ARDMS Adult Echo Exam Questions with correct Answers Most common congenital anomaly most frequently seen in adults - Answer- Bicuspid Aortic Valve
Which echocardiographic window is used in the detection and assessment of the inferior vena cava? - Answer- Subcostal
What is the number and location of the papillary muscles of a normal mitral valve? - Answer- Two; posteromedial and anterolateral
Clinically, prolapse of the mitral valve is associated with: - Answer- Mid systolic click and/or late systolic murmur
Papillary muscle dysfunction usually results from: - Answer- Ischemic heart disease
In order to record a vegetation of endocarditis by echo the veg must have a diameter of at least how big - Answer- 3 millimeters
How many veins connect the pulmonary vascular bed with the left atrium in the normal heart? - Answer- four
Which M mode finding is considered to be a specific indicator of a fenestrated AV - Answer- Diastolic flutter of the aortic valve
Which cardiac abnormalities are frequently noted on the echocardiogram of patients with Marfan's syndrome? - Answer- MVP and aortic dilatation
Which term is used to describe a segment of ventricular wall that exhibits no motion? - Answer- Akinesis
A true aneurysm of the left ventricle can usually be distinguished from a Pseudoaneurysm because a Pseudoaneurysm: - Answer- smaller neck
Which type of cardiomyopathy is associated with amyloidosis? - Answer- Infiltrative
In a patient with carcinoid heart disease, the cardiac sonographer must devote special attention to identifying abnormalities of the: - Answer- Tricuspid valve
Which 2D echo view is best for identifying the malformed tricuspid valve apparatus that characterizes Ebstein's anomaly: - Answer- Apical four chamber Infundibular pulmonary stenosis is uncommon as an isolated lesion and is usually associated with: - Answer- Ventricular septal defect
Which 2D echo view is best for the assessment of the interatrial septum? - Answer- Subcostal four chamber
The most common type of atrial septal defect is the: - Answer- Ostium secundum
M-mode echo demonstration of mid systolic closure of the pulmonary valve along with a
decreased "a: wave is most consistent with: - Answer- Pulmonary hypertension
False overriding of the aorta may be produced on the M-mode echo by: - Answer- Positioning the transducer too high an intercostal space.
Atrial fib. is most commonly associated with which valvular disease? - Answer- Rheumatic mitral stenosis
Which is an example of a bioprosthetic cardiac valve? - Answer- Ionescu-Shiley bovine pericardial
Doppler measures a drop (gradient) by the Bernoulli equation. this equation actually measures the _______ gradient across the valve. - Answer- Peak instantaneous
When a patient has a clinical diagnosis of pericarditis: - Answer- A pericardial effusion may not be present on echo
In normal patients, most ventricular filling occurs: - Answer- in the first third of diastole
The patient you are examining has clear cut auscultatory and angiographic evidence for
mitral prolapse, yet the resting echo is normal. You should then: - Answer- Have the patient in the standing position
Tricuspid valve closure normally occurs: - Answer- Less than 0.06 seconds after mitral closure
Kawasaki's disease may lead to: - Answer- coronary artery aneurysm
Which echo technique is best for the detection of mitral regurgitation? - Answer- pulsed wave Doppler
A 2D echo shows increased thickness of the ventricular walls but normal LV size. The myocardium has a speckled appearance. Which type of cardiomyopathy might this represent? - Answer- infiltrative
Atrial myxomas are usually attached to the: - Answer- fossa ovalis region of the atrial septum
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