CCI REVIEW ECHO 2 EXAM ACTUAL EXAM COMPLETE EXAM
AND PRACTICE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
The primary advantage of using the supine exercise bike for stress testing is:
A. That it reduces the amount of decrease in the systolic blood pressure
B. The ability to image during exercise
C. That it offers an alternative to dobutamine testing for paraplegics
D. That it reduces the amount of increase in the systolic blood pressure - ANSWER: B
What is the most common congenital heart defect that is detected in adults
A. ASD
B. Pulmonary stenosis
C. Bicuspid AV
D. VSD - ANSWER: C
A patient presents with a history of carcinoid syndrome. Which of the following
cardiac structures is most commonly affected?
A. Interventricular septum
B. Mitral Valve
C. Tricuspid Valve
D. Left ventricular wall motion - ANSWER: C
What is the best way to measure pulmonary artery diameter?
A. Parasternal short axis view, inner to inner diameter in end systole
B. Parasternal short axis view, inner to inner diameter in end diastole
C. Parasternal short axis view, leading edge to leading edge diameter in end systole
D. Parasternal short axis view, leading edge to leading edge diameter in end diastole
- ANSWER: B
During a contrast echo, shadowing obscures the basal segments of the left ventricle.
How can you eliminate this artifact?
A. Scan the patient in the upright position
B. Reduce the contrast infusion rate
C. Turn the overall gain down
D. Increase the output power - ANSWER: B
Which of the following is the best evaluated with perfluorocarbon contrast?
A.VSD
B. Tricuspid Regurgitation
C. ASD
D. LVOT gradients - ANSWER: D
,Which of the following statements is correct regarding inspecting a TEE probe for a
potential electrical hazard?
A. The probe head may separate slightly from the housing and it presents no hazard
to the patient unless the wiring and internal components are exposed.
B. Bite marks on the rubber coating on the probe or a common finding and present
no hazard to the patient.
C. Normal use of disinfecting agents can lead to damage of the probe coating which
will cause a risk of electrical hazard.
D. Scratches to the lens of the probe only degrade the image production and are
unrelated to electrical hazard. - ANSWER: C
While attempting to perform the parasternal short axis views of the aortic valve, the
cardiologist enters the room and requests a PSAX view of the mitral valve. How do
you manipulate the transducer from your current position to provide the requested
view?
A. Move medially
B. Tilt slightly inferior/lateral
C. Tilt slightly superior/medial
D. Angle the probe superior, toward the patient's right shoulder - ANSWER: B
What is the classic sonographic appearance of syphilitic aortitis?
A. Dilated ascending aorta with extensive wall calcification
B. Multiple vegetations on one or more cardiac valves
C. Severe coarctation just distal to the left subclavian artery origin
D. Thickened edematous aortic walls that reduce lumen diameter - ANSWER: A
Which of the following is an absolute contraindication for a stress echo? Choose all
answers that apply.
A. Severe aortic stenosis
B. Diastolic BP over 100 mmHG
C. Hypertrophy cardiomyopathy
D. Systolic BP over 200 mmHG - ANSWER: A,B,D
If the PISA radius for mitral Regurgitation is 1.0 cm. What should you do next to
assess the level of MR present?
A. PW Doppler of the pulmonary vein
B. Color Doppler of MV inflow
C. PW Doppler of IVC
D. Tissue Doppler of the tricuspid annulus - ANSWER: A
Which of the following will cause an increase in pre-load in the heart?
A. Pulmonary HTN
B. Infundibular stenosis
C. Aortic coarctation
D. Aortic regurgitation - ANSWER: D
, Which of the following echocardiographic views is preferred for a Doppler evaluation
of the tricuspid valve?
A. Subcostal
B. Parasternal short axis
C. Apical 4 chamber
D. Parasternal long axis - ANSWER: C
Which of the following is a Doppler characteristic of pulmonary stenosis?
A. Decreased acceleration time
B. Increased acceleration time
C. Decreased mean pressure gradient
D. Increased visualization of a spectral window - ANSWER: A
Central venous pressure refers to pressure in the
A. Portal veins
B. Hepatic veins
C. IVC
D. Pulmonary veins - ANSWER: C
The _________ refers to an internal Ridge of tissue in the right atrium that extends
vertically between the SVC and the IVC
A. Right ventricular Inflow tract
B. Infundibulum
C. pulmonic root
D. Crista terminalis - ANSWER: D
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 - ANSWER: 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 - ANSWER: 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
AND PRACTICE EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
The primary advantage of using the supine exercise bike for stress testing is:
A. That it reduces the amount of decrease in the systolic blood pressure
B. The ability to image during exercise
C. That it offers an alternative to dobutamine testing for paraplegics
D. That it reduces the amount of increase in the systolic blood pressure - ANSWER: B
What is the most common congenital heart defect that is detected in adults
A. ASD
B. Pulmonary stenosis
C. Bicuspid AV
D. VSD - ANSWER: C
A patient presents with a history of carcinoid syndrome. Which of the following
cardiac structures is most commonly affected?
A. Interventricular septum
B. Mitral Valve
C. Tricuspid Valve
D. Left ventricular wall motion - ANSWER: C
What is the best way to measure pulmonary artery diameter?
A. Parasternal short axis view, inner to inner diameter in end systole
B. Parasternal short axis view, inner to inner diameter in end diastole
C. Parasternal short axis view, leading edge to leading edge diameter in end systole
D. Parasternal short axis view, leading edge to leading edge diameter in end diastole
- ANSWER: B
During a contrast echo, shadowing obscures the basal segments of the left ventricle.
How can you eliminate this artifact?
A. Scan the patient in the upright position
B. Reduce the contrast infusion rate
C. Turn the overall gain down
D. Increase the output power - ANSWER: B
Which of the following is the best evaluated with perfluorocarbon contrast?
A.VSD
B. Tricuspid Regurgitation
C. ASD
D. LVOT gradients - ANSWER: D
,Which of the following statements is correct regarding inspecting a TEE probe for a
potential electrical hazard?
A. The probe head may separate slightly from the housing and it presents no hazard
to the patient unless the wiring and internal components are exposed.
B. Bite marks on the rubber coating on the probe or a common finding and present
no hazard to the patient.
C. Normal use of disinfecting agents can lead to damage of the probe coating which
will cause a risk of electrical hazard.
D. Scratches to the lens of the probe only degrade the image production and are
unrelated to electrical hazard. - ANSWER: C
While attempting to perform the parasternal short axis views of the aortic valve, the
cardiologist enters the room and requests a PSAX view of the mitral valve. How do
you manipulate the transducer from your current position to provide the requested
view?
A. Move medially
B. Tilt slightly inferior/lateral
C. Tilt slightly superior/medial
D. Angle the probe superior, toward the patient's right shoulder - ANSWER: B
What is the classic sonographic appearance of syphilitic aortitis?
A. Dilated ascending aorta with extensive wall calcification
B. Multiple vegetations on one or more cardiac valves
C. Severe coarctation just distal to the left subclavian artery origin
D. Thickened edematous aortic walls that reduce lumen diameter - ANSWER: A
Which of the following is an absolute contraindication for a stress echo? Choose all
answers that apply.
A. Severe aortic stenosis
B. Diastolic BP over 100 mmHG
C. Hypertrophy cardiomyopathy
D. Systolic BP over 200 mmHG - ANSWER: A,B,D
If the PISA radius for mitral Regurgitation is 1.0 cm. What should you do next to
assess the level of MR present?
A. PW Doppler of the pulmonary vein
B. Color Doppler of MV inflow
C. PW Doppler of IVC
D. Tissue Doppler of the tricuspid annulus - ANSWER: A
Which of the following will cause an increase in pre-load in the heart?
A. Pulmonary HTN
B. Infundibular stenosis
C. Aortic coarctation
D. Aortic regurgitation - ANSWER: D
, Which of the following echocardiographic views is preferred for a Doppler evaluation
of the tricuspid valve?
A. Subcostal
B. Parasternal short axis
C. Apical 4 chamber
D. Parasternal long axis - ANSWER: C
Which of the following is a Doppler characteristic of pulmonary stenosis?
A. Decreased acceleration time
B. Increased acceleration time
C. Decreased mean pressure gradient
D. Increased visualization of a spectral window - ANSWER: A
Central venous pressure refers to pressure in the
A. Portal veins
B. Hepatic veins
C. IVC
D. Pulmonary veins - ANSWER: C
The _________ refers to an internal Ridge of tissue in the right atrium that extends
vertically between the SVC and the IVC
A. Right ventricular Inflow tract
B. Infundibulum
C. pulmonic root
D. Crista terminalis - ANSWER: D
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 - ANSWER: 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 - ANSWER: 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
