cci adult echo ctl perform imaging 23%pt 1 Questions & Answers

you identify a discussed aorta valve on the echocardiogram after finishing the paristernal and apical views what should you do next - ANSWERSsuper sternal notch views which of the following echocardiographs views best evaluates the right ventricle motion - ANSWERSapical 4 the emotion of which of the following wall segments can be evaluated on the apical for chamber view - ANSWERSlateral wall of the right ventricle if you are scanning the patient on the apical for chamber view how will you manipulate the transducer to obtain a five chamber view - ANSWERStilt slightly interior when performing an agitated saline contrast exam to evaluate a patient for a suspected ASD what cardiac chamber should be evaluated closely for the presence of the contrast - ANSWERSleft atrium if the heart rate is 80 beats per minute and the stroke volume is 50 ml what is the cardiac output - ANSWERS4 l a minute which echo view is used to assist flow propagation velocity of the mitral valve - ANSWERSapical for chamber which of the following is not commonly evaluated using perfluorocarbon contrast - ANSWERSpotential PFO which of the following correctly lists the echocardiograph views obtained in a standard stress echo - ANSWERSparasternal long access ,personal short access ,apical 4 ,apical 2 how do you measure the isovolumic relaxation time - ANSWERSplace the PW Doppler cursor between the aortic and mitral valves to record both flow patterns and measure time from aortic valve closure to mitral valve opening which of the following is the preferred approach for needle placement during a pericardiocentesis - ANSWERSsubxiphoid which method of mitral regurgitation assignment is most accurate for evaluating a mechanical MVR in the apical for chamber view - ANSWERSp i s a radius which of the following should always be used in conjunction with the Doppler evaluation of the LV inflow in patients with suspected constructive pericarditis - ANSWERSrespirometer which of the following describes the effect of dobutamine on the left ventricle - ANSWERSincreases oxygen demand in LV contractility which of the following Windows provides the best evaluation of aortic stenosis using the pedoff probe - ANSWERSsupersterno notch when evaluating the__________with mode the measurement should be taken at end diastolic to obtain the greatest diameter - ANSWERSaortic root which of the following is usually better evaluated with Doppler than with a contract exam - ANSWERSshunt flow through a VSD which of the following describes how to differentiate the epic Cardinal fat pad from a pericardial effusion - ANSWERSepicardo fat pad is usually seen as an isolated interior echo free space and a small pericardial infusion will be demonstrated as an antichoic space posterior to the heart a patient presents with a history of lower extremity arthritis and supravalvular stenosis in the aortic root what supplemental 2D echo view should be used to further evaluate this patient for additional findings - ANSWERSlong axis at the supersternal notch if the systemic BP is 120 / 80 lvot velocity is one ml per second and the aortic velocity is 5 m/s what is the peak pressure gradient at the valve - ANSWERS100mmHg a patient presents with aortic stenosis lvot velocity 1m/s LVot velocity 1m/s LVOT diameter of 2pm AV VELOCITY - ANSWERS08sm a patient is referred for an echocardiogram to rule out thrombosis formation in the left ventricle after a recent mi the prior resting echo report gives a diagnosis of eisenmenger syndrome which of the following procedures should be used to evaluate the presence of LV thrombus in his patient - ANSWERStransesophageal echo the cardiologist request additional images of the coronary sinus from the apical view if you are scanning the patient in the apical for chamber view how will you manipulate the transducer to obtain this image - ANSWERStilt slightly posterior which of the following describes how color Doppler is used to quantify aortic insufficiency - ANSWERSevaluate the width of the jet in relation to the lvot diameter which of the following transthoracic echo views can be used to evaluate the left atrial appendage - ANSWERSapical 2 the valsalva strand can cause_______________inpatients with the beginning stages diastolic dysfunction - ANSWERSe to a reversal how is the target heart rate calculated for a stress echo - ANSWERS220 age and year times 0.85 which type of exam will provide the best assignment of prosthetic valve function - ANSWERStransesophageal echo which of the following is a potential cause for underestimation of aortic stenosis when calculating the Ava with the continuity equation - ANSWERSsuboptimal paristernal view causing overestimation of the lvot diameter which sonographic view best demonstrates the interior lateral wall of the LV - ANSWERSapical 4 what is the major advantage of using colored Doppler in transesophageal evaluation of a prosthetic valve over colored Doppler evaluation of the same valve on a transthoracic exam - ANSWERSTEE can't accurately identify parallel leaking which is usually very limited on a TTE the peak velocity across the aortic valve is 3 m/s what is the peak pressure gradient across the valve - ANSWERS36 mmhg which of the following describes how to visualize all three hepatic veins on the same image - ANSWERSsubcostal transverse view angled toward the patient's right shoulder measurement of the time it takes for the velocity of mitral regurgitation to increase from 1m/s to 3m/s is used to calculate the - ANSWERSdp/dt ratio the equation 4(VxV)+right atrial pressure=?? is used to calculate the systolic pressure in the __________________ - ANSWERSright ventricle which of the following correctly describes how to assess for diastolic dysfunction on a stress echo - ANSWERSmeasure the e and e velocities before and after exercise which of the following best describes the method used to measure the e and f percent in the parasternal long axis view - ANSWERSmeasure LV CHAMBER SIZE AT IN SYSTOLIC AND END DIASTOLIC when evaluating the PISA radius of tricuspid regurgitation on a trans thoracic echo - ANSWERSthe color Doppler zero baseline should be moved down to approximately 25 to 30cm/s second what Doppler measurement is necessary to calculate the end diastolic pressure in the pulmonary artery - ANSWERSin diastolic velocity of pulmonary regurgitation