CCI Adult Echo Perform Imaging Part 2
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Which of the following is preferred to document motion of the disk in a St. Jude Valve?
A) M-Mode
B) PW Doppler
C) Color doppler
D) CW doppler - CORRECT ANSWER - M-Mode-used to document the motion of the
ball/disk in a mechanical valve. Doppler is used to assess flow through the valve.
All velocity and time interval measurements should be performed at a sweep speed of
____________ or greater. - CORRECT ANSWER - 100 mm/s
How would an optimal apical view look? - CORRECT ANSWER - 1. LV cavity is an
ellipsoid shape
2. Image should consist of about 2/3 LV and 1/3 LA
3. All four chambers demonstrated on image
What is the appropriate method for using doppler to evaluate suspected aortic stenosis in a
patient with afib? - CORRECT ANSWER - Never record peak velocities from the
waveform obtained after a long R-R interval
Why is the hepatic vein more commonly evaluated with doppler to assess venous inflow into the
right atrium than the IVC? - CORRECT ANSWER - The flow in the hepatic veins is
parallel to the ultrasound beam which provides a better doppler signal
M-Mode evaluation of the RV free wall motion is most important in which condition? -
CORRECT ANSWER - Large pericardial effusion
, Left ventricular ejection time is measure on the m-mode tracing of the _______________. -
CORRECT ANSWER - Aortic valve
When evaluating the aortic arch in the suprasternal notch view, how do you manipulate the
transducer to image the superior vena cava? - CORRECT ANSWER - Scan rightward with
a slight anterior angulation
Stress echocardiography is most helpful in the assessment of suspected ________________. -
CORRECT ANSWER - Coronary artery disease
What would cause an incorrect assessment of the mitral valve area using the pressure half time
measurement? - CORRECT ANSWER - Significant aortic regurgitation
You are evaluating a patient with an EF of 33% for diastolic dysfunction. The left atrial volume
index and tissue doppler measurements are recorded. The exam is suboptimal for documenting
an accurate TR velocity. What other parameter is recommended to aid in diagnosis of diastolic
dysfunction in this patient? - CORRECT ANSWER - S/D ratio of the pulmonary veins
Why is the subcostal view performed as part of the protocol for a standard echo exam? -
CORRECT ANSWER - To assess right atrial pressure
The standard Simpson method calculates the EF% by tracing ESV and EDV of the LV during
what two views? - CORRECT ANSWER - Apical 4 and 2
________________ is a type of vasodilator that decreases venous return to the heart and
exacerbates mitral valve prolapse. - CORRECT ANSWER - Amyl nitrite
When measuring left atrial volume: - CORRECT ANSWER - LA length is measured from
the center of the mitral annulus to the inner edge of the posterior wall
A sonographer should instruct the patient on the use of the Borg scale during: - CORRECT
ANSWER - Stress Echo: used to indicate the level of breathlessness during exercise
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Which of the following is preferred to document motion of the disk in a St. Jude Valve?
A) M-Mode
B) PW Doppler
C) Color doppler
D) CW doppler - CORRECT ANSWER - M-Mode-used to document the motion of the
ball/disk in a mechanical valve. Doppler is used to assess flow through the valve.
All velocity and time interval measurements should be performed at a sweep speed of
____________ or greater. - CORRECT ANSWER - 100 mm/s
How would an optimal apical view look? - CORRECT ANSWER - 1. LV cavity is an
ellipsoid shape
2. Image should consist of about 2/3 LV and 1/3 LA
3. All four chambers demonstrated on image
What is the appropriate method for using doppler to evaluate suspected aortic stenosis in a
patient with afib? - CORRECT ANSWER - Never record peak velocities from the
waveform obtained after a long R-R interval
Why is the hepatic vein more commonly evaluated with doppler to assess venous inflow into the
right atrium than the IVC? - CORRECT ANSWER - The flow in the hepatic veins is
parallel to the ultrasound beam which provides a better doppler signal
M-Mode evaluation of the RV free wall motion is most important in which condition? -
CORRECT ANSWER - Large pericardial effusion
, Left ventricular ejection time is measure on the m-mode tracing of the _______________. -
CORRECT ANSWER - Aortic valve
When evaluating the aortic arch in the suprasternal notch view, how do you manipulate the
transducer to image the superior vena cava? - CORRECT ANSWER - Scan rightward with
a slight anterior angulation
Stress echocardiography is most helpful in the assessment of suspected ________________. -
CORRECT ANSWER - Coronary artery disease
What would cause an incorrect assessment of the mitral valve area using the pressure half time
measurement? - CORRECT ANSWER - Significant aortic regurgitation
You are evaluating a patient with an EF of 33% for diastolic dysfunction. The left atrial volume
index and tissue doppler measurements are recorded. The exam is suboptimal for documenting
an accurate TR velocity. What other parameter is recommended to aid in diagnosis of diastolic
dysfunction in this patient? - CORRECT ANSWER - S/D ratio of the pulmonary veins
Why is the subcostal view performed as part of the protocol for a standard echo exam? -
CORRECT ANSWER - To assess right atrial pressure
The standard Simpson method calculates the EF% by tracing ESV and EDV of the LV during
what two views? - CORRECT ANSWER - Apical 4 and 2
________________ is a type of vasodilator that decreases venous return to the heart and
exacerbates mitral valve prolapse. - CORRECT ANSWER - Amyl nitrite
When measuring left atrial volume: - CORRECT ANSWER - LA length is measured from
the center of the mitral annulus to the inner edge of the posterior wall
A sonographer should instruct the patient on the use of the Borg scale during: - CORRECT
ANSWER - Stress Echo: used to indicate the level of breathlessness during exercise
