CCI ECHO FINAL PAPER PRACTICE
QUESTIONS WITH VERIFIED ANSWERS
PACKAGE
●● What is the most common congenital heart defect that is detected in
adults
A. ASD
B. Pulmonary stenosis
C. Bicuspid AV
D. VSD
Answer: C
●● A patient presents with a history of carcinoid syndrome. Which of
the following cardiac structures is most commonly affected?
A. Interventricular septum
B. Mitral Valve
C. Tricuspid Valve
D. Left ventricular wall motion
Answer: C
●● What is the best way to measure pulmonary artery diameter?
A. Parasternal short axis view, inner to inner diameter in end systole
,B. Parasternal short axis view, inner to inner diameter in end diastole
C. Parasternal short axis view, leading edge to leading edge diameter in
end systole
D. Parasternal short axis view, leading edge to leading edge diameter in
end diastole
Answer: B
●● During a contrast echo, shadowing obscures the basal segments of
the left ventricle. How can you eliminate this artifact?
A. Scan the patient in the upright position
B. Reduce the contrast infusion rate
C. Turn the overall gain down
D. Increase the output power
Answer: B
●● Which of the following is the best evaluated with perfluorocarbon
contrast?
A.VSD
B. Tricuspid Regurgitation
C. ASD
D. LVOT gradients
Answer: D
,●● Which of the following statements is correct regarding inspecting a
TEE probe for a potential electrical hazard?
A. The probe head may separate slightly from the housing and it
presents no hazard to the patient unless the wiring and internal
components are exposed.
B. Bite marks on the rubber coating on the probe or a common finding
and present no hazard to the patient.
C. Normal use of disinfecting agents can lead to damage of the probe
coating which will cause a risk of electrical hazard.
D. Scratches to the lens of the probe only degrade the image production
and are unrelated to electrical hazard.
Answer: C
●● While attempting to perform the parasternal short axis views of the
aortic valve, the cardiologist enters the room and requests a PSAX view
of the mitral valve. How do you manipulate the transducer from your
current position to provide the requested view?
A. Move medially
B. Tilt slightly inferior/lateral
C. Tilt slightly superior/medial
D. Angle the probe superior, toward the patient's right shoulder
Answer: B
●● What is the classic sonographic appearance of syphilitic aortitis?
, A. Dilated ascending aorta with extensive wall calcification
B. Multiple vegetations on one or more cardiac valves
C. Severe coarctation just distal to the left subclavian artery origin
D. Thickened edematous aortic walls that reduce lumen diameter
Answer: A
●● Which of the following is an absolute contraindication for a stress
echo? Choose all answers that apply.
A. Severe aortic stenosis
B. Diastolic BP over 100 mmHG
C. Hypertrophy cardiomyopathy
D. Systolic BP over 200 mmHG
Answer: A,B,D
●● If the PISA radius for mitral Regurgitation is 1.0 cm. What should
you do next to assess the level of MR present?
A. PW Doppler of the pulmonary vein
B. Color Doppler of MV inflow
C. PW Doppler of IVC
D. Tissue Doppler of the tricuspid annulus
Answer: A
QUESTIONS WITH VERIFIED ANSWERS
PACKAGE
●● What is the most common congenital heart defect that is detected in
adults
A. ASD
B. Pulmonary stenosis
C. Bicuspid AV
D. VSD
Answer: C
●● A patient presents with a history of carcinoid syndrome. Which of
the following cardiac structures is most commonly affected?
A. Interventricular septum
B. Mitral Valve
C. Tricuspid Valve
D. Left ventricular wall motion
Answer: C
●● What is the best way to measure pulmonary artery diameter?
A. Parasternal short axis view, inner to inner diameter in end systole
,B. Parasternal short axis view, inner to inner diameter in end diastole
C. Parasternal short axis view, leading edge to leading edge diameter in
end systole
D. Parasternal short axis view, leading edge to leading edge diameter in
end diastole
Answer: B
●● During a contrast echo, shadowing obscures the basal segments of
the left ventricle. How can you eliminate this artifact?
A. Scan the patient in the upright position
B. Reduce the contrast infusion rate
C. Turn the overall gain down
D. Increase the output power
Answer: B
●● Which of the following is the best evaluated with perfluorocarbon
contrast?
A.VSD
B. Tricuspid Regurgitation
C. ASD
D. LVOT gradients
Answer: D
,●● Which of the following statements is correct regarding inspecting a
TEE probe for a potential electrical hazard?
A. The probe head may separate slightly from the housing and it
presents no hazard to the patient unless the wiring and internal
components are exposed.
B. Bite marks on the rubber coating on the probe or a common finding
and present no hazard to the patient.
C. Normal use of disinfecting agents can lead to damage of the probe
coating which will cause a risk of electrical hazard.
D. Scratches to the lens of the probe only degrade the image production
and are unrelated to electrical hazard.
Answer: C
●● While attempting to perform the parasternal short axis views of the
aortic valve, the cardiologist enters the room and requests a PSAX view
of the mitral valve. How do you manipulate the transducer from your
current position to provide the requested view?
A. Move medially
B. Tilt slightly inferior/lateral
C. Tilt slightly superior/medial
D. Angle the probe superior, toward the patient's right shoulder
Answer: B
●● What is the classic sonographic appearance of syphilitic aortitis?
, A. Dilated ascending aorta with extensive wall calcification
B. Multiple vegetations on one or more cardiac valves
C. Severe coarctation just distal to the left subclavian artery origin
D. Thickened edematous aortic walls that reduce lumen diameter
Answer: A
●● Which of the following is an absolute contraindication for a stress
echo? Choose all answers that apply.
A. Severe aortic stenosis
B. Diastolic BP over 100 mmHG
C. Hypertrophy cardiomyopathy
D. Systolic BP over 200 mmHG
Answer: A,B,D
●● If the PISA radius for mitral Regurgitation is 1.0 cm. What should
you do next to assess the level of MR present?
A. PW Doppler of the pulmonary vein
B. Color Doppler of MV inflow
C. PW Doppler of IVC
D. Tissue Doppler of the tricuspid annulus
Answer: A
