CCI UPDATED ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS
STRESS ECHOCARDIOGRAM IS MOST BENEFICIAL WITH PATIENTS WITH SUSPECTED - correct
answers CORNARY ARTERY DISEASE
WHAT DOPPLER MEASUREMENT IS NECESSARY TO CALCULATE THE END DIASTOLIC PRESSURE IN
THE PULMONARY ARTERY - correct answers END DIASTOLIC VELOCITY OF PULMONARY
REGURGITATION
A PATIENT IS REFFERED 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? -
correct answers INFECTIVE ENDOCARDITIS
IF AN 82 YEAR OLF 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 - correct answers 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? - correct answers 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? - correct answers ENDOCARDITIS
WHAT IS DRESSLERS SYNDROME? - correct answers pericarditis 4 weeks after acute MI
A REGGURGITANT JET FROM THE AORTIC VALVE FILLS 70 PERCENT OF THE LVOT, THIS INDICATES
- correct answers SEVERE
,PARADOXICAL IVS MOTION IS A COMMON COMPLICATION OF WHAT - correct
answers 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 - correct answers 60
SECONDS
WHY DOES THE FOAMEN OVALE CLOSE IN MOST BABIES AFTER BIRTH - correct
answers 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 EXTENS VERTICALLY
BETWEEN THE SVC AND IVC - correct answers CRISTA TERMINALIS
THE MOST IMPORTANT CARDIAC STRUCTURE THAT SHOULD BE EVALUATED IN PATIENTS WITH
SUSPECTED TAMPONADE - correct answers RIGHT VENTRICULAR FREE WALL
A PATIENT PRESENTS FOR AN ECHO DUE TO SOB, MALAISE AND THE PRESENCE OF OSLER
NODES AND JANEWAY LESIONS. THE REFFERING PHYSICIAN MOST LIKELY SUSPECTS - correct
answers INFECTIVE ENDOCARDITIS
A 44 YEAR PATIENT PRESENTS FOR AN ECHO DUE TO A HEART MURMUR, YOU IDENTIFY MITRAL
VALCE PROLAPSE AND BICUSPID AO VALVE. WHAT OTHER ABNORMALITY IS ASSOCIATED WITH
THESE? - correct answers COARCTION
A PATIENT PRESENTS FOR AN ECHO AND IS 6'3 AND 380 LBS. WHICH TRANDSUCER WOULD BE
THE BEST - correct answers 2MHz
, A HARSH SYSTOLIC, CRESCENDO DECRESCENDO MURMUR IS HEARD AT THE LEFT STERNAL
BORDER MOST LIKELY INDICATED WHICH OF THE FOLLOWING ABNORMALITIES - correct
answers 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? - correct answers COLOR DOPPLER PRF IS SET TOO HIGH
WHICH OF THE FOLLOWING STANDARD VIEWS WILL DEMONSTRATE THE POSTERIOR LEAFLET
OF THE TRICUSPID VALVE - correct answers 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 - correct
answers TRICUSPID VALVE
WHAT ADJUSTMENTS SHOULD BE MADE TO THE DOPPLER SETTINGS WHEN EVALUATING LEFT
VENTRICULAR INFLOW IN A PATIENT WITH CONSTRICTIVE PERICARDITIS? - correct
answers DECREASE THE SWEEP SPEED
WHICH ECHO VIEW BEST DEMONSTRATES A MUSCULAR VSD USING COLOR DOPPLER - correct
answers SUBCOSTAL 4 CHAMBER
FLATTENING OF THE IVS IS LEAST LIKELY TO BE CAUSED BY WHAT CONDITION? - correct
answers 3mm MUSCULAR VSD
QpQs IS USED TO EVALUATE THE SEVERITY OF WHICH ABNORMALITY - correct
answers VENTRICULAR SEPTAL DEFECT
CORRECT ANSWERS
STRESS ECHOCARDIOGRAM IS MOST BENEFICIAL WITH PATIENTS WITH SUSPECTED - correct
answers CORNARY ARTERY DISEASE
WHAT DOPPLER MEASUREMENT IS NECESSARY TO CALCULATE THE END DIASTOLIC PRESSURE IN
THE PULMONARY ARTERY - correct answers END DIASTOLIC VELOCITY OF PULMONARY
REGURGITATION
A PATIENT IS REFFERED 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? -
correct answers INFECTIVE ENDOCARDITIS
IF AN 82 YEAR OLF 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 - correct answers 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? - correct answers 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? - correct answers ENDOCARDITIS
WHAT IS DRESSLERS SYNDROME? - correct answers pericarditis 4 weeks after acute MI
A REGGURGITANT JET FROM THE AORTIC VALVE FILLS 70 PERCENT OF THE LVOT, THIS INDICATES
- correct answers SEVERE
,PARADOXICAL IVS MOTION IS A COMMON COMPLICATION OF WHAT - correct
answers 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 - correct answers 60
SECONDS
WHY DOES THE FOAMEN OVALE CLOSE IN MOST BABIES AFTER BIRTH - correct
answers 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 EXTENS VERTICALLY
BETWEEN THE SVC AND IVC - correct answers CRISTA TERMINALIS
THE MOST IMPORTANT CARDIAC STRUCTURE THAT SHOULD BE EVALUATED IN PATIENTS WITH
SUSPECTED TAMPONADE - correct answers RIGHT VENTRICULAR FREE WALL
A PATIENT PRESENTS FOR AN ECHO DUE TO SOB, MALAISE AND THE PRESENCE OF OSLER
NODES AND JANEWAY LESIONS. THE REFFERING PHYSICIAN MOST LIKELY SUSPECTS - correct
answers INFECTIVE ENDOCARDITIS
A 44 YEAR PATIENT PRESENTS FOR AN ECHO DUE TO A HEART MURMUR, YOU IDENTIFY MITRAL
VALCE PROLAPSE AND BICUSPID AO VALVE. WHAT OTHER ABNORMALITY IS ASSOCIATED WITH
THESE? - correct answers COARCTION
A PATIENT PRESENTS FOR AN ECHO AND IS 6'3 AND 380 LBS. WHICH TRANDSUCER WOULD BE
THE BEST - correct answers 2MHz
, A HARSH SYSTOLIC, CRESCENDO DECRESCENDO MURMUR IS HEARD AT THE LEFT STERNAL
BORDER MOST LIKELY INDICATED WHICH OF THE FOLLOWING ABNORMALITIES - correct
answers 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? - correct answers COLOR DOPPLER PRF IS SET TOO HIGH
WHICH OF THE FOLLOWING STANDARD VIEWS WILL DEMONSTRATE THE POSTERIOR LEAFLET
OF THE TRICUSPID VALVE - correct answers 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 - correct
answers TRICUSPID VALVE
WHAT ADJUSTMENTS SHOULD BE MADE TO THE DOPPLER SETTINGS WHEN EVALUATING LEFT
VENTRICULAR INFLOW IN A PATIENT WITH CONSTRICTIVE PERICARDITIS? - correct
answers DECREASE THE SWEEP SPEED
WHICH ECHO VIEW BEST DEMONSTRATES A MUSCULAR VSD USING COLOR DOPPLER - correct
answers SUBCOSTAL 4 CHAMBER
FLATTENING OF THE IVS IS LEAST LIKELY TO BE CAUSED BY WHAT CONDITION? - correct
answers 3mm MUSCULAR VSD
QpQs IS USED TO EVALUATE THE SEVERITY OF WHICH ABNORMALITY - correct
answers VENTRICULAR SEPTAL DEFECT
