ADULT ECHOCARDIOGRAPHY EXAMS SCRIPT QUESTIONS
AND ANSWERS GRADED A+
✔✔Which valve separates the areas of greatest pressure differences - ✔✔Mitral valve
✔✔Which valve separates the areas of lowest pressure differences - ✔✔Tricuspid valve
✔✔Which aortic leaflet is the superior one in the parasternal long axis view? - ✔✔Right
leaflet
✔✔From the left parasternal window which of the following are you most likely to get
accurate velocity measurements? - ✔✔Pulmonary artery
✔✔The coronary arteries come off of the - ✔✔Sinuses of Valsalva
✔✔During which phase do the coronaries fill - ✔✔Early diastole
✔✔The best images of the ascending aorta are often obtained from which transducer
window? - ✔✔Suprasternal
✔✔What cardiac pathology is associated with bicuspid aortic valve? - ✔✔Coarctation of
the aorta
✔✔Which window do you use to look for the secondary finding in bicuspid valves -
✔✔Suprasternal arch
✔✔Where do most aortic coarctations occur - ✔✔Aortic isthmus
✔✔From the apical 4ch view how do you rotate the transducer to obtain the Apical LAX
- ✔✔Counterclockwise 120•
✔✔Which view do you evaluate the coronary sinus - ✔✔PLAX
✔✔To visualize the coronary sinus in the apical 4 chamber view you should tilt the
transducer: - ✔✔Posterior
✔✔Which valve sits at the opening of the coronary sinus? - ✔✔Thebesian
✔✔Where is the Chiari Network located? - ✔✔Right atrium
✔✔What portion of the pulmonary venous PW Doppler represents atrial systole? - ✔✔A
wave
, ✔✔Which has the fastest intrinsic rate - ✔✔SA node
✔✔What is the normal duration for the QRS complex - ✔✔0.10 sec
✔✔Frank-Starling Law - ✔✔The greater the stretch, the stronger is the heart's
contraction. This increased contractility results in an increased volume of blood ejected
(Increased SV)
✔✔Echo findings for preload - ✔✔Dilatation
✔✔Echo findings for afterload - ✔✔Hypertrophy
✔✔Which study does not allow for the calculation of ejection fraction? - ✔✔Chest x-ray
✔✔Cardiac output equation - ✔✔heart rate x stroke volume
✔✔Stroke volume equation - ✔✔end diastolic volume - end systolic volume
✔✔Does venous return increase or decrease with inspiration? - ✔✔Increase
✔✔Inhalation of amyl nitrite causes? - ✔✔decreased afterload
✔✔Mitral valve velocity during inspiration? - ✔✔Decreases
✔✔Duration of IVRT and IVCT - ✔✔70 msec
✔✔On the wiggers diagram when is the mitral valve open - ✔✔4-1
✔✔The duration of isovolumetric relaxation time will be increased with: -
✔✔Bradycardia
✔✔Which valves are never open at the same time - ✔✔Aortic and mitral
✔✔When is the LA volume the highest - ✔✔End systole
✔✔When is LV volume the highest? - ✔✔End diastole
✔✔What are the normal pressures in the pulmonary artery - ✔✔25/10
✔✔Where is the O2 saturation the lowest? - ✔✔Coronary sinus
✔✔Best cath technique for LV function? - ✔✔LV angiogram
AND ANSWERS GRADED A+
✔✔Which valve separates the areas of greatest pressure differences - ✔✔Mitral valve
✔✔Which valve separates the areas of lowest pressure differences - ✔✔Tricuspid valve
✔✔Which aortic leaflet is the superior one in the parasternal long axis view? - ✔✔Right
leaflet
✔✔From the left parasternal window which of the following are you most likely to get
accurate velocity measurements? - ✔✔Pulmonary artery
✔✔The coronary arteries come off of the - ✔✔Sinuses of Valsalva
✔✔During which phase do the coronaries fill - ✔✔Early diastole
✔✔The best images of the ascending aorta are often obtained from which transducer
window? - ✔✔Suprasternal
✔✔What cardiac pathology is associated with bicuspid aortic valve? - ✔✔Coarctation of
the aorta
✔✔Which window do you use to look for the secondary finding in bicuspid valves -
✔✔Suprasternal arch
✔✔Where do most aortic coarctations occur - ✔✔Aortic isthmus
✔✔From the apical 4ch view how do you rotate the transducer to obtain the Apical LAX
- ✔✔Counterclockwise 120•
✔✔Which view do you evaluate the coronary sinus - ✔✔PLAX
✔✔To visualize the coronary sinus in the apical 4 chamber view you should tilt the
transducer: - ✔✔Posterior
✔✔Which valve sits at the opening of the coronary sinus? - ✔✔Thebesian
✔✔Where is the Chiari Network located? - ✔✔Right atrium
✔✔What portion of the pulmonary venous PW Doppler represents atrial systole? - ✔✔A
wave
, ✔✔Which has the fastest intrinsic rate - ✔✔SA node
✔✔What is the normal duration for the QRS complex - ✔✔0.10 sec
✔✔Frank-Starling Law - ✔✔The greater the stretch, the stronger is the heart's
contraction. This increased contractility results in an increased volume of blood ejected
(Increased SV)
✔✔Echo findings for preload - ✔✔Dilatation
✔✔Echo findings for afterload - ✔✔Hypertrophy
✔✔Which study does not allow for the calculation of ejection fraction? - ✔✔Chest x-ray
✔✔Cardiac output equation - ✔✔heart rate x stroke volume
✔✔Stroke volume equation - ✔✔end diastolic volume - end systolic volume
✔✔Does venous return increase or decrease with inspiration? - ✔✔Increase
✔✔Inhalation of amyl nitrite causes? - ✔✔decreased afterload
✔✔Mitral valve velocity during inspiration? - ✔✔Decreases
✔✔Duration of IVRT and IVCT - ✔✔70 msec
✔✔On the wiggers diagram when is the mitral valve open - ✔✔4-1
✔✔The duration of isovolumetric relaxation time will be increased with: -
✔✔Bradycardia
✔✔Which valves are never open at the same time - ✔✔Aortic and mitral
✔✔When is the LA volume the highest - ✔✔End systole
✔✔When is LV volume the highest? - ✔✔End diastole
✔✔What are the normal pressures in the pulmonary artery - ✔✔25/10
✔✔Where is the O2 saturation the lowest? - ✔✔Coronary sinus
✔✔Best cath technique for LV function? - ✔✔LV angiogram
