CCI ECHO STUDY EXAMS GUIDE UPDATED QUESTIONS
AND ANSWERS SURE A+
✔✔Which of the following imaging controls would be best to assist in improving
visualization of the descending aorta posterior to the left atrium on an obese patient?
A. Increase probe frequency
B. Increase output power
C. Move focal zone to the level of the aorta
D. Use saline contrast injection - ✔✔C
✔✔If a patient has a history of undergoing the Fontan procedure, what changes were
made to cardiac circulation?
A. The pulmonary veins were reattached to the left atrium
B. A transcatheter aortic valve replacement was performed
C. The aorta was detached and reconnected to the LV and the pulmonary artery was
detached and reconnected to the RV
D. Systemic venous return connected to the pulmonary artery - ✔✔D
✔✔Pulsus paradoxus is defined as a >10mmHg decrease in systolic BP during
inspiration and is commonly seen with which of the following abnormalities?
A. Cardiac tamponade
B. Coarctation of the aorta
C. Medium to large ASD
D. Coarctation - ✔✔A
✔✔If the LVOT Doppler Tracing is obtained from a location that is too far from the aortic
valve:
A. The LVOT velocity will be overestimated
B. The aortic valve area will be overestimated by the continuity equation
C. The aortic valve area will be underestimated by the continuity equation
D. The stroke volume will be overestimated - ✔✔C
✔✔After a TEE exam on an outpatient, the sonographer should do all of the following,
except:
A. Advise the patient when they can expect the results
B. Confirm that the patient has a ride home
C. Give the patient a copy of their report
D. Soak the probe in a high-level disinfectant - ✔✔C
✔✔Renal cell carcinoma most commonly metastasizes to the heart through the _____.
A. Aorta
B. Portal venous system
C. IVC
D. Lymphatic system - ✔✔C
,✔✔When measuring the left ventricular end systolic volume, you should use the cine
function to:
A. Find the frame just after the MV closes
B. Find the frame just before the MV opens
C. Find the frame just before the AV opens
D. Find the frame at the peak of the R wave - ✔✔B
✔✔End diastole is the frame
A. Just after the MV closes or at the peak of the R wave
B. Just before the MV opens
C. Just before the AV opens
D. At the peak of the T wave - ✔✔A
✔✔End systole is the frame
A. Just after the MV closes or at the peak of the R wave
B. Just before the MV opens
C. Just before the AV opens
D. At the peak of the T wave - ✔✔B
✔✔Which of the following correctly describes the appearance of Uhl anomaly on a
transthoracic echo,
A. Thin walled left ventricle with very poor function and low velocity mitral regurgitation
B. Thick walled left ventricle with very poor function and high velocity mitral regurgitation
C. Thin walled right ventricle with very poor function and low velocity Tricuspid
regurgitation
D. Thick walled right ventricle with very poor function and high velocity Tricuspid
regurgitation - ✔✔C
✔✔AKA parchment heart
A. Ebstein anomaly
B. Uhl anomaly
C. Tetralogy of Fallot
D. D-Transposition - ✔✔B
✔✔If you set the gain to the lowest level and slowly increase it until an echo is identified
on the image, what are you evaluating on the US system?
A. Spatial resolution
B. Registration accuracy
C. Dead zone
D. Minimum sensitivity - ✔✔D
✔✔What type of murmur is associated with an ASD?
A. Systolic murmur, fixed split S1
, B. Diastole murmur, fixed split S2
C. Systolic murmur, fixed split S2
D. Continuous - ✔✔C
✔✔Chronic moderate Tricuspid Regurgitation causes:
A. Right ventricular volume overload
B. Left ventricular volume overload
C. Left ventricular pressure overload
D. Right ventricular pressure overload - ✔✔A
✔✔An eccentric line of valve closure of the aortic valve is a common sign of what
abnormality on m-mode?
A. Vegetation
B. Severe aortic valve stenosis
C. Severe mitral regurgitation
D. Bicuspid aortic valve - ✔✔D
✔✔Increasing the image depth will:
A. Increase the beam intensity
B. Increase the pulse repetition frequency
C. Increase temporal resolution
D. Increase the pulse repetition period - ✔✔D
✔✔Which of the following is a pressure half time that indicates significant mitral
stenosis?
A. 30 msec
B. 60 msec
C. 80 msec
D. 220 msec - ✔✔D
✔✔Which of the following system settings should be kept the same during resting and
stress images for a stress echo?
A. Compression
B. Image depth
C. Focal zone placement
D. Overall gain - ✔✔B
✔✔The echo findings below are most suggestive of:
Non-dilated, thick walled LV with 63% EF% E/A ratio 2.1, E/E' 19
Moderate bilateral enlargement and pulmonary hypertension
RV hypertrophy and dilated IVC
A. Constrictive pericarditis
B. Restrictive cardiomyopathy
C. Fabry disease
AND ANSWERS SURE A+
✔✔Which of the following imaging controls would be best to assist in improving
visualization of the descending aorta posterior to the left atrium on an obese patient?
A. Increase probe frequency
B. Increase output power
C. Move focal zone to the level of the aorta
D. Use saline contrast injection - ✔✔C
✔✔If a patient has a history of undergoing the Fontan procedure, what changes were
made to cardiac circulation?
A. The pulmonary veins were reattached to the left atrium
B. A transcatheter aortic valve replacement was performed
C. The aorta was detached and reconnected to the LV and the pulmonary artery was
detached and reconnected to the RV
D. Systemic venous return connected to the pulmonary artery - ✔✔D
✔✔Pulsus paradoxus is defined as a >10mmHg decrease in systolic BP during
inspiration and is commonly seen with which of the following abnormalities?
A. Cardiac tamponade
B. Coarctation of the aorta
C. Medium to large ASD
D. Coarctation - ✔✔A
✔✔If the LVOT Doppler Tracing is obtained from a location that is too far from the aortic
valve:
A. The LVOT velocity will be overestimated
B. The aortic valve area will be overestimated by the continuity equation
C. The aortic valve area will be underestimated by the continuity equation
D. The stroke volume will be overestimated - ✔✔C
✔✔After a TEE exam on an outpatient, the sonographer should do all of the following,
except:
A. Advise the patient when they can expect the results
B. Confirm that the patient has a ride home
C. Give the patient a copy of their report
D. Soak the probe in a high-level disinfectant - ✔✔C
✔✔Renal cell carcinoma most commonly metastasizes to the heart through the _____.
A. Aorta
B. Portal venous system
C. IVC
D. Lymphatic system - ✔✔C
,✔✔When measuring the left ventricular end systolic volume, you should use the cine
function to:
A. Find the frame just after the MV closes
B. Find the frame just before the MV opens
C. Find the frame just before the AV opens
D. Find the frame at the peak of the R wave - ✔✔B
✔✔End diastole is the frame
A. Just after the MV closes or at the peak of the R wave
B. Just before the MV opens
C. Just before the AV opens
D. At the peak of the T wave - ✔✔A
✔✔End systole is the frame
A. Just after the MV closes or at the peak of the R wave
B. Just before the MV opens
C. Just before the AV opens
D. At the peak of the T wave - ✔✔B
✔✔Which of the following correctly describes the appearance of Uhl anomaly on a
transthoracic echo,
A. Thin walled left ventricle with very poor function and low velocity mitral regurgitation
B. Thick walled left ventricle with very poor function and high velocity mitral regurgitation
C. Thin walled right ventricle with very poor function and low velocity Tricuspid
regurgitation
D. Thick walled right ventricle with very poor function and high velocity Tricuspid
regurgitation - ✔✔C
✔✔AKA parchment heart
A. Ebstein anomaly
B. Uhl anomaly
C. Tetralogy of Fallot
D. D-Transposition - ✔✔B
✔✔If you set the gain to the lowest level and slowly increase it until an echo is identified
on the image, what are you evaluating on the US system?
A. Spatial resolution
B. Registration accuracy
C. Dead zone
D. Minimum sensitivity - ✔✔D
✔✔What type of murmur is associated with an ASD?
A. Systolic murmur, fixed split S1
, B. Diastole murmur, fixed split S2
C. Systolic murmur, fixed split S2
D. Continuous - ✔✔C
✔✔Chronic moderate Tricuspid Regurgitation causes:
A. Right ventricular volume overload
B. Left ventricular volume overload
C. Left ventricular pressure overload
D. Right ventricular pressure overload - ✔✔A
✔✔An eccentric line of valve closure of the aortic valve is a common sign of what
abnormality on m-mode?
A. Vegetation
B. Severe aortic valve stenosis
C. Severe mitral regurgitation
D. Bicuspid aortic valve - ✔✔D
✔✔Increasing the image depth will:
A. Increase the beam intensity
B. Increase the pulse repetition frequency
C. Increase temporal resolution
D. Increase the pulse repetition period - ✔✔D
✔✔Which of the following is a pressure half time that indicates significant mitral
stenosis?
A. 30 msec
B. 60 msec
C. 80 msec
D. 220 msec - ✔✔D
✔✔Which of the following system settings should be kept the same during resting and
stress images for a stress echo?
A. Compression
B. Image depth
C. Focal zone placement
D. Overall gain - ✔✔B
✔✔The echo findings below are most suggestive of:
Non-dilated, thick walled LV with 63% EF% E/A ratio 2.1, E/E' 19
Moderate bilateral enlargement and pulmonary hypertension
RV hypertrophy and dilated IVC
A. Constrictive pericarditis
B. Restrictive cardiomyopathy
C. Fabry disease
