CCI ECHO 2026 QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following is an expected finding with constrictive pericarditis? Choose
all answers that apply.
A. Jugular vein distention
B. Dilated IVC with no respiratory variation in diameter
C. Increased MV deceleration time
D. Pericardial knock - ✔✔A,B,D
✔✔Atrial flutter will produce a ________ on the EKG tracing of the mitral valve.
A. "Shaggy" tracing
B. Flying W
C. Double diamond
D. Sawtooth pattern - ✔✔D
✔✔Which of the following is an indication of a parasternal long axis view being
performed correctly?
A. The IVS and aortic root intersect at a 90° angle
B. The IVS and aortic root appear as a continuous structure with a minimal angle of
intersection
C. The right atrium is visible
D. All three AV cusps are visible - ✔✔B
✔✔A 1 cm round, solid hypoechoic tumor is attached to the chordae of the mitral valve
in a 45-year-old patient. The tumor is most likely a:
A. Papillary fibroelastomas
B. Myxoma
C. Sarcoma
D. Rhabdomyoma - ✔✔A
✔✔What type of tumor typically spreads to the heart through a "fingerlike" projection of
the tumor that extends up to the IVC into the RA?
A. Lymphoma
B. Renal cell carcinoma and uterine carcinoma
C. Breast cancer
D. Lung cancer and melanoma - ✔✔B
✔✔Always transport the patient's IV bag ______ and the urinary catheter bag_______.
A. Below the level of the heart, below the level of the bladder
B. Above the level of the heart, above the level of the bladder
C. Above the level of the heart, on the patient's lap
D. Above the level of the heart, below the level of the bladder - ✔✔D
✔✔The vertical axis on the m-mode display represents the:
A. Motion of the structure
, B. Depth of the reflector
C. Time
D. Frequency shift - ✔✔B
✔✔Which of the following should be suspected on the echo in the presence of a
diastolic murmur?
A. Aortic stenosis
B. ASD
C. MVP
D. Mitral stenosis - ✔✔D
✔✔Which of the following transducer positions will work best for the 2D evaluation of all
three of the sinuses of Valsalva?
A. Subcostal
B. Apical 5 chamber
C. Parasternal long axis
D. Parasternal short Axis - ✔✔D
✔✔Pericardial fluid is normally ________ that is secreted by _______.
A. Mucinous fluid, the lungs
B. Serous fluid, the visceral pericardium
C. Mucinous fluid, small glands within the pericardial sac
D. Serous fluid, the platelets in the blood - ✔✔B
✔✔For patients who demonstrate calcification, degeneration, fibrosis and/or stenosis on
both mitral and aortic valves, the most common etiology would be?
A. Rheumatic disease
B. Amyloidosis
C. Carcinoid disease
D. Atherosclerosis formation - ✔✔A
✔✔How do you correct beam width artifact on a Doppler tracing?
A. Use a smaller sample size
B. Increase the incident angle of the Doppler cursor
C. Decrease the PRF
D. Decrease the sweep speed - ✔✔A
✔✔Which of the following indicates normal diastolic function of the left ventricle in a 40-
year-old healthy patient?
A. Left atrial pressure <12mmHg
B. Paradoxical septal motion
C. Left atrial volume index > 34 mL/mm^2
D. Pulmonary vein S/D ratio <1.0 - ✔✔A
✔✔Which of the following is an expected finding with constrictive pericarditis? Choose
all answers that apply.
A. Jugular vein distention
B. Dilated IVC with no respiratory variation in diameter
C. Increased MV deceleration time
D. Pericardial knock - ✔✔A,B,D
✔✔Atrial flutter will produce a ________ on the EKG tracing of the mitral valve.
A. "Shaggy" tracing
B. Flying W
C. Double diamond
D. Sawtooth pattern - ✔✔D
✔✔Which of the following is an indication of a parasternal long axis view being
performed correctly?
A. The IVS and aortic root intersect at a 90° angle
B. The IVS and aortic root appear as a continuous structure with a minimal angle of
intersection
C. The right atrium is visible
D. All three AV cusps are visible - ✔✔B
✔✔A 1 cm round, solid hypoechoic tumor is attached to the chordae of the mitral valve
in a 45-year-old patient. The tumor is most likely a:
A. Papillary fibroelastomas
B. Myxoma
C. Sarcoma
D. Rhabdomyoma - ✔✔A
✔✔What type of tumor typically spreads to the heart through a "fingerlike" projection of
the tumor that extends up to the IVC into the RA?
A. Lymphoma
B. Renal cell carcinoma and uterine carcinoma
C. Breast cancer
D. Lung cancer and melanoma - ✔✔B
✔✔Always transport the patient's IV bag ______ and the urinary catheter bag_______.
A. Below the level of the heart, below the level of the bladder
B. Above the level of the heart, above the level of the bladder
C. Above the level of the heart, on the patient's lap
D. Above the level of the heart, below the level of the bladder - ✔✔D
✔✔The vertical axis on the m-mode display represents the:
A. Motion of the structure
, B. Depth of the reflector
C. Time
D. Frequency shift - ✔✔B
✔✔Which of the following should be suspected on the echo in the presence of a
diastolic murmur?
A. Aortic stenosis
B. ASD
C. MVP
D. Mitral stenosis - ✔✔D
✔✔Which of the following transducer positions will work best for the 2D evaluation of all
three of the sinuses of Valsalva?
A. Subcostal
B. Apical 5 chamber
C. Parasternal long axis
D. Parasternal short Axis - ✔✔D
✔✔Pericardial fluid is normally ________ that is secreted by _______.
A. Mucinous fluid, the lungs
B. Serous fluid, the visceral pericardium
C. Mucinous fluid, small glands within the pericardial sac
D. Serous fluid, the platelets in the blood - ✔✔B
✔✔For patients who demonstrate calcification, degeneration, fibrosis and/or stenosis on
both mitral and aortic valves, the most common etiology would be?
A. Rheumatic disease
B. Amyloidosis
C. Carcinoid disease
D. Atherosclerosis formation - ✔✔A
✔✔How do you correct beam width artifact on a Doppler tracing?
A. Use a smaller sample size
B. Increase the incident angle of the Doppler cursor
C. Decrease the PRF
D. Decrease the sweep speed - ✔✔A
✔✔Which of the following indicates normal diastolic function of the left ventricle in a 40-
year-old healthy patient?
A. Left atrial pressure <12mmHg
B. Paradoxical septal motion
C. Left atrial volume index > 34 mL/mm^2
D. Pulmonary vein S/D ratio <1.0 - ✔✔A
