CCI ECHO UPDATED FINAL EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔irregularly - ✔✔Vegetations are usually shaped
✔✔upstream - ✔✔Vegetations are usually attached
✔✔pericardium and epicardium - ✔✔Most nonprimary cardiac tumors involve the
✔✔Blood stasis - ✔✔Main cause of thrombus formation in the LV
✔✔TTE - ✔✔Which modality is best for identifying LV thrombus
✔✔True - ✔✔Contrast may help with the diagnosis of an apical thrombus
✔✔low LVEF - ✔✔What does not cause LA thrombus
✔✔TEE - ✔✔Best modality to diagnose LA thrombus
✔✔True - ✔✔Pulsus Paradoxus is an inspiratory decline of >10mmHg in systemic blood
pressure
✔✔0.5-2.0 cm - ✔✔Moderate effusion
✔✔Systole - ✔✔Increased intrapericardial pressure results in collapse of RA free wall
✔✔subcostal - ✔✔Best view to image pericardial effusion
✔✔ - ✔✔With inspiration, RV filling velocities are ___ while LV filling velocities are ___
✔✔true - ✔✔Pericardial effusion is recognized as an echolucent space around the heart
✔✔ - ✔✔Severity of tamponade is detrmined by
✔✔chaotic - ✔✔Vegetations have a _____ movement
✔✔3/4 - ✔✔Almost ___ of cardiac metastases are due to lung, breast, or hematologic
malignancies
✔✔true - ✔✔PE in a pt with known malignancy should alert the clinician of cardiac
involvemtne
✔✔renal cell carcinoma - ✔✔fingerlike projection protruding into RA from IVC
, ✔✔true - ✔✔LV thrombus is uncommon if there is no wall abnormality
✔✔true - ✔✔regurgitation is a common finding with veg and masses
✔✔lipoidoma - ✔✔Involved superior and inferior fatty portions of IAS paraing fossa
ovalis region
✔✔papillary fibroelastoma - ✔✔Found more often on downstream side of valve
✔✔myxoma - ✔✔Most often are single, protrude into LA from IAS
✔✔Angiosarcoma, Mesothelimas, - ✔✔Malignant primary cardiac tumor
✔✔Myxoma - ✔✔Causes a plop heard on auscultation
✔✔pericarditis - ✔✔inflammation of pericardium
✔✔true - ✔✔Left pleural effusion extends posterior to the descending aorta
✔✔Large E, small A - ✔✔Constrictive pericarditis MV inflow doppler
✔✔RA - ✔✔pericaridal effusions typically originate near the
✔✔25mm/sec - ✔✔Sweep speed to evaluate for respiratory variation in effusion
✔✔true - ✔✔Malignant primary cardiac tumors are rare
✔✔LV thrombus - ✔✔strong predictor of subsequent embolic events
✔✔true - ✔✔Prstheitc valves can be source of emnolic event
✔✔true - ✔✔PFO is in 25-30% of people
✔✔1-2 beats - ✔✔In a bubble study, bubbles should be present on the left side in
✔✔true - ✔✔At least 2 injections should be performed with a bubble (one with valsalva,
one without)
✔✔true - ✔✔Pericardial adipose tissue can be mistaken for an effusion
✔✔Constrictive Pericarditis - ✔✔Adherent, thickened, and fibrotic pericardium
ANSWERS SURE A+
✔✔irregularly - ✔✔Vegetations are usually shaped
✔✔upstream - ✔✔Vegetations are usually attached
✔✔pericardium and epicardium - ✔✔Most nonprimary cardiac tumors involve the
✔✔Blood stasis - ✔✔Main cause of thrombus formation in the LV
✔✔TTE - ✔✔Which modality is best for identifying LV thrombus
✔✔True - ✔✔Contrast may help with the diagnosis of an apical thrombus
✔✔low LVEF - ✔✔What does not cause LA thrombus
✔✔TEE - ✔✔Best modality to diagnose LA thrombus
✔✔True - ✔✔Pulsus Paradoxus is an inspiratory decline of >10mmHg in systemic blood
pressure
✔✔0.5-2.0 cm - ✔✔Moderate effusion
✔✔Systole - ✔✔Increased intrapericardial pressure results in collapse of RA free wall
✔✔subcostal - ✔✔Best view to image pericardial effusion
✔✔ - ✔✔With inspiration, RV filling velocities are ___ while LV filling velocities are ___
✔✔true - ✔✔Pericardial effusion is recognized as an echolucent space around the heart
✔✔ - ✔✔Severity of tamponade is detrmined by
✔✔chaotic - ✔✔Vegetations have a _____ movement
✔✔3/4 - ✔✔Almost ___ of cardiac metastases are due to lung, breast, or hematologic
malignancies
✔✔true - ✔✔PE in a pt with known malignancy should alert the clinician of cardiac
involvemtne
✔✔renal cell carcinoma - ✔✔fingerlike projection protruding into RA from IVC
, ✔✔true - ✔✔LV thrombus is uncommon if there is no wall abnormality
✔✔true - ✔✔regurgitation is a common finding with veg and masses
✔✔lipoidoma - ✔✔Involved superior and inferior fatty portions of IAS paraing fossa
ovalis region
✔✔papillary fibroelastoma - ✔✔Found more often on downstream side of valve
✔✔myxoma - ✔✔Most often are single, protrude into LA from IAS
✔✔Angiosarcoma, Mesothelimas, - ✔✔Malignant primary cardiac tumor
✔✔Myxoma - ✔✔Causes a plop heard on auscultation
✔✔pericarditis - ✔✔inflammation of pericardium
✔✔true - ✔✔Left pleural effusion extends posterior to the descending aorta
✔✔Large E, small A - ✔✔Constrictive pericarditis MV inflow doppler
✔✔RA - ✔✔pericaridal effusions typically originate near the
✔✔25mm/sec - ✔✔Sweep speed to evaluate for respiratory variation in effusion
✔✔true - ✔✔Malignant primary cardiac tumors are rare
✔✔LV thrombus - ✔✔strong predictor of subsequent embolic events
✔✔true - ✔✔Prstheitc valves can be source of emnolic event
✔✔true - ✔✔PFO is in 25-30% of people
✔✔1-2 beats - ✔✔In a bubble study, bubbles should be present on the left side in
✔✔true - ✔✔At least 2 injections should be performed with a bubble (one with valsalva,
one without)
✔✔true - ✔✔Pericardial adipose tissue can be mistaken for an effusion
✔✔Constrictive Pericarditis - ✔✔Adherent, thickened, and fibrotic pericardium
