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CCI ECHO Exam Questions and Answers
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CCI ECHO Exam Questions and Answers
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CCI ECHO Exam Questions and AnswersWhen Transporting a Patient with a Urinary Catheter the bag should always be ? -
Answer --Below the patients bladder
A 52 year old women developes a murmur after a myocardial infarction. What is the
most likely etiology? - Answer -Ventricular septal defect VSD
Which of the following choices would not be used to correct for pulced wave doppler
aliasing? - Answer -Use of higher frequency probe
How do you position a patient for using a Pedoff probe along the right sternal border? -
Answer -Right lateral decubitus.
A patient with down syndrome is referred to your lab for an echo. Which of the following
cardiac defects would you likely find? - Answer -Atrioventricular Canal defect.
During a pharmacological echo stress test using Dobutamine which drug is given if the
patient dosnt reach target heart rate? - Answer -Atropine
How do you position a patient for a TEE exam? - Answer -Left lateral decubitus
If you measure the LVOT too big how will this affect your measurement for the aortic
area? - Answer -Area is to large
A patient with AIDS ( acquired Immune Deficiency Syndrome) might present with what
type of cardiomyopathy? - Answer -Dilated
A 3 year old patient comes to the lab with a systolic murmur. what is the most likely
etiology? - Answer -Ventricular septal defect.
In a patient with COPD which frequency transducer would most likely result in the best
images? - Answer -2.25MHz
Which is the best stress echo technique for revealing hibernating or stunned
myocardium? - Answer -Dobutamine
,You are in the emergency department and a patient presents with the signs and
symptoms of aortic dissection. which modality would give you the most rapid diagnosis?
- Answer -TEE
which is the proper term when the pulmonic valve is removed and put in place of the
aortic valve in the same patient? - Answer -autograft
Know that pericarditis (pericardial Effusion) can present with positional chest pain. -
Answer -Hurts more in certain positions or when changing positions.
what is the 1st structure seen when imaging from the suprasternal notch? - Answer -
Aortic arch
which of the following drugs is used in Nuclear stress test? - Answer -Thallium
which of the following is the most important echo to do? - Answer -Murmur Post MI
At what time during fetal growth is the heart first fully developed? - Answer -40 days
on the 3oth day, the trunks normally divides. what anomaly occurs if the truncus does
not divide? - Answer -Truncus ateriosus
The sinus venosus forms all of the following except: - Answer -Pulmonary arteries
The truncus ateriosus forms all of the following except: - Answer -Pulmonary veins
what are the two right to left saints in the normal fetal circulation? - Answer -Foramen
oval and ductus arteriosus
which of the following left to right shunts is the last to close in the normal post partum
period? when does it close ? - Answer -patent foramen ovale, closes at the end of the
first week.
in the normal fetal circulation, which of the following has the least amount of blood flow?
- Answer -pulmonary veins
all of the following hemodynamic events occur post delivery except: - Answer -Left atrial
pressure decreases
The fetal ductus arteriosus closes soon after birth. what structure does it become? -
Answer -ligamentum arteriosum
The ductus arteriosus connects the pulmonary artery and aorta in the fetus. at what site
does the ductus attach to the aorta? - Answer -aortic isthmus
, the following five structures are activated during a single cardiac cycle. Rank them in
the normal order of activation. - Answer -SA node
AV node
Bundle of His
left bundle branch
purkinje fibers
which of the following structures is the primary pacemaker of the heart? - Answer -SA
node
During the resting state, which of the following ions are pumped out of the cells of the
myocardium? - Answer -Sodium
Following electrical depolarization of the myocardial cell membrane, which ion rushes in
first, and which ion rushes in later? - Answer -sodium followed by calcium
which of the following helps slow heart muscle contraction? - Answer -potassium
in the cardiac cell action potential, what phases are included in the absolute refractory
period? - Answer -phases 1 into phase 3
when contraction against which of the following pressures will the velocity of muscle cell
contraction be more rapid? - Answer -75 mmHg
what happens to the beat following a premature ventricular depolarization ? - Answer -
the beat is stronger than a typical beat
what is the Frank sterling Law? - Answer -the more the heart muscle is stretched, the
more forcefully it contracts.
which of the following best describes preload? - Answer -LV filling
all of the following tend to increase preload except: - Answer -AS
what best describes afterload? - Answer -aortic pressure
all of the following tend to increase after load except? - Answer -MR
what is the predominant echo findings associated with increased after load? - Answer -
LV hypertrophy
what is the predominant echo finding associated with increased preload? - Answer -LV
Dilation
Afterload equals : - Answer -hypertrophy
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