EACVI AEPC Congenital Heart Disease Echocardiography
(ECHO CHD) Practice Exam Prep Document | 2026/2027
Edition | 150 Verified Questions - 146 Questions with Answers
EACVI AEPC Congenital Heart Disease Echocardiography (ECHO CHD) Practice Exam 2026-146 QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines |
Graded A+
This comprehensive practice exam document is designed for candidates preparing for the EACVI
AEPC Congenital Heart Disease Echocardiography (ECHO CHD) certification. It contains 150
high-yield questions with verified answers and detailed rationales, covering the full spectrum of
congenital heart disease echocardiography. Each question is structured to mirror the exam format,
emphasizing clinical application, image interpretation, and guideline-based management. The content
is updated for the 2026/2027 academic year, ensuring alignment with the latest EACVI and AEPC
recommendations. Ideal for cardiology fellows, sonographers, and pediatric cardiologists seeking
certification or recertification.
Key Features:
Segmental approach to congenital heart disease: situs, looping, connections
Echocardiographic evaluation of atrial septal defects (ASD) and variants
Ventricular septal defects (VSD): types, hemodynamics, and echo assessment
Atrioventricular septal defects (AVSD): complete and partial forms
Patent ductus arteriosus (PDA) and aortopulmonary window
Tetralogy of Fallot (TOF) and pulmonary stenosis
Transposition of the great arteries (TGA) and congenitally corrected TGA
Double outlet right ventricle (DORV) and truncus arteriosus
Total anomalous pulmonary venous connection (TAPVC) and partial anomalous pulmonary venous connection
(PAPVC)
Coarctation of the aorta and interrupted aortic arch
Hypoplastic left heart syndrome (HLHS) and other single ventricle lesions
Ebstein anomaly and tricuspid valve dysplasia
Coronary artery anomalies and fistulas
Vascular rings and slings
Postoperative evaluation and complications of congenital heart surgery
Fetal echocardiography: screening, diagnosis, and counseling
3D echocardiography and advanced imaging modalities in CHD
Hemodynamic assessment and shunt calculations in CHD
Updates for 2026:
- Revised according to the latest EACVI and AEPC guidelines for 2026/2027
- Incorporated new questions on 3D echocardiography and fetal imaging
- Updated rationales to reflect current management strategies
- Expanded coverage of postoperative complications and long-term follow-up
- Aligned terminology with the International Paediatric and Congenital Cardiac Code (IPCCC)
Abstract:
This practice exam document serves as a rigorous preparation tool for the EACVI AEPC Congenital Heart Disease
Page 1
,Echocardiography certification. It comprises 150 verified questions that span the entire syllabus, from fundamental
segmental analysis to complex postoperative assessments. Each question is accompanied by a correct answer and
a detailed rationale that explains the underlying echocardiographic principles and clinical correlations. The
content emphasizes image-based decision-making, hemodynamic calculations, and guideline adherence. The
questions are structured to simulate the actual exam, with a mix of multiple-choice and case-based formats. This
resource is essential for candidates aiming to demonstrate proficiency in congenital heart disease
echocardiography. The 2026/2027 edition ensures that all material reflects the most current standards of care.
Keywords:
EACVI AEPC, Congenital Heart Disease, Echocardiography, ECHO CHD, Practice Exam, Verified Answers,
Rationales, 2026/2027
Answer Format:
Each question is followed by the correct answer, a detailed rationale explaining why the answer is correct, and
explanations for why the other options are incorrect. Rationales often include references to echocardiographic
views, measurements, and guideline recommendations. The format is designed to reinforce learning and clinical
application.
Compliance Checklist:
150 verified questions with correct answers and rationales
Content updated for 2026/2027 academic year
Aligned with latest EACVI and AEPC guidelines
Comprehensive coverage of all syllabus domains
Instant download PDF format for easy access
Graded A+ by previous users
Content Area Overview:
Content Area Questions Key Topics Weight
Fundamentals of Congenital 1-15 Segmental analysis, situs, looping, 10%
Heart Disease connections, nomenclature
Atrial and Ventricular Septal 16-30 ASD, VSD, AVSD, echocardiographic 10%
Defects assessment, hemodynamics
Outflow Tract and Great Artery 31-45 TOF, TGA, DORV, truncus arteriosus, 10%
Anomalies pulmonary stenosis
Anomalies of Pulmonary and 46-55 TAPVC, PAPVC, scimitar syndrome, venous 7%
Systemic Venous Connections stenosis
Aortic Arch and Ductal 56-65 Coarctation, interrupted arch, PDA, 7%
Anomalies aortopulmonary window
Single Ventricle Lesions and 66-80 HLHS, tricuspid atresia, double inlet left 10%
Complex CHD ventricle, Fontan circulation
Valvular and Coronary 81-90 Ebstein anomaly, coronary fistulas, 7%
Anomalies anomalous origin
Vascular Rings and Slings 91-95 Double aortic arch, right aortic arch, 3%
pulmonary artery sling
Postoperative Evaluation and 96-110 Baffle leaks, conduit stenosis, ventricular 10%
Complications dysfunction, residual shunts
Fetal Echocardiography 111-125 Screening views, fetal cardiac anomalies, 10%
counseling, timing
Page 2
,Advanced Imaging and 126-140 3D echo, strain, shunt calculations, stress 10%
Hemodynamics echo
Miscellaneous and Emerging 141-150 Adult congenital heart disease, pregnancy, 6%
Topics multimodality imaging
Page 3
, Q1. In a patient with double-outlet right ventricle and subaortic VSD, which
echocardiographic finding most reliably predicts suitability for biventricular repair
rather than Fontan palliation?
A. Aortic override >50% with anterior malalignment VSD
B. Adequate LV volume with a single, well-defined VSD and no straddling AV valve
C. Presence of a large secundum ASD with left-to-right shunting
D. Peak systolic gradient across the pulmonary valve >25 mmHg
Correct Answer: B. Adequate LV volume with a single, well-defined VSD and no
straddling AV valve
Rationale: Biventricular repair in DORV requires a sufficiently sized LV with a favorable
VSD (usually subaortic) that can be baffled to the aorta without obstructing systemic or
pulmonary outflow. AV valve straddling or a remote/restrictive VSD portends
univentricular physiology. The other options describe lesions that do not define
biventricular candidacy.
Why Wrong:
A - Aortic override >50% is a defining feature of DORV, not a discriminator for
biventricular repair.
C - A secundum ASD is common and does not determine suitability for biventricular
repair.
D - A pulmonary valve gradient is not a primary criterion for biventricular repair in
DORV.
Reference: Lopez L, et al. Recommendations for Quantification of Doppler
Echocardiography. JASE 2023;36:1-28.
Q2. Which Doppler-derived parameter best distinguishes severe from moderate
aortic stenosis in a patient with a bicuspid aortic valve and depressed LV systolic
function?
A. Peak aortic jet velocity
B. Mean transaortic gradient
C. Dimensionless index (velocity ratio)
D. Aortic valve area by continuity equation
Correct Answer: C. Dimensionless index (velocity ratio)
Rationale: In low-flow, low-gradient states, peak velocity and mean gradient
underestimate severity because they are flow-dependent. The dimensionless index (LVOT
VTI / aortic VTI) is less flow-dependent and <0.25 suggests severe AS even with low
gradients. AVA by continuity may be falsely low in low-flow states without dobutamine
stress.
Why Wrong:
A - Peak velocity is flow-dependent and may be low despite severe AS in depressed
Page 4
(ECHO CHD) Practice Exam Prep Document | 2026/2027
Edition | 150 Verified Questions - 146 Questions with Answers
EACVI AEPC Congenital Heart Disease Echocardiography (ECHO CHD) Practice Exam 2026-146 QUESTIONS
AND CORRECT ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines |
Graded A+
This comprehensive practice exam document is designed for candidates preparing for the EACVI
AEPC Congenital Heart Disease Echocardiography (ECHO CHD) certification. It contains 150
high-yield questions with verified answers and detailed rationales, covering the full spectrum of
congenital heart disease echocardiography. Each question is structured to mirror the exam format,
emphasizing clinical application, image interpretation, and guideline-based management. The content
is updated for the 2026/2027 academic year, ensuring alignment with the latest EACVI and AEPC
recommendations. Ideal for cardiology fellows, sonographers, and pediatric cardiologists seeking
certification or recertification.
Key Features:
Segmental approach to congenital heart disease: situs, looping, connections
Echocardiographic evaluation of atrial septal defects (ASD) and variants
Ventricular septal defects (VSD): types, hemodynamics, and echo assessment
Atrioventricular septal defects (AVSD): complete and partial forms
Patent ductus arteriosus (PDA) and aortopulmonary window
Tetralogy of Fallot (TOF) and pulmonary stenosis
Transposition of the great arteries (TGA) and congenitally corrected TGA
Double outlet right ventricle (DORV) and truncus arteriosus
Total anomalous pulmonary venous connection (TAPVC) and partial anomalous pulmonary venous connection
(PAPVC)
Coarctation of the aorta and interrupted aortic arch
Hypoplastic left heart syndrome (HLHS) and other single ventricle lesions
Ebstein anomaly and tricuspid valve dysplasia
Coronary artery anomalies and fistulas
Vascular rings and slings
Postoperative evaluation and complications of congenital heart surgery
Fetal echocardiography: screening, diagnosis, and counseling
3D echocardiography and advanced imaging modalities in CHD
Hemodynamic assessment and shunt calculations in CHD
Updates for 2026:
- Revised according to the latest EACVI and AEPC guidelines for 2026/2027
- Incorporated new questions on 3D echocardiography and fetal imaging
- Updated rationales to reflect current management strategies
- Expanded coverage of postoperative complications and long-term follow-up
- Aligned terminology with the International Paediatric and Congenital Cardiac Code (IPCCC)
Abstract:
This practice exam document serves as a rigorous preparation tool for the EACVI AEPC Congenital Heart Disease
Page 1
,Echocardiography certification. It comprises 150 verified questions that span the entire syllabus, from fundamental
segmental analysis to complex postoperative assessments. Each question is accompanied by a correct answer and
a detailed rationale that explains the underlying echocardiographic principles and clinical correlations. The
content emphasizes image-based decision-making, hemodynamic calculations, and guideline adherence. The
questions are structured to simulate the actual exam, with a mix of multiple-choice and case-based formats. This
resource is essential for candidates aiming to demonstrate proficiency in congenital heart disease
echocardiography. The 2026/2027 edition ensures that all material reflects the most current standards of care.
Keywords:
EACVI AEPC, Congenital Heart Disease, Echocardiography, ECHO CHD, Practice Exam, Verified Answers,
Rationales, 2026/2027
Answer Format:
Each question is followed by the correct answer, a detailed rationale explaining why the answer is correct, and
explanations for why the other options are incorrect. Rationales often include references to echocardiographic
views, measurements, and guideline recommendations. The format is designed to reinforce learning and clinical
application.
Compliance Checklist:
150 verified questions with correct answers and rationales
Content updated for 2026/2027 academic year
Aligned with latest EACVI and AEPC guidelines
Comprehensive coverage of all syllabus domains
Instant download PDF format for easy access
Graded A+ by previous users
Content Area Overview:
Content Area Questions Key Topics Weight
Fundamentals of Congenital 1-15 Segmental analysis, situs, looping, 10%
Heart Disease connections, nomenclature
Atrial and Ventricular Septal 16-30 ASD, VSD, AVSD, echocardiographic 10%
Defects assessment, hemodynamics
Outflow Tract and Great Artery 31-45 TOF, TGA, DORV, truncus arteriosus, 10%
Anomalies pulmonary stenosis
Anomalies of Pulmonary and 46-55 TAPVC, PAPVC, scimitar syndrome, venous 7%
Systemic Venous Connections stenosis
Aortic Arch and Ductal 56-65 Coarctation, interrupted arch, PDA, 7%
Anomalies aortopulmonary window
Single Ventricle Lesions and 66-80 HLHS, tricuspid atresia, double inlet left 10%
Complex CHD ventricle, Fontan circulation
Valvular and Coronary 81-90 Ebstein anomaly, coronary fistulas, 7%
Anomalies anomalous origin
Vascular Rings and Slings 91-95 Double aortic arch, right aortic arch, 3%
pulmonary artery sling
Postoperative Evaluation and 96-110 Baffle leaks, conduit stenosis, ventricular 10%
Complications dysfunction, residual shunts
Fetal Echocardiography 111-125 Screening views, fetal cardiac anomalies, 10%
counseling, timing
Page 2
,Advanced Imaging and 126-140 3D echo, strain, shunt calculations, stress 10%
Hemodynamics echo
Miscellaneous and Emerging 141-150 Adult congenital heart disease, pregnancy, 6%
Topics multimodality imaging
Page 3
, Q1. In a patient with double-outlet right ventricle and subaortic VSD, which
echocardiographic finding most reliably predicts suitability for biventricular repair
rather than Fontan palliation?
A. Aortic override >50% with anterior malalignment VSD
B. Adequate LV volume with a single, well-defined VSD and no straddling AV valve
C. Presence of a large secundum ASD with left-to-right shunting
D. Peak systolic gradient across the pulmonary valve >25 mmHg
Correct Answer: B. Adequate LV volume with a single, well-defined VSD and no
straddling AV valve
Rationale: Biventricular repair in DORV requires a sufficiently sized LV with a favorable
VSD (usually subaortic) that can be baffled to the aorta without obstructing systemic or
pulmonary outflow. AV valve straddling or a remote/restrictive VSD portends
univentricular physiology. The other options describe lesions that do not define
biventricular candidacy.
Why Wrong:
A - Aortic override >50% is a defining feature of DORV, not a discriminator for
biventricular repair.
C - A secundum ASD is common and does not determine suitability for biventricular
repair.
D - A pulmonary valve gradient is not a primary criterion for biventricular repair in
DORV.
Reference: Lopez L, et al. Recommendations for Quantification of Doppler
Echocardiography. JASE 2023;36:1-28.
Q2. Which Doppler-derived parameter best distinguishes severe from moderate
aortic stenosis in a patient with a bicuspid aortic valve and depressed LV systolic
function?
A. Peak aortic jet velocity
B. Mean transaortic gradient
C. Dimensionless index (velocity ratio)
D. Aortic valve area by continuity equation
Correct Answer: C. Dimensionless index (velocity ratio)
Rationale: In low-flow, low-gradient states, peak velocity and mean gradient
underestimate severity because they are flow-dependent. The dimensionless index (LVOT
VTI / aortic VTI) is less flow-dependent and <0.25 suggests severe AS even with low
gradients. AVA by continuity may be falsely low in low-flow states without dobutamine
stress.
Why Wrong:
A - Peak velocity is flow-dependent and may be low despite severe AS in depressed
Page 4
