ARDMS ECHO WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
RATED A+
A PDA has what type of murmur- Correct Answer Continuous
machine-like murmur
A patient is sent to the echo lab with the diagnosis of constrictive
pericarditis. You perform a contrast study to look for- Correct
Answer Presystolic appearance of contrast in the IVC
A patient with a systolic murmur and a fixed split S2 may have?
Correct Answer ASD
The pressure obtained by a pulmonary artery wedge
measurement equals the pressure in the- Correct Answer LA
The A-dip in the M-mode pulmonary valve is caused by
contraction of the- Correct Answer RA
Filing of the coronary arteries occurs during which part of the
cardiac cycle? Correct Answer Ventricular Diastole
What is associated with severe, acute MR- Correct Answer
pulmonary edema
A patient is referred to the echo lab because of positional and
respiratory variation in chest pain. What are they likely to have-
Correct Answer Pericarditis
Which valve lesion is most commonly associated with LBBB?
Correct Answer Calcified AS
,A pt that has a higher BP in the right arm than the left may have-
Correct Answer Coarctation of the aorta
Premature closure of the AoV on M-Mode is most consistent
with? Correct Answer MR
An intra-aortic balloon pump assists the Left Ventricle by
increasing what? Correct Answer Coronary blood flow
At cardiac catherization a patient has equal end diastolic
pressures between both atria and both ventricles suggesting?
Correct Answer 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-
Correct Answer Vascular resistance is LOWER
The beginning of systole is accompanied by which heart sound-
Correct Answer S1
Which auscultatory sounds is most suggestive of a bicuspid Aortic
Valve? Correct Answer Systolic ejection click
HCMO may be suspected if the ratio of IVS thickness to LV
posterior wall thickness is what Correct Answer 1.6 mm
The false appearance of MVP on M-mode can be created by-
Correct Answer Placing the transducer too high on the chest
Diastolic collapse of the RV anterior wall is consistent with what
Correct Answer Pericardial tamponade
Patients receiving Adiamycin therapy are often referred to the
echo lab to- Correct Answer Evaluate LVF
,T/F, in a patient with IHSS Mitral Regurgitation is often present?
Correct Answer True
T/F, in a patient with IHSS the Aortic Valve will show mid-
diastolic closure Correct Answer False
T/F In patients with infective endocarditis it's easy to distinguish
between new and healed vegetations. Correct Answer False
During the Q-T interval on the EKG what chambers are filling
Correct Answer The atrias
T/F, Does elevation of the pulmonary venous pressure usually
occur with Left heart failure? Correct Answer True
T/F, a fall in aortic pressure usually occurs with Left heart failure?
Correct Answer False
T/F, Pedal edema is a common symptom of CHF Correct Answer
True
T/F, Syncope is a common symptom of CHF Correct Answer
False
T/F MR results in increase in preload Correct Answer True
T/F in AS the LV diastolic pressure exceeds that of the aorta
Correct Answer False
T/F in AS the LV systolic pressure exceeds that of the aorta
Correct Answer True
T/F, when amyl nitrite is administered to a patient who has HOCM
it is likely to increase the systolic anterior motion (SAM) of the
Mitral Valve Correct Answer True
, A patient presents with a grade IV/V systolic crescendo-
decrescendo murmur the most likely pathology is- Correct Answer
AS
How are phased array transducer the transmitted sound beam is
swept Correct Answer Varying the timing of pulses to the
transducer elements
To improve the axial resolution of a transducer a manufacturer
must do what to the pulse- Correct Answer Shorten it
If the distance to the reflector doubles, the time between pulse
transmission and echo detection at the transducer will Correct
Answer Double
The 2D image of a phased array echo is produced by- Correct
Answer Sequentially activating a series of adjacent crystals to
angulate the US beam.
T/F, Pulmonary atresia with a VSD (pseudo truncus) is associated
with an overriding aorta Correct Answer True
T/F, Pulmonary atresia with an intact VSD is associated with an
overriding aorta Correct Answer False
List some conditions associated w/ an overriding aorta Correct
Answer TOF, Truncus arteriosus, Double outlet RV, Pulmonary
atresia with VSD.
RVSP = Correct Answer PAP
What causes a pericardial knock? Correct Answer classic
constrictive pericarditis. Similar in timing to a very loud S3. It's
caused by an abrupt cessation of early diastolic inflow.
QUESTIONS AND CORRECT ANSWERS
RATED A+
A PDA has what type of murmur- Correct Answer Continuous
machine-like murmur
A patient is sent to the echo lab with the diagnosis of constrictive
pericarditis. You perform a contrast study to look for- Correct
Answer Presystolic appearance of contrast in the IVC
A patient with a systolic murmur and a fixed split S2 may have?
Correct Answer ASD
The pressure obtained by a pulmonary artery wedge
measurement equals the pressure in the- Correct Answer LA
The A-dip in the M-mode pulmonary valve is caused by
contraction of the- Correct Answer RA
Filing of the coronary arteries occurs during which part of the
cardiac cycle? Correct Answer Ventricular Diastole
What is associated with severe, acute MR- Correct Answer
pulmonary edema
A patient is referred to the echo lab because of positional and
respiratory variation in chest pain. What are they likely to have-
Correct Answer Pericarditis
Which valve lesion is most commonly associated with LBBB?
Correct Answer Calcified AS
,A pt that has a higher BP in the right arm than the left may have-
Correct Answer Coarctation of the aorta
Premature closure of the AoV on M-Mode is most consistent
with? Correct Answer MR
An intra-aortic balloon pump assists the Left Ventricle by
increasing what? Correct Answer Coronary blood flow
At cardiac catherization a patient has equal end diastolic
pressures between both atria and both ventricles suggesting?
Correct Answer 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-
Correct Answer Vascular resistance is LOWER
The beginning of systole is accompanied by which heart sound-
Correct Answer S1
Which auscultatory sounds is most suggestive of a bicuspid Aortic
Valve? Correct Answer Systolic ejection click
HCMO may be suspected if the ratio of IVS thickness to LV
posterior wall thickness is what Correct Answer 1.6 mm
The false appearance of MVP on M-mode can be created by-
Correct Answer Placing the transducer too high on the chest
Diastolic collapse of the RV anterior wall is consistent with what
Correct Answer Pericardial tamponade
Patients receiving Adiamycin therapy are often referred to the
echo lab to- Correct Answer Evaluate LVF
,T/F, in a patient with IHSS Mitral Regurgitation is often present?
Correct Answer True
T/F, in a patient with IHSS the Aortic Valve will show mid-
diastolic closure Correct Answer False
T/F In patients with infective endocarditis it's easy to distinguish
between new and healed vegetations. Correct Answer False
During the Q-T interval on the EKG what chambers are filling
Correct Answer The atrias
T/F, Does elevation of the pulmonary venous pressure usually
occur with Left heart failure? Correct Answer True
T/F, a fall in aortic pressure usually occurs with Left heart failure?
Correct Answer False
T/F, Pedal edema is a common symptom of CHF Correct Answer
True
T/F, Syncope is a common symptom of CHF Correct Answer
False
T/F MR results in increase in preload Correct Answer True
T/F in AS the LV diastolic pressure exceeds that of the aorta
Correct Answer False
T/F in AS the LV systolic pressure exceeds that of the aorta
Correct Answer True
T/F, when amyl nitrite is administered to a patient who has HOCM
it is likely to increase the systolic anterior motion (SAM) of the
Mitral Valve Correct Answer True
, A patient presents with a grade IV/V systolic crescendo-
decrescendo murmur the most likely pathology is- Correct Answer
AS
How are phased array transducer the transmitted sound beam is
swept Correct Answer Varying the timing of pulses to the
transducer elements
To improve the axial resolution of a transducer a manufacturer
must do what to the pulse- Correct Answer Shorten it
If the distance to the reflector doubles, the time between pulse
transmission and echo detection at the transducer will Correct
Answer Double
The 2D image of a phased array echo is produced by- Correct
Answer Sequentially activating a series of adjacent crystals to
angulate the US beam.
T/F, Pulmonary atresia with a VSD (pseudo truncus) is associated
with an overriding aorta Correct Answer True
T/F, Pulmonary atresia with an intact VSD is associated with an
overriding aorta Correct Answer False
List some conditions associated w/ an overriding aorta Correct
Answer TOF, Truncus arteriosus, Double outlet RV, Pulmonary
atresia with VSD.
RVSP = Correct Answer PAP
What causes a pericardial knock? Correct Answer classic
constrictive pericarditis. Similar in timing to a very loud S3. It's
caused by an abrupt cessation of early diastolic inflow.
