ARDMS PRACTICE EXAM
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1. The congenital cardiac anaomaly seen most frequently in adults
is(Answer)
A. Ebstein's anomaly
B. Bicuspid aortic valve
C. Ventricular septal defect
D. Endocardial cushion defect(Answer) B. Bicuspid aortic valve
2. Which endocardiographic window is used in the detection and
assess- ment of the inferior vena cava?
A. apical
B. subcostal
C. parasternal
D. suprsternal(Answer) B. Subcostal
3. What is the number and location of the papillary muscles of a normal
mitral valve?
A. one; the posteromedial
B. two; the posterolmedial and anterolateral
C. two; the inferolateral and posteromedial
D. three; the anterolateral, posteromedial, and inferolateral(Answer) B.
two; the pos- terolateral and anterolateral
4. Clinically, prolapse of the mitral valve is associated with(Answer)
A. Opening snap and systolic murmur
B. Diastolic murmur and third heart sound
C. Fixed splitting of the second heart sound
D. Midsystolic click and/or late systolic murmur(Answer) D. Midsystolic
click and/or late systolic murmur
5. Papillary muscle dysfunction usually results from(Answer)
A. Dressler's syndrome
B. Ischemic heart disease
C. Bacterial endocarditis
D. Rheumatic heart disease(Answer) B. Ischemic heart disease
6. In order to record the vegetation's of endocarditis by echo, the
,vegetation's must have a diameter of at least(Answer)
A. One centimeter
B. Three millimeters
C. Three centimeters
D. Five millimeters(Answer) B. Three millimeters
7. How many veins connect the pulmonary vascular bed with the left
atrium in the normal heart?
,A. one
B. two
C. three
D. four(Answer) D. four
8. Which M-mode finding is considered to be a specific indicator of a
fenes- trated aortic valve?
a. diastolic flutter of the mitral valve
b. premature opening of the aortic valve
c. diastolic flutter of the aortic valve
d. eary systolic closure of the aortic valve(Answer) c. diastolic flutter of
the aortic valve
9. Which cardiac abnormalities are frequently noted on the
echocardiogram of patients with Marfan's syndrome?
A. mitral stenosis and pericardial effusion
B. mitral valve prolapse and aortic dilatation
C. left ventricular aneurysm and thrombus formation
D. dilatation of the pulmonary artery and pulmonic stenosis(Answer) b.
mitral valve prolapse and pericardial effusion
10. Which term is used to describe a segment of ventrcular wall that
exhibits no motion?
A. akinesis
B. dyskinesis
C. hypokinesis
D. hyperkinesis(Answer) A. akinesis
11. A true aneurysm of the left ventricle can usually be distinguished from
a pseudoaneurysm because a pseudoaneurysm(Answer)
A. has a smaller, more narrow neck than a true aneurysm
B. never contain thrombi whereas a true aneurysm always contain a
layered thrombus
C. is always larger in overall size than a true aneurysm(Answer) A. has a
smaller, more narrow neck than a true aneurysm
12. Which type of cardiomyopathy is associated with amyloidosis?
a. congestive
b. restrictive
c. hypertrophic
d. infiltrative(Answer) d. infiltrative
13. In a patient with carcinoid heart disease, the cardiac sonographer
, must devote special attention to identifying abnormalilties of the(Answer)
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1. The congenital cardiac anaomaly seen most frequently in adults
is(Answer)
A. Ebstein's anomaly
B. Bicuspid aortic valve
C. Ventricular septal defect
D. Endocardial cushion defect(Answer) B. Bicuspid aortic valve
2. Which endocardiographic window is used in the detection and
assess- ment of the inferior vena cava?
A. apical
B. subcostal
C. parasternal
D. suprsternal(Answer) B. Subcostal
3. What is the number and location of the papillary muscles of a normal
mitral valve?
A. one; the posteromedial
B. two; the posterolmedial and anterolateral
C. two; the inferolateral and posteromedial
D. three; the anterolateral, posteromedial, and inferolateral(Answer) B.
two; the pos- terolateral and anterolateral
4. Clinically, prolapse of the mitral valve is associated with(Answer)
A. Opening snap and systolic murmur
B. Diastolic murmur and third heart sound
C. Fixed splitting of the second heart sound
D. Midsystolic click and/or late systolic murmur(Answer) D. Midsystolic
click and/or late systolic murmur
5. Papillary muscle dysfunction usually results from(Answer)
A. Dressler's syndrome
B. Ischemic heart disease
C. Bacterial endocarditis
D. Rheumatic heart disease(Answer) B. Ischemic heart disease
6. In order to record the vegetation's of endocarditis by echo, the
,vegetation's must have a diameter of at least(Answer)
A. One centimeter
B. Three millimeters
C. Three centimeters
D. Five millimeters(Answer) B. Three millimeters
7. How many veins connect the pulmonary vascular bed with the left
atrium in the normal heart?
,A. one
B. two
C. three
D. four(Answer) D. four
8. Which M-mode finding is considered to be a specific indicator of a
fenes- trated aortic valve?
a. diastolic flutter of the mitral valve
b. premature opening of the aortic valve
c. diastolic flutter of the aortic valve
d. eary systolic closure of the aortic valve(Answer) c. diastolic flutter of
the aortic valve
9. Which cardiac abnormalities are frequently noted on the
echocardiogram of patients with Marfan's syndrome?
A. mitral stenosis and pericardial effusion
B. mitral valve prolapse and aortic dilatation
C. left ventricular aneurysm and thrombus formation
D. dilatation of the pulmonary artery and pulmonic stenosis(Answer) b.
mitral valve prolapse and pericardial effusion
10. Which term is used to describe a segment of ventrcular wall that
exhibits no motion?
A. akinesis
B. dyskinesis
C. hypokinesis
D. hyperkinesis(Answer) A. akinesis
11. A true aneurysm of the left ventricle can usually be distinguished from
a pseudoaneurysm because a pseudoaneurysm(Answer)
A. has a smaller, more narrow neck than a true aneurysm
B. never contain thrombi whereas a true aneurysm always contain a
layered thrombus
C. is always larger in overall size than a true aneurysm(Answer) A. has a
smaller, more narrow neck than a true aneurysm
12. Which type of cardiomyopathy is associated with amyloidosis?
a. congestive
b. restrictive
c. hypertrophic
d. infiltrative(Answer) d. infiltrative
13. In a patient with carcinoid heart disease, the cardiac sonographer
, must devote special attention to identifying abnormalilties of the(Answer)
