CCI ECHO EXAM QUESTIONS AND
ANSWERS
All of the above
A pt presents with a transcatheter aortic valve replacement. What information
must the sonographer obtain prior to performing the echocardiogram? Choose
all answers that apply.
Date of implantation
Size of Valve
Systemic blood pressure
Prior LV Ejection Fraction
Dilated Cardiomyopathy
The double diamond sign on an M -mode tracing of the MV is indicative of mid
diastolic closure caused by.....
Acute MI
Dressler Syndrome
Pulmonary HTN
Dilated cardiomyopathy
E-F
The slope between which two points of the Doppler tracing of the mitral valve
are used to calculate the pressure half time?
,D-E
E-F
E-A
E/E'
The inability to detect two or more contiguous segments in any three of the apical
windows
Microbubble contrast evaluation of the LV is performed when standard 2D
images are suboptimal. Suboptimal images are defined as:
The inability to detect two or more contiguous segments in any of the apical
windows
The inability to detect two or more contiguous segments in any three of the apical
windows
dp/dt
Which of the following calculations demonstrates the rate of increase in left
ventricle pressure during systolic contraction?
EF %
Qp/Qs
dp/dt
Fractional Shortening
Mitral valve waveform
The image demonstrates a Doppler waveform from the mitral valve, A caliper is
placed on the E peak velocity. The blue dot is placed where the second cursor
would be placed.
,Papillary Muscle
Which of the following should be omitted from the optimal parasternal long axis
view of the left ventricle?
Right ventricular outflow tract
Papillary muscle
Descending Aorta
Coronary sinus
The membranous type of VSD is located at the junction of the left ventricular
outflow tract and the muscular portion of the septum.
Which of the following regarding ventricular septal defects is true?
Pulmonary HTN
In tamponade the RV free wall will collapse in diastole, except in patients with
significant:
Systemic HTN
Pulmonary HTN
tricuspid regurgitation
pericardial effusion
Cardiac output / body surface area
How is the cardiac index calculated ?
Cardiac output / body surface area
, stroke volume / cardiac output
cardiac output / stroke volume
Stroke volume x cardiac output x body surface area
Left arm, SVC
In order to diagnose a persistent left SVC, the ultrasound enhancing agent
should be injected in the _____ and it will be seen in the ____ before entering
the right heart if the exam is positive.
left arm, SVC
right arm, LA
Left arm, coronary sinus
left arm, pulmonary veins
LV posterior wall thickness 1.5 cm
Which of the following is a characteristic of an athlete heart?
sustained tachycardia at rest
LV posterior wall thickness 1.5 cm
moderate biatrial enlargement
interventricular septal thickness 1.5 cm
leading edge to leading edge, from the aortic sinus to the posterior atrial wall
Which of the following correctly describes how to measure the left atrium in the
parasternal view?
Leading edge to leading edge, from the aortic sinus to the posterior atrial wall
outer edge to inner edge, from the aortic sinus to the posterior atrial wall
Leading edge to leading edge, from the LVOT to the posterior atrial wall
ANSWERS
All of the above
A pt presents with a transcatheter aortic valve replacement. What information
must the sonographer obtain prior to performing the echocardiogram? Choose
all answers that apply.
Date of implantation
Size of Valve
Systemic blood pressure
Prior LV Ejection Fraction
Dilated Cardiomyopathy
The double diamond sign on an M -mode tracing of the MV is indicative of mid
diastolic closure caused by.....
Acute MI
Dressler Syndrome
Pulmonary HTN
Dilated cardiomyopathy
E-F
The slope between which two points of the Doppler tracing of the mitral valve
are used to calculate the pressure half time?
,D-E
E-F
E-A
E/E'
The inability to detect two or more contiguous segments in any three of the apical
windows
Microbubble contrast evaluation of the LV is performed when standard 2D
images are suboptimal. Suboptimal images are defined as:
The inability to detect two or more contiguous segments in any of the apical
windows
The inability to detect two or more contiguous segments in any three of the apical
windows
dp/dt
Which of the following calculations demonstrates the rate of increase in left
ventricle pressure during systolic contraction?
EF %
Qp/Qs
dp/dt
Fractional Shortening
Mitral valve waveform
The image demonstrates a Doppler waveform from the mitral valve, A caliper is
placed on the E peak velocity. The blue dot is placed where the second cursor
would be placed.
,Papillary Muscle
Which of the following should be omitted from the optimal parasternal long axis
view of the left ventricle?
Right ventricular outflow tract
Papillary muscle
Descending Aorta
Coronary sinus
The membranous type of VSD is located at the junction of the left ventricular
outflow tract and the muscular portion of the septum.
Which of the following regarding ventricular septal defects is true?
Pulmonary HTN
In tamponade the RV free wall will collapse in diastole, except in patients with
significant:
Systemic HTN
Pulmonary HTN
tricuspid regurgitation
pericardial effusion
Cardiac output / body surface area
How is the cardiac index calculated ?
Cardiac output / body surface area
, stroke volume / cardiac output
cardiac output / stroke volume
Stroke volume x cardiac output x body surface area
Left arm, SVC
In order to diagnose a persistent left SVC, the ultrasound enhancing agent
should be injected in the _____ and it will be seen in the ____ before entering
the right heart if the exam is positive.
left arm, SVC
right arm, LA
Left arm, coronary sinus
left arm, pulmonary veins
LV posterior wall thickness 1.5 cm
Which of the following is a characteristic of an athlete heart?
sustained tachycardia at rest
LV posterior wall thickness 1.5 cm
moderate biatrial enlargement
interventricular septal thickness 1.5 cm
leading edge to leading edge, from the aortic sinus to the posterior atrial wall
Which of the following correctly describes how to measure the left atrium in the
parasternal view?
Leading edge to leading edge, from the aortic sinus to the posterior atrial wall
outer edge to inner edge, from the aortic sinus to the posterior atrial wall
Leading edge to leading edge, from the LVOT to the posterior atrial wall
