CCI EXAM FULLY UPDATED WITH QUESTION AND CORRECT ANSWERS.

CCI EXAM FULLY UPDATED WITH QUESTION AND
CORRECT ANSWERS.

Whichsvalvessseparatesthesareassofsgreatestspressuresdifferencess(andslowest)s-
sCORRECTsANSWER-Mitralsvalves(TV)



ThesLADsliessinsthes_______sinterventricularssulcus?s-sCORRECTsANSWER-Anterior

Fromsthesleftsparasternalswindowswhichsofsthesfollowingsaresyousmostslikelystosgetsa
ccuratesvelocitysmeasurements?s-sCORRECTsANSWER-pulmonarysartery

DuringswhichsphasesdosthesCotosAriessfill?s-sCORRECTsANSWER-Easilysdiastole

Fromsthesapicals4chsviewshowsdosyousrotatesthestransducerstosobtainsthesapicalsLAX?
s-sCORRECTsANSWER-Counterclockwises120



Whichsvalvessitssatsthesopeningsofsthescoronaryssinus?s-sCORRECTsANSWER-
Thebesian

Whichshassthesfastestsintrinsicsrate?s-sCORRECTsANSWER-SAsnode

Withsasvelocitysofs.5sm/secswhatsissthesgradient?s-sCORRECTsANSWER-1smmsHg

HowsdosyouseliminatesaliasingsonsPWsspectralsDoppler?s-sCORRECTsANSWER-
SwitchstosCWsDoppler

WhatsdoessVTIsxsCSAsequal?s-sCORRECTsANSWER-Dopplersstrokesvolume

Inhalationsofsamylsnitritescauses:s-sCORRECTsANSWER-Decreasedsafterload

KnowsisovolumetricstimingswithsthesECHs-sCORRECTsANSWER-
AftersRswave=sisovolumicscontraction
AftersTswave=sisovolumicsrelaxation

Onstheswingerssdiagramswhensissthesmitralsvalvesopen?s-sCORRECTsANSWER-4-1

WhensissthesLVsandsLAsvolumesshighest?s-sCORRECTsANSWER-LV-sendsdiastole
LA-sendssystole

Whatsaresthesnormalspressuresinsthespulmonarysarterys-sCORRECTsANSWER-25/10

WheresissthesO2ssaturationstheslowest?s-sCORRECTsANSWER-coronaryssinus

O2ssaturationsinsthespulmonarysveinss-sCORRECTsANSWER-95%

,O2ssaturationsinspulmonarysarteriess-sCORRECTsANSWER-75%

BestscathstechniquesforsLVsfunction?s-sCORRECTsANSWER-LVsangiogram

Leftsatrialspressuresmatchessthespressuresofswhatsothersarea?s-sCORRECTsANSWER-
PCW

WhatsissPCW?s-sCORRECTsANSWER-Leftsatrialspressure

TosdeterminesASswheresaresthescatheterssplaced?s-sCORRECTsANSWER-
1.sonesinsthesLVsandsonesinsthesAo
2.sorsonesinsthesLVsands"pulledsback"sacrosssthesAoVsorsonescatheterswithstwossepera
tessensors

ApicalsswirlingsofsthesechoscontrastsforsLVOsisscausedsby:s-sCORRECTsANSWER-
HighsMI

Sonographerssshouldsdospeerstospeersreviewsshowsoftensforsquality/stechnicalsrevie
w?s-sCORRECTsANSWER-2stimesspersmonth

WhosesresponsibilitysissitstosobtainsthesinformedsconsentspriorstosasTEE?s-
sCORRECTsANSWER-Physician



Assecondarysfindingsinsaorticsstenosissis?s-sCORRECTsANSWER-
Leftsventricularshypertrophy

Insaorticsstenosississpulsespressureswidesorsnarrows-sCORRECTsANSWER-Narrow

Systemicshypertensionsissascommonssymptomsofs-sCORRECTsANSWER-
Aorticscoarctation

Bestsviewstosdiagnosissasbicuspidsaorticsvalvesissthesparasternals-
sCORRECTsANSWER-Short-axisssystoles(footballsshaped)



WhatsissTakayasusarteritis?s-sCORRECTsANSWER-Aorticsarchssyndromes
FibrosissofsthesarchsandsdescendingsAosofsunknownsetiology

Thesnormalsaorticsvalvesareasiss-sCORRECTsANSWER-3-4scm2

UsingsthescontinuitysequationswhenswouldsthesseveritysofsAorticsStenosissbesunderes
timated?s-sCORRECTsANSWER-LVOTsmeasuredstooslarge

WhichspressuresissobtainedsduringsDoppler?s-sCORRECTsANSWER-
Peaksorspeaksinstantaneouss(forsASsit'sstheshighestsgradientsanytimesduringssystole)

, Knowsthesechosgradientssaresusuallyshighersthanscathsgradientss-
sCORRECTsANSWER-Peaksinstantaneoussvaspeakstospeak



Normanssyndromes-sCORRECTsANSWER-
CardiofacialssyndromeswithsPS,sHCMsandsASD

DoessPSscausesPulmonaryshypertension?s-sCORRECTsANSWER-No

MSsmurmurs-sCORRECTsANSWER-
lowspitched,sdiastolics"rumble"swithsansopeningssnap

Whichscardiacsvalvesissthessecondsmostscommonstosbesaffectedsbysrheumaticsheartsdi
sease?s-sCORRECTsANSWER-Aortic

Patientsswithsmitralsstenosissoftensdevelop:s-sCORRECTsANSWER-atrialsfibrillation

Withsatrialsfibrillationsmitralsstenosissvelocityscalculationssaresbestsperformed:s-
sCORRECTsANSWER-Averagedsovers5-10sbeats



InsthespsaxsviewswhichsmethodsissusedstosassesssthesMVsareas-sCORRECTsANSWER-
Planimetry

Givensasmitralspressureshalf-timesofs400sm/secswhatswouldsthesareasbe?s-
sCORRECTsANSWER-0.5cm2

*220/400=0.5,sMVA=s220sdividedsbysPs1/2T

Givensasmitralsdecelerationstimesofs400sm/secscalculatesthesmitralsvalvespressureshal
f-time:s-sCORRECTsANSWER-116
*400x0.29=116

Carcinoids-sCORRECTsANSWER-Fixedsbodysofsthesleaflets

Rheumatics-sCORRECTsANSWER-Tetheredsleafletstips

Whichsanomalysgoesswithsaorticsdissection?s-sCORRECTsANSWER-Marfanssyndrome

WhatskindsofsmurmurswouldsyoushearsinsaspatientswithsasrupturesofsassinussofsValsal
vasaneurysm?s-sCORRECTsANSWER-continuous

WhatscausessMVspreclosure?s-sCORRECTsANSWER-
anselevatedsLVEDPs(endsdiastolicspressure)

Howswouldsyouscalculatespulmonarysarterysendsdiastolicspressure?s-
sCORRECTsANSWER-Pulmonicsinsufficiencysvelocity