CCI ARDMS Registry review practice
Questions & Answers
Which of the following would most likely result in a late systolic murmur? -
ANSWERSMVP typically happens late and has a late click.. And you would get a later
murmur associated the MR
Called "click murmur syndrome"
Electrical alternans is usually associated with - ANSWERSpericardial effusion
Electrical alternans= the height of QRS varies (taller and shorter) this is cause by the
fluid around the heart causing the heart to swim around so the electrical axis is
constantly changing
Which coronary artery feeds the "free wall" of the LV seen in an apical 4 chamber view?
- ANSWERScircumflex
The finding of an overriding aorta in the parasternal long-axis view of an
echocardiogram is most consistent with? - ANSWERSVSD (bc TOF)
The resistance against which the ventricle contracts is known as? - ANSWERSAfterload
is- end systolic wall stress (will never ask this one) and systemic vascular resistance
Prinzmetal is associated with a type of - ANSWERSangina; caused by coronary
vasospasm
Valvular atresia is a valve that is - ANSWERSunderdeveloped or absent
Which of the following may be caused by rapid accumulation of fluid in the pericardial
space? - ANSWERScardiac tamponade
A ventricular wall motion abnormality that is reversible with nitroglycerin is -
ANSWERSmyocardial ischemia
Fine high frequency diastolic flutter of the mitral valve is most consistent with -
ANSWERSAortic insufficiency- called austin flint murmur
Which of the following echocardiographic findings is most likely to be found with
Marfan's syndrome? - ANSWERSdilated AO root
What causes a pseudoaneurysm? - ANSWERSmyocardial rupture
, What would a dry nonproductive cough and dyspnea suggest in the cardiac patient? -
ANSWERSLV failure; Back up of the blood in the left side which can cause the LA size
to increase which would tickle the laryngeal nerve.
What is the condition where bacteria from the blood stream settle on the valves of the
heart? - ANSWERSinfective endocarditis
A patient is admitted to the ICU suffering a myocardial infarction. On day 7 a new
holosystolic murmur is heard and the patient begins to appear in shock. What two
cardiac disorders would you look for on the echocardiogram to answer the clinical
question? - ANSWERSpapillary muscle rupture or ventricular septal defect
The most common cause of papillary muscle dysfunction is - ANSWERSCAD
Antibiotics prophylaxis is used with which of the following, due to the increased
incidence of infective endocarditis? - ANSWERSMVP
What type of defect is indicated in a cyanotic child? - ANSWERSright to left shunt
A high (outflow) ventricular septal defect is anatomically located - ANSWERSsuperior to
the supraventricular crest.
During the development of the fetal heart, the conus arteriosus will eventually become -
ANSWERSthe right ventricular outflow tract.
Which of the following results from a combination of a shunt and high pulmonary
vascular resistance? - ANSWERSEisenmenger syndrome;
Shunt the left to right and then it (stops or reverses) switches to right to left
Isolated aortic valvular stenosis is most often due to - ANSWERSbicuspid valve
Which of the following is the normal looping and rotation of the heart? - ANSWERSD-
looping with leftward rotation
Which of the following indicates the correct positioning of an index mark on a Two-
dimensional echocardiographic transducer, as recommended by the American Society
of Echocardiography? - ANSWERSIndicates the edge of the imaging plane to appear
on the right side of the display
The most anterior surface of the heart is primarily formed by the - ANSWERSRV
What echocardiographic transducer placement will most likely give you the most
information regarding left ventricular function on a barrel-chested individual who has
emphysema? - ANSWERSsubcostal
Questions & Answers
Which of the following would most likely result in a late systolic murmur? -
ANSWERSMVP typically happens late and has a late click.. And you would get a later
murmur associated the MR
Called "click murmur syndrome"
Electrical alternans is usually associated with - ANSWERSpericardial effusion
Electrical alternans= the height of QRS varies (taller and shorter) this is cause by the
fluid around the heart causing the heart to swim around so the electrical axis is
constantly changing
Which coronary artery feeds the "free wall" of the LV seen in an apical 4 chamber view?
- ANSWERScircumflex
The finding of an overriding aorta in the parasternal long-axis view of an
echocardiogram is most consistent with? - ANSWERSVSD (bc TOF)
The resistance against which the ventricle contracts is known as? - ANSWERSAfterload
is- end systolic wall stress (will never ask this one) and systemic vascular resistance
Prinzmetal is associated with a type of - ANSWERSangina; caused by coronary
vasospasm
Valvular atresia is a valve that is - ANSWERSunderdeveloped or absent
Which of the following may be caused by rapid accumulation of fluid in the pericardial
space? - ANSWERScardiac tamponade
A ventricular wall motion abnormality that is reversible with nitroglycerin is -
ANSWERSmyocardial ischemia
Fine high frequency diastolic flutter of the mitral valve is most consistent with -
ANSWERSAortic insufficiency- called austin flint murmur
Which of the following echocardiographic findings is most likely to be found with
Marfan's syndrome? - ANSWERSdilated AO root
What causes a pseudoaneurysm? - ANSWERSmyocardial rupture
, What would a dry nonproductive cough and dyspnea suggest in the cardiac patient? -
ANSWERSLV failure; Back up of the blood in the left side which can cause the LA size
to increase which would tickle the laryngeal nerve.
What is the condition where bacteria from the blood stream settle on the valves of the
heart? - ANSWERSinfective endocarditis
A patient is admitted to the ICU suffering a myocardial infarction. On day 7 a new
holosystolic murmur is heard and the patient begins to appear in shock. What two
cardiac disorders would you look for on the echocardiogram to answer the clinical
question? - ANSWERSpapillary muscle rupture or ventricular septal defect
The most common cause of papillary muscle dysfunction is - ANSWERSCAD
Antibiotics prophylaxis is used with which of the following, due to the increased
incidence of infective endocarditis? - ANSWERSMVP
What type of defect is indicated in a cyanotic child? - ANSWERSright to left shunt
A high (outflow) ventricular septal defect is anatomically located - ANSWERSsuperior to
the supraventricular crest.
During the development of the fetal heart, the conus arteriosus will eventually become -
ANSWERSthe right ventricular outflow tract.
Which of the following results from a combination of a shunt and high pulmonary
vascular resistance? - ANSWERSEisenmenger syndrome;
Shunt the left to right and then it (stops or reverses) switches to right to left
Isolated aortic valvular stenosis is most often due to - ANSWERSbicuspid valve
Which of the following is the normal looping and rotation of the heart? - ANSWERSD-
looping with leftward rotation
Which of the following indicates the correct positioning of an index mark on a Two-
dimensional echocardiographic transducer, as recommended by the American Society
of Echocardiography? - ANSWERSIndicates the edge of the imaging plane to appear
on the right side of the display
The most anterior surface of the heart is primarily formed by the - ANSWERSRV
What echocardiographic transducer placement will most likely give you the most
information regarding left ventricular function on a barrel-chested individual who has
emphysema? - ANSWERSsubcostal
