Exam Builder CCI RCS Registry 2022 with
COMPLETE SOLUTION
The peak velocity of aortic regurgitation indicates the maximum pressure gradient between:
the aorta and the LV in systole
the aorta and the LV in diastole
the LV and the LA in diastole
the LV and the LA in diastole Correct Answer: the aorta and the LV in diastole
Which type of image resolution improves with proper placement of the focal zone at the area of
interest?
temporal
lateral
contrast
elevational Correct Answer: Lateral
The tissue of the interventricular septum will be best visualized when:
the US beam is parallel to the long axis of the septum
the US beam is perpendicular to the long axis of the septu
the dynamic range is increased
harmonics is turned off Correct Answer: the US beam is perpendicular to the long axis of the
septum
A 38yr old male presents for an echo due to a systolic murmur and has no other cardiac
symptoms. Due to patient habitus, 2D imaging is significantly limited but the EF% appears
normal. The aortic valve velocity is 4m/s with a peak pressure gradient of 64mmHg and no aortic
insufficiency is detected. Which of the following is the most likely etiology of the aortic
stenosis?
bicuspid AV
infective endocarditis
degenerative disease
Marfans syndrome Correct Answer: bicuspid AV
All of the following are evaluated on a cardiac MRI, except:
regurgitant volume of mitral regurgitation
left ventricular mass
,mitral valve prolapse
left ventricular systolic volume Correct Answer: mitral valve prolapse
Cardiac MRI cannot demonstrate the fine structures and motion of the valves.
You are performing a resting echo with contrast for wall motion evaluation. Just after the
injection of microbubble contrast, the patient complains of feeling short of breath and their face
appears to be flushed. The heart rate on the EKG is 117bpm. Which of the following correctly
describes their symptoms?
the patient is most likely experiencing a vasovagal reaction to the contrast
this is a normal response to perfluorocarbon contrast media
the symptoms are most likely related to anxiety
the patient is most likely experiencing an anaphylactic reaction to the contrast Correct Answer:
the patient is most likely experiencing an anaphylactic reaction to the contrast
Tachycardia, bronchospasm, wheezing, pruitis, erythema, hives and a feeling of impending doom
are symptoms related to an anaphylactic response. Because the short time frame between contrast
injection and the symptoms, the most likely cause of the symptoms is an allergic reaction.
Flattening of the IVS is least likely to be associated with which of the following?
3mm muscular VSD
Congestive heart failure
Large ASD
Pulmonary HTN Correct Answer: 3mm muscular VSD
Which of the following correctly describes the way to tell the difference between a vasovagal
response and anaphylaxis caused by contrast injection?
Hypertension is a sign of vasovagal response, while hypotension is a sign of anaphylaxis.
Tachycardia is a sign of vasovagal response, while bradycardia is a sign of anaphylaxis.
, A feeling of impending doom is a sign of vasovagal response, while dizziness and near syncope
are signs of anaphylaxis.
Pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis. Correct Answer:
Pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis.
The right coronary artery supplies which of the following with blood?
LV anterior wall
LV apex
ventricular septum
interatrial septum Correct Answer: interatrial septum
The right coronary artery supplies the RV free wall, RV apex, inferior LV wall and interatrial
septum with blood.
All of the following describe Pompe disease, except?
type of infiltrative disease of the myocardium
involves abnormal storage of glycogen in the muscle tissues
autosomal recessive disease
involves abnormal storage of fat in the muscle tissues Correct Answer: involves abnormal
storage of fat in the muscle tissues
Pompe disease is an autosomal recessive disorder that causes the abnormal storage of glycogen
in the myocardial tissue. It causes increased ventricular thickening.
If the peak velocity of the E wave on the mitral tracing is 1.2m/s and the tissue Doppler
assessment of the septal annulus indicates a peak velocity of E' of 6cm/s, the LV diastolic filling
pressures are ________________.
decreased
, increased
unable to be estimated without more information
normal Correct Answer: increased
1.2m/s = 120cm/s
E/E' = 120/6 = 20
E/E' <8 is normal, >15 indicates increased LV filling pressures
All of the following correctly describe end diastolic pressure in the left ventricle, except:
is normally at least 3X the right ventricular diastolic pressure
it is elevated with moderate - severe aortic insufficiency
it is equivalent to the mean left atrial pressure
it is defined as LV preload Correct Answer: is normally at least 3X the right ventricular
diastolic pressure
Left ventricular diastolic pressure is equivalent to the mean left atrial pressure. LV preload is
defined as the diastolic pressure in the left ventricle. Significant AI will increase the diastolic
pressure in the left ventricle. The diastolic pressure in the normal RV is usually less than 5mmHg
below the LV diastolic pressure.
Which of the following best describes the primary reason why the TEE probes are soaked in a
disinfectant for a specified amount of time?
Soaking the probe too long in a disinfectant solution can damage the bonding effect of the glue
used to assemble the probes.
Soaking the probe too long in a disinfectant solution will decrease the flexibility of the rubber
coated portion of the probe causing cracks.
Soaking the probe too long in a disinfectant solution will cause the disinfectant to be absorbed
inside the probe and damage the electrical components.
COMPLETE SOLUTION
The peak velocity of aortic regurgitation indicates the maximum pressure gradient between:
the aorta and the LV in systole
the aorta and the LV in diastole
the LV and the LA in diastole
the LV and the LA in diastole Correct Answer: the aorta and the LV in diastole
Which type of image resolution improves with proper placement of the focal zone at the area of
interest?
temporal
lateral
contrast
elevational Correct Answer: Lateral
The tissue of the interventricular septum will be best visualized when:
the US beam is parallel to the long axis of the septum
the US beam is perpendicular to the long axis of the septu
the dynamic range is increased
harmonics is turned off Correct Answer: the US beam is perpendicular to the long axis of the
septum
A 38yr old male presents for an echo due to a systolic murmur and has no other cardiac
symptoms. Due to patient habitus, 2D imaging is significantly limited but the EF% appears
normal. The aortic valve velocity is 4m/s with a peak pressure gradient of 64mmHg and no aortic
insufficiency is detected. Which of the following is the most likely etiology of the aortic
stenosis?
bicuspid AV
infective endocarditis
degenerative disease
Marfans syndrome Correct Answer: bicuspid AV
All of the following are evaluated on a cardiac MRI, except:
regurgitant volume of mitral regurgitation
left ventricular mass
,mitral valve prolapse
left ventricular systolic volume Correct Answer: mitral valve prolapse
Cardiac MRI cannot demonstrate the fine structures and motion of the valves.
You are performing a resting echo with contrast for wall motion evaluation. Just after the
injection of microbubble contrast, the patient complains of feeling short of breath and their face
appears to be flushed. The heart rate on the EKG is 117bpm. Which of the following correctly
describes their symptoms?
the patient is most likely experiencing a vasovagal reaction to the contrast
this is a normal response to perfluorocarbon contrast media
the symptoms are most likely related to anxiety
the patient is most likely experiencing an anaphylactic reaction to the contrast Correct Answer:
the patient is most likely experiencing an anaphylactic reaction to the contrast
Tachycardia, bronchospasm, wheezing, pruitis, erythema, hives and a feeling of impending doom
are symptoms related to an anaphylactic response. Because the short time frame between contrast
injection and the symptoms, the most likely cause of the symptoms is an allergic reaction.
Flattening of the IVS is least likely to be associated with which of the following?
3mm muscular VSD
Congestive heart failure
Large ASD
Pulmonary HTN Correct Answer: 3mm muscular VSD
Which of the following correctly describes the way to tell the difference between a vasovagal
response and anaphylaxis caused by contrast injection?
Hypertension is a sign of vasovagal response, while hypotension is a sign of anaphylaxis.
Tachycardia is a sign of vasovagal response, while bradycardia is a sign of anaphylaxis.
, A feeling of impending doom is a sign of vasovagal response, while dizziness and near syncope
are signs of anaphylaxis.
Pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis. Correct Answer:
Pallor is a sign of vasovagal response, while erythema is a sign of anaphylaxis.
The right coronary artery supplies which of the following with blood?
LV anterior wall
LV apex
ventricular septum
interatrial septum Correct Answer: interatrial septum
The right coronary artery supplies the RV free wall, RV apex, inferior LV wall and interatrial
septum with blood.
All of the following describe Pompe disease, except?
type of infiltrative disease of the myocardium
involves abnormal storage of glycogen in the muscle tissues
autosomal recessive disease
involves abnormal storage of fat in the muscle tissues Correct Answer: involves abnormal
storage of fat in the muscle tissues
Pompe disease is an autosomal recessive disorder that causes the abnormal storage of glycogen
in the myocardial tissue. It causes increased ventricular thickening.
If the peak velocity of the E wave on the mitral tracing is 1.2m/s and the tissue Doppler
assessment of the septal annulus indicates a peak velocity of E' of 6cm/s, the LV diastolic filling
pressures are ________________.
decreased
, increased
unable to be estimated without more information
normal Correct Answer: increased
1.2m/s = 120cm/s
E/E' = 120/6 = 20
E/E' <8 is normal, >15 indicates increased LV filling pressures
All of the following correctly describe end diastolic pressure in the left ventricle, except:
is normally at least 3X the right ventricular diastolic pressure
it is elevated with moderate - severe aortic insufficiency
it is equivalent to the mean left atrial pressure
it is defined as LV preload Correct Answer: is normally at least 3X the right ventricular
diastolic pressure
Left ventricular diastolic pressure is equivalent to the mean left atrial pressure. LV preload is
defined as the diastolic pressure in the left ventricle. Significant AI will increase the diastolic
pressure in the left ventricle. The diastolic pressure in the normal RV is usually less than 5mmHg
below the LV diastolic pressure.
Which of the following best describes the primary reason why the TEE probes are soaked in a
disinfectant for a specified amount of time?
Soaking the probe too long in a disinfectant solution can damage the bonding effect of the glue
used to assemble the probes.
Soaking the probe too long in a disinfectant solution will decrease the flexibility of the rubber
coated portion of the probe causing cracks.
Soaking the probe too long in a disinfectant solution will cause the disinfectant to be absorbed
inside the probe and damage the electrical components.
