging compared to
video recording?
A. Transient events may be difficult to capture
B. Contrast imaging cannot be properly documented
C. Cannot record more than 5 seconds of the cardiac cycle
D. Significant increase in ultrasound exposure - ANSWER A
12. What is the RVSP for the patient in the video with a peak velocity through the
VSD of 3 m/s and a systemic blood pressure of 110/70 mmHg
A. 34 mmHg
B. 36 mmHg
2
, 3
C. 106 mmHg
D. 74 mmHg - ANSWER D
13. How does acromegaly typically affect the heart?
A. Severe mitral and tricuspid regurgitation
B. Coarctation
C. Pulmonary HTN
D. Left ventricular hypertrophy - ANSWER D
14. Deceleration time on a Doppler tracing of the mitral valve is usually unaffected
by:
A. Mitral stenosis
B. Impaired relaxation of the left ventricle
C. Aortic stenosis
D. Early stages of Pulmonary HTN - ANSWER D
15. Which type of cardiomyopathy is most strongly associated with diabetes?
A. Hypertrophic
B. Dilated
C. Infiltrative
D. Non-compaction - ANSWER B
16. Which of the following echocardiographic views will best demonstrate color
Doppler display of aortic regurgitation?
A. Parasternal short axis
B. Apical 3 chamber
C. Parasternal long axis
D. Suprasternal notch - ANSWER B
17. When reporting spectral Doppler information for an echocardiogram:
A. The frequency of the transducer you used for the exam should be
indicated in the report
B.Each waveform must be classified as triphasic, biphasic or monophasic
C. Record the highest quality and highest velocity signals for the final
measurements
D. Always record the highest velocity obtained from all signals - ANSWER C
18. When measuring left atrial volume:
A. The same view used for LV volumes should be used for measurement of
LA volumes
B. The proximal pulmonary veins should be included in the tracing
C. Place a caliper at the center of the MV annular plane, trace the cavity to
create a full circle and return to the center of the MV annulus
D. LA length is measured from the center of the mitral annulus to the inner
edge of the posterior LA wall - ANSWER D
3
, 4
19. Normal fractional shortening of the left ventricle is _____. Normal ejection
fraction of the left ventricle is ______.
A. >35%,> 55%
B. >30%, >60%
C. >25%, >55%
D. >20%, >50% - ANSWER C
20. Leaflet redundancy in myxomatous degeneration are common signs of:
A. Carcinoid disease
B. Mitral valve prolapse
C. Subvalvular aortic stenosis
D. Supravalvular aortic stenosis - ANSWER B
21. Which of the following system controls is used mainly in cardiac imaging to
correct for a drop out on the sides of the image?
A. Lateral gain
B. 2D priority
C. Post-processing
D. 3D image rendering - ANSWER A
22. The aortic root is measured in the parasternal long axis view and the calipers are
placed ______________.
A. From outer edge to inner edge of the anterior and posterior walls
B. From inner edge to outer edge of the anterior and posterior walls
C. From inner edge to inner edge of the anterior and posterior walls
D. From outer edge to outer edge of the anterior and posterior walls -
ANSWER A
23. Which of the following is a normal finding with a prosthetic valve?
A. Dehiscence
B. Perivalvular leakage
C. Prominent pannus formation
D. Valve Masking - ANSWER D
24. When evaluating the severity of aortic insufficiency using CW Doppler, it is
important to:
A. Measure the vena contracta
B. Measure the acceleration time of the retrograde and antegrade flow
C. Compare signal intensity of retrograde flow with antegrade flow
D. Measure the slope of the antegrade flow - ANSWER C
25. What is the purpose of the eustachian valve in fetal circulation?
A. It serves no purpose because it is just a remnant of embryological
development
B. To guide flow through the foramen ovale
4
CCI ECHO REVIEW SET 1, SET 2, SET 3/
Expert-Verified Questions & Answers | 100%
Correct Solutions | New 2025 Version
Set 1
1. The universal precautions standards were created by which of the following
organizations?
A. American institute of ultrasound in medicine
B. Joint commission on accreditation of healthcare organizations
C. Center for disease control
D. Occupational safety and health administration - ANSWER C
2. 2D evaluation demonstrates a 5.9cm LV with a normal EF% and wall thickness.
The left atrium measures 4.8cm. What will the color Doppler evaluation
demonstrate to explain these findings?
A. Isolated aortic stenosis
B. Moderate mitral regurgitation and moderate mitral stenosis
C. Moderate aortic regurgitation and moderate aortic stenosis
D. 3mm patent firemen ovale - ANSWER B
3. Which of the following correctly describes how to assess for diastolic dysfunction
on a stress echo?
A. Measure the pulmonary vein flow velocities before and after exercise
B. Measure the left atrial volume before and after exercise
C. Measure the left ventricular volume before and after exercise
D. Measure the E and E' velocities before and after exercise - ANSWER D
4. Severe acute aortic regurgitation causes:
A. Causes a rapid increase in chamber size of the left ventricle
B. Causes a rapid increase in left ventricular systolic pressures
C. Causes a rapid increase in left ventricular diastolic pressures
D. Causes delayed opening of the mitral valve in diastole - ANSWER C
5. A patient presents for an echo due to a systolic ejection murmur. The aortic valve
is thickened but appears to have normal mobility. Doppler evaluation
demonstrates a velocity of 1.65m/s. Which of the following best describes his
findings?
A. Aortic sclerosis
B. Congenital aortic stenosis
C. Infective endocarditis of the aortic valve
D. Mild degenerative aortic stenosis - ANSWER A
1
, 2
6. The pulmonary capillary wedge pressure is considered normal if it is less
than______.
A. 15mmHg
B. 10mmHg
C. 5mmHg
D. 20mmHg - ANSWER B
7. Aortic coarctation between the origin of the left common carotid and the origin of
the left subclavian artery will have what effect on the brachial pressures?
A. Bilateral increase in arm pressures
B. Bilateral decrease in arm pressures
C. Increased left arm pressure and decrease right arm pressure
D. Increase right arm pressure and decrease left arm pressure - ANSWER D
8. Harmonic imaging results in:
A. Increase appearance of grating lobes
B. Improved contrast resolution
C. Increased beam diameter
D. Degraded lateral resolution - ANSWER B
9. If a patient takes propranolol daily, which of the following is the most likely finding
on the echo?
A. Vegetation formation on the tricuspid Valve
B. Patent ductus arteriosus
C. Subaortic stenosis caused by hypertrophic cardiomyopathy
D. Carcinoid disease - ANSWER C
10. Which of the following controls adjust the number of shades of gray displayed of
the to the 2Dimage
A. Output power
B. Dynamic range
C. Wall filter
D. Monitor brightness - ANSWER B
11. Which of the following is a disadvantage of digital echo imaging compared to
video recording?
A. Transient events may be difficult to capture
B. Contrast imaging cannot be properly documented
C. Cannot record more than 5 seconds of the cardiac cycle
D. Significant increase in ultrasound exposure - ANSWER A
12. What is the RVSP for the patient in the video with a peak velocity through the
VSD of 3 m/s and a systemic blood pressure of 110/70 mmHg
A. 34 mmHg
B. 36 mmHg
2
, 3
C. 106 mmHg
D. 74 mmHg - ANSWER D
13. How does acromegaly typically affect the heart?
A. Severe mitral and tricuspid regurgitation
B. Coarctation
C. Pulmonary HTN
D. Left ventricular hypertrophy - ANSWER D
14. Deceleration time on a Doppler tracing of the mitral valve is usually unaffected
by:
A. Mitral stenosis
B. Impaired relaxation of the left ventricle
C. Aortic stenosis
D. Early stages of Pulmonary HTN - ANSWER D
15. Which type of cardiomyopathy is most strongly associated with diabetes?
A. Hypertrophic
B. Dilated
C. Infiltrative
D. Non-compaction - ANSWER B
16. Which of the following echocardiographic views will best demonstrate color
Doppler display of aortic regurgitation?
A. Parasternal short axis
B. Apical 3 chamber
C. Parasternal long axis
D. Suprasternal notch - ANSWER B
17. When reporting spectral Doppler information for an echocardiogram:
A. The frequency of the transducer you used for the exam should be
indicated in the report
B.Each waveform must be classified as triphasic, biphasic or monophasic
C. Record the highest quality and highest velocity signals for the final
measurements
D. Always record the highest velocity obtained from all signals - ANSWER C
18. When measuring left atrial volume:
A. The same view used for LV volumes should be used for measurement of
LA volumes
B. The proximal pulmonary veins should be included in the tracing
C. Place a caliper at the center of the MV annular plane, trace the cavity to
create a full circle and return to the center of the MV annulus
D. LA length is measured from the center of the mitral annulus to the inner
edge of the posterior LA wall - ANSWER D
3
, 4
19. Normal fractional shortening of the left ventricle is _____. Normal ejection
fraction of the left ventricle is ______.
A. >35%,> 55%
B. >30%, >60%
C. >25%, >55%
D. >20%, >50% - ANSWER C
20. Leaflet redundancy in myxomatous degeneration are common signs of:
A. Carcinoid disease
B. Mitral valve prolapse
C. Subvalvular aortic stenosis
D. Supravalvular aortic stenosis - ANSWER B
21. Which of the following system controls is used mainly in cardiac imaging to
correct for a drop out on the sides of the image?
A. Lateral gain
B. 2D priority
C. Post-processing
D. 3D image rendering - ANSWER A
22. The aortic root is measured in the parasternal long axis view and the calipers are
placed ______________.
A. From outer edge to inner edge of the anterior and posterior walls
B. From inner edge to outer edge of the anterior and posterior walls
C. From inner edge to inner edge of the anterior and posterior walls
D. From outer edge to outer edge of the anterior and posterior walls -
ANSWER A
23. Which of the following is a normal finding with a prosthetic valve?
A. Dehiscence
B. Perivalvular leakage
C. Prominent pannus formation
D. Valve Masking - ANSWER D
24. When evaluating the severity of aortic insufficiency using CW Doppler, it is
important to:
A. Measure the vena contracta
B. Measure the acceleration time of the retrograde and antegrade flow
C. Compare signal intensity of retrograde flow with antegrade flow
D. Measure the slope of the antegrade flow - ANSWER C
25. What is the purpose of the eustachian valve in fetal circulation?
A. It serves no purpose because it is just a remnant of embryological
development
B. To guide flow through the foramen ovale
4
