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URR Echocardiography Exam 2026/2027 | Complete Questions & Verified Answers | Cardiology Board Prep

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Complete study guide for the URR Echocardiography Exam (2026/2027 Latest Update). Features verified questions and answers covering cardiac anatomy, hemodynamics, congenital heart defects (VSD, ASD, PDA, TOF, transposition), valvular pathologies (stenosis, regurgitation, prolapse), myocardial disease (cardiomyopathies, hypertrophy, diastolic dysfunction), pericardial disease (effusion, tamponade, constrictive pericarditis), coronary artery anatomy, prosthetic valves, stress echocardiography, contrast agents, Doppler principles, and measurement techniques. Essential for cardiac sonography certification and cardiovascular board exams.

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URR ECHOCARDIOGRAPHY EXAM UPDATED
QUESTIONS WITH CORRECT VERIFIED
ANSWERS 2026/2027

what should be done if patient experiences a vasovagal response? - CORRECT
ANSWER>>>>place patient in Trendelenburg position. this increases venous
return to the heart.

which method of cardiac cath is used to assess aortic and mitral stenosis? -
CORRECT ANSWER>>>>Gorlin Formula

which method of cardiac cath is used to assess cardiac output and O2 saturation? -
CORRECT ANSWER>>>>Fick Method

what is another name for right heart cath? - ✔✔✔ANSWER>>>>Swan-Ganz
Catheterization

where can catheter be inserted for a right heart cath? -
✔✔✔ANSWER>>>>Antecubital Vein, IJV, Subclavian Vein or Superficial
Femoral Vein

left heart cath is inserted into the and is most commonly used to evaluate . -
✔✔✔ANSWER>>>>Superficial Femoral Artery and advanced into Aorta,
evaluates CAD




Page | 1

, where is the cath inserted for a coronary angiography? -
✔✔✔ANSWER>>>>brachial artery or Superficial Femoral Artery. it is
advanced into Ao Root

a stenosis of > % indicates significant stenosis requiring treatment - CORRECT
ANSWER>>>>70%

what are 3 isotopes of nuclear cardiology? - ✔✔✔ANSWER>>>>thallium,
cardiolyte and technetium

cardiac MRI is limited in evaluating what? - ✔✔✔ANSWER>>>>valvular
structures and fine motion of leaflets

what 3 things can a lateral scar between 4th and 5th rib indicate? - CORRECT
ANSWER>>>>shunt placement, coarctation repair and PDA ligation

what is the most commonly occurring congenital anamoly in pediatric patients? -
CORRECT ANSWER>>>>VSD but many close spontaneously

what are the most common congenital defects seen in adults? -
CORRECT ANSWER>>>>bicuspid AoV (#1), MVP and ASD what
type of murmur is associated with VSD? -
✔✔✔ANSWER>>>>holosystolic

what does the Qp/Qs ratio asses? - ✔✔✔ANSWER>>>>changes in cardiac
output in the right heart vs. left heart

a significant shunt is detected if the Qp/Qs ratio is : or higher -
CORRECT
ANSWER>>>>2:1

, Qp stands for what? - ✔✔✔ANSWER>>>>Pulmonary Cardiac
Output Qs stands for what? - ✔✔✔ANSWER>>>>Systemic
Cardiac Output
for Qp, measure the diameter at the base of the in mid diastole. -
✔✔✔ANSWER>>>>RVOT diameter, pulmonary leaflets

for Qs, measure the diameter at the base of the . - CORRECT
ANSWER>>>>LVOT, aortic leaflets

CSA= x diameter ² - ✔✔✔ANSWER>>>>CSA=.785xLVOT(or
RVOT)diameter ²

formula for pulmonic or systemic SV= × × - CORRECT
ANSWER>>>>SV=CSA×VTI×100 formula for oulmonic or systemic
CO= × - ✔✔✔ANSWER>>>>CO=SV×HR

the most common type of VSD is and it is located in . the best view to see it is .
- ✔✔✔ANSWER>>>>Perimembranous, found in LVOT near AoV.
best seen in PLAX

what is the second most common type of VSD and where is it located? -
CORRECT ANSWER>>>>muscular/trabecular. located in the muscular portion of
IVS

an outlet/supracristal VSD is located in the and 60-70% have
associated - ✔✔✔ANSWER>>>>RVOT, right aortic cusp prolapse



an Inlet VSD is located in the septum - ✔✔✔ANSWER>>>>posterior septum


Page | 3

, small VSDs can lead to what? - ✔✔✔ANSWER>>>>dilated LV with hyperkinesis
+ LA dilation= left heart volume overload

large VSDs can lead to what syndrome with what type of shunt? -
CORRECT ANSWER>>>>Eisenmenger syndrome with right to left
shunt shunt flow in VSD is usually to - ✔✔✔ANSWER>>>>left to
right

Qp/Qs ratio of > : ___ require surgical intervention - ✔✔✔ANSWER>>>>>1.5:1

to get RVSP with VSD, you first need to calculate the pressure gradient across
VSD with the
equation. after you obtain this, what is the formula to get RVSP? - CORRECT


ANSWER>>>>bernoulli. RVSP=systolic BP-VSD gradient

what is the second most common form of congenital heart disease? - CORRECT
ANSWER>>>>ASD (after bicuspid AoV)

the most common type of ASD is and it is located in the area. associated
with - ✔✔✔ANSWER>>>>septum secundum, located in the mid septal area.
associated with MVP

what is the second most common type of ASD and what is it associated with? -
CORRECT ANSWER>>>>septum primum (close to MV and TV), associated
with cleft MV

what type of ASD is an absence of the septum and what syndrome is it associated
with? - ✔✔✔ANSWER>>>>Common Atrium ASD, associated with Ellis Can
Creveld Syndrome

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