CCI Echocardiography Practice
Questions with 100% Correct
Answers
Which is the following is NOT a TET defect?
a. Large
b. Pulmonic stenosis
c. RVH
d. ASD - Answer- ASD
Blood follows the path of less resistance. _____ reverses the ______. - Answer-
Squatting, shunt
Where does the oblique sinus of the pericardium lie? - Answer- Posterior to the LA in
the PLAX view
Beck's Triad? 3 options: - Answer- a. elevated venous pressure
b. Hypotension
c. Quiet Heart
The most sensitive way to diagnose cardiac tamponade is: - Answer- Respiratory
variation
What cardiac condition would prevent diastolic right ventricular collapse? - Answer-
Pulmonary Hypertension
Patients in tamponade cannot _________ - Answer- Lay flat
What part of the heart is most likely to be affected by cardiac contusion? - Answer- RV
(most anterior)
What might be the first indication of metastatic cardiac disease? - Answer- Pericardial
effusion
Which cardiac chamber is most likely involved with metastatic tumors? - Answer- RA
Which Aortic leaflet is the superior one in the PSLA - Answer- Right Leaflet
, Name the tricuspid leaflets - Answer- Posterior and Anterior
The coronary arteries come off of the.. - Answer- Sinus of Valsalva
Name the vessels coming off the arch and the most proximal or distal. - Answer-
Innominate (proximal), left carotid, and the left subclavian (distal)
What cardiac pathology is associated with bicuspid aortic valves? - Answer- Coarctation
of the Aorta
Where do the most aortic Coarctation occur? - Answer- After the take-off of the left
subclavian artery, or within the aortic isthmus
Where are the pulmonary veins loca? Which ones are seen in this view? - Answer-
Rights and left superior (upper) pulmonary veins
Where is the coronary sinus located? - Answer- Posterior AV groove
To visualize the coronary sinus in the apical 4 chamber view you should tilt the
transducer.. - Answer- Posterior
During which phase do the coronaries fill? - Answer- early diastole
Where is the chiari network located? - Answer- RA
What portion of the pulmonary venous PW Doppler represents atrial systole? - Answer-
A wave
Know frequency for TEE probes versus TTE - Answer- TTE probes are usually higher 5-
7MGz, while TTE probes are 2-7MHz
At what temperature is it unsafe to use a TEE probe? - Answer- 40-45C
Know TEE views by esophageal level (know mid esophageal- ME and transgastric) and
degrees. - Answer- 4ch- 0 degrees
2ch- 90 degrees
LAX- 120 degrees
Why is the SA node the primary pacemaker? - Answer- The SA node has the highest
intrinsic rate of any cardiac tissue.
The save of contraction (depolarization) moves from the endocardium to the
epicardium. - Answer- Inside to outside. Look at the purkinje fibers above.
Questions with 100% Correct
Answers
Which is the following is NOT a TET defect?
a. Large
b. Pulmonic stenosis
c. RVH
d. ASD - Answer- ASD
Blood follows the path of less resistance. _____ reverses the ______. - Answer-
Squatting, shunt
Where does the oblique sinus of the pericardium lie? - Answer- Posterior to the LA in
the PLAX view
Beck's Triad? 3 options: - Answer- a. elevated venous pressure
b. Hypotension
c. Quiet Heart
The most sensitive way to diagnose cardiac tamponade is: - Answer- Respiratory
variation
What cardiac condition would prevent diastolic right ventricular collapse? - Answer-
Pulmonary Hypertension
Patients in tamponade cannot _________ - Answer- Lay flat
What part of the heart is most likely to be affected by cardiac contusion? - Answer- RV
(most anterior)
What might be the first indication of metastatic cardiac disease? - Answer- Pericardial
effusion
Which cardiac chamber is most likely involved with metastatic tumors? - Answer- RA
Which Aortic leaflet is the superior one in the PSLA - Answer- Right Leaflet
, Name the tricuspid leaflets - Answer- Posterior and Anterior
The coronary arteries come off of the.. - Answer- Sinus of Valsalva
Name the vessels coming off the arch and the most proximal or distal. - Answer-
Innominate (proximal), left carotid, and the left subclavian (distal)
What cardiac pathology is associated with bicuspid aortic valves? - Answer- Coarctation
of the Aorta
Where do the most aortic Coarctation occur? - Answer- After the take-off of the left
subclavian artery, or within the aortic isthmus
Where are the pulmonary veins loca? Which ones are seen in this view? - Answer-
Rights and left superior (upper) pulmonary veins
Where is the coronary sinus located? - Answer- Posterior AV groove
To visualize the coronary sinus in the apical 4 chamber view you should tilt the
transducer.. - Answer- Posterior
During which phase do the coronaries fill? - Answer- early diastole
Where is the chiari network located? - Answer- RA
What portion of the pulmonary venous PW Doppler represents atrial systole? - Answer-
A wave
Know frequency for TEE probes versus TTE - Answer- TTE probes are usually higher 5-
7MGz, while TTE probes are 2-7MHz
At what temperature is it unsafe to use a TEE probe? - Answer- 40-45C
Know TEE views by esophageal level (know mid esophageal- ME and transgastric) and
degrees. - Answer- 4ch- 0 degrees
2ch- 90 degrees
LAX- 120 degrees
Why is the SA node the primary pacemaker? - Answer- The SA node has the highest
intrinsic rate of any cardiac tissue.
The save of contraction (depolarization) moves from the endocardium to the
epicardium. - Answer- Inside to outside. Look at the purkinje fibers above.
