CCI EXAM
STRESS ECHOCARDIOGRAM IS MOST BENEFICIAL WITH PATIENTS WITH SUSPECTED -
ANS -CORONARY ARTERY DISEASE
WHAT DOPPLER MEASUREMENT IS NECESSARY TO CALCULATE THE END DIASTOLIC
PRESSURE IN THE PULMONARY ARTERY - ANS -END DIASTOLIC VELOCITY OF
PULMONARY REGURGITATION
A PATIENT IS REFERRED TO THE ECHO LAB DUE TO A HISTORY OF CHRONIC RENAL
FAILURE AND HYPERCALCEMIA, WHICH OF THE FOLLOWING IS THE LEAST LIKELY
POTENTIAL ON THE EXAM? - ANS -INFECTIVE ENDOCARDITIS
IF AN 82 YEAR OLD MALE PATIENT COMPLAINS SEVERAL WEEKS OF sob ABOUT 60 MIN
AFTER GOING TO BED WITH NO OTHER SYMPTOMS OR CHANGE IN HISTORY THIS
SYMPTOM MOST LIKELY INDICATES - ANS -CONGESTIVE HEART FAILURE
WHILE SCANNING AN ECHO YOU CHANGE THE GREY MAP TO A NEW CHOICE AND
CONTINUE TO SCAN, THIS WOULD TERMED A CHANGE IN WHAT? - ANS
-PRE-PROCESSING
A 28 YEAR OLD FEMALE PRESENTS WITH INCREASED WBC LEVELS 3 DAYS POST
WISDOM TEETH EXTRACTION. A NEW MURMUR IS DOCUMENTED ALONG WITH
INCREASING DOE, WHAT ABNORMALITY IS DISPLAYED ON THE ECHO? - ANS
-ENDOCARDITIS
WHAT IS DRESSLER'S SYNDROME? - ANS -pericarditis 4 weeks after acute MI
A REGURGITANT JET FROM THE AORTIC VALVE FILLS 70 PERCENT OF THE LVOT, THIS
INDICATES - ANS -SEVERE
PARADOXICAL IVS MOTION IS A COMMON COMPLICATION OF WHAT - ANS
-HYPERTROPHIC CARDIOMYOPATHY
WHEN PERFORMING A STRESS ECHO WITH A TREADMILL, THE POST EXERCISE
IMAGES MUST BE OBTAINED WITHIN HOW MANY SECONDS AFTER THE TREADMILL
HAS STOPPED FOR THE MOST ACCURATE EVALUATION OF POTENTIAL CORONARY
DISEASE - ANS -60 SECONDS
,WHY DOES THE FORAMEN OVALE CLOSE IN MOST BABIES AFTER BIRTH - ANS -DUE
TO THE PRESSURE IN THE LEFT ATRIA HOLDING THE FLAP OF TISSUE CLOSED OVER
THE OPENING
WHAT IS THE INTERNAL RIDGE OF TISSUE IN THE RIGHT ATRIUM THAT EXTEND
VERTICALLY BETWEEN THE SVC AND IVC - ANS -CRISTA TERMINALIS
THE MOST IMPORTANT CARDIAC STRUCTURE THAT SHOULD BE EVALUATED IN
PATIENTS WITH SUSPECTED TAMPONADE - ANS -RIGHT VENTRICULAR FREE WALL
A PATIENT PRESENTS FOR AN ECHO DUE TO SOB, MALAISE AND THE PRESENCE OF
OSLER NODES AND JANEWAY LESIONS. THE REFERRING PHYSICIAN MOST LIKELY
SUSPECTS - ANS -INFECTIVE ENDOCARDITIS
A 44 YEAR PATIENT PRESENTS FOR AN ECHO DUE TO A HEART MURMUR, YOU
IDENTIFY MITRAL VALVE PROLAPSE AND BICUSPID AO VALVE. WHAT OTHER
ABNORMALITY IS ASSOCIATED WITH THESE? - ANS -COARCTATION
A PATIENT PRESENTS FOR AN ECHO AND IS 6'3 AND 380 LBS. WHICH TRANSDUCER
WOULD BE THE BEST - ANS -2MHz
A HARSH SYSTOLIC, CRESCENDO DECRESCENDO MURMUR IS HEARD AT THE LEFT
STERNAL BORDER MOST LIKELY INDICATED WHICH OF THE FOLLOWING
ABNORMALITIES - ANS -HYPERTROPHIC SUBAORTIC STENOSIS
A 27 YEAR OLD PATIENT PRESENTS FOR A FOLLOW UP ECHO DUE TO HISTORY OF
SECUNDUM ASD THAT WAS DIAGNOSED 2 YEARS AGO, YOU ARE VIEWING THE ARTIAL
SEPTUM IN THE SUBCOSTAL VIEW AND APPLY COLOR DOPPLER, NO FLOW IS
DETECTED ACROSS THE SEPTUM. WHICH OF THE FOLLOWING COULD EXPLAIN THE
LACK OF FLOW DISPLAYED ACROSS THE DEFECT? - ANS -COLOR DOPPLER PRF IS
SET TOO HIGH
WHICH OF THE FOLLOWING STANDARD VIEWS WILL DEMONSTRATE THE POSTERIOR
LEAFLET OF THE TRICUSPID VALVE - ANS -PARASTERNAL RIGHT VENTRICULAR
INFLOW
A PATIENT PRESENTS WITH A HISTORY OF CARCINOID SYNDROME, WHICH OF THE
FOLLOWING STRUCTURES SHOULD BE THOROUGHLY EVALUATED FOR RELATED
FINDINGS - ANS -TRICUSPID VALVE
WHAT ADJUSTMENTS SHOULD BE MADE TO THE DOPPLER SETTINGS WHEN
EVALUATING LEFT VENTRICULAR INFLOW IN A PATIENT WITH CONSTRICTIVE
PERICARDITIS? - ANS -DECREASE THE SWEEP SPEED
, WHICH ECHO VIEW BEST DEMONSTRATES A MUSCULAR VSD USING COLOR DOPPLER
- ANS -SUBCOSTAL 4 CHAMBER
FLATTENING OF THE IVS IS LEAST LIKELY TO BE CAUSED BY WHAT CONDITION? - ANS
-3mm MUSCULAR VSD
QpQs IS USED TO EVALUATE THE SEVERITY OF WHICH ABNORMALITY - ANS
-VENTRICULAR SEPTAL DEFECT
THE CORONARY SINUS WILL DILATE WITH INCREASED PRESSURE WHERE? - ANS
-RIGHT ATRIAL
WHEN EVALUATING THE PISA RADIUS OF TRICUSPID VALVE REGURGITATION ON A
TRANSTHORACIC ECHO HOW MUCH SHOULD THE COLOR DOPPLER ZERO BASELINE
BE MOVED DOWN TO - ANS -25-30 cm/s
INCREASING THE COLOR DOPPLER SAMPLE SIZE WILL DO WHAT TO THE FRAME RATE
- ANS -DECREASE
WHICH OF THE FOLLOWING PRESSURE MEASUREMENTS IDENTIFIED DURING A
CARDIAC CATH WILL BEST CORRELATE WITH DOPPLER ASSESSMENT OF THE SAME
PRESSURE GRADIENT? - ANS -MEAN GRADIENT
AN ACUTE FINDING FOR POST MI PATIENT IS THE RUPTURE OF A PAPILLARY MUSCLE
WITH SEVERE MR. WHAT CARDIAC WALL SUFFERS FROM THE INFARCTION IN MOST
OF THESE CASES OF PAPILLARY RUPTURE? - ANS -INFERIOR
WHAT IS THE FIRST CHAMBER TO BE AFFECTED BY MV STENOSIS - ANS -LEFT
ATRIUM
WHAT DOPPLER MEASUREMENT CAN BE USED TO CALCULATE THE MEAN DIASTOLIC
PRESSURE IN THE PULMONARY ARTERY? - ANS -PEAK DIASTOLIC VELOCITY OF
PULMONIC REGURGITATION
WHICH OF THE FOLLOWING CONGENITAL DEFECTS IS COMMONLY SEEN WITH
EBSTEINS ANOMALY? - ANS -SECUNDUM ASD
WHICH LEFT VENTRICULAR WALL IS SEEN ON APICAL 4 CHAMBER VIEW? - ANS
-INFEROSEPTAL
WHEN MEASURING THE PRESSURE HALF TIME OF THE MITRAL TRACING IT IS
IMPORTANT TO DO WHAT? - ANS -INCREASE THE SWEEP SPEED
STRESS ECHOCARDIOGRAM IS MOST BENEFICIAL WITH PATIENTS WITH SUSPECTED -
ANS -CORONARY ARTERY DISEASE
WHAT DOPPLER MEASUREMENT IS NECESSARY TO CALCULATE THE END DIASTOLIC
PRESSURE IN THE PULMONARY ARTERY - ANS -END DIASTOLIC VELOCITY OF
PULMONARY REGURGITATION
A PATIENT IS REFERRED TO THE ECHO LAB DUE TO A HISTORY OF CHRONIC RENAL
FAILURE AND HYPERCALCEMIA, WHICH OF THE FOLLOWING IS THE LEAST LIKELY
POTENTIAL ON THE EXAM? - ANS -INFECTIVE ENDOCARDITIS
IF AN 82 YEAR OLD MALE PATIENT COMPLAINS SEVERAL WEEKS OF sob ABOUT 60 MIN
AFTER GOING TO BED WITH NO OTHER SYMPTOMS OR CHANGE IN HISTORY THIS
SYMPTOM MOST LIKELY INDICATES - ANS -CONGESTIVE HEART FAILURE
WHILE SCANNING AN ECHO YOU CHANGE THE GREY MAP TO A NEW CHOICE AND
CONTINUE TO SCAN, THIS WOULD TERMED A CHANGE IN WHAT? - ANS
-PRE-PROCESSING
A 28 YEAR OLD FEMALE PRESENTS WITH INCREASED WBC LEVELS 3 DAYS POST
WISDOM TEETH EXTRACTION. A NEW MURMUR IS DOCUMENTED ALONG WITH
INCREASING DOE, WHAT ABNORMALITY IS DISPLAYED ON THE ECHO? - ANS
-ENDOCARDITIS
WHAT IS DRESSLER'S SYNDROME? - ANS -pericarditis 4 weeks after acute MI
A REGURGITANT JET FROM THE AORTIC VALVE FILLS 70 PERCENT OF THE LVOT, THIS
INDICATES - ANS -SEVERE
PARADOXICAL IVS MOTION IS A COMMON COMPLICATION OF WHAT - ANS
-HYPERTROPHIC CARDIOMYOPATHY
WHEN PERFORMING A STRESS ECHO WITH A TREADMILL, THE POST EXERCISE
IMAGES MUST BE OBTAINED WITHIN HOW MANY SECONDS AFTER THE TREADMILL
HAS STOPPED FOR THE MOST ACCURATE EVALUATION OF POTENTIAL CORONARY
DISEASE - ANS -60 SECONDS
,WHY DOES THE FORAMEN OVALE CLOSE IN MOST BABIES AFTER BIRTH - ANS -DUE
TO THE PRESSURE IN THE LEFT ATRIA HOLDING THE FLAP OF TISSUE CLOSED OVER
THE OPENING
WHAT IS THE INTERNAL RIDGE OF TISSUE IN THE RIGHT ATRIUM THAT EXTEND
VERTICALLY BETWEEN THE SVC AND IVC - ANS -CRISTA TERMINALIS
THE MOST IMPORTANT CARDIAC STRUCTURE THAT SHOULD BE EVALUATED IN
PATIENTS WITH SUSPECTED TAMPONADE - ANS -RIGHT VENTRICULAR FREE WALL
A PATIENT PRESENTS FOR AN ECHO DUE TO SOB, MALAISE AND THE PRESENCE OF
OSLER NODES AND JANEWAY LESIONS. THE REFERRING PHYSICIAN MOST LIKELY
SUSPECTS - ANS -INFECTIVE ENDOCARDITIS
A 44 YEAR PATIENT PRESENTS FOR AN ECHO DUE TO A HEART MURMUR, YOU
IDENTIFY MITRAL VALVE PROLAPSE AND BICUSPID AO VALVE. WHAT OTHER
ABNORMALITY IS ASSOCIATED WITH THESE? - ANS -COARCTATION
A PATIENT PRESENTS FOR AN ECHO AND IS 6'3 AND 380 LBS. WHICH TRANSDUCER
WOULD BE THE BEST - ANS -2MHz
A HARSH SYSTOLIC, CRESCENDO DECRESCENDO MURMUR IS HEARD AT THE LEFT
STERNAL BORDER MOST LIKELY INDICATED WHICH OF THE FOLLOWING
ABNORMALITIES - ANS -HYPERTROPHIC SUBAORTIC STENOSIS
A 27 YEAR OLD PATIENT PRESENTS FOR A FOLLOW UP ECHO DUE TO HISTORY OF
SECUNDUM ASD THAT WAS DIAGNOSED 2 YEARS AGO, YOU ARE VIEWING THE ARTIAL
SEPTUM IN THE SUBCOSTAL VIEW AND APPLY COLOR DOPPLER, NO FLOW IS
DETECTED ACROSS THE SEPTUM. WHICH OF THE FOLLOWING COULD EXPLAIN THE
LACK OF FLOW DISPLAYED ACROSS THE DEFECT? - ANS -COLOR DOPPLER PRF IS
SET TOO HIGH
WHICH OF THE FOLLOWING STANDARD VIEWS WILL DEMONSTRATE THE POSTERIOR
LEAFLET OF THE TRICUSPID VALVE - ANS -PARASTERNAL RIGHT VENTRICULAR
INFLOW
A PATIENT PRESENTS WITH A HISTORY OF CARCINOID SYNDROME, WHICH OF THE
FOLLOWING STRUCTURES SHOULD BE THOROUGHLY EVALUATED FOR RELATED
FINDINGS - ANS -TRICUSPID VALVE
WHAT ADJUSTMENTS SHOULD BE MADE TO THE DOPPLER SETTINGS WHEN
EVALUATING LEFT VENTRICULAR INFLOW IN A PATIENT WITH CONSTRICTIVE
PERICARDITIS? - ANS -DECREASE THE SWEEP SPEED
, WHICH ECHO VIEW BEST DEMONSTRATES A MUSCULAR VSD USING COLOR DOPPLER
- ANS -SUBCOSTAL 4 CHAMBER
FLATTENING OF THE IVS IS LEAST LIKELY TO BE CAUSED BY WHAT CONDITION? - ANS
-3mm MUSCULAR VSD
QpQs IS USED TO EVALUATE THE SEVERITY OF WHICH ABNORMALITY - ANS
-VENTRICULAR SEPTAL DEFECT
THE CORONARY SINUS WILL DILATE WITH INCREASED PRESSURE WHERE? - ANS
-RIGHT ATRIAL
WHEN EVALUATING THE PISA RADIUS OF TRICUSPID VALVE REGURGITATION ON A
TRANSTHORACIC ECHO HOW MUCH SHOULD THE COLOR DOPPLER ZERO BASELINE
BE MOVED DOWN TO - ANS -25-30 cm/s
INCREASING THE COLOR DOPPLER SAMPLE SIZE WILL DO WHAT TO THE FRAME RATE
- ANS -DECREASE
WHICH OF THE FOLLOWING PRESSURE MEASUREMENTS IDENTIFIED DURING A
CARDIAC CATH WILL BEST CORRELATE WITH DOPPLER ASSESSMENT OF THE SAME
PRESSURE GRADIENT? - ANS -MEAN GRADIENT
AN ACUTE FINDING FOR POST MI PATIENT IS THE RUPTURE OF A PAPILLARY MUSCLE
WITH SEVERE MR. WHAT CARDIAC WALL SUFFERS FROM THE INFARCTION IN MOST
OF THESE CASES OF PAPILLARY RUPTURE? - ANS -INFERIOR
WHAT IS THE FIRST CHAMBER TO BE AFFECTED BY MV STENOSIS - ANS -LEFT
ATRIUM
WHAT DOPPLER MEASUREMENT CAN BE USED TO CALCULATE THE MEAN DIASTOLIC
PRESSURE IN THE PULMONARY ARTERY? - ANS -PEAK DIASTOLIC VELOCITY OF
PULMONIC REGURGITATION
WHICH OF THE FOLLOWING CONGENITAL DEFECTS IS COMMONLY SEEN WITH
EBSTEINS ANOMALY? - ANS -SECUNDUM ASD
WHICH LEFT VENTRICULAR WALL IS SEEN ON APICAL 4 CHAMBER VIEW? - ANS
-INFEROSEPTAL
WHEN MEASURING THE PRESSURE HALF TIME OF THE MITRAL TRACING IT IS
IMPORTANT TO DO WHAT? - ANS -INCREASE THE SWEEP SPEED
