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CCI exam questions with correct answers
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CCI exam questions with correct answers
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CCI exam questions with correctanswers
Which valves separate the areas of greatest pressure differences (and lowest) - Answer
-Mitral valve (TV)
The LAD lies in the _______ interventricular sulcus? - Answer -Anterior
From the left parasternal window which of the following are you most likely to get
accurate velocity measurements? - Answer -pulmonary artery
During which phase do the Coto Aries fill? - Answer -Easily diastole
From the apical 4ch view how do you rotate the transducer to obtain the apical LAX? -
Answer -Counterclockwise 120
Which valve sits at the opening of the coronary sinus? - Answer -Thebesian
Which has the fastest intrinsic rate? - Answer -SA node
With a velocity of .5 m/sec what is the gradient? - Answer -1 mm Hg
How do you eliminate aliasing on PW spectral Doppler? - Answer -Switch to CW
Doppler
What does VTI x CSA equal? - Answer -Doppler stroke volume
Inhalation of amyl nitrite causes: - Answer -Decreased afterload
Know isovolumetric timing with the ECH - Answer -After R wave= isovolumic contraction
After T wave= isovolumic relaxation
On the wingers diagram when is the mitral valve open? - Answer -4-1
When is the LV and LA volumes highest? - Answer -LV- end diastole
LA- end systole
,What are the normal pressure in the pulmonary artery - Answer -25/10
Where is the O2 saturation the lowest? - Answer -coronary sinus
O2 saturation in the pulmonary veins - Answer -95%
O2 saturation in pulmonary arteries - Answer -75%
Best cath technique for LV function? - Answer -LV angiogram
Left atrial pressure matches the pressure of what other area? - Answer -PCW
What is PCW? - Answer -Left atrial pressure
To determine AS where are the catheters placed? - Answer -1. one in the LV and one in
the Ao
2. or one in the LV and "pulled back" across the AoV or one catheter with two seperate
sensors
Apical swirling of the echo contrast for LVO is caused by: - Answer -High MI
Sonographers should do peer to peer reviews how often for quality/ technical review? -
Answer -2 times per month
Whose responsibility is it to obtain the informed consent prior to a TEE? - Answer -
Physician
A secondary finding in aortic stenosis is? - Answer -Left ventricular hypertrophy
In aortic stenosis is pulse pressure wide or narrow - Answer -Narrow
Systemic hypertension is a common symptom of - Answer -Aortic coarctation
Best view to diagnosis a bicuspid aortic valve is the parasternal - Answer -Short-axis
systole (football shaped)
What is Takayasu arteritis? - Answer -Aortic arch syndrome
Fibrosis of the arch and descending Ao of unknown etiology
The normal aortic valve area is - Answer -3-4 cm2
Using the continuity equation when would the severity of Aortic Stenosis be
underestimated? - Answer -LVOT measured too large
Which pressure is obtained during Doppler? - Answer -Peak or peak instantaneous (for
AS it's the highest gradient anytime during systole)
, Know the echo gradients are usually higher than cath gradients - Answer -Peak
instantaneous va peak to peak
Norman syndrome - Answer -Cardiofacial syndrome with PS, HCM and ASD
Does PS cause Pulmonary hypertension? - Answer -No
MS murmur - Answer -low pitched, diastolic "rumble" with an opening snap
Which cardiac valve is the second most common to be affected by rheumatic heart
disease? - Answer -Aortic
Patients with mitral stenosis often develop: - Answer -atrial fibrillation
With atrial fibrillation mitral stenosis velocity calculations are best performed: - Answer -
Averaged over 5-10 beats
In the psax view which method is used to assess the MV area - Answer -Planimetry
Given a mitral pressure half-time of 400 m/sec what would the area be? - Answer -
0.5cm2
*220/400=0.5, MVA= 220 divided by P 1/2T
Given a mitral deceleration time of 400 m/sec calculate the mitral valve pressure half-
time: - Answer -116
*400x0.29=116
Carcinoid - Answer -Fixed body of the leaflets
Rheumatic - Answer -Tethered leaflet tips
Which anomaly goes with aortic dissection? - Answer -Marfan syndrome
What kind of murmur would you hear in a patient with a rupture of a sinus of Valsalva
aneurysm? - Answer -continuous
What causes MV preclosure? - Answer -an elevated LVEDP (end diastolic pressure)
How would you calculate pulmonary artery end diastolic pressure? - Answer -Pulmonic
insufficiency velocity
Systolic flow reversal of bubbles in the IVC is indicated of Tricuspid Regurgitation or
tamponade? - Answer -Tricuspid Regurgitation
Severe grade TR
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