CCI ARDMS Registry review practice
questions and answers
Which of the following would most likely result in a late systolic murmur? - Answer -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 - Answer -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?
- Answer -circumflex
The finding of an overriding aorta in the parasternal long-axis view of an
echocardiogram is most consistent with? - Answer -VSD (bc TOF)
The resistance against which the ventricle contracts is known as? - Answer -Afterload
is- end systolic wall stress (will never ask this one) and systemic vascular resistance
Prinzmetal is associated with a type of - Answer -angina; caused by coronary
vasospasm
Valvular atresia is a valve that is - Answer -underdeveloped or absent
Which of the following may be caused by rapid accumulation of fluid in the pericardial
space? - Answer -cardiac tamponade
A ventricular wall motion abnormality that is reversible with nitroglycerin is - Answer -
myocardial ischemia
Fine high frequency diastolic flutter of the mitral valve is most consistent with - Answer -
Aortic insufficiency- called austin flint murmur
, Which of the following echocardiographic findings is most likely to be found with
Marfan's syndrome? - Answer -dilated AO root
What causes a pseudoaneurysm? - Answer -myocardial rupture
What would a dry nonproductive cough and dyspnea suggest in the cardiac patient? -
Answer -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? - Answer -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? - Answer -papillary muscle rupture or ventricular septal defect
The most common cause of papillary muscle dysfunction is - Answer -CAD
Antibiotics prophylaxis is used with which of the following, due to the increased
incidence of infective endocarditis? - Answer -MVP
What type of defect is indicated in a cyanotic child? - Answer -right to left shunt
A high (outflow) ventricular septal defect is anatomically located - Answer -superior to
the supraventricular crest.
During the development of the fetal heart, the conus arteriosus will eventually become -
Answer -the right ventricular outflow tract.
Which of the following results from a combination of a shunt and high pulmonary
vascular resistance? - Answer -Eisenmenger 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 - Answer -bicuspid valve
Which of the following is the normal looping and rotation of the heart? - Answer -D-
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? - Answer -Indicates 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 - Answer -RV
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