ARDMS Echo RDCS board registry practice test | Actual
Questions And Answers Latest Updated 2026/2027 (Graded A+)
• Question
Which is the following is the typical treatment for advanced pericarditis?
a. thoracentesis
b. stent placement
c. heart transplant
d. pericardectomy
Correct Answer: d
• Question
When recording flow velocity on the LVOT, the:
a. PW Doppler cursor should be placed distal to the aortic valve closure
b. CW doppler should be placed parallel to the aortic valve closure
c. CW doppler should be placed perpendicular to the aortic valve closure
d. PW Doppler cursor should be placed proximal to the aortic valve closure
Correct Answer: d
• Question
The ultrasound system relies on the ____________________ for accurate recording of
motion clips on an echo
a. R wave and T wave on the EKG
b. system timer to be set at 5 seconds
c. QRS on the EKG
d. system timer to be set at 3 seconds
Correct Answer: a
• Question
Which of the following describes how to differentiate a ruptured chordae attached to a
flail anterior mitral leaflet from a vegetation attached to the anterior mitral leaflet?
a. Flail leaflets usually cause regurgitation and vegetations normally cause stenosis.
b. Mitral vegetations normally form on the atrial side of the valve and the ruptured
chordae related to a
flail leaflet will be identified on the ventricular side of the valve.
c. Vegetations are much more hypoechoic than the chordae tendinae.
d. A flail mitral leaflet demonstrates a distinct appearance on m-mode that is easily
differentiated from
the m-mode appearance of vegetation on the valve.
Correct Answer: b
,• Question
Which of the following decreases as aortic stenosis increases in severity? A: time
velocity interval B: mean pressure gradient C: peak pressure gradient D: valve area
Correct Answer: d
• Question
Which of the following would be part of the standard patient history that should be
obtained for every transesophageal echo but not for a transthoracic echo? A: History of
radiation treatment B: NPO status C: Patient gender D: Abnormalities in exercise
tolerance level
Correct Answer: b
• Question
Propranolol can be used to treat A: patent ductus arteriosus B: subaortic stenosis caused
by hypertrophic cardiomyopathy C: vegetation formation on the tricuspid valve D:
carcinoid disease
Correct Answer: b
• Question
8. Which type of valvular regurgitation usually
demonstrates the highest pressure gradient? A: Pulmonary insufficiency B: Aortic
insufficiency C: Tricuspid regurgitation D: Mitral regurgitation
Correct Answer: d
• Question
____________________ is defined as an abnormal connection of the left subclavian vein to
the coronary sinus. A: DiGeorge syndrome B: persistent left SVC C: persistent right SVC
D: Ebstein malformation
Correct Answer: b
• Question
You identify thickened, tethered mitral leaflets, decreased E-F slope on PW Doppler, and
right ventricular hypertrophy on an echo. These are all signs of A: mitral valve prolapse
B: mitral stenosis C: endocarditis D: pulmonary HTN
Correct Answer: b
• Question
11. Which of the following echocardiographic findings
is least likely to be associated with Ehlers-Danlos syndrome? A: MVP B: ASD C: sinus of
Valsalva aneurysm D: peripheral pulmonary stenosis
Correct Answer: d
,• Question
While obtaining a PW Doppler tracing of the mitral valve, you notice the E peak is
moderately taller than the A peak on the waveform and it has a shorter than normal
deceleration time. Which of the following will cause this finding? A: grade 1 diastolic
dysfunction B: restrictive cardiomyopathy C: pulmonary HTN D: mitral stenosis
Correct Answer: b
• Question
Which of the following right ventricular wall segments is seen on the apical 4 chamber
view? A: Inferior B: Lateral C: Medial D: Anterior
Correct Answer: b
• Question
How do you measure the strain rate for a specific segment of the left ventricular wall? A:
Measure the wall thickness in systole and diastole B: use m-mode to demonstrate the
velocity of the segment of interest and the adjacent normal segments C: Take 2-3 tissue
Doppler samples from the area of interest D: Take 2-3 PW Doppler samples from the
area of interest
Correct Answer: c
• Question
If there is a weak signal and significant fluctuation in the vertical position of the EKG
tracing across the screen: A: the skin contact with the electrodes is poor B: the EKG
should be increased to a maximum level C: the alcohol used to clean the skin is causing
artifact D: a cell phone or other nearby electrical device is causing interference
Correct Answer: a
• Question
A patient currently undergoing chemotherapy for breast cancer is referred for an echo. A
small mass is noted within the right ventricular wall and a mild pericardial effusion.
There is debris and fibrous strands throughout the effusion. The mass is in the right
ventricle is most likely A: primary cardiac malignancy B: rhabdomyoma C: secondary
cardiac malignancy D: myxoma
Correct Answer: c
• Question
Global longitudinal strain is measured from: A: parasternal views B: subcostal views C:
apical views D: more than one of the above
Correct Answer: c
, • Question
Which of the following is the most common cause of tricuspid regurgitation? A:
pulmonary HTN B: atherosclerosis C: prolapse D: rheumatic fever complication
Correct Answer: a
• Question
When measuring the left ventricular end systolic volume, you should use the cine
function to: A: find the frame just after the MV closes B: find the frame just before the
MV opens C: find the frame just before the AV opens D: find the frame at the peak of the
R wave
Correct Answer: b
• Question
Which of the following statements is correct regarding tricuspid valve prolapse(TVP)? A:
TVP rarely leads to significant tricuspid regurgitation. B: TVP most commonly occurs as
an isolated finding. C: TVP refers to abnormal diastolic displacement of the valve leaflet
into the RA. D: The anterior and septal leaflets are most commonly involved.
Correct Answer: d
• Question
Dobutamine is used to assess suspected hibernating myocardium. If the affected wall
motion improves at low doses but declines at higher doses, A: the myocardium has
irreversible damage and reperfusion would not be recommended B: the patient will be
scheduled for a transesophageal echo to better evaluate the endocardium C: the patient
will be scheduled for a reperfusion procedure D: the patient will be scheduled for a
treadmill stress echo
Correct Answer: c
• Question
The echocardiogram demonstrates akinesis of the left ventricular apex. Which coronary
artery is most likely affected by coronary artery disease? A: obtuse artery B: right
coronary artery C: left anterior descending artery D: left circumflex artery
Correct Answer: c
• Question
Aortic and pulmonic insufficiency will cause A: a mid-diastolic murmur B: a
crescendo-decrescendo murmur C: an early diastolic murmur D: an early systolic
murmur
Correct Answer: c
Questions And Answers Latest Updated 2026/2027 (Graded A+)
• Question
Which is the following is the typical treatment for advanced pericarditis?
a. thoracentesis
b. stent placement
c. heart transplant
d. pericardectomy
Correct Answer: d
• Question
When recording flow velocity on the LVOT, the:
a. PW Doppler cursor should be placed distal to the aortic valve closure
b. CW doppler should be placed parallel to the aortic valve closure
c. CW doppler should be placed perpendicular to the aortic valve closure
d. PW Doppler cursor should be placed proximal to the aortic valve closure
Correct Answer: d
• Question
The ultrasound system relies on the ____________________ for accurate recording of
motion clips on an echo
a. R wave and T wave on the EKG
b. system timer to be set at 5 seconds
c. QRS on the EKG
d. system timer to be set at 3 seconds
Correct Answer: a
• Question
Which of the following describes how to differentiate a ruptured chordae attached to a
flail anterior mitral leaflet from a vegetation attached to the anterior mitral leaflet?
a. Flail leaflets usually cause regurgitation and vegetations normally cause stenosis.
b. Mitral vegetations normally form on the atrial side of the valve and the ruptured
chordae related to a
flail leaflet will be identified on the ventricular side of the valve.
c. Vegetations are much more hypoechoic than the chordae tendinae.
d. A flail mitral leaflet demonstrates a distinct appearance on m-mode that is easily
differentiated from
the m-mode appearance of vegetation on the valve.
Correct Answer: b
,• Question
Which of the following decreases as aortic stenosis increases in severity? A: time
velocity interval B: mean pressure gradient C: peak pressure gradient D: valve area
Correct Answer: d
• Question
Which of the following would be part of the standard patient history that should be
obtained for every transesophageal echo but not for a transthoracic echo? A: History of
radiation treatment B: NPO status C: Patient gender D: Abnormalities in exercise
tolerance level
Correct Answer: b
• Question
Propranolol can be used to treat A: patent ductus arteriosus B: subaortic stenosis caused
by hypertrophic cardiomyopathy C: vegetation formation on the tricuspid valve D:
carcinoid disease
Correct Answer: b
• Question
8. Which type of valvular regurgitation usually
demonstrates the highest pressure gradient? A: Pulmonary insufficiency B: Aortic
insufficiency C: Tricuspid regurgitation D: Mitral regurgitation
Correct Answer: d
• Question
____________________ is defined as an abnormal connection of the left subclavian vein to
the coronary sinus. A: DiGeorge syndrome B: persistent left SVC C: persistent right SVC
D: Ebstein malformation
Correct Answer: b
• Question
You identify thickened, tethered mitral leaflets, decreased E-F slope on PW Doppler, and
right ventricular hypertrophy on an echo. These are all signs of A: mitral valve prolapse
B: mitral stenosis C: endocarditis D: pulmonary HTN
Correct Answer: b
• Question
11. Which of the following echocardiographic findings
is least likely to be associated with Ehlers-Danlos syndrome? A: MVP B: ASD C: sinus of
Valsalva aneurysm D: peripheral pulmonary stenosis
Correct Answer: d
,• Question
While obtaining a PW Doppler tracing of the mitral valve, you notice the E peak is
moderately taller than the A peak on the waveform and it has a shorter than normal
deceleration time. Which of the following will cause this finding? A: grade 1 diastolic
dysfunction B: restrictive cardiomyopathy C: pulmonary HTN D: mitral stenosis
Correct Answer: b
• Question
Which of the following right ventricular wall segments is seen on the apical 4 chamber
view? A: Inferior B: Lateral C: Medial D: Anterior
Correct Answer: b
• Question
How do you measure the strain rate for a specific segment of the left ventricular wall? A:
Measure the wall thickness in systole and diastole B: use m-mode to demonstrate the
velocity of the segment of interest and the adjacent normal segments C: Take 2-3 tissue
Doppler samples from the area of interest D: Take 2-3 PW Doppler samples from the
area of interest
Correct Answer: c
• Question
If there is a weak signal and significant fluctuation in the vertical position of the EKG
tracing across the screen: A: the skin contact with the electrodes is poor B: the EKG
should be increased to a maximum level C: the alcohol used to clean the skin is causing
artifact D: a cell phone or other nearby electrical device is causing interference
Correct Answer: a
• Question
A patient currently undergoing chemotherapy for breast cancer is referred for an echo. A
small mass is noted within the right ventricular wall and a mild pericardial effusion.
There is debris and fibrous strands throughout the effusion. The mass is in the right
ventricle is most likely A: primary cardiac malignancy B: rhabdomyoma C: secondary
cardiac malignancy D: myxoma
Correct Answer: c
• Question
Global longitudinal strain is measured from: A: parasternal views B: subcostal views C:
apical views D: more than one of the above
Correct Answer: c
, • Question
Which of the following is the most common cause of tricuspid regurgitation? A:
pulmonary HTN B: atherosclerosis C: prolapse D: rheumatic fever complication
Correct Answer: a
• Question
When measuring the left ventricular end systolic volume, you should use the cine
function to: A: find the frame just after the MV closes B: find the frame just before the
MV opens C: find the frame just before the AV opens D: find the frame at the peak of the
R wave
Correct Answer: b
• Question
Which of the following statements is correct regarding tricuspid valve prolapse(TVP)? A:
TVP rarely leads to significant tricuspid regurgitation. B: TVP most commonly occurs as
an isolated finding. C: TVP refers to abnormal diastolic displacement of the valve leaflet
into the RA. D: The anterior and septal leaflets are most commonly involved.
Correct Answer: d
• Question
Dobutamine is used to assess suspected hibernating myocardium. If the affected wall
motion improves at low doses but declines at higher doses, A: the myocardium has
irreversible damage and reperfusion would not be recommended B: the patient will be
scheduled for a transesophageal echo to better evaluate the endocardium C: the patient
will be scheduled for a reperfusion procedure D: the patient will be scheduled for a
treadmill stress echo
Correct Answer: c
• Question
The echocardiogram demonstrates akinesis of the left ventricular apex. Which coronary
artery is most likely affected by coronary artery disease? A: obtuse artery B: right
coronary artery C: left anterior descending artery D: left circumflex artery
Correct Answer: c
• Question
Aortic and pulmonic insufficiency will cause A: a mid-diastolic murmur B: a
crescendo-decrescendo murmur C: an early diastolic murmur D: an early systolic
murmur
Correct Answer: c
