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CCI RCS Registry –URR Exam Questions and Answers
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CCI RCS Registry –URR ExamQuestions and Answers
The peak velocity of aortic regurgitation indicates the maximum pressure gradient
between:
the aorta and the LV in systole
the aorta and the LV in diastole
the LV and the LA in diastole
the LV and the LA in diastole - Answer -the aorta and the LV in diastole
Which type of image resolution improves with proper placement of the focal zone at the
area of interest?
temporal
lateral
contrast
elevational - Answer -Lateral
The tissue of the interventricular septum will be best visualized when:
the US beam is parallel to the long axis of the septum
the US beam is perpendicular to the long axis of the septu
the dynamic range is increased
harmonics is turned off - Answer -the US beam is perpendicular to the long axis of the
septum
A 38yr old male presents for an echo due to a systolic murmur and has no other cardiac
symptoms. Due to patient habitus, 2D imaging is significantly limited but the EF%
appears normal. The aortic valve velocity is 4m/s with a peak pressure gradient of
64mmHg and no aortic insufficiency is detected. Which of the following is the most likely
etiology of the aortic stenosis?
bicuspid AV
infective endocarditis
degenerative disease
,Marfans syndrome - Answer -bicuspid AV
All of the following are evaluated on a cardiac MRI, except:
regurgitant volume of mitral regurgitation
left ventricular mass
mitral valve prolapse
left ventricular systolic volume - Answer -mitral valve prolapse
Cardiac MRI cannot demonstrate the fine structures and motion of the valves.
You are performing a resting echo with contrast for wall motion evaluation. Just after the
injection of microbubble contrast, the patient complains of feeling short of breath and
their face appears to be flushed. The heart rate on the EKG is 117bpm. Which of the
following correctly describes their symptoms?
the patient is most likely experiencing a vasovagal reaction to the contrast
this is a normal response to perfluorocarbon contrast media
the symptoms are most likely related to anxiety
the patient is most likely experiencing an anaphylactic reaction to the contrast - Answer
-the patient is most likely experiencing an anaphylactic reaction to the contrast
Tachycardia, bronchospasm, wheezing, pruitis, erythema, hives and a feeling of
impending doom are symptoms related to an anaphylactic response. Because the short
time frame between contrast injection and the symptoms, the most likely cause of the
symptoms is an allergic reaction.
Flattening of the IVS is least likely to be associated with which of the following?
3mm muscular VSD
Congestive heart failure
Large ASD
Pulmonary HTN - Answer -3mm muscular VSD
,Which of the following correctly describes the way to tell the difference between a
vasovagal response and anaphylaxis caused by contrast injection?
Hypertension is a sign of vasovagal response, while hypotension is a sign of
anaphylaxis.
Tachycardia is a sign of vasovagal response, while bradycardia is a sign of anaphylaxis.
A feeling of impending doom is a sign of vasovagal response, while dizziness and near
syncope are signs of anaphylaxis.
Pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis. -
Answer -Pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis.
The right coronary artery supplies which of the following with blood?
LV anterior wall
LV apex
ventricular septum
interatrial septum - Answer -interatrial septum
The right coronary artery supplies the RV free wall, RV apex, inferior LV wall and
interatrial septum with blood.
All of the following describe Pompe disease, except?
type of infiltrative disease of the myocardium
involves abnormal storage of glycogen in the muscle tissues
autosomal recessive disease
involves abnormal storage of fat in the muscle tissues - Answer -involves abnormal
storage of fat in the muscle tissues
, Pompe disease is an autosomal recessive disorder that causes the abnormal storage of
glycogen in the myocardial tissue. It causes increased ventricular thickening.
If the peak velocity of the E wave on the mitral tracing is 1.2m/s and the tissue Doppler
assessment of the septal annulus indicates a peak velocity of E' of 6cm/s, the LV
diastolic filling pressures are ________________.
decreased
increased
unable to be estimated without more information
normal - Answer -increased
1.2m/s = 120cm/s
E/E' = 120/6 = 20
E/E' <8 is normal, >15 indicates increased LV filling pressures
All of the following correctly describe end diastolic pressure in the left ventricle, except:
is normally at least 3X the right ventricular diastolic pressure
it is elevated with moderate - severe aortic insufficiency
it is equivalent to the mean left atrial pressure
it is defined as LV preload - Answer -is normally at least 3X the right ventricular
diastolic pressure
Left ventricular diastolic pressure is equivalent to the mean left atrial pressure. LV
preload is defined as the diastolic pressure in the left ventricle. Significant AI will
increase the diastolic pressure in the left ventricle. The diastolic pressure in the normal
RV is usually less than 5mmHg below the LV diastolic pressure.
Which of the following best describes the primary reason why the TEE probes are
soaked in a disinfectant for a specified amount of time?
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