CCI Echocardiography Practice Questions with
COMPLETE SOLUTIONS
Which Aortic leaflet is the superior one in the PSLA Correct Answer: Right Leaflet
Name the tricuspid leaflets Correct Answer: Posterior and Anterior
The coronary arteries come off of the.. Correct Answer: Sinus of Valsalva
Name the vessels coming off the arch and the most proximal or distal. Correct Answer:
Innominate (proximal), left carotid, and the left subclavian (distal)
What cardiac pathology is associated with bicuspid aortic valves? Correct Answer: Coarctation
of the Aorta
Where do the most aortic Coarctation occur? Correct 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? Correct Answer: Rights
and left superior (upper) pulmonary veins
Where is the coronary sinus located? Correct Answer: Posterior AV groove
To visualize the coronary sinus in the apical 4 chamber view you should tilt the transducer..
Correct Answer: Posterior
During which phase do the coronaries fill? Correct Answer: early diastole
Where is the chiari network located? Correct Answer: RA
What portion of the pulmonary venous PW Doppler represents atrial systole? Correct Answer: A
wave
Know frequency for TEE probes versus TTE Correct 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? Correct Answer: 40-45C
Know TEE views by esophageal level (know mid esophageal- ME and transgastric) and degrees.
Correct Answer: 4ch- 0 degrees
2ch- 90 degrees
LAX- 120 degrees
Why is the SA node the primary pacemaker? Correct 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. Correct
Answer: Inside to outside. Look at the purkinje fibers above.
What is the absolute refractory state? Correct Answer: That period when a muscle cell is not
excitable- from phase 1 into phase 3; the 'relative refractory period' is during phase 3 and the
muscle cell might contract if the stimulus is strong.
Know what P wave, P-R interval, T wave represents Correct Answer: P wave- atrial systole
P-R interval- includes P-R segment (from atrial to ventricular depolarization)
QRS complex- ventricular diastole (repolarization)
What is the normal duration for the QRS complex? Correct Answer: 0.10 sec
Frank-Sterling Law Correct Answer: Increased volume= increased contractility
RUBBER BAND THEORY
Acute AI is hypercontractile because we shift up the Starling curve Correct Answer: Chronic AI
is failure when we drop off the end
Does a PDA (patent ductus arteriosus) increase LV preload? Correct Answer: yes (when shunt
L-R)
Echo finding for preload vs. afterload... Correct Answer: Preload= dilatation
Afterload= hypertrophy
Which study does not allows for the calculations of ejection fraction? Correct Answer: CXR
Does venous return increase or decrease with inspiration? Correct Answer: Increase
Mitral valve velocity during inspiration increases or decreases? Correct Answer: Increases
Hepatic venous flow reveral indicates _______ TR. Correct Answer: Severe
Given a TR velocity of 4.0m/sec what is the RVSP? Correct Answer: 70mmHg
A patient has a RVSP of 60mmHg. One year later the RVSP is 30mmHg. What happened to the
pt? Correct Answer: Coanda effect?
Coanda Effect- Define. Correct Answer: Wall hugging effect
Pulmonary venous systolic flow reversal is.. Correct Answer: Severe MR
Which of the following is used in echo to measure dP/dt? Correct Answer: Mitral regurgitation
COMPLETE SOLUTIONS
Which Aortic leaflet is the superior one in the PSLA Correct Answer: Right Leaflet
Name the tricuspid leaflets Correct Answer: Posterior and Anterior
The coronary arteries come off of the.. Correct Answer: Sinus of Valsalva
Name the vessels coming off the arch and the most proximal or distal. Correct Answer:
Innominate (proximal), left carotid, and the left subclavian (distal)
What cardiac pathology is associated with bicuspid aortic valves? Correct Answer: Coarctation
of the Aorta
Where do the most aortic Coarctation occur? Correct 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? Correct Answer: Rights
and left superior (upper) pulmonary veins
Where is the coronary sinus located? Correct Answer: Posterior AV groove
To visualize the coronary sinus in the apical 4 chamber view you should tilt the transducer..
Correct Answer: Posterior
During which phase do the coronaries fill? Correct Answer: early diastole
Where is the chiari network located? Correct Answer: RA
What portion of the pulmonary venous PW Doppler represents atrial systole? Correct Answer: A
wave
Know frequency for TEE probes versus TTE Correct 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? Correct Answer: 40-45C
Know TEE views by esophageal level (know mid esophageal- ME and transgastric) and degrees.
Correct Answer: 4ch- 0 degrees
2ch- 90 degrees
LAX- 120 degrees
Why is the SA node the primary pacemaker? Correct 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. Correct
Answer: Inside to outside. Look at the purkinje fibers above.
What is the absolute refractory state? Correct Answer: That period when a muscle cell is not
excitable- from phase 1 into phase 3; the 'relative refractory period' is during phase 3 and the
muscle cell might contract if the stimulus is strong.
Know what P wave, P-R interval, T wave represents Correct Answer: P wave- atrial systole
P-R interval- includes P-R segment (from atrial to ventricular depolarization)
QRS complex- ventricular diastole (repolarization)
What is the normal duration for the QRS complex? Correct Answer: 0.10 sec
Frank-Sterling Law Correct Answer: Increased volume= increased contractility
RUBBER BAND THEORY
Acute AI is hypercontractile because we shift up the Starling curve Correct Answer: Chronic AI
is failure when we drop off the end
Does a PDA (patent ductus arteriosus) increase LV preload? Correct Answer: yes (when shunt
L-R)
Echo finding for preload vs. afterload... Correct Answer: Preload= dilatation
Afterload= hypertrophy
Which study does not allows for the calculations of ejection fraction? Correct Answer: CXR
Does venous return increase or decrease with inspiration? Correct Answer: Increase
Mitral valve velocity during inspiration increases or decreases? Correct Answer: Increases
Hepatic venous flow reveral indicates _______ TR. Correct Answer: Severe
Given a TR velocity of 4.0m/sec what is the RVSP? Correct Answer: 70mmHg
A patient has a RVSP of 60mmHg. One year later the RVSP is 30mmHg. What happened to the
pt? Correct Answer: Coanda effect?
Coanda Effect- Define. Correct Answer: Wall hugging effect
Pulmonary venous systolic flow reversal is.. Correct Answer: Severe MR
Which of the following is used in echo to measure dP/dt? Correct Answer: Mitral regurgitation
