1|Page
CCI Cardiovascular Credentialing International
Cardiac Sonography Exam||Verified Questions with
Correct Answers and explanations LATEST THIS
YEAR -JUST RELEASED.pdf||NEWEST EXAM!!!
What is pulsus alternans? which cardiomyopathy presents
with this sign? - Answer-pulsus alternans occurs when the
heart has one good beat with normal stroke volume and
then it has to rest so it has a beat with reduced stroke
volume; this is seen with dilated CM
Whats the guideline for diagnosis LV mechanical
dysnchrony? Which cardiomyopathy presents with this?
Whats the treatment? - Answer-LV dysnchrony can be
measured with M mode thru the PSAX and the time
between the septal systolic peak to lateral wall systolic
peak can be measured. Can also be measured as time to
peak velocity in the RVOT compared to the LVOT
>130 msec = LV dysynchrony
occurs with DCM
Treatment = Biventricular pacemaker (CRT)
,2|Page
Decreased E to F slope, and diastolic dysfunction with a
high E/e' is seen with which cardiomyopathy? - Answer-
hypertrophic CM
After eating (post prandial), what happens to the blood
volume in the heart? In which cardiomyopathy assessment
on echo is this important? - Answer-postprandial leads to
increased blood volume in the GI system which reduced
blood volume in the heart (decreased preload). This will
increase outflow tract obstruction with HOCM
What is the key differentiating feature between LVOT
obstruction on doppler and MR? - Answer-Timing of the
cardiac cycle is the only 100% way to differentiate MR and
LVOT obstruction. MR will be holosystolic (IVCT + ET +
IVRT) and LVOT obstruction will only be during the systolic
ejection phase
CW of MR signal demonstrating Doppler drop out ("lobster
claw") indicated which cardiomyopathy/condition? -
Answer-Apical cardiomyopathy with an apical pouch
Whats the normal stroke volume & cardiac output? -
Answer-SV = 50-100 mL/beat, CO = 4-8 L/min
, 3|Page
ECG T wave inversion indicates which cardiomyopathy? -
Answer-apical hypertrophic CM
Which condition causes inflammation of the endocardium
that results in a thick endocardial layer that thrombus then
forms on top of? - Answer-Hypereosinophilic syndrome
(Loefflers endocarditis)
List examples of these types of Restrictive CMs:
1 - Non infiltrative
2 - Infiltrative
3 - Endomyocardial
4 - Storage disease - Answer-non infiltrative = HCM,
Scleroderma
infiltrative = Amyloid, sarcoid, Fabrys
endomyocardial = hypereosinophilic syndrome, cardinoid,
radiation heart
storgage dx = hemochromotosis
Whats the difference between a primary and secondary
cardiomyopathy? - Answer-primary = predominantly
CCI Cardiovascular Credentialing International
Cardiac Sonography Exam||Verified Questions with
Correct Answers and explanations LATEST THIS
YEAR -JUST RELEASED.pdf||NEWEST EXAM!!!
What is pulsus alternans? which cardiomyopathy presents
with this sign? - Answer-pulsus alternans occurs when the
heart has one good beat with normal stroke volume and
then it has to rest so it has a beat with reduced stroke
volume; this is seen with dilated CM
Whats the guideline for diagnosis LV mechanical
dysnchrony? Which cardiomyopathy presents with this?
Whats the treatment? - Answer-LV dysnchrony can be
measured with M mode thru the PSAX and the time
between the septal systolic peak to lateral wall systolic
peak can be measured. Can also be measured as time to
peak velocity in the RVOT compared to the LVOT
>130 msec = LV dysynchrony
occurs with DCM
Treatment = Biventricular pacemaker (CRT)
,2|Page
Decreased E to F slope, and diastolic dysfunction with a
high E/e' is seen with which cardiomyopathy? - Answer-
hypertrophic CM
After eating (post prandial), what happens to the blood
volume in the heart? In which cardiomyopathy assessment
on echo is this important? - Answer-postprandial leads to
increased blood volume in the GI system which reduced
blood volume in the heart (decreased preload). This will
increase outflow tract obstruction with HOCM
What is the key differentiating feature between LVOT
obstruction on doppler and MR? - Answer-Timing of the
cardiac cycle is the only 100% way to differentiate MR and
LVOT obstruction. MR will be holosystolic (IVCT + ET +
IVRT) and LVOT obstruction will only be during the systolic
ejection phase
CW of MR signal demonstrating Doppler drop out ("lobster
claw") indicated which cardiomyopathy/condition? -
Answer-Apical cardiomyopathy with an apical pouch
Whats the normal stroke volume & cardiac output? -
Answer-SV = 50-100 mL/beat, CO = 4-8 L/min
, 3|Page
ECG T wave inversion indicates which cardiomyopathy? -
Answer-apical hypertrophic CM
Which condition causes inflammation of the endocardium
that results in a thick endocardial layer that thrombus then
forms on top of? - Answer-Hypereosinophilic syndrome
(Loefflers endocarditis)
List examples of these types of Restrictive CMs:
1 - Non infiltrative
2 - Infiltrative
3 - Endomyocardial
4 - Storage disease - Answer-non infiltrative = HCM,
Scleroderma
infiltrative = Amyloid, sarcoid, Fabrys
endomyocardial = hypereosinophilic syndrome, cardinoid,
radiation heart
storgage dx = hemochromotosis
Whats the difference between a primary and secondary
cardiomyopathy? - Answer-primary = predominantly
