CCI ARDMS REGISTRY REVIEW
PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS
Which of the following would most likely result in a late systolic murmur? - ANS MVP
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 - ANS pericardial 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? -
ANS circumflex
The finding of an overriding aorta in the parasternal long-axis view of an echocardiogram is
most consistent with? - ANS VSD (bc TOF)
The resistance against which the ventricle contracts is known as? - ANS Afterload is- end
systolic wall stress (will never ask this one) and systemic vascular resistance
Prinzmetal is associated with a type of - ANS angina; caused by coronary vasospasm
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, Valvular atresia is a valve that is - ANS underdeveloped or absent
Which of the following may be caused by rapid accumulation of fluid in the pericardial space? -
ANS cardiac tamponade
A ventricular wall motion abnormality that is reversible with nitroglycerin is - ANS myocardial
ischemia
Fine high frequency diastolic flutter of the mitral valve is most consistent with - ANS Aortic
insufficiency- called austin flint murmur
Which of the following echocardiographic findings is most likely to be found with Marfan's
syndrome? - ANS dilated AO root
What causes a pseudoaneurysm? - ANS myocardial rupture
What would a dry nonproductive cough and dyspnea suggest in the cardiac patient? - ANS LV
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? -
ANS infective 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? - ANS papillary muscle
rupture or ventricular septal defect
The most common cause of papillary muscle dysfunction is - ANS CAD
2
Page
@COPYRIGHT FYNDLAY 2025/2026
PRACTICE EXAM 2025 QUESTIONS AND
ANSWERS
Which of the following would most likely result in a late systolic murmur? - ANS MVP
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 - ANS pericardial 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? -
ANS circumflex
The finding of an overriding aorta in the parasternal long-axis view of an echocardiogram is
most consistent with? - ANS VSD (bc TOF)
The resistance against which the ventricle contracts is known as? - ANS Afterload is- end
systolic wall stress (will never ask this one) and systemic vascular resistance
Prinzmetal is associated with a type of - ANS angina; caused by coronary vasospasm
1Page
@COPYRIGHT FYNDLAY 2025/2026
, Valvular atresia is a valve that is - ANS underdeveloped or absent
Which of the following may be caused by rapid accumulation of fluid in the pericardial space? -
ANS cardiac tamponade
A ventricular wall motion abnormality that is reversible with nitroglycerin is - ANS myocardial
ischemia
Fine high frequency diastolic flutter of the mitral valve is most consistent with - ANS Aortic
insufficiency- called austin flint murmur
Which of the following echocardiographic findings is most likely to be found with Marfan's
syndrome? - ANS dilated AO root
What causes a pseudoaneurysm? - ANS myocardial rupture
What would a dry nonproductive cough and dyspnea suggest in the cardiac patient? - ANS LV
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? -
ANS infective 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? - ANS papillary muscle
rupture or ventricular septal defect
The most common cause of papillary muscle dysfunction is - ANS CAD
2
Page
@COPYRIGHT FYNDLAY 2025/2026
