ADULT ECHOCARDIOGRAPHY.

ADULT ECHOCARDIOGRAPHY (CCI
EXAM) QUESTIONS WITH CORRECT
ANSWERS2025/2026
CoarctationAofAtheAaortaAisAassociatedAwith?A-AcorrectAanswersbicuspidAaorticAvalve

PatientsAwithAlupusAwillAsometimesAgetAwhatAtypeAofAendocarditis?A-AcorrectAanswersLibman-
SachsAendocarditis

ProstheticAcardiacAvalvesAareAclassifiedAas:A-AcorrectAanswersmechanicalAandAbioprosthetic

HowAdoAyouAassessAtheArightAatrialApressureAbasedAonAtheAsizeAandAcollapsibilityAofAtheAinferio
rAvenaAcavaA(IVC)?A-AcorrectAanswers3mmHg=AnormalAIVCA(<2cm)A&A(>50%)Acollapses

8mmHg=Aintermediate

15mmHg=AdilatedA(>2cm)A&AnoAcollapseA(<50%)

WhatAisAtheAnameAofAtheAvalveAofAtheAcoronaryAsinus?A-AcorrectAanswersThebesianAValve

InAwhichAchamberAwouldAyouAseeAaAchiariAnetwork?A-
AcorrectAanswersRightAatriumAasAfineAstrandsAofAtissueAsimilarAtoAchordeaAofAtheAmitralAandAtri


cuspidAvalves

WhenAisAtheALVAvolumeAtheAlargest?A-AcorrectAanswersendAdiastole

WhenAisAtheALAAvolumeAtheAlargest?A-AcorrectAanswersendAsystole

WhatAisAtheAdimensionlessAindexAforAevaluatingAaorticAstenosis?A-
AcorrectAanswersTheAdimensionlessAindexAisAaAratioAofAtheALVOTAvelocityAandAtheApeakAvelocity


AacrossAtheAaorticAvalve.



WhatAisAtheAcutoffAvalueAforAsevereAASAwhenAusingAtheAdimensionlessAindex?A-
AcorrectAanswersTheAcutoffAvalueAforAsevereAASAwhenAusingAtheAdimensionlessAindexAisA<0.25



WhenAaApatientAhasAaorticAregurgitationAwhatAisAtheAequationAforAcalculatingALeftAVentricularA
EndADiastolicAPressureA(LVEDP)?A-AcorrectAanswersLVEDP=ADiastolicABPA-
AtheAendAdiastolicAARAgradient



HowAmanyAscallopsAisAtheAmitralAvalveAdividedAintoAandAwhatAareAtheirAnames?A-
AcorrectAanswersTheAmitralAvalveAisAdividedAintoA6AscallopsA(segments).AAnteriorA1,2,&3AandAP


osteriorA1,2A&A3.

WhenAaApatientAhasAanAaorticAaneurysmAatAwhichApointA(size)AdoAyouAneedAaAsurgicalAconsult?
A-


AcorrectAanswersWhenAaorticAaneurysmsAareAlargerAthanA5CMAit'tAtimeAforAaAsurgicalAconsult.

,WhatAhappensAtoAtheAmitralAinflowApatternAinAaAnormalApatientAwhenAyouAhaveAthemAperfor
mAaAValsalvaAmaneuver?A-
AcorrectAanswersTheAnormalAmitralAinflowApatternsAmaintainsAtheAE/AAratioA(E>A)AfollowingAaA


ValsalvaAmaneuverAbutAtheAvelocitiesAareAlower.

WhenAaApatientAhasApulmonaryAregurgitationAwhatAisAtheAequationAforAcalculatingAPulmonaryA
ArteryAEndADiastolicAPressureA(PAEDP)?A-
AcorrectAanswersPAEDPA=ARAP+endAdiastolicAPRAgradient



(RAApressureAisAobtainedAbyAlookingAatAtheAIVCAsizeAandAcollapsibilityAlikeAyouAdoAforATRAandAp
ulmonaryApressures).

InAtheAparasternalAshort-
axisAview,AatAtheAlevelAofAtheAmitralAvalveAandApapillaryAmuscle,AhowAmanyAsegmentsAisAtheAlef
tAventricleAdividedAinto?A-AcorrectAanswersTheAleftAventricleAisAdividedAintoA6Asegments

NameAtheAventricularAsegmentsAseenAinAtheAparasternalAshort-axisAview.A-AcorrectAanswers1-
Inferolateral

2-Anterolateral

3-Anterior

4-Anteroseptal

5-Inferoseptal

6-Inferior

InAtheAapicalAfour-chamberAview,AwhichAtwoAwallsAofAtheAleftAventricleAareAseen?A-
AcorrectAanswersInferoseptalAandAanterolateralAwallsAofAtheALVAareAseen



InAtheAapicalAtwo-chamberAview,AwhichAtwoAwallsAofAtheAleftAventricleAareAseen?A-
AcorrectAanswersanteriorAandAinferiorAwallsAofAtheALVAareAseen



WhichAwallsAofAtheAleftAventricleAareAseenAinAtheAparasternalAandAapicalAlong-axisAviews?A-
AcorrectAanswersAnteroseptalAandAinferolateralAwallsAofAtheAleftAventricleAareAseenAinAtheApara


sternalAandAapicalAlongAaxisAviews.

WhichAtwoAaorticAvalveAleafletsAareAseenAinAparasternalAview?A-
AcorrectAanswersTheArightAandAnoncoronaryAleaflets.ATheArightAleafletAisAonAtopA(superior)Aand


AtheAnoncornaryAisAonAtheAbottomA(inferior)



WhereAisAtheAcoronaryAsinusAlocatedAinAtheAparasternalAlong-axisAviewA(PLAX)?A-
AcorrectAanswersTheAcoronaryAsinusAliesAinAtheAposteriorAatrioventricularA(AV)Agroove.AThisAgr


ooveAisAlocatedAbetweenAtheAleftAatrialAandAtheALVAwallsAandAliesAposteriorAtoAtheAMV.AInAtheAp
arasternalAlong-axisAview,AtheAcoronaryAsinusAcanAsometimesAbeAseenAasAaAsmallAecho-
freeAcircle.

,InAtheAPLAXAwhereAisAtheAcoronaryAsinusAlocatedAinArelationAtoAtheAdescendingAaorta?A-
AcorrectAanswersTheAcoronaryAsinusAisAlocatedAanteriorAtoAtheAdescendingAaorta.AIfAtheAcorona


ryAsinusAisAdilated,AitAmayAbeAmistakenAforAdescendingAaorta.

HowAwouldAyouAangleAtoAviewAtheAcoronaryAsinusAinAtheAapicalA4-chamberAview?A-
AcorrectAanswersYouAwouldAangleAposteriorAinAorderAtoAvisualizeAtheAcoronaryAsinus,AwhichAisAl


ocatedAposteriorAtoAtheAmitralAannulus.

WhyAisAitAimportantAtoAknowAtheAlocationAofAtheAcoronaryAsinusAandAtheAdescendingAaorta?A-
AcorrectAanswersTheAcoronaryAsinusAandAdescendingAaortaAareAlandmarksAthatAcanAhelpAdiffer


entiateApericardialAeffusionsAfromApleuralAeffusions.APericardialAeffusionsAlieAposteriorAtoAtheA
coronaryAsinusAanteriorAtoAtheAdescendingAaorta.APleuralAeffusionAliesAposteriorAtoAtheAdescen
dingAaortaAinAPLAX.

WhatAwouldAcausesAtheAcoronaryAsinusAtoAbecomeAdilated?A-
AcorrectAanswersTheAcoronaryAsinusAdilatesAdueAtoAincreasedApressureAinAtheARA.A(asAinAsevere


AtricuspidAregurgutaion)AorAincreasedAflowAintoAtheAcoronaryAsinusAinAsomeAcongenitalAmalfor


mationsA(asAinAPersistentALeftASuperiorAVenaACavaA(PLSVC)).

NameAtheAthreeAmajorAcoronaryAarteries?A-
AcorrectAanswersRightAcoronary,AleftAanteriorAdescendingA(LAD),AandAcircumflex.



WhereAareAtheAcoronaryAarteriesAlocatedAonAtheAsurfaceAofAtheAheart?A-
AcorrectAanswersTheAcoronaryAarteriesAareAlocatedAonAtheAouter,AepicardialAsurfaceAofAtheAhea


rtAasAfollows:ATheArightAcoronaryAarteryA(RCA)AarisesAfromAtheArightAaortic-
rootAsinus,AfollowsAtheArightAatrioventricularAjunction,AandAdescendsAalongAtheAposteriorAinter
ventricularAgroove.A

TheAleftAanteriorAdescendingAcoronaryAarteryA(LAD)AfollowsAtheAanteriorAinterventricularAgroo
ve.A

TheAcircumflexAcoronaryAarteryA(Circ)AcoursesAalongAtheAkeftAatrioventricularAjunction.

NameAtheAcardiacAwallsAsuppliedAbyAeachAofAtheAcoronaryAarteries.A-
AcorrectAanswersRightACoronaryAArtery=A



a)AInferiorAwall

b)AInferoseptalA

c)ARightAVentricularAapex

d)ARightAventricularAfreeAwall



LeftAAnteriorADescendingAArtery=

a)AAnteriorAwall

, b)AAnteroseptalA

c)ALeftAventricularAapex



CircumflexAartery

a)AAnterolateralAwall

b)AInferolateralAwall

WhileAscanningAaA43-year-
oldAmanAwithAaAhistoryAofAanAoldAmyocardialAinfarction,AyouAnoticedAthatAtheAanteriorAcardiacA
wallAisAakinetic.AWhichAcoronaryAarteryAisAmostAlikelyAtoAhaveAbeenAinvolvedAinAtheAinfarction?A
-
AcorrectAanswersTheAleftAanteriorAdescendingA(LAD)AcoronaryAartery,AwhichAsuppliesAbloodAtoA


theAanteriorAcardiacAwall.,AisAmostAlikelyAtoAhaveAbeenAinvolved.AThisAarteryAalsoAsuppliesAtheAa
nteriorAportionAofAtheAventricularAseptumAandAtheAleftAventricularAapex.

InAtheAapicalA4-
chamberAviewAofAanotherApatient,AtheAdistalAventricularAseptumAandAleftAventricularAapexAareA
hypocontractile.AWhichAcoronaryAarteryAisAmostAlikelyAtoAbeAdiseased?A-
AcorrectAanswersTheAleftAanteriorAdescendingA(LAD)AcoronaryAarteryAisAtheAmostAlikelyAchoice.A


InAsomeApatientsAwithAdistalAseptalAhypocontractility,AtheAproximalAportionAofAtheAseptumAmo
vesAnormallyAbecauseAitAisAsuppluesAbyAtheArightAcoronaryAartery.

WhatAareAtheAnormalAsystolicAandAdiastolicApressuresAinAtheAfourAcardiacAchambersAandAtheAgr
eatAvessels?A-AcorrectAanswers1.ANormalApressure:

RightAatrialA(mean)A=A6mmHg

RVA=A25/5AmmHg

PulmonaryAarteryA=A25/10mmHg

LeftAatrialA(mean)A=A10mmHg

LVA=A120/7mmHg

AorticA=A120/80mmHg

WhenAisAtheApressureAinAtheAleftAventricleAatAitsAlowest?A-
AcorrectAanswersTheAleftAventricleApressureAisAlowestAinAearlyAdiastoleAjustAafterAtheAMVAopens


.AAfterAthatAtheAleftAventricularApressureArisesAasAtheAchamberAfillsAinAdiastole.

WhatAisAtheAnormalAmeanApulmonaryAarteryAwedgeApressure?A-
AcorrectAanswers10mmHg,AwhichAequalsAtheAleftAatrialApressure.ATheAPAAwedgeApressureAisAN


OTAtheAsameAasAtheAPAApressure.