ADULT ECHOCARDIOGRAPHY PRACTICE EXAM 1 (119
QUESTIONS) WITH ALL CORRECT AND VERIFIED ANSWERS
Inferior vena cava, superior vena cava, & hepatic veins demonstrate systolic flow reversal. What type
of valve abnormality would you expect to see?
A. mild mitral regurgitation
B. severe mitral regurgitation
C. mild tricuspid regurgitation
D. severe tricuspid regurgitation – CORRECT ANSWER: D
When estimating pulmonary artery pressure, the most reliable non-invasive method is:
A. tricuspid valve regurgitant jet velocity
B. pulmonic valve systolic velocity
C. pulmonary artery catheter
D. thermodilution - CORRECT ANSWER: D
Which statement is correct about frequency?
A. higher frequency tranducers decrease the depth of penetration, but reduce image resolution
B. low frequency tranducers decrease the depth penetration, but increase image resolution
C. higher frequency transducers increase the depth of penetration & improve image resolution
D. low frequency transducers improve depth penetration, but reduce image resolution - CORRECT
ANSWER: D
Mitral valve prolapse may be augmented by:
A. having the patient lie very flat
B. having the patient perform a valsalva maneuver
C. having the patient inhale
D. injecting contrast into the venous system - CORRECT ANSWER: B
Which chamber is the more posterior?
A. right ventricle
B. left atrium
C. left ventricle
D. right atrium - CORRECT ANSWER: B
This image is of a patient with a history of pulmonary hypertension. The finding noted on this exam is:
A. dilated left ventricle
B. dilated pulmonic valve
C. left ventricular hypertrophy
D. right ventricular hypertrophy - CORRECT ANSWER: D
When valves are stenotic, the best way to evaluate them is by using:
A. 2D imaging with hermonics
B. color flow Doppler
C. pulsed wave Doppler
D. continuous wave Doppler - CORRECT ANSWER: D
,Torus aorticus is found in the:
A. left atrial appendage
B. left ventricle
C. right atrium
D. right ventricle - CORRECT ANSWER: C
Ventricular septal defects may be difficult to detect if they are less than:
A. 3 mm
B. 1 cm
C. 5 mm
D. 10 mm - CORRECT ANSWER: A
What type of prosthetic mitral valve replacement is this?
A. porcine - tissue valve
B. tilting disc - mechanical
C. bileaflet tilting disc - mechanical
D. ball & cage - mechanical - CORRECT ANSWER: A
What is the most common benign primary cardiac?
A. sarcoma
B. myxoma
C. papilloma
D. rhabdomyoma - CORRECT ANSWER: B
In patients with higher than normal heart rates may cause the Doppler signal of the left ventricular
inflow to:
A. have a high A velocity
B. have a low E velocity
C. has no effect on the E/A velocity
D. have a single E/A velocity - CORRECT ANSWER: D
2D echo of pulmonary hypertension may demonstrate all of the following except:
A. paradoxical septal motion
B. enlarged right atrium
C. enlarged pulmonary artery
D. enlarged right ventricle
E. enlarged left ventricle - CORRECT ANSWER: E
Which congenital abnormality is the most common cyanotic lesion in adults?
A. patent ductus arteriosus
B. tetralogy of fallot
C. ebstein's anomaly
D. valvular pulmonic stenosis - CORRECT ANSWER: B
This image demonstrates a pronounced thickened structure. What is this structure?
A. chordae tendineae
, B. trabeculae carnae
C. papillary muscle
D. mitral valve leaflets - CORRECT ANSWER: C
The arrow in this apical four chamber image identifies:
A. lateral wall of left ventricle at mid region
B. lateral wall of left ventricle at proximal region
C. lateral wall of left ventricle at basal region
D. lateral wall of left ventricle at apical region - CORRECT ANSWER: A
If a bioprosthetic porcine valve is placed in the aortic position, what type of bioprosthetic graft is this
called?
A. autograft
B. homograft
C. heterograft - CORRECT ANSWER: C
The most common metastic tumors originates from the:
A. lung
B. ovary
C. breast
D. uterus
E. B&C
F. A&C - F
Acute aortic insufficiency may be associated with all of the following except:
A. pulmonary vein systolic flow reversal
B. decreased deceleration time of mitral valve inflow of 130 m/sec with increased E:A ratio
C. pulmonary edema
D. sinus tachycardia - CORRECT ANSWER: A
The arrow in this m-mode tracing demonstrates:
A. aortic valve closure line
B. mitral valve opening
C. mitral valve closure line
D. aortic valve opening - CORRECT ANSWER: D
Less than 50% reduction in diameter of a dilated IVC with inspiration is:
A. IVC integra
B. IVC decompensation
C. IVC decompression
D. IVC plethora - CORRECT ANSWER: D
The arrow in this m-mode demonstrates:
A. posterior wall
B. papillary muscle
C. trabeculae carnae
D. left ventricle - CORRECT ANSWER: B
QUESTIONS) WITH ALL CORRECT AND VERIFIED ANSWERS
Inferior vena cava, superior vena cava, & hepatic veins demonstrate systolic flow reversal. What type
of valve abnormality would you expect to see?
A. mild mitral regurgitation
B. severe mitral regurgitation
C. mild tricuspid regurgitation
D. severe tricuspid regurgitation – CORRECT ANSWER: D
When estimating pulmonary artery pressure, the most reliable non-invasive method is:
A. tricuspid valve regurgitant jet velocity
B. pulmonic valve systolic velocity
C. pulmonary artery catheter
D. thermodilution - CORRECT ANSWER: D
Which statement is correct about frequency?
A. higher frequency tranducers decrease the depth of penetration, but reduce image resolution
B. low frequency tranducers decrease the depth penetration, but increase image resolution
C. higher frequency transducers increase the depth of penetration & improve image resolution
D. low frequency transducers improve depth penetration, but reduce image resolution - CORRECT
ANSWER: D
Mitral valve prolapse may be augmented by:
A. having the patient lie very flat
B. having the patient perform a valsalva maneuver
C. having the patient inhale
D. injecting contrast into the venous system - CORRECT ANSWER: B
Which chamber is the more posterior?
A. right ventricle
B. left atrium
C. left ventricle
D. right atrium - CORRECT ANSWER: B
This image is of a patient with a history of pulmonary hypertension. The finding noted on this exam is:
A. dilated left ventricle
B. dilated pulmonic valve
C. left ventricular hypertrophy
D. right ventricular hypertrophy - CORRECT ANSWER: D
When valves are stenotic, the best way to evaluate them is by using:
A. 2D imaging with hermonics
B. color flow Doppler
C. pulsed wave Doppler
D. continuous wave Doppler - CORRECT ANSWER: D
,Torus aorticus is found in the:
A. left atrial appendage
B. left ventricle
C. right atrium
D. right ventricle - CORRECT ANSWER: C
Ventricular septal defects may be difficult to detect if they are less than:
A. 3 mm
B. 1 cm
C. 5 mm
D. 10 mm - CORRECT ANSWER: A
What type of prosthetic mitral valve replacement is this?
A. porcine - tissue valve
B. tilting disc - mechanical
C. bileaflet tilting disc - mechanical
D. ball & cage - mechanical - CORRECT ANSWER: A
What is the most common benign primary cardiac?
A. sarcoma
B. myxoma
C. papilloma
D. rhabdomyoma - CORRECT ANSWER: B
In patients with higher than normal heart rates may cause the Doppler signal of the left ventricular
inflow to:
A. have a high A velocity
B. have a low E velocity
C. has no effect on the E/A velocity
D. have a single E/A velocity - CORRECT ANSWER: D
2D echo of pulmonary hypertension may demonstrate all of the following except:
A. paradoxical septal motion
B. enlarged right atrium
C. enlarged pulmonary artery
D. enlarged right ventricle
E. enlarged left ventricle - CORRECT ANSWER: E
Which congenital abnormality is the most common cyanotic lesion in adults?
A. patent ductus arteriosus
B. tetralogy of fallot
C. ebstein's anomaly
D. valvular pulmonic stenosis - CORRECT ANSWER: B
This image demonstrates a pronounced thickened structure. What is this structure?
A. chordae tendineae
, B. trabeculae carnae
C. papillary muscle
D. mitral valve leaflets - CORRECT ANSWER: C
The arrow in this apical four chamber image identifies:
A. lateral wall of left ventricle at mid region
B. lateral wall of left ventricle at proximal region
C. lateral wall of left ventricle at basal region
D. lateral wall of left ventricle at apical region - CORRECT ANSWER: A
If a bioprosthetic porcine valve is placed in the aortic position, what type of bioprosthetic graft is this
called?
A. autograft
B. homograft
C. heterograft - CORRECT ANSWER: C
The most common metastic tumors originates from the:
A. lung
B. ovary
C. breast
D. uterus
E. B&C
F. A&C - F
Acute aortic insufficiency may be associated with all of the following except:
A. pulmonary vein systolic flow reversal
B. decreased deceleration time of mitral valve inflow of 130 m/sec with increased E:A ratio
C. pulmonary edema
D. sinus tachycardia - CORRECT ANSWER: A
The arrow in this m-mode tracing demonstrates:
A. aortic valve closure line
B. mitral valve opening
C. mitral valve closure line
D. aortic valve opening - CORRECT ANSWER: D
Less than 50% reduction in diameter of a dilated IVC with inspiration is:
A. IVC integra
B. IVC decompensation
C. IVC decompression
D. IVC plethora - CORRECT ANSWER: D
The arrow in this m-mode demonstrates:
A. posterior wall
B. papillary muscle
C. trabeculae carnae
D. left ventricle - CORRECT ANSWER: B
