CCI RCS EXAM ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+
What valvular lesion is associated with early closure of the mitral valve? - ANSWER:
Aortic Insufficiency
*What parameters are used to assess the severity of pulmonic valve stenosis? -
ANSWER: Peak Velocity and Peak Gradient
MILD. peak velocity <3 m/s. peak gradient <36 mmHg. right ventricular systolic
pressure 25-49 mmHg. ...
MODERATE peak velocity 3-4 m/s. peak gradient 36-64 mmHg. ...
SEVERE. peak velocity >4 m/s. peak gradient >64 mmHg.
52 to 72 - ANSWER: *What is the normal range for ejection fraction in males?
*What is the largest and mostly apically positioned valve in the heart? - ANSWER:
tricuspid
A 63 year old male has a left ventricular EF of 35%, mitral valve E/A ratio 2.3 and E/e
ratio of 12 and tricuspid peak regurgitant velocity of 2.6 m/s what is the grade of
diastolic dysfunction in this patient? - ANSWER: Grade III
(if E/A is > 2 then always grade III)
Pulse Repetition frequency of the system - ANSWER: The Nyquist limit of pulsed
doppler is dependent upon which of the following?
which anatomic defects are associated with Tetralogy of Fallot - ANSWER: 1.
ventricular septal defect (VSD)
2. overriding aorta
3. pulmonary stenosis /anomalous pulmonary veins
4. right ventricular hypertrophy (RV hypertrophy)
*A follow-up echo is ordered on a patient diagnosed with Takotsubo
cardiomyopathy. What findings would be MOST RELEVANT from the previous study?
choose 2 ; - ANSWER: 1. abnormal movements in the walls of the left ventricle.
2. ballooning of the lower part of the left ventricle (apex).
*What is one significant benefit of utilizing 3d transthoracic imaging? - ANSWER:
more accurate ejection fraction and volumes
given a mitral valve pressure half -time of 260 ms the mitral valve area is - ANSWER:
0.85 cm2 ()
, A patients tricuspid regurgitation velocity measures 3.5 m/s and the IVC measures
2.3 cm with greater than 50% inspiratory collapse. What is the patient's right
ventricular systolic pressure? - ANSWER: 4 (3.5 x 3.5 ) + 8mmhg = 57 mmHg
(IVC>2.1 ; Inspiratory collapse>50%)
What control would be used to increase the gain in the far field of an image without
impacting the new field? - ANSWER: TGC (time-gain composition)
What echocardiographic window will MOST LIKELY give you the best information
regarding left ventricular function on a barrel-chested individual with emphysema? -
ANSWER: subcostal
which views can be used to assess longitudinal strain? choose 2 - ANSWER: Apical 4
chamber
Apical 2 chamber OR
apical 3 chamber
what is the measurement of longitudinal systolic performance of the righ ventricle
known as? - ANSWER: tricuspid annular plane systolic excursion (TAPSE),
Prior to starting the echocardiogram, the sonographer should verify the indication
for the study by - ANSWER: reviewing the physicians order
What are causes of work related musculoskeletal disorders in sonography? choose 4
causes - ANSWER: 1. posture
2. probe grip
3. Repetitive movements
4. Monitor and keyboard height
What view is the left coronary cusp of the aortic valve Best seen? - ANSWER:
parasternal short axis
what should be done to reduce spectral broadening on a pulsed wave doppler
tracing? - ANSWER: decrease sample volume size
*what type of mitral regurgitation is caused by mitral valve prolapse? choose 3 types
- ANSWER: 1. Primary
2. Degenerative
3. Organic
(all just different names for primary MVR)
When performing a followup echocardiogram to evaluate for chemotoxicity it is
important to note which measurements from the previous echo? choose 2 -
ANSWER: 1. Global longitudinal strain 2. Ejection Fraction
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+
What valvular lesion is associated with early closure of the mitral valve? - ANSWER:
Aortic Insufficiency
*What parameters are used to assess the severity of pulmonic valve stenosis? -
ANSWER: Peak Velocity and Peak Gradient
MILD. peak velocity <3 m/s. peak gradient <36 mmHg. right ventricular systolic
pressure 25-49 mmHg. ...
MODERATE peak velocity 3-4 m/s. peak gradient 36-64 mmHg. ...
SEVERE. peak velocity >4 m/s. peak gradient >64 mmHg.
52 to 72 - ANSWER: *What is the normal range for ejection fraction in males?
*What is the largest and mostly apically positioned valve in the heart? - ANSWER:
tricuspid
A 63 year old male has a left ventricular EF of 35%, mitral valve E/A ratio 2.3 and E/e
ratio of 12 and tricuspid peak regurgitant velocity of 2.6 m/s what is the grade of
diastolic dysfunction in this patient? - ANSWER: Grade III
(if E/A is > 2 then always grade III)
Pulse Repetition frequency of the system - ANSWER: The Nyquist limit of pulsed
doppler is dependent upon which of the following?
which anatomic defects are associated with Tetralogy of Fallot - ANSWER: 1.
ventricular septal defect (VSD)
2. overriding aorta
3. pulmonary stenosis /anomalous pulmonary veins
4. right ventricular hypertrophy (RV hypertrophy)
*A follow-up echo is ordered on a patient diagnosed with Takotsubo
cardiomyopathy. What findings would be MOST RELEVANT from the previous study?
choose 2 ; - ANSWER: 1. abnormal movements in the walls of the left ventricle.
2. ballooning of the lower part of the left ventricle (apex).
*What is one significant benefit of utilizing 3d transthoracic imaging? - ANSWER:
more accurate ejection fraction and volumes
given a mitral valve pressure half -time of 260 ms the mitral valve area is - ANSWER:
0.85 cm2 ()
, A patients tricuspid regurgitation velocity measures 3.5 m/s and the IVC measures
2.3 cm with greater than 50% inspiratory collapse. What is the patient's right
ventricular systolic pressure? - ANSWER: 4 (3.5 x 3.5 ) + 8mmhg = 57 mmHg
(IVC>2.1 ; Inspiratory collapse>50%)
What control would be used to increase the gain in the far field of an image without
impacting the new field? - ANSWER: TGC (time-gain composition)
What echocardiographic window will MOST LIKELY give you the best information
regarding left ventricular function on a barrel-chested individual with emphysema? -
ANSWER: subcostal
which views can be used to assess longitudinal strain? choose 2 - ANSWER: Apical 4
chamber
Apical 2 chamber OR
apical 3 chamber
what is the measurement of longitudinal systolic performance of the righ ventricle
known as? - ANSWER: tricuspid annular plane systolic excursion (TAPSE),
Prior to starting the echocardiogram, the sonographer should verify the indication
for the study by - ANSWER: reviewing the physicians order
What are causes of work related musculoskeletal disorders in sonography? choose 4
causes - ANSWER: 1. posture
2. probe grip
3. Repetitive movements
4. Monitor and keyboard height
What view is the left coronary cusp of the aortic valve Best seen? - ANSWER:
parasternal short axis
what should be done to reduce spectral broadening on a pulsed wave doppler
tracing? - ANSWER: decrease sample volume size
*what type of mitral regurgitation is caused by mitral valve prolapse? choose 3 types
- ANSWER: 1. Primary
2. Degenerative
3. Organic
(all just different names for primary MVR)
When performing a followup echocardiogram to evaluate for chemotoxicity it is
important to note which measurements from the previous echo? choose 2 -
ANSWER: 1. Global longitudinal strain 2. Ejection Fraction
