CCI RCS Registry Prep| 385 QUESTIONS| WITH COMPLETE SOLUTIONS
1. What valve separates the areas of greatest pressure differences? -Correct answer Mitral valve
2. What valve separates the areas of the lowest pressure differences? -Correct answer Tricuspid valve
3. Where does the LAD lie on th...
CCI RCS Registry Prep| 385 QUESTIONS| WITH COMPLETE
SOLUTIONS
1. What valve separates the areas of greatest pressure differences? -Correct answer Mitral valve
2. What valve separates the areas of the lowest pressure differences? -Correct answer Tricuspid
valve
3. Where does the LAD lie on the heart? -Correct answer Anterior interventricular groove
(sulcus)
4. What aortic cusp is superior in PLAX view? -Correct answer RCC
5. What aortic cusp is posterior in PLAX view? -Correct answer NCC
6. From the left parasternal window which of the following are you most likely to get accurate
velocity measurments? -Correct answer Pulmonary artery
7. What view gives the most accurate velocities of the PV/pulmonary artery? -Correct answer
PSAX; short axis
8. What is the red flow traveling to the RA that you can sometimes see from the inflow view? -
Correct answer IVC
9. What are the tricuspid leaflets seen in the inflow view? -Correct answer anterior and posterior
10. Where is the LAA located on TTE? -Correct answer Sometimes can be seen in AV level short
axis, but is better visualized in an apical 2 chamber view
11. The coronary arteries come off the: -Correct answer Sinuses of Valsalva
12. What is the most anomalous artery? -Correct answer Right coronary
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,13. During which phase do the coronaries fill? -Correct answer early diastole
14. True/False --- The coronary arteries can fill during systole -Correct answer False
15. When is TAPSE measured? -Correct answer Between end diastole and peak systole
16. This is the transition between the sinuses of Valsalva and the tubular portion of the ascending
aorta -Correct answer STJ (sinotubular junction)
17. What can sometimes be seen below the RPA in a SSN view? -Correct answer Left atrium
18. The best images of the ascending aorta are often obtained from which transducer window? -
Correct answer suprasternal
19. Name the vessels coming off the arch and most proximal or distal. -Correct answer
Innominate (proximal), left carotid and left subclavian (distal)
20. What cardiac pathology is associated with bicuspid aortic valves? -Correct answer Coarctation
of the aorta
21. Which window do you use to look for the secondary finding in bicuspid valves? -Correct
answer Suprasternal arch; suprasternal notch
22. Where do most aortic coarctations occur? -Correct answer aortic isthmus
23. How can we specifically identify the location of an aortic isthmus? -Correct answer After the
take-off of the left subclavian artery
24. Where are the pulmonary veins located? Where are they best visualized? -Correct answer
Feed into the LA and are best visualized in 4 chamber
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,25. What pulmonary veins are viewed in apical 4 chamber? -Correct answer Lower pulmonary
veins
26. What pulmonary veins are viewed in apical 5 chamber? -Correct answer Upper pulmonary
veins
27. From the apical 4 chamber view how do you rotate the transducer to obtain the apical LAX? -
Correct answer clockwise 120 degrees
28. Where is the coronary sinus located? -Correct answer posterior AV groove
29. Which view do you use to evaluate the coronary sinus? -Correct answer PLAX
30. To visualize the coronary sinus in the apical 4 chamber view you should tilt the transducer: -
Correct answer posterior
31. Which valve sits at the opening of the coronary sinus? -Correct answer Thebesian
32. What valve sits at the opening of the IVC? -Correct answer Eustachian
33. Where is the Chiari network located? -Correct answer Right atrium
34. What portion of the pulmonary venous PW Doppler represents atrial systole? -Correct answer
A wave
35. At what temperature is it unsafe to use a TEE probe? -Correct answer 40-45 degrees celcius
(Above 41 degrees celcius)
36. Which electrical pathway has the fastest intrinsic rate? -Correct answer SA node
37. What is the absolute refractory state? -Correct answer period when a muscle cell is not
excitable; occurs from phase 1 into phase 3
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, 38. What is a normal duration for the QRS complex? -Correct answer 0.10 sec or 100 msec
39. This is known as the rubber band theory -Correct answer Frank Starling Law
40. What occurs during preload? -Correct answer Filling
41. What is occuring during afterload? -Correct answer Resistance to eject blood out
42. Echo findings for preload: -Correct answer dilatation
43. Echo findings for afterload: -Correct answer hypertrophy
44. Which study does not allow for the calculation of ejection fraction? -Correct answer Chest x-
ray
45. How do you eliminate aliasing on PW spectral doppler? -Correct answer Switch to continuous
wave doppler
46. NOTE: Increasing PRF will and switching to a lower frequency transducer will reduce, but not
fully eliminate
47. What does VTI x CSA equal? -Correct answer Doppler stroke volume
48. What are the phases of the valsalva maneuver? -Correct answer Strain and release
49. What occurs during the strain phase of valsalva maneuver? -Correct answer Decreases venous
return, SV and CO
50. What occurs during the release phase of valsalva maneuver? -Correct answer Increases
venous return, CO and BP
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