ARDMS Adult Echo Exam With Complete
Solution A+ Graded
Where is the CS located - ANSWER posterior to the AV groove
Scatters= - ANSWER RBC
Most common congenital anomaly most frequently seen in adults - ANSWER Bi cuspid
valve
In order to record a vegetation of endocarditis by echo the veg must have a diameter of
at least how big - ANSWER 3 centemeter
Which M mode finding is considered to be a specific indicator of a fenestrated AV -
ANSWER diastolic flutter of the aortic valve
Fenestrated= - ANSWER window like opening
which type of cardiomypathy is associated with anyloidosis - ANSWER infiltrative
which two dimensional echocardiograhic view is best for identifying the malformed
tricuspid valve apparatus that characterized Ebstiens anomaly - ANSWER apical four
chamber
Atrical Fib is most commonly associated with which valve disease - ANSWER rheumatic
Mitral stenosis
Doppler measures a pressure drop (gradient) by the Bernoulli equation. This equation
,actually measures the ________ gradient across the valve - ANSWER peak
INSTANTANEOUS
This patient you are examining has clear cut auscultatory and angiographic evidence for
mitral prolapse, yet the resting echocardiogram is normal. You should then: - ANSWER
echo the patient in the standing position
The premature opening of the pulmonary valve may be seen in - ANSWER Constrictive
Percarditis
Estimation of the MV area from Doppler is calculated by the - ANSWER pressure half
time
In patients with tricuspid atresia blood flow will shunt from the RA to the LA through a -
ANSWER patent foramen ovale
What is the standard echo view for contrast study for an ASD - ANSWER Apical four
chamber
When obtaining a CW Doppler aortic profile from the apex through a heavily calcified AV
you may_________ the velocity - ANSWER underestimate
The Star Edwards prosthetic valves are positioned in both the mitral and aortic
positions, MR is best detected from which window - ANSWER subcostal
In patients with AS and A-Fib peak systolic aortic velocity will be______ following long
R-R intervals - ANSWER higher f
Midsystolic clicks and /or late systolic murmurs are most characteristic of - ANSWER
MVP
,Two most common encountered congenital heart lesions diagnosed in adults are -
ANSWER ASD and bicuspid AoV
Endothelialized _____ can have the same tissue characteristics as myocardium by 2-D
echo - ANSWER Thrombi
On M mode a flail MV may have a similar appearance to - ANSWER an infected MV
In patients with large pericardial effusions the motion of the percardium may be -
ANSWER damped
Echocardiographically, patients with congestive cardiomyopathy have left venticles
which are - ANSWER Thick and hyperdynamic
On a two dimensional echocardiograpm a cleft mitral valve may be confused with an
anatomic - ANSWER tricuspid valve
In patients with ventricular septal defects and left to right shunting the ______ may be
dilated - ANSWER RA
One advantage to using the PLAX view to diagnose MVP is ANSWER false prolapse
caused by annulus shape is avoided
Which technique would best allow you to assess the severity of AI ANSWER PW Doppler
Which of the following valves is most often affected in patients with rheumatic heart
disease ANSWER mitral
Electrical alternans is seen on a patients EKG the echocardiogram will likely show -
ANSWER large pericardial effusion
, Premature closure of the MV can be seen in patients with - ANSWER AI
A PDA has what type of murmur - ANSWER continous
A patient is referred to the echo lab with the diagnosis of constrictive pericarditis. You
order a contrast study to look for - ANSWER presystolic appearance of contrast in the
IVC
A patient with a systolic murmur and a fixed split S2 may have which of the following -
ANSWER ASD
The pressure obtained by a pulmonary artery wedge measurement equals the pressure
in the - ANSWER LA
The A-dip in the M mode pulmonary valve is caused by contraction of the - ANSWER RA
Filing of the coronary arteries occurs duing which part of the cardiac cycle - ANSWER
ventricular diastole
What is associated w/ severe, acute MR - ANSWER Pulmonary Edema
A pt is sent to the echo lab b/c of positional and respiratory variation in chest pain,
Which of the disease are they likely to have - ANSWER Pericarditis
Which valve lesion is most commonly associated with LBBB - ANSWER Calcified AS
Where is the lowest blood oxygen saturation usually found - ANSWER CS
A pt with has a higher BP in the right arm than the left may have - ANSWER coarctation
of the aorta
Solution A+ Graded
Where is the CS located - ANSWER posterior to the AV groove
Scatters= - ANSWER RBC
Most common congenital anomaly most frequently seen in adults - ANSWER Bi cuspid
valve
In order to record a vegetation of endocarditis by echo the veg must have a diameter of
at least how big - ANSWER 3 centemeter
Which M mode finding is considered to be a specific indicator of a fenestrated AV -
ANSWER diastolic flutter of the aortic valve
Fenestrated= - ANSWER window like opening
which type of cardiomypathy is associated with anyloidosis - ANSWER infiltrative
which two dimensional echocardiograhic view is best for identifying the malformed
tricuspid valve apparatus that characterized Ebstiens anomaly - ANSWER apical four
chamber
Atrical Fib is most commonly associated with which valve disease - ANSWER rheumatic
Mitral stenosis
Doppler measures a pressure drop (gradient) by the Bernoulli equation. This equation
,actually measures the ________ gradient across the valve - ANSWER peak
INSTANTANEOUS
This patient you are examining has clear cut auscultatory and angiographic evidence for
mitral prolapse, yet the resting echocardiogram is normal. You should then: - ANSWER
echo the patient in the standing position
The premature opening of the pulmonary valve may be seen in - ANSWER Constrictive
Percarditis
Estimation of the MV area from Doppler is calculated by the - ANSWER pressure half
time
In patients with tricuspid atresia blood flow will shunt from the RA to the LA through a -
ANSWER patent foramen ovale
What is the standard echo view for contrast study for an ASD - ANSWER Apical four
chamber
When obtaining a CW Doppler aortic profile from the apex through a heavily calcified AV
you may_________ the velocity - ANSWER underestimate
The Star Edwards prosthetic valves are positioned in both the mitral and aortic
positions, MR is best detected from which window - ANSWER subcostal
In patients with AS and A-Fib peak systolic aortic velocity will be______ following long
R-R intervals - ANSWER higher f
Midsystolic clicks and /or late systolic murmurs are most characteristic of - ANSWER
MVP
,Two most common encountered congenital heart lesions diagnosed in adults are -
ANSWER ASD and bicuspid AoV
Endothelialized _____ can have the same tissue characteristics as myocardium by 2-D
echo - ANSWER Thrombi
On M mode a flail MV may have a similar appearance to - ANSWER an infected MV
In patients with large pericardial effusions the motion of the percardium may be -
ANSWER damped
Echocardiographically, patients with congestive cardiomyopathy have left venticles
which are - ANSWER Thick and hyperdynamic
On a two dimensional echocardiograpm a cleft mitral valve may be confused with an
anatomic - ANSWER tricuspid valve
In patients with ventricular septal defects and left to right shunting the ______ may be
dilated - ANSWER RA
One advantage to using the PLAX view to diagnose MVP is ANSWER false prolapse
caused by annulus shape is avoided
Which technique would best allow you to assess the severity of AI ANSWER PW Doppler
Which of the following valves is most often affected in patients with rheumatic heart
disease ANSWER mitral
Electrical alternans is seen on a patients EKG the echocardiogram will likely show -
ANSWER large pericardial effusion
, Premature closure of the MV can be seen in patients with - ANSWER AI
A PDA has what type of murmur - ANSWER continous
A patient is referred to the echo lab with the diagnosis of constrictive pericarditis. You
order a contrast study to look for - ANSWER presystolic appearance of contrast in the
IVC
A patient with a systolic murmur and a fixed split S2 may have which of the following -
ANSWER ASD
The pressure obtained by a pulmonary artery wedge measurement equals the pressure
in the - ANSWER LA
The A-dip in the M mode pulmonary valve is caused by contraction of the - ANSWER RA
Filing of the coronary arteries occurs duing which part of the cardiac cycle - ANSWER
ventricular diastole
What is associated w/ severe, acute MR - ANSWER Pulmonary Edema
A pt is sent to the echo lab b/c of positional and respiratory variation in chest pain,
Which of the disease are they likely to have - ANSWER Pericarditis
Which valve lesion is most commonly associated with LBBB - ANSWER Calcified AS
Where is the lowest blood oxygen saturation usually found - ANSWER CS
A pt with has a higher BP in the right arm than the left may have - ANSWER coarctation
of the aorta
