CCI ECHO REVIEW SET 1
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 - ANS C
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 - ANS B
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 - ANS A
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
C. 106 mmHg
D. 74 mmHg - ANS D
,How does acromegaly typically affect the heart?
A. Severe mitral and tricuspid regurgitation
B. Coarctation
C. Pulmonary HTN
D. Left ventricular hypertrophy - ANS D
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 - ANS D
Which type of cardiomyopathy is most strongly associated with diabetes?
A. Hypertrophic
B. Dilated
C. Infiltrative
D. Non-compaction - ANS B
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 - ANS B
,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 - ANS C
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
- ANS D
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% - ANS C
Leaflet redundancy in myxomatous degeneration are common signs of:
A. Carcinoid disease
B. Mitral valve prolapse
C. Subvalvular aortic stenosis
D. Supravalvular aortic stenosis - ANS B
, 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 - ANS A
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 - ANS A
Which of the following is a normal finding with a prosthetic valve?
A. Dehiscence
B. Perivalvular leakage
C. Prominent pannus formation
D. Valve Masking - ANS D
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 - ANS C
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 - ANS C
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 - ANS B
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 - ANS A
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
C. 106 mmHg
D. 74 mmHg - ANS D
,How does acromegaly typically affect the heart?
A. Severe mitral and tricuspid regurgitation
B. Coarctation
C. Pulmonary HTN
D. Left ventricular hypertrophy - ANS D
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 - ANS D
Which type of cardiomyopathy is most strongly associated with diabetes?
A. Hypertrophic
B. Dilated
C. Infiltrative
D. Non-compaction - ANS B
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 - ANS B
,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 - ANS C
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
- ANS D
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% - ANS C
Leaflet redundancy in myxomatous degeneration are common signs of:
A. Carcinoid disease
B. Mitral valve prolapse
C. Subvalvular aortic stenosis
D. Supravalvular aortic stenosis - ANS B
, 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 - ANS A
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 - ANS A
Which of the following is a normal finding with a prosthetic valve?
A. Dehiscence
B. Perivalvular leakage
C. Prominent pannus formation
D. Valve Masking - ANS D
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 - ANS C
